New Business Record Information

Name of Person Completing this Form:

How did you hear about our services?

Customer Requirement
Internet
Other (List)

Specify Type of Audit

Food Safety/GMP
Allergen
Food Security
QSE

If you do not wish to receive a program information packet*, please check here.
*A program information packet includes details on audit costs, criteria (i.e., Consolidated Standards), training materials, etc.

The AIB International Inc. inspection is NOT A “CERTIFICATION” AUDIT.
It is a standard assessment and statement of performance measured against the AIB Consolidated Standards for Inspection and its associated templates.

Physical Address of Company/Site to be Audited:

Plant Name*

Street Address #1*

Street Address #2

City*

State or Province*

ZIP Code or Postal Code*

Country

Mailing Address of Company/Site to be Audited:

PO Box

City

State or Province

ZIP Code or Postal Code

Country

Telephone Number:*

Fax Number:

Purchase Order Number:

Please Specify Time Frame of Audit:

(Month (Jan., Apr., Oct., etc.) or processing season)

Indicate Number of Audits Required per Year:

(Audits will occur on a yearly basis until AIBI is notified to discontinue)


Is this a one time audit?
Yes No

Would You Like Your First Audit To Be Considered Training/NotScored?

Yes No

Is this Audit:

Announced (ONLY the notification person listed below will be informed of the audit date.)
Unannounced (Audit date will NOT be provided to anyone.)

Please provide any dates that we should avoid when scheduling your audit.

Notification Person Name:

If the audit is ANNOUNCED, who should be informed of the date of the audit?

Prefix (Mr/Ms/Ing)

First Name*

Middle Initial/Name

Last (family) Name*

Suffix (Jr/Sr/PhD)

Job Title

Name of Company

Mailing Address

City

State

Zip

Email Address*

Telephone Number*

Fax Number

Method of Receiving Report:
E-mail
First Class Mail

Facility Contact

Prefix (Mr/Ms/Ing)

First Name

Middle Initial/Name

Last (family) Name

Suffix (Jr/Sr/PhD)

Job Title

Name of Company

Mailing Address

City

State

Zip

Email Address

Telephone Number

Fax Number

Method of Receiving Report:
E-mail
First Class Mail

Invoice Recipient

Prefix (Mr/Ms/Ing)

First Name

Middle Initial/Name

Last (family) Name

Suffix (Jr/Sr/PhD)

Job Title

Name of Company

Address

City

State

Zip

Email Address

Telephone Number

Fax Number

Method of Receiving Report:
E-mail
First Class Mail

Language of Report

English
Spanish*

*Spanish not available for all formats. Translation fees will apply.

Report Format**

Click here for examples. (See Sample Audit Reports.)

Standard AIB Format (Narrative)
AIB Checklist

**If a report format is not selected,the Standard AIB Format will be used.

Supplier to?

(Name of company(s) that the audited facility supplies that require third party audits - PLEASE BE SPECIFIC)

Please list people at the facility address who should receive a copy of the report

What Type of Facility is this?

(Products produced: bread, pet food, corrugated boxes, packaging film, etc. or is the facility a flour mill, distribution center, etc.)

What Size is this Facility?

(Please specify square footage or square meters, acreage/# of fields, etc.)

Note

If you require customers to receive a copy of your audit report, please contact audit services to obtain the appropriate forms. (1-800-633-5137)

Please indicate the nearest airport and hotel:

CANCELLATION POLICY:
Once you have confirmed your audit, you must give us AT LEAST 22 DAYS NOTICE IF YOU NEED TO CANCEL.

If you cancel the audit 22 days (7 day week x 3 weeks + 1 day) or more before the agreed audit date, you will be responsible for any costs already incurred such as change fees for airline tickets, hotel reservations or rental cars. No charges for the audit days will be incurred.

If you cancel the audit 21 days (7 day week x 3 weeks) or less before the agreed audit date and the auditor’s time cannot be filled, you will be billed for the audit days, as well as any associated and non-reimbursable costs incurred, such as non-refundable tickets, penalties for redoing airline tickets, rental car and hotel reservations, etc.

Cancellations will be considered case by case.