App 22/01
Issued by: C O’Kennedy
Issued:24/11/11.
IRISH ORGANIC FARMERS’ AND GROWERS’ ASSOCIATION
Inspection & Certification Scheme
Application Form for Industrial products.
One application form for each product must be completed by the applicant and forwarded together with the appropriate fee for the attention of the Certification Manager.
GENERAL DETAILS
Applicant: ……………………………………………………………………………………………………….
Company Trading Name: ……………………………………………………………………………………….
Company Registration No: ……………………………………………………………………………………...
Contact Name: …………………………………………………………………………………………………..
Company Address: ……………………………………………………………………………………………...
Tel No: ………………………………………Fax No: …………………………………………
Email Address: …………………………….Web Address: …………………………………...
Address & Contact details of processing plant/warehouse (if different from above):
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Invoicing address: ………………………………………………………………………………………………
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Do you already hold an Organic Licence: Yes( )No( )
Name of person who directly controls day-to-day organic products: …………………………………………
Are you an affiliated member of IOFGA?Yes( )No( )
Have you every been certified by another certification body?Yes( )No( )
Did the previous Certification Body revoke your licence?Yes ( )No( )
If Yes please state the reasons: …………………………………………………………………………………
PRODUCT DETAILS
What product are you applying to have certified: ………………………………………………………………
Does your product carry a brand name? If so, what is it? ……………………………………………………...
Do you manufacture the product and if not who does? …………………………………………………………
Address of the manufacturing plant …………………………………………………………………………….
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What are the product’s uses? (please specify target organisms etc) …………………………………………....
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What market do you have for your product? ……………………………………………………………………
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Do you currently promote your product as organic? ……………………………………………………………
PACKAGING/LABELLING
AIf granted an IOFGA Licence, how do you intend to use the IOFGA Symbol?
( )Label( )Packaging
( )Promotional/point of sale material( )Other (please supply details)
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BPlease provide details of all proposed packaging materials
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NOTE: Any labels, packaging or promotional materials using or referring to IOFGA or the IOFGA symbol, must be approved by IOFGA prior to a licence being granted.
Under what legislation does the product have clearance? ………………………………………………………
Please give details of the uses for which the product has been approved ………………………………………
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Note: Please attach documentation verifying clearance to this form.
Is there a complaints procedure in place? ……………………………………………………………………….
If yes please supply details: ……………………………………………………………………………………..
MANUFACTURING PROCESS
Please supply a list of ingredients including all additives, carriers, bases, wetters, preservatives etc and analysis where applicable.
Ingredient / % Composition / Source / Synthetic / AnalysisWhat are the reasons for the inclusion of synthetic ingredients? (Note: for any synthetic products, please supply chemical composition and relevant manufacturing data and toxicological data). ………………………
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How much variability in formulation/ingredients is acceptable? ……………………………………………….
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Please attach a flow chart outlining the manufacturing process.
Under what legislation is the product controlled? ……………………………………………………………..
What analysis is carried out on the product, by whom and how often? ………………………………………...
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Please describe all cleaning procedures used …………………………………………………………………...
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What other products are manufactured, used or packaged
On the same line ………………………………………………………………………………………………...
In your premises ………………………………………………………………………………………………...
What steps are taken to prevent adulteration through physical contact, residuals, dusts etc between the organic and non-organic products?
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What storage methods are used for both the ingredients and the finished product? ………………………….
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ENVIRONMENTAL ASPECTS
What are the waste products from your premises and how are they disposed of? ……………………………...
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What steps are taken to prevent pollution? ……………………………………………………………………...
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How is the product used, including method and recommended frequency of application, dilution rates etc? (Please enclose all instruction sheets leaflets etc)
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What precautions are recommended when using the product:-
for the worker? ………………………………………………………………………………………..
disposal of spent material & containers? ………………………………………………………………
protection of the environment and non-target organisms? ……………………………………………
What is the mode of action of the product? …………………………………………………………………...
What are the products hazards:-
to animal and human life? ………………………………………………………………………….
to microbial life? …………………………………………………………………………………...
What residual/breakdown products remain after use and what are their effects?
in soil / plants? …………………………………………………………………………………………..
in non-target organisms? ………………………………………………………………………………
in humans? …………………………………………………………………………………………….
Please provide a heavy metal analysis for any fertilisers, composts and soil amendments being manufactured for the organic market.
What agrochemical residues are there (AB’s hormones, biocides)? ……………………………………………
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DECLARATION
I hereby declare that the information contained in this form is, to the best of my knowledge correct and true:
Signed:…………………………………………………………………………………………………………...
Block Capitals:…………………………………………………………………………………………………..
Position in company:…………………………………………………………………………………………….
Date:……………………………………………………………………………………………………………..
Customer ServiceTo improve our customer service we welcome your feedback. Please take a few minutes to complete the questions below.
Where did you find out about IOFGA?
At a show or event (please state) / Word of mouth / Previously licensed / Media (please state)
Other (please state) / …………………………………………………………………………………………………………………
Why did you choose us for organic certification?
IOFGA symbol on products / Recommendation by associate / Customer/retailer preference / Not for profit
Marketing opportunities / Certification integrity / Other (please state) / ……………………………………………………….
Did you find this application form easy to understand? / Yes / No
Were there any sections that need to be clearer? / Yes / No
If yes, please detail here: ……………………………………………………………………………………………………………..
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Could any part of the application process be made easier for you? / Yes / No
If yes, please detail here: ……………………………………………………………………………………………………………..
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Do you have any comments regarding the service you have received from us to date? / Yes / No
If yes, please detail here: ……………………………………………………………………………………………………………..
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Irish Organic Farmers' and Growers' Association, 16A Inish Carraig, GoldenIsland, Athlone, Co Westmeath Tel: 090 64 33680; Fax: 090 64 49005; E-mail: Web: