S.No
|
Material
Code
|
Material
Name
|
Material
Category
(Raw
material, Reagent, Packing Material, Excipient, API etc)
|
Date
of Qualification
|
Date
of Latest Assessment
|
Name
|
Designation
|
Signature
|
Date
|
Name of the Vendor
|
Vendor Code
|
Material / Services in Question
|
Material Code
|
Assessment Period: From to
|
|
Department
wise assessment:
|
|||
Purchase Department:
|
|||
How do you rate the service provided in terms of time
|
|||
How do you rate communication and responsiveness
|
|||
Price revision/ % increase in price
|
|||
Any deviation from contract agreement
|
|||
Any change in supply/logistic provision
|
|||
Losses Incurred due to delayed services
|
|||
Other remarks
|
|||
Overall performance: Satisfactory/Unsatisfactory
|
|||
Name
|
Designation
|
Signature
|
Date
|
User Department/ Responsible
Department:
|
|||
Service Provided as per agreed service scope
|
|||
Deviation and criticality of deviation from the agreed
scope/plan
|
|||
Delay on in services from the agreed plan/schedule
|
|||
Number of times the service has been delayed/ not provided
which affected the routine functioning of the department or the company as a
whole
|
|||
Quality effect due to filed or delayed service:
|
|||
Submission of documents or reports on completion of
task/service
|
|||
Delay in document submission/ report submission:
|
|||
Overall performance: Satisfactory/Unsatisfactory
|
|||
Name
|
Designation
|
Signature
|
Date
|
Name
|
Designation
|
Signature
|
Date
|
Overall performance of the vendor based on the analysis of
the above details:
|
Satisfactory/Unsatisfactory
|
Is there any need to initiate vendor assessment
|
Quality Assurance (Authorized Personnel)
|
|||
Name
|
Designation
|
Signature
|
Date
|
