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Supplier Questionnaire

This supplier questionnaire collects information about a supplier's general information, certifications, quality management system, inspection procedures, traceability and recall systems, and health and safety practices. The supplier is asked to provide their company name and address, years in business, number of employees, primary contacts, products supplied to Polypak Secco Ltd, and any certifications held. The supplier must also describe their quality procedures around purchasing, inspections, traceability, and compliance with legislation. Completed questionnaires should be signed, stamped, and returned to Polypak Secco Ltd.

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Udesha Malshan
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191 views4 pages

Supplier Questionnaire

This supplier questionnaire collects information about a supplier's general information, certifications, quality management system, inspection procedures, traceability and recall systems, and health and safety practices. The supplier is asked to provide their company name and address, years in business, number of employees, primary contacts, products supplied to Polypak Secco Ltd, and any certifications held. The supplier must also describe their quality procedures around purchasing, inspections, traceability, and compliance with legislation. Completed questionnaires should be signed, stamped, and returned to Polypak Secco Ltd.

Uploaded by

Udesha Malshan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

Document No PSL/PU/FO/14

POLYPAK SECCO LTD Revision No/ Date 00-00/00/0000


Effective Date 15/08/2020
SUPPLIER QUESTIONNAIRE

1. General Information

Registered Company Name:…………………………………………………………………………

Registered Address: Manufacturing Site Address:


………………………………………………... ………………………………………………...
………………………………………………… …………………………………………………
………………………………………………… …………………………………………………

Phone Number:……………………………... Fax Number:……………………………………..

Email: Web Site:

No of Year of Business: Overall Number of staff:

Contact: Sales Representative Quality Assurance Representative

Name:…………………………………………. Name:………………………………………….

Phone Number:………………………………... Phone Number:………………………………...

Email:…………………………………………. Email:………………………………………….

What are the Products manufacturing in your plant?.............................................................................

…………………………………………………………………………………………………………
What are the Products you sent to Polypak Secco Ltd?

…………………………………………………………………………………………………………

…………………………………………………………………………………………………………

2.0 Certification System (if yes, please tick in the cage)

Page 1 of 4
Document No PSL/PU/FO/14
POLYPAK SECCO LTD Revision No/ Date 00-00/00/0000
Effective Date 15/08/2020
SUPPLIER QUESTIONNAIRE

Do you have certified any one or more of followings


ISO 9001 BRC ………………………………….
ISO 14001 ISO 18001
HACCP Any Other

2.1 Product Related Document

Product Specification TDS


Food Grade Certificate Allergen Declaration
MSDS Heavy Metal Analysis
Certificate of Analysis Other
If your site is certified to BRC or ISO. Please do not answer for below questions. Please attach the
updated certificates copies herewith.
3.0 Quality Management System

Please tick the relevant cage.


3.1 Do you have a Quality Management Yes No
System?
3.2 Purchasing Procedure
Yes No
 Do you have control list of Approved
Suppliers? Yes No

 Are your suppliers assessed and Yes No


monitored?

 Is there order of QA requirements clearly


Yes No
defined?

4.0 Inspection Procedure

Page 2 of 4
Document No PSL/PU/FO/14
POLYPAK SECCO LTD Revision No/ Date 00-00/00/0000
Effective Date 15/08/2020
SUPPLIER QUESTIONNAIRE

4.1 Are the procedure & testing of the products Yes No


Process provided?
4.2 Are Incoming products and raw material
Yes No
Inspected upon receipt?
4.3 Do you have the requested document file
Yes No
From Your supplier’s base?

4.4 Is the accepted /rejected area defined? Yes No

4.5 Are rejected item identified & segregated? Yes No

5.0 Traceability recall system


5.1 Does your facility develop the system for
identification of your product at any stage of Yes No
preparation , packing, formation, finish good
5.2 Can you trace the details of packaging
Yes No
material that applies to the product?

5.3 Have you conduct the backward and forward


Traceability test for each group of product? Yes No

 Please attach the copy of last traceability report

6.0 Health, Safely & Social Responsibility

6.1 Does your facility comply the legislation


Requirements of health and social accountability Yes No
of your country?
6.2 Does you comply the general acceptable
health & safety and Accountability requirement? Yes No

Document completed By:

Page 3 of 4
Document No PSL/PU/FO/14
POLYPAK SECCO LTD Revision No/ Date 00-00/00/0000
Effective Date 15/08/2020
SUPPLIER QUESTIONNAIRE

Name :

Designation :

Signature:

Company Stamp :

Page 4 of 4

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