1.         Section-A

Date

 

Name of Material

 

Batch Number

 

Quantity

 

Q.C. Number

 

Supplier Name

 

Mfg. Date

 

Exp. Date

 

Fill this form after reading carefully

 Supplier categories:

Raw Material _____ Packing material ______ General Items ______Services ____

2.         Section-B

Information to be provided by Supplier     

2.1     Do you have Quality Management or QA systems?       Yes     No      N/A

2.2     Do you perform inspection and verification at?

          2.2.1   Distribution Stage                                          Yes     No      N/A

          2.2.2   Retail stage                                                   Yes     No      N/A

2.3     Is there any qualified personnel who can understand material or services              specifications?                                                              Yes     No      N/A

2.4     Do you have a customer complaint system?                 Yes     No      N/A

2.5     Have you supplied any material/services to any Pharmaceutical                           Company?                                                                    Yes     No      N/A 

2.6     Have you supplied any material/services to Norwich Pharmaceuticals ever             before?                                                                         Yes     No      N/A

2.7     Do you have sufficient storage capacity to maintain inventory level for                  timely supply of goods?                                               Yes      No      N/A           

2.8     Do you have qualified/trained personnel for handling/storage/                               preservation of materials?                                              Yes     No      N/A

3.         Section C (Only for internal purpose)

            Company Data

3.1     For how long has the supplier been providing goods & services to the                    company?

________________________________________________________________

3.2     Has the supplier regularly met his commitment to the company with respect to:

3.2.1   Quality requirements                                           Yes     No      N/A

3.2.2   On time delivery                                                  Yes     No      N/A

3.2.3   Other services like transportation                          Yes     No      N/A

3.3     Is the supplier financially sound to provide credit to the company?                                       Yes     No      N/A

3.4     Does the supplier respond and supplies irregular purchase orders?                                        Yes     No      N/A

3.5     Does the supplier enjoy good market reputation?             Yes     No      N/A

4.         Section D (To be completed by Quality Assurance)

On site Audit 

Is this supplier quality conscious?                                            Yes     No      N/A

Audit conducted by:

                            

Approval From Quality Control Department:

Remarks:

 

 

Name:

Designation

Signature

Date:

 

Approval  From Quality Assurance Department :

Remarks:

 

 

Name:

Designation

Signature

Date:

 

Approval From Production Department:

Remarks:

 

 

Name:

Designation

Signature

Date:

 

Audit Report:

 


Satisfactory  _____________      Un-satisfactory ____________

5.         Section D (To be completed by Quality Control Department)

5.1     Does samples provided from three consecutive batches     Yes     No    N/A

5.2     Q.C analytical Report of Samples                                  Passed      Failed

6.         Section E (To be completed by QA & Purchase Department)

Decision

6.1     Is the supplier/importer/other capable to fulfill our needs well in time?                        Yes     No      N/A

6.2     Is the supplier/importer/other supplies any material /services before?                                Yes     No      N/A

Reviewed By Purchase Committee:


 Satisfactory _________        Un-satisfactory __________

 

 

Approved __________          Not Approved ____________

Remarks: ______________________________________________________________________________________________________________________________________________________________________________

 

 

Prepared By (Name): ________________________      Date ___________

                                        (Procurement Manager)

 

 

 

 

Approved by (Name) ________________________        Date _________

          (Quality Assurance Manager)

 

 

 

* Update approved supplier List immediately.