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
|
|
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