Excipient Supplier Audit Check List



Company Name

QA Department




Excipient Supplier Audit Check List
                            

 

Form No.

Issue Date:-           

Revision No:-        



Supplier Name: ________________________________________________________________________________

Address: ________________________________________________________________________________

              ________________________________________________________________________________
                                              

No

General Information
Remarks

1
Size of Organization (Small / Medium /Large)


2
Cleanliness & housekeeping


3
Total Personnel Strength
  1. Management
  2. Workers

4
Is the Owner /Management defined
(e.g  Owner Name, Contact Persons)

5
Do the Supplier keep the bulk Material purchase  and delivery Records
(e.g Invoice, Purchase Order, delivery challans)

6
Do the supplier verify the incoming material
(e.g Material Identification , Material ,grade and potency)



7
How material packaged & preserved until dispatch to customer.
(Sealed Bags , Drums , Identification Labels)


8
Criteria used for material return from customer
(pickup and Storage)

9
Material Delivery Status

Name of Auditors:-              ____________________________________________________________

Auditor 1:-
Auditor 2:-
Auditor 3:-
Comments:- ____________________________________________________________________________
____________________________________________________________________________


   ________                                                                                                           ______________

Q.A. Manager                                                                                                           Director

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