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FOOD SAFETY SYSTEM CERTIFICATION 22000

Version 5 | December 2019

ANNEX 4: CB CERTIFICATE TEMPLATES

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INTRODUCTION

The FSSC 22000 certificates shall be based on the templates in this Annex.

The content of the certificate shall match the template and Part III, section 7.2.

The layout of the certificate is at the discretion of the CB.

Templates in this Annex:

1. FSSC 22000

2. FSSC 22000 with head office (refer Part III, section 5.2.1)

3. FSSC 22000 with off-site activities (refer Part III, section 5.2.2)

4. FSSC 22000 with multi-site activities (refer Part III, section 5.3)

5. FSSC 22000-Quality

6. FSSC 22000-Quality with head office

7. FSSC 22000-Quality with off-site activities

8. FSSC 22000-Quality with multi-site activities

Note: for Organizations with off-site activities the list of locations and activities may be listed on

an addendum to the certificate.

REVISION HISTORY

Date published Version Changes

May 2019 1.0 First publication

December 2019 1.1 1. Footer added on each template made visible “Validity of

this certificate can be verified in the FSSC 22000 database

of Certified Organizations available on

www.fssc22000.com”

2. Issue date of ISO 22000 changed from ISO

22000:2005/2018 to ISO 22000:2018

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1. FSSC 22000

The Food Safety Management System of

Name of Organization

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000

FSSC 22000

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

Validity of this certificate can be verified in the FSSC 22000 database of certified

organizations available on www.fssc22000.com

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2. FSSC 22000 WITH HEAD OFFICE

The Food Safety Management System of

Name of Organization

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000

FSSC 22000

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

This audit included the following central FSMS processes managed by (name and location of head

office): (describe FSMS processes audited at the head office)

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

Validity of this certificate can be verified in theFSSC 22000 database of certified

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3. FSSC 22000 WITH OFF-SITE ACTIVITIES

The Food Safety Management System of

Name of Organization

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000

FSSC 22000

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

This audit included the following off-site activities at (locations):

(describe FSMS processes audited at the location)

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

Validity of this certificate can be verified in theFSSC 22000 database of certified

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4. FSSC 22000 WITH MULTI-SITE ACTIVITIES

The Food Safety Management System of

Name of Organization

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000

FSSC 22000

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

This audit included multi-site activities at as detailed in Addendum I

(when applicable for E, FI and G)

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com Page 1 of 2

Page 1 of 1

Validity of this certificate can be verified in theFSSC 22000 database of certified

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ADDENDUM

Name of organization:

Certificate of registration number: Valid until:

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Issued by:

Name and address of certification body CB logo

Page 2 of 2

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5. FSSC 22000-QUALITY

The Food Safety and Quality Management System of

Name of Organization

at

Location, Country

has been assessed and determined to comply with

the requirements of:

Food Safety System Certification 22000-Quality

FSSC 22000-Quality

Certification scheme for food safety and quality management systems consisting of the following

elements:

ISO 22000:2018, ISO 9001:2015, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5)

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB mark

Valid until:

Issued by:

Name and address of certification body CB Logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

Validity of this certificate can be verified in the

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6. FSSC 22000-QUALITY WITH HEAD OFFICE

The Food Safety Management System of

Name of Company

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000-Quality

FSSC 22000-Quality

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, ISO 9001:2015 “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

This audit included the following central FSMS processes managed by (name and location of head

office): (describe FSMS processes audited at the head office)

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

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7. FSSC 22000-QUALITY WITH OFF-SITE ACTIVITIES

The Food Safety Management System of

Name of Company

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000-Quality

FSSC 22000-Quality

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, ISO 9001:2015, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

This audit included the following off-site activities at (locations):

(describe FSMS processes audited at the location)

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

Validity of this certificate can be verified in the

FSSC 22000 database of certified organizations available on www.fssc22000.com.

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8. FSSC 22000-QUALITY WITH MULTI-SITE ACTIVITIES

The Food Safety Management System of

Name of Company

at

Location, Country

has been assessed and determined to comply with

the requirements of

Food Safety System Certification 22000-Quality

FSSC 22000-Quality

Certification scheme for food safety management systems consisting of the following elements:

ISO 22000:2018, ISO 9001:2015, “name of applicable PRP standard(s)” (e.g. ISO/TS 22002-1:2009) and

Additional FSSC 22000 requirements (version 5).

This certificate is applicable for the scope of:

Scope Statement [process/activities, product and/or service description]

Food Chain Subcategory [see table in section 3 of Part 1]

This audit included multi-site activities at as detailed in Addendum I

Certificate of registration number:

Certification decision date:

Initial certification date: Authorized by:

Issue date: Position of signatory AB Mark

Valid until:

Issued by:

Name and address of certification body CB logo

Validity of this certificate can be verified in the FSSC 22000 database of Certified

Organizations available on www.fssc22000.com

Page 1 of 2

Page 1 of 2

Validity of this certificate can be verified in the

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ADDENDUM

Name of company:

Certificate of registration number: Valid until:

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Site name

Site address

List of activities

Issued by:

Name and address of certification body CB logo

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