xyz

SUPPLIER QUESTIONNAIRE

1.0 GENERAL INFORMATION

1. Company Name
2. Address
Complete Address with
Telephone Number
Telephone Number
Contact Person
After office hour
Telephone number
3. Materials currently supplied
4. Material proposed to be supplied
5. Date of Audit, if any:
6. Production Capacity :
7. Sq. footage of Mfg./ Admin / Stores / Production/
Engg / R&D / QC areas
(Attach separate sheet if required)
8. Name of the Proprietors / Partners / Directors
9. List of existing Major Customers

10. Sites of Address

Manufacture
Telephone Number
Contact Person
After office hour
Telephone number
11. Factory / Establishment License No.
12. No. of personnel Production
employed Quality Control
Quality Assurance
15. Name & designation of the Production In-charge
16. Name & designation of the Quality Assurance In-
charge
17. List Certificate / registration obtained (e.g. ISO
9000/14001 etc. If so, give Certificate No.’s) attach
copies.
18. Company History: How long in the business

19. Company Business type

20. Are Company premises
a) Leased Hold / Rented
b) Free Hold
 xyz
SUPPLIER QUESTIONNAIRE

A. ORGANIZATION AND PERSONNEL

Sl.No Parameters / Details YES NO N/A
1. Does organization chart available?
2. Does personnel are trained and records are SHE
maintained for Procedural Training
QMS Training
5. Does the Personnel wear adequate protective Apparel in the process
areas?
6. Does Job cards available at each stage of the operation and does it
provide setup clearance system?
B BUILDING AND FACILITIES
1. Please specify brief description of building:
2. Does the facility is provided with adequate lighting, ventilation and
Clean rooms.
3. Is the premises situated in an environment which causes minimum risk
of contamination to material or products.
4. Is area sufficient for orderly storage of materials? Specify brief
description of stores.

5. Is area provided commensurate with production activities and adequate

storage areas for under process materials and finished product provided.
6. Are procedures available for maintenance, cleaning and sanitation of
buildings, premises and surroundings?

C. COMPONENT AND MATERIAL CONTROL

1. Is qualification of the material received based on

Written specification Approval of Vendor source

2. Are Reject/Accept limit shown
3. Is Approval of starting material based on
Quality History Supplier certificate

Own QC Testing Others

4. Are specifications change reviewed & approved by QA
5. Are written test procedure is in use for material testing.
6. Is a defined sampling plan is used.
7. Do record of test result indicates
Date & sign of analyst sample traceability

8. Are materials kept at required storage condition

Does any material require special storage condition? If so, state.

9. Does starting material visibly marked as

Sampled Approved

Rejected Not Marked

10. Do you keep inventory log or record indicating material name, Lot No.,
quantity, suppliers name, receiving code and date.
11. Do you use stock rotation system (FIFO) ?
12. Are rejected material marked and stored separately in a Secured area?
 xyz
SUPPLIER QUESTIONNAIRE

13. Do you have procedure for Visual examination of materials for damage
at the time of receipt?
14. Are bags and boxes kept off floor and suitably spaced for cleaning &
inspection?
15. Is Controlled storage conditions maintained wherever required?

16. Is separate Finished products storage available?

17. Are Finished products distribution records maintained?

18. Are records for action taken on rejected goods available?
Sl. No Parameters / Details YES NO N/A
D PRODUCTION
1. Is the workflow organized in manufacturing area?.

Please provide an outline of the process involved and the process

controls exercised to achieve consistent Quality Product meeting
specification. (attach separate sheet)
2. Do you have procedure for General housekeeping and environmental
control?
3. Are all equipments are suitably located for easy cleaning operation and
maintenance ?
4. Are all equipments identified with numbers?
5. Does Procedures, schedules and records available for calibration of
instruments ?
6. Does Preventive maintenance procedures and service records
maintained?
7. Are all the operations related to manufacturing process are recorded?
8. Are process equipment cleaned and checked on a regular basis?
9. Are any operations carried out in a controlled area e.g. Clean room? If
so, specify.
10. Are batch / Job records checked and signed? If yes, specify by whom?
11. To what specifications, standards, etc. does your product comply?
12. Are in-process checks carried out? If yes, who is responsible for
carrying out in-process controls? And specify frequency.
13. Is Reconciliation carried out at end of batch / job ?
14. Do you have a quarantine area for finished product?
15. Are finished goods properly identified, labeled and stored.
16. Rejected items are

Disposed Reworked
 xyz
SUPPLIER QUESTIONNAIRE

Sl. No Parameters / Details YES NO N/A

E. QUALITY ASSURANCE
1. Does a quality system exits. If so, please indicate in brief your Quality
assurance System
2. Does the quality unit independent to other functions.
3. Is the product manufactured tested prior to final release?
4. Are production samples for QC testing properly identified?
5. Are records maintained for testing of finished product?
6. Are outside source used for testing of finished product. If yes please
specify
7. Are master documents issued and approved before use?
If so, who is responsible for approval
8. Are certificates of analysis or certificates of conformance issued against
material produced?
9. Are certificates of analysis or certificates of conformance issued against
material dispatched?
10. Does your company carryout Self-Inspection and record findings?
11. Are deviations from the normal practice recorded and authorized.
12. Are calibration records maintained?
13. Does your company carryout vendor assessment? Are records
maintained?
14. Does your company have a system for disposal of returned or rejected
materials
15. Does your company have a complaints procedure?
16. Is there an organized complaint file?
17. Is there a periodic review of complaint files for trends?
18. Is File for Out of Specification results maintained, adequately
investigated and properly disposed?
F. QUALITY CONTROL
1. Are input material sampled and tested?
2. What sampling plans are used? Specify :
3. Are all test methods fully documented & controlled?
4. Please indicate the tests you conduct routinely before release of
product.
5. Do you maintain records of the tests you perform? If so, may we obtain
this data upon request?
6. Are calibration certificates for primary standard weights and primary
standard instruments are available and traceable to National /
International ( NIST )standards?
 xyz
SUPPLIER QUESTIONNAIRE

2.0 ENCLOSURE(s):
Please specify details of enclosures below:

S.No Details of
Attachment
Site1.maste Organogram
Facility Layout , Manufacturing Equipments
Instrument , Quality Management systems
2. Factory license copy.
3. Specification and methods of analysis
4 Storage conditions
5. ISO certifications

(Use separate sheet if required)

4.0 APPROVALS :
Department Nam Sign and Date Comments
SCM
QA