INTAKE FORM – Chilled & Frozen
FORM0010
Supplier
Date
2026-04-22
Time
18:09
Purchase Order No
Delivery Note No
Employee No
Trailer No
Tesco Welfare Approved (TWA) and Red Tractor Approved (RTA/RT) may also be displayed as QMS or FQA, Welsh, Organic Delivery Rejected
No
Outer case labels clearly state (TWA & RTA / Welsh / FQA/ Organic) Yes Invoice / Delivery note clearly states (TWA & RTA / Welsh / FQA/ Organic) Yes
Condition of Vehicle / Trailer
(Circle as appropriate)		 Clean
Yes		 Damaged
No		 Lights intact
Yes		 Air Temperature
°C		 Evidence of Pests
No
No. Box Description Product Code Case Type No Cases Temperatures Pallet Check
✓ or X		 TWA Check
✓ or X		 RTA Check
✓ or X		 Organic Check
✓ or X		 Accept
✓ or X
TopMiddleBottom
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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23
Intake Temperature Parameters
DescriptionAccept
Fresh Vac Pack Primal/VL-2°C to +3°C
NZ Lamb-2°C to +3°C
Sauces (Ambient)+5°C to +30°C
Chilled Ingredients+0°C to +5°C
Frozen VL<-15°C
Frozen Ingredients<-15°C
Poultry<4°C
NOTE:

Any temperatures out of specification
Must be reported to Technical immediately

Details of action taken must be recorded below
Equipment Received
Blue handle trays
Green handle trays
Mustard handle trays
Red handle trays
Chep pallets
Other
NON-CONFORMANCE IDENTIFIED AND ACTION TAKEN
Details of action taken:
Intake Manager Sign: Print:
Form No. Issue No. Issued By: Authorised By: Issue Date Page Number
FORM005 19 Lidia Tomaszek Anna Steward 24/03/2026 Page 1