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Certified product:
Type of certificate holder: (group,
individual, multi-site, multiple group)
Certified Volume:
Total certified area:
Date of first certification:
Location:
Country:
GPS coordinates: main office, main storage or
processing area(if in production area) or approximate
center of production area:
OR Tick box:
[ ] This information will be provided later
Other comments
Name CB
Name lead auditor
Name auditors
1.A.1
1.A.2
Non-applicable
Year 4
Year 3
Year 2
Year 1
Level of
inspection
Other info:
Comments
Further description comments are
needed when not fulfilled and nonapplicable.
1.A.3
1.A.4
1.A.5
1.A.6
1.A.7
2.A.1
2.A.2
2.A.3
2.A.4
2.B.1
2.B.2
2.B.3
2.B.4
2.C.1
2.C.2
2.C.3
2.C.4
13 16 16 17
0
0
0
0
0
0
0
0
points has to equal
3.A.1
3.A.2
Non-applicable
Year 4
Year 3
Year 2
Year 1
Level of
inspection
If an additional control point is not applicable, it can NOT be counted in or deducted from the number of
additional control points required for certification.
Comments
Further description comments are
needed when not fulfilled and nonapplicable.
3.A.3
3.A.4
New cocoa trees are planted in the most suitable pattern and
density to the varietal requirements to ensure easy management
of the farms.
3.B Nursery
An on-farm nursery is a cocoa nursery that is owned and managed by the certificate holder in this case
3.B.1
3.B.2
3.B.3
4.A.1
4.A.2
4.A.3
4.A.4
4.A.5
4.B.2
5. FERTILIZER USE
The control points in this chapter are about the choice of fertilizers that the producer uses, their storage and application. The type and amount of fertilizers applied a
situation. The use is recorded.
5.A Choice and use of fertilizers
5.A.1
5.A.2
5.A.3
5.B.1
5.B.2
5.C.1
5.D Storage
5.D.1
5.D.2
5.D.3
5.E.2
5.E.3
6.A.2
6.B.2
6.B.3
6.C.1
6.C.2
6.D.2
6.D.3
7.A.1
7.A.2
7.A.3
7.A.4
7.A.5
7.A.6
Crop protection products are not used or stored if they are (any
of the below):
- non-approved in the EU, USA (EPA) or Japan;
- classified by WHO as 1A or 1B;
- identified as Persistent Organic Pollutants (POP's) in the
Stockholm agreement;
- included in Annex III of the Rotterdam Convention (UNEP's Prior
Informed Consent (PIC) Program list);
- on PAN's Dirty Dozen list.
Application methods
7.A.7
7.A.8
7.A.9
7.A.10
The certificate holder makes all people on the farm aware of the
concept of re-entry time. Visual signs (e.g. warning signs, red
flags) are used to inform people of the re-entry time.
Documentation demonstrates that re-entry intervals for crop
protection products have been monitored.
7.A.11
7.A.12
All the crop protection products applied to the cocoa are suitable
for the pest, disease or weed and can be justified (according to
label recommendations or official registration body publication).
7.A.13
7.A.14
7.A.15
7.A.16
The certificate holder uses crop protection products with the least
chemical toxicity possible for people, flora and fauna.
7.B.1
7.B.2
7.C.1
7.C.2
7.D.2
7.D.3
7.E.1
7.E.3
7.E.4
7.E.5
7.E.7
7.E.8
7.E.9
7.E.10
7.E.11
7.E.12
The facility for storing and diluting crop protection products is equipped with the following safety provisions:
- permanent and clear hazard warning signs on or next to the
7.E.13 access doors.
C
7.E.14
7.E.15
7.F.2
7.F.3
7.G.1
8. HARVESTING
8.A Good harvest and post-harvest practices are applied to ensure good and consistent quality and food safety.
8.A.1
8.A.2
8.A.3
8.A.4
8.A.5
Cocoa beans are dried out of contact with soil and away from
roads. Smoke contamination is prevented.
Cocoa is stored off the ground and away from walls in a dry, well
ventilated area, away from sources of contamination such as
agrochemicals, fuel, flammable substances, smoke, etc.
8.A.6
Cocoa beans are prevented from getting wet during loading and
transportation.
8.A.7
8.B Good hygiene is maintained during harvest and post-harvest product handling.
8.B.1
8.B.2
8.B.3
8.B.4
8.C.1
39 68 78 82
0
0
0
0
0
0
0
0
points has to equal
51
22
12
Non-applicable
Year 4
Year 3
Year 2
Year 1
Level of
inspection
Comments
Further description comments are
needed when not fulfilled and nonapplicable.
9.A.1
9.A.2
9.A.3
9.A.4
9.B.1
9.B.2
9.B.3
9.C Worker health and safety facilities, equipment and accident procedures
It is the responsibility of the producer to ensure that his workers understand and follow the procedures for safe and healthy working conditions, and that have the be
emergency medical treatment.
9.C.1
9.C.2
9.C.3
9.C.4
9.C.5
9.C.6
9.D.1
9.D.2
9.D.3
9.D.4
9.D.5
9.D.6
9.E.1
9.E.2
9.E.3
9.E.4
9.E.5
9.F.1
9.F.2
9.F.3
Forced labor
9.F.4
Child Labor
9.F.5
9.F.6
Discrimination
9.F.7
Working hours
9.F.8
9.F.9
9.F.10
9.F.11
No worker works for more than five hours before having a break
for at least half an hour. In addition, a woman resuming her work
after child birth is entitled to two additional breaks daily, for an
agreed period of time or according to legal and sector standards.
9.F.12
9.F.13
9.F.14
Wages (incl overtime) are recorded and clear to workers and paid
in a manner convenient to them. In addition, permanent workers
have employment agreements/contracts providing
understandable information about their employment conditions,
including a detailed composition of wages and benefits.
Obligations to employees shall not be avoided through the use of
special types of contracts or arrangements.
9.F.15
9.F.16
9.F.17
9.F.18
The certificate holder and the staff do not engage in the use of
corporal punishment, mental or physical oppression and coercion,
verbal or physical abuse, sexual harassment or any other kind of
intimidation at the workplace.
9.F.19
9.G.1
9.G.2
For all workers that live on the production site, the certificate
holder provides clean and safe living quarters with access to
basic services like safe drinking water and toilets or latrines.
Education
9.G.3
9.G.4
9.G.5
9.G.6
Medical assistance
9.G.7
9.G.8
9.G.9
10.A.1
10.A.2
10.A.3
10.A.4
10.A.5
10.B.1
10.B.2
10.C.2
10.C.3
10.C.4
10.C.5
The certificate holder does not plant new cocoa on land that is
not classified as agricultural and/or approved for agricultural use.
If new shade trees are planted, diverse and native tree species
are used that will lead to multiple canopy levels. For the
selections of trees, the certificate holder follows the
recommendations of a research agency.
10.C.6
10.C.7
10.C.6
10.C.7
10.D.2
10.D.3
10.D.4
10.D.5
35 46 54 57
0
0
0
0
0
0
0
0
The sum of complied mandatory control points and not applicable mandatory control points has to equal
the total of mandatory control points in this part.
TOTAL ADDITIONAL CONTROL POINTS REQUIRED FOR CERTIFICATION CHAPTER 9-10
M&E questions
Fulfilled
Deadline
Planned date
of compliance
Action Plan
Questions
Answers
M&E questions
Fulfilled
Deadline
Planned date
of compliance
Action Plan
Questions
Answers
M&E questions
Fulfilled
Deadline
Planned date
of compliance
Action Plan
Questions
Answers
Introduction
The UTZ CERTIFIED Good Inside Checklist is a tool for organizations to evaluate their performance on complian
the UTZ CERTIFIED Good Inside Code of Conduct. To obtain certification for UTZ CERTIFIED Code of Conduct, th
with all control points which are applicable to the activities of the organization.
The desired result of this self-evaluation is an overview of what actions need to be taken towards compliance. O
all actions that you need to undertake to comply with the Code of Conduct Requirements, and when these actio
Please note that this evaluation is not a test, merely a way to visualize what needs to be done to comply.
When ready for certification, you can apply for certification with a Certification Body that is approved by UTZ CE
Certification Bodies can be found on the UTZ CERTIFIED website. UTZ CERTIFIED advises you to send the result
the Certification Body that will carry out the inspection. This could make the inspection more efficient.
The Certification Body may also use this document or an adapted version to conduct the audit. More details abo
can be found in the UTZ CERTIFIED Good Inside Certification Protocol[1].
When using the checklist on the computer, you are only able to write in the columns "Year 1"(D) to "Fulfi
A194 and from cell A301 to A303 you can mark the applicable box for the situation for your certification.
Below you can find specific situations and how you can fill in the checklist, please review them before completin
1 The certificate holder complies with a mandatory control point
Mark an "x" under column D if it is year 1, E for year 2, F for year 3, G for year 4
2 The certificate holder does not comply with a mandatory control point
Write "NC" under column D if it is year 1, E for year 2, F for year 3, G for year 4
Fill in the Comments, Action Plan and Deadline columns
3 The certificate holder complies with an additional control point
Mark an "x" under column D if it is year 1, E for year 2, F for year 3, G for year 4
4 The certificate holder does not comply with an additional control point
Nothing is filled in the years columns, you can write down a comment in column I
5 There is a mandatory control point which is non applicable
Mark an "x" under column H, do not write anything in the years columns
You have to fill in a comment in column I, explaining why it is non applicable
6 There is an additional control point which is non applicable on the corresponding level (year)
No marks
You can add a comment in column I
7 To remember
The sum of the complied and non applicable mandatory control points is equal to the total of mandatory contr
If the sum does not match, review if you have filled in the checklist correctly
UTZ CERTIFIED wishes you a successful certification process. For additional support please contact the UTZ CER
CERTIFIED/Solidaridad field representatives; the contact details can be found at www.utzcertified.org under Ab
g level (year)