Egba Split Clamps Limited

Form 122: Supplier Evaluation and Selection

Name of Supplier:

Tel. No:

Address:
Email:
Scope of Supply:

QA Representative (if any):

Job Title:

Reporting to:

Job Title:

1.

For how long have you been in your area of business (Attach evidence
of Registration/Operation)

2.

Give details of other companies utilizing your product/service (Max. of five only).

3.

Are your sales on cash or credit basis (For how long for credit)
Evaluation Criteria (For completion by ESCL)

i) Track Records(TR)

iii) Approved System(AS)

ii) Facility Audit(SV)

iv) Sole Source(SS)

METRICS

EVIDENCE(Put N/A if not applicable)

Corporate Registration;
Statutory Registrations;

Financial capability;

Form 122, Rev. 01, 22nd July, 2013

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Technical competence (based on completed

projects or proven evidence of possessing attributes
to perform such contracts);

Ownership structure;

Size of organization;

Facilities/on-site evaluation of capability;

Possession of a store (evidence to be shown);

Stock level held;
Payment terms and conditions;
Past experience of supplier (if any);
Delivery capability;
Communication system;
Quality of Product/Service;
Quality management system;
HSE management systems;
QMS Certification.
ACCEPTED/REJECTED (Tick)
Commercial Mgr Approval

QHSE Manager Approval

Name:

Name:

Signed:

Signed:

Date:

Date:

Reason for Rejection:

Form 122, Rev. 01, 22nd July, 2013

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