Supplier Allergen Questionnaire (Free)
Form – Supplier Allergen Questionnaire
You can’t manage allergens you don’t know about. This questionnaire gets the allergen facts from every ingredient supplier – what’s in it, what it’s made near, and how they control it.
Fill this in as you go, not from memory at the end of the shift – records reconstructed later are where the errors creep in. Replace [bracketed] guidance with your site’s detail.
1. Document control
| Field | Details |
|---|---|
| Document title | Form – Supplier Allergen Questionnaire |
| Document no. | [QA-FORM-023] |
| Version | [1.0] |
| Effective date | [YYYY-MM-DD] |
| Prepared by | [Name / Title / Date] |
| Approved by | [Name / Title / Date] |
| Review date | [YYYY-MM-DD] |
1. Supplier and material
- Supplier: | Material: | Date: [YYYY-MM-DD]
- Completed by (supplier): [Name / title]
2. Allergen declaration
Chase incomplete questionnaires – ‘not sure’ is not an answer you can build a label on. Escalate non-responders through purchasing.
| Allergen | Present in product? (Y/N) | Present on same line/site? (Y/N) | Controls in place |
|---|---|---|---|
| Cereals containing gluten (specify) | |||
| Crustaceans | |||
| Egg | |||
| Fish | |||
| Peanut | |||
| Soy | |||
| Milk | |||
| Tree nuts (specify) | |||
| Sesame | |||
| Other local regulated allergens |
3. Review
- Reviewed by QA: [Name / date]
- Matrix/label impact:
- Follow-up required? [Y/N – details]
Approval and control
| Role | Name | Signature | Date |
|---|---|---|---|
| Prepared by | [Name] | [Signature] | [Date] |
| Reviewed by (QA) | [Name] | [Signature] | [Date] |
| Approved by | [Name] | [Signature] | [Date] |
Keep completed forms for Retain per supplier file requirements. at [defined location] – and make sure someone besides you knows where that is.
General use: This template contains no country-specific laws or regulator names and suits any food business — restaurant, catering, food manufacturing, retail, or food service. Adapt temperature limits, legal references, and record-retention periods to your local regulations. Provided by GIFSQ · v1.0 · September 2026