供应商英文表格

1、 CUM SUPPLIER REGISTRATION RE-EVALUATION EVALUATION / FORM Date ofPage No.Document 1.Name of the Organization: (in full, in Block letters) Name & Telephone 3.No. of contact person: (a) Head Office/Registered4. Office/Address: Telephone No. Fax No. (b) Branch Office, if any Address : Telephone No. Fa

2、x No. (c) Works/Factory/Address . Telephone No. Fax No. Name of Chief Executive/Proprietor/Partners:5. . No.Telephone .Fax No. 6.enclosed Type of Organization Documentsto be Strike out those not applicable)( Proprietarya) Partnershipb) Company LimitedPrivatec) CompanyPublicd) Limited SectorPublice)

3、VendorSignature of 01 F-PUR-02/Rev. 6 of 1 Page COMMERCIAL DETAILS: A) Bank Name: :Branch B ) No:C) Account S: :Range A) :Division ) B ate:Commissioner C) D) Central Excise RegNo: No: TIN E) CST No: TIN F) VAT No.: Service Tax G) No.: H) PANWorkmenc)Skilled Workmend)Unskilled facilitiesof production

4、 Details8 .a)Covered Area Plan Assurance 9.Quality 2008: in ISO 9001 a)Have companyobtained certification Yes/No.18001:2007? 2004, ISO ISO14001: copy yes, enclosedIf Yes/No? Certified youb)Are API encloseand If yes, specify certificate copy of the :any Otherc) Certificatesif 01F-PUR-02/Rev. 6 of 2 P

5、ageECIE EAI7.Organi ) ) 10 Quality, QHSE & ENVIRONMENT QUESTIONNAIRE * : (Refer Attached Annexure A,B C ) 11: Other Facilities / Information: - Signature of Vendor Results: Evaluation/Re evaluation BY:BY: APPROVED VERIFIED ANNEXURE A 01 F-PUR-02/Rev. 6 of 3 Page (ISO 9001:2008 ) QUESTIONNAIRE A) QUA

6、LITY Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 QUESTIONEVALUATION 9001:2008? have ISODoes the company No Yes ?records of company have control of documents & ControlDoes the No Yes ?objectives quality quality policy &haveDoes the company No Yes of quality the theDoes company necessary resources, in

7、frastructure to maintain products? No Yes employee?togiven training is appropriateWhether No Yes ? records Does the company have training No Yes design? have company yourDoes the No Yes management?theDoes company operate internal top receivedthey by audits & are No Yes ? productsthetraceabilityident

8、ificationDoes the company maintains and in No Yes withthe destination intended thedeliveryproduct to to preservetheDoes company ? &storage protectionidentification,proper packaging, No Yes system?calibrationoperatetheDoes company a NoYes system? preventativeandactionacompany the maintain corrective

9、actionDoes NoYes dispatch? prevent in-advertentto non-conforming product &Does segregate identify NoYes compliance foracceptable quality levelstoDoes use statistical techniques determine specification? to No Yes requirement?w.r.t. P.O specification testprovidetheDoes company a certificate No Yes :Su

10、pplier Signature of :Date ANNEXURE B 01 F-PUR-02/Rev. 6 of 4 Page QHSAS (ISO 18001:2007 ) QUESTIONNAIRE QUESTIONNAIRE B) HEALTH & SAFETY Sr. No. 1 2 3 4 5 6 7 8 9 10 11 QUESTION AUDIT system? 18001:2007 Does the company have ISO No Yes statement? policy you have written HSEDo NoYes employees.to HSE

11、policy the company communicate this How identified? the hazardous material areAre NoYes place?is material in Have an awareness of the hazardous No Yes assessments? out risk theDoes company carry No Yes incidents? andaccidentsthe company record and investigate Does No Yes procedures?control the compa

12、ny have operational Does NoYes ?and response procedure companyDoes the have emergency preparedness No Yes place? procedures inHave emergency No Yes material? equipment andyourchecksregularcarrytheDoes company out safety on No Yes :Supplier Signature of : Date ANNEXURE C 01 F-PUR-02/Rev. 6 of 5 Page

13、ISO 14001 :2004 QUESTIONNAIRE C) ENVIORNMENT Sr. QUESTIONAUDIT No. NoYes system? 14001:2004 company have 1ISO Doesthe regulatory with Does thecompany have complains No Yes2 requirement? No Yespolicy?Does environmental 3have anthe company targetsobjectives, company the have environmental Does No Yes4 programmers? regardingto employeescompany the gives training Does NoYes 5 programmers? environmental No Yes? procedures the company have6operationalDoes NoYes ? andemergencyDoes the preparedness response 7procedure No Yesdisposal?waste 8 Does th