PT.

PARADISE PERKASA
OIL  GAS  PETROCHEMICAL  INDUSTRIAL SUPPLY

EVALUASI KINERJA SUPPLIER

PERIODE :

Nama Supplier

Jenis barang /
jasa

Nomor P.O

Referensi 1 2 3 4 5 Score

Sangat tidak Kurang Cukup Sangat

Price Competitive
competitive Competitive Competitive competitive

Quality Complain < Complain < Complain < Complain < No Complain
Performance 12x/Year 8x/Year 6x/Year 4x/Year within this year

Delay > 2 Delay < 2

Delivery Delay < 1 week Delay <= 3 days On time delivery
weeks weeks

Feedback within Feedback within Feedback within Feedback within Feedback within
Response
5 day 4 day 3 day 2 day 1 day

Completenes
s of Health
and Safety
for
Equipment,
Very Less Less Fair Good Very Good
Materials,
PPE, Safety
sign, MSDS
and Safety
Tool
Compliance
with Failure to follow Following but Follow and
Follow and not Not follow and
regulation of and does not
comply with all comply with all
has not complied respect the All
government comply with all

Vendor Blacklist Yes/No

Reason :

JUMLAH

GRADE Score : jumlah pertanyaan =

Form-PR-02-C Rev.03 Tanggal : 14 Jan 2019

 PT. PARADISE PERKASA
OIL  GAS  PETROCHEMICAL  INDUSTRIAL SUPPLY

Keterangan :
1. Supplier dinyatakan lulus dari evaluasi dan dimasukkan dalam daftar pemasok terseleksi, jika mempunyai rata – rata grade
3 sampai dengan 5. Namun, Supplier yang mempunyai rata – rata grade 1 sampai 2 akan dipertimbangkan untuk dihapus
dari Daftar Pemasok Terseleksi & digantikan dengan supplier yang lain.
2. Evaluasi dilaksanakan setiap 1 (satu) tahun sekali.

Yang mengevaluasi, Mengetahui,

KEPALA PERALATAN & MEKANIK

Buyer Purchasing Manager

Tanggal : Tanggal :

Form-PR-02-C Rev.03 Tanggal : 14 Jan 2019