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1、SUPPLIER REGISTRATION CUM EVALUATION / RE-EVALUATION FORMDatePageofDocument No.1.Name of the Organization:(in full, in Block letters)3. Name & Teleph on eNo. of con tact pers on:4. (a) Head Office/Registered Office/AddressTeleph on eNo. Fax No.(b) Branch Office, if any Address:Teleph on eNo.Fax No.(
2、c) Works/Factory /AddressTeleph on eNo.Fax No.5. Name of Chief Executive/Proprietor/Partners:Teleph on eNo.Fax No.6. Type of OrganizationDocuments to be enclosed(Strike out those not applicable)a) Proprietaryb) Part nershipc) Private LimitedCompanyd) Public LimitedCompanye) Public SectorSign atureof
3、 Ven dorF-PUR-02/Rev. 01Page 3 of 6COMMERCIAL DETAILS:A) Ba nk Name:B ) Branch :C) Account No:A) Range:B) Division:C) Commissioneate:D) Central Excise RegNo:E) CST TIN No:F) VAT TIN No:G) ServiceTaxNo.:H) PAN No.:S:c) Skilled Workmend) Un skilled WorkmenEXCISEDETAIL7.)Orga niab8Details of product io
4、n facilitiesa) Covered Area9.Quality AssurancePlana) Have companyobtained certification in ISO 9001 : 2008ISO 14001: 2004, ISO 18001:2007?Yes/No.If yes, enclosedcopyb) Are you API Certified Yes/No?If yes, specify andenclose copy of the certificatec) Other Certificate if any :F-PUR-02/Rev. 01Page 2 o
5、f 610 Quality, QHSE & ENVIRONMENT QUESTIONNAIRE (Refer Attached Annexure A,B C )11: Other Facilities / Information:Sign ature of Ven dorEvaluation/Re evaluation Results:VERIFIED BY:ANNEXURE AAPPROVED BY:(ISO 9001:2008 ) QUESTIONNAIREA)QUALITYSr. No.EVALUATION QUESTION1Does the company have ISO 9001:
6、2008?YesNo2Does the company have control of documents & Control of records ?YesNo3Does the company have quality policy & quality objectives ?YesNo4Does the company necessary resources, infrastructure to maintain the quality of products?YesNo5Whether appropriate training is given to employee?YesNo6Do
7、es the company havetraining records ?YesNo7Does the company have your design?YesNo8Does the company operate internal audits & are they received by top management?YesNo9Does the company maintains identification and traceability in the products ?YesNo10Does the company preserve the product to delivery
8、 to the intended destination with proper packaging, identification, storage & protection ?YesNo11Does the company operate a calibration system?YesNo12Does the company maintain a corrective action and preventative action system?YesNo13Does segregate & identify non-conforming product to prevent in-adv
9、ertent dispatch?YesNo14Does use statistical techniques to determine acceptable quality levels for complianee to specification?YesNo15Does the company provide a test certificate w.r.t. P.O specification requirement?YesNoSignatureof Supplier:DateANNEXUREBQHSAS (ISO 18001:2007 ) QUESTIONNAIREQUESTIONNA
10、IREB) HEALTH & SAFETYSr. No.AUDIT QUESTION1Does the company have ISO 18001:2007 system?YesNo2Do you have written HSE policy statement?YesNo3How the company communicate this HSE policy to employees.4Are the hazardous material are identified?YesNo5Have an awarenessof the hazardous material is in place
11、?YesNo6Does the company carry out risk assessments?YesNo7Does the company record and investigate accidents and incidents?YesNo8Does the company have operational control procedures?YesNo9Does the company have emergency preparednessand response procedure ?YesNo10Have emergency procedures in place?YesN
12、o11Does the company carry out regular safety checks onyour equipment and material?YesNoSignatureof Supplier:Date:ANNEXURECISO 14001:2004 QUESTIONNAIREC) ENVIORNMENTSr. No.AUDIT QUESTION1Does the company have ISO 14001:2004 system?YesNo2Does the company have complains with regulatory requireme nt?Yes
13、No3Does the company have an environmental policy?YesNo4Does the company have environmental objectives, targets programmers ?YesNo5Does the company gives training to employees regarding environmental programmers?YesNo6Does the company have operational procedures ?YesNo7Does the emergency preparednessand responseprocedure ?YesNo8Does the company have procedure for w
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