EXPIRED MATERIAL SUPPLIER EVALUATION FORMEXPIRED MATERIALS SUPPLIER

566633236.DOCX
EVALUATION FORM

Version:  19/01/2018 Page: 1/2

1. GENERAL INFORMATION (filled by PVM Quality Department)

5Date: 07.12.2021
Requested by (name & job tittle): Nguyễn Mai Ngọc Trúc
PVM Production Location: Supply Planning

10SUPPLIER DETAILS:
Name of Supplier: CT CP BAO BI BIEN HOA
Supplier contact
person:_____________________________________________________________________
_
15Address of manufacturing location:
_____________________________________________________________
___________________________________________________________________________
_______________

20

MATERIAL DETAILS:

Quantity
Mtl code Material Description Expiration Date Batch
(KG)
315722 Carton BB Watemelon VN 1,150 18.08.2021 18.08.2020

25

2. MATERIAL EVALUATION (filled by Supplier)

Evaluation date:

30Evaluation done by:

DESCRIPTION OF MATERIAL EVALUATION:

Test all typical attachment on table below:

Verify by Group Pack Dir, CMO Approved C R&D O

Classification: Internal
 EXPIRED MATERIAL SUPPLIER EVALUATION FORMEXPIRED MATERIALS SUPPLIER
566633236.DOCX
EVALUATION FORM

Version:  19/01/2018 Page: 2/2

3. CONCLUSION (filled by Supplier)

☐ The shelf life of the material can be extended without any health and safety risks
☐ Shelf life for the material may be extended to (dd/mm/yy):
☐ It is not recommended to extend the shelf life of the material

Required storage conditions for the material:

Temperature (°C):

Humidity (%RH):

Other specific requirements or concerns:

__________________________________________________________________________________
__________________________________________________________________________________
________________________________________________________________________________
Potential Risks to consider for PVM linked to the extension of the shelf life of the material:
________________________________________________________________________________
Date:

Name and job title, Supplier: ________________________________________________________

Verify by Group Pack Dir, CMO Approved C R&D O

Classification: Internal