VENDOR PERIODIC ASSESSMENT FORM: MATERIALS

Name of the Vendor	Vendor Code
Material / Services in Question	Material Code
Assessment Period: From                     to

Fill in the required information of attach document wherever applicable.

Department wise assessment:
Purchase Department:
How do you rate the order processing
How do you rate communication and responsiveness
Price revision/ % increase in price
Any deviation from contract agreement
Any change in supply/logistic provision
Other remarks
Overall performance: Satisfactory/Unsatisfactory
Name	Designation	Signature	Date

Warehouse:
Total Number of consignments received
Total material received
Total Number of consignments rejected
Total material rejected (% rejection)
Total number of consignments delayed
Number of packages received with compromised package quality and integrity on received goods inspection
Other remarks
Overall performance: Satisfactory/Unsatisfactory
Name	Designation	Signature	Date

Quality Control:
Total number of samples tested
Total samples failed to meet acceptance criteria for each test performed
Is the variation in passed results acceptable, if not specify the test parameter which is not consistent
Other remarks
Overall performance: Satisfactory/Unsatisfactory
Name	Designation	Signature	Date

Production:
How do you rate the performance of the material in terms of yields
Are % rejection acceptable (packing material)
Other remarks
Overall performance: Satisfactory/Unsatisfactory
Name	Designation	Signature	Date

Quality Assurance:
Any change control/deviation  intimated by the vendor
Categorize the  change control/deviation  intimated by the vendor as critical/non critical
Was vendor audit initiated in case of critical change control/deviation, explain
List the complaints brought in the notice of QA Department by Purchase, Warehouse, Quality Control, Production etc
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