Supplier Evaluation (Selection) Form

Section – A
Company Information
To be completed by the import/Commercial/Purchase department.

Suplier Name :
Address :
Contract :
Contract person:
Product/Service:

Section- B

1. Is the minimum wage ensured (Tk.8000)?  Yes  No

2. Is any worker recruited who looks to be under 18 years?  Yes  No

3. Is their salary written in the employment contract  Yes  No

4. Is the fire drill practiced within every month?  Yes  No

5. Is there any fire extinguisher blocked?  Yes  No

6. Are the fire switchers working properly?  Yes  No

7. Is any emergency exit blocked?  Yes  No

8. Are all workers using the ID card properly?  Yes  No

9. Does management provide the weekly holyday?  Yes  No

10. Is there WPC functioning?  Yes  No

11. Are the washing agent/ soap/ detergents & accessories properly maintained?  Yes  No

12. Are the all workers PPE properly used?  Yes  No

Note:  Poor - 4  Good - 6  Very good- 8 Excellent – 10

If any supplier achives>70 points he will be enlisted is approved supplier.

 Section- C
Quality system
Information to be provided by the supplier:
13. Are you registered ISO 9000?
If so please supply photo copy of your certificate.
If the answer to (1) is No please answer question 2-6 Yes  No 
14. Quality management/Quality assurance system.
15. Inspection and leaving at:
a. Incoming stage : Poor Good Very good Excellent
b. In process stsge : Poor Good Very good Excellent
c. Final stage : Poor Good Very good Excellent
16. How do you control nonconforming product?

17. How do you rate the skills and training of your personal?
 Low  Medium  High
18. Customar compliant system  Yes  No
19. What is your major customer?

20. Information Provided by:……………………….. Designation:……………………

Section – D
Perfomance
To be completed by the purchasing depertment.
21.Supplier commitment to the company with respect:
a. Quality requirement:  Poor  Good  Very good  Excellent
b. One-time delivery :  Poor  Good  Very good  Excellent
c. After sales services:  Poor  Good  Very good  Excellent
22.The supplier respons to:  Poor  Good  Very good  Excellent
23.Supplier market reputation:  Poor  Good  Very good  Excellent
 Section: E
Perfomance
To be completed by auditor/ representative.
24.Suppliers following instruction by the company:  Poor  Good  Very good  Excellent

25.Machine & equipments condition for production, monitoring and measurement:

 Poor  Good  Very good  Excellent

26.Preservation system regarding safe graund from determination and proper identification:
 Poor  Good  Very good  Excellent

27.Management and workers commitment:  Poor  Good  Very good  Excellent

28.Document and record control system:  Poor  Good  Very good  Excellent

29.Availability of work instruction and writer procedure:  Poor  Good  Very good  Excellent

30.Management review & corrective preventive action record:  Poor  Good  Very good  Excellent

Note:  Poor - 4  Good - 6  Very good- 8 Excellent – 10

If any supplier achives>70 points he will be enlisted is approved supplier.

Total Score:

Visit Completed by………………….. Date: …………………………