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Supplier Evaluation Form: Company Name: Date: Completed By: Position

This supplier evaluation form contains criteria for evaluating suppliers in several areas including product safety management, facilities and equipment, cleaning and sanitation, pest control, purchasing and receiving, personnel training, and transportation. The form is to be completed by a company evaluating a supplier and contains yes/no questions and space for remarks about whether the supplier meets criteria such as having a documented product safety management system, pest control contract, personnel health and illness policies, and monitored vehicle transportation temperatures.

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VIGNESHKUMAR S
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610 views2 pages

Supplier Evaluation Form: Company Name: Date: Completed By: Position

This supplier evaluation form contains criteria for evaluating suppliers in several areas including product safety management, facilities and equipment, cleaning and sanitation, pest control, purchasing and receiving, personnel training, and transportation. The form is to be completed by a company evaluating a supplier and contains yes/no questions and space for remarks about whether the supplier meets criteria such as having a documented product safety management system, pest control contract, personnel health and illness policies, and monitored vehicle transportation temperatures.

Uploaded by

VIGNESHKUMAR S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SUPPLIER EVALUATION FORM

COMPANY NAME: DATE:

COMPLETED BY: POSITION:

Products Tick if applicable or specify here.

N/A
YES/ or
Sec.No EVALUATION CRITERIA Remarks
NO Not
Aware
A PRODUCT SAFETY MANAGEMENT
SYSTEM
Do you have a documented Product safety or
1. quality management system (e.g.HACCP,
GMP, ISO)?
Is it a local regulatory requirement for your
2. business to implement Product Safety or
HACCP program?
Have any of your customers requested for
3. implementation of Product safety
Management system?
Do you have documented Product complaint
4. reporting procedure with corrective action
plan?
B FACILITY, PREMISES AND
EQUIPMENT
Do you have dedicated department or person
6. to look after maintenance issues?
C CLEANING AND SANITATION
7 Do you have a proper cleaning schedule?
8 Are there written procedures of cleaning and
sanitation available?
Is there a procedure to train the staffs
9 involved in cleaning and sanitation on safe
use of chemicals?
SUPPLIER EVALUATION FORM
Is there a separate area away from Product
10 preparation and storage available for cleaning
chemicals and equipment storage?
D PEST CONTROL
Do you have a contract with pest control
11 company?
12 Are there any physical control devises like
EFK, Glue Boards etc installed?
E PURCHASING AND RECEIVING
Is there a receiving procedure in place and are
13 the received items are recorded after
necessary checks.
Do you maintain rejection record for rejected
14 items?
Do you follow documented stock rotation,
15 date coding, store inspection procedures?
F PERSONNEL & STAFF TRAINING
16 Do all Product handlers have valid health
cards?
Is there any illness reporting procedure
17 available?
Are the staffs provided with clean protective
18 clothing everyday?
Is there adequate hand washing sinks installed
19 and hand washing procedures in place?
Do the staffs having separate changing
20 facility and toilet away from the Product
handling areas?
H TRANSPORTATION
Are the vehicles carrying high risk Product
21 items installed with refrigeration or freezer
units?
Is the vehicle temperature is monitored during
22 transportation?
Is there a cleaning schedule for the vehicles
23 and verification system available?
Are the vehicles are only dedicated for
24 Product items transport?

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