1. Section-A
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Date |
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Name of Material |
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Batch Number |
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Quantity |
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Q.C. Number |
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Supplier Name |
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Mfg. Date |
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Exp. Date |
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Fill this form after reading carefully |
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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?
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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:
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Approval From Quality Control Department: |
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Approval From Quality Assurance Department : |
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Approval From Production Department: |
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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.