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供應商評估報告
Ref. GVSR no報告編號.
QP Survey Rating And Survey Team Comment/評估內容和評估結果
Remarks for completion of checklist / report
審核清單/報告備注
1)。
“Yes" – Compliance is demonstrated.
供應商評估報告
Ref. GVSR no報告編號.
“是”－符合要求
2）. “No” – Corrective actions are required。
“否"－有改善措施要求
3）. Evidence shall be recorded in “Findings” in justifying “Yes”, “No” or “NA” decision.
有證據支持判定的結果
4)。
Suggestions shall be written in “Opportunities for Improvement” at the end of each section
在每項最後將建議項填寫在“改善點”一欄中
5）。
Score Scheme:
分數分配
供應商評估報告
Ref. GVSR no報告編號.
供應商評估報告
Ref. GVSR no報告編號.
供應商評估報告
Ref. GVSR no報告編號.
供應商評估報告
Ref. GVSR no報告編號.。
QMP7-4-1-01-00002SUPPLIER FACILITY SURVEY供应商(Supplier):地址(Address):评价日期Date of assessment:电话Phone:传真Fax:调查期间供应商联系人员名单/职务List of personnel contacted during audit / position title.联系人（Contact）：职务(Title)：蓝托考核小组(姓名及公司名称)Ranto Audit Team (Name & Ranto Facility)姓名（Name）：单位/部门（Facility/Department）步骤Process:（1）不是所有问题都需填写. 因观察项（次要的不合格项）与风险项（主要的不合格项）之间有差异，因此考核人员要将考核要素归类并记下其状态。
All questions do not have to be completed. For those discrepancies found that are a "finding" (minorunacceptable condition) or a "risk" (major not acceptable condition); the auditor will rank the element and describe the condition. （2）所有将要被审核的供应商都应被通知（在审核前必须将该调查表传真或发邮件给供应商）In all cases the supplier being audited will be notified.（3）对于加“★”的项目必须要审核到，并且就审核发现做出具体的描述。
To“★”items must be audited and make the detail description of findings。
Max.Act.ScorePercentMin. Req.最高可能分数实际可能分数评定分数百分比最低标准2180060%B 部分: 物料环境调查问卷SUPPLIER SURVEY 供 应 商 调 查“2” = Procedure Exists / Fully Implemented 程序文件有效/已充分执行“1” = Procedure Lacking / Not Fully Implemented 程序文件不足/未充分执行C 部分: 健康及安全调查问卷Section C: Health and Safety Questionnaire Section B: Materials Environmental Questionnaire 60%66Rating guidelines 80%Total Rating 总 分5Customer service, Customer satisfaction 客户服务／满意度860%60% Product Realization 产品实现60%60%2Management Responsibility 管理职责1841349860%A 部分总分：Section A: Quality Management System Survey A 部分: 品质管理系统调查1Quality Management System 质量管理系统2060%3 Resource Management 38资源管理SUPPLIER SURVEY SCORING 供应商调查评分Supplier Team Interviewed 参与会见的供应商团队:Survey Date 调查日期:Survey No. 报告编号:Reason of Survey 调查原因:Product transfer Evaluation Summary 评估总结:Survey Completed by 调查人员:Product or Product Family audited 产品系列:Title 职位:Not Qualified 不合格a)Overall score greater than 60% and 总分60以上且合 格有条件的合格b)All part scores greater than 60% 各单元分高于60.b)No more than two parts falling below 60% 低于60分的单元不超过2处.Fully Qualified a)Overall score greater than 80% and 总分80以上且a)Not comply with key elements if necessary or 不符合必要的关键要素或Conditionally Qualified “N/A” = Question does not apply to this business 问题不适用于公司的运作Result 评定结果Qualification Conditions 评定条件Note 备注:The item marked with “*” in the survey form is key and mandatory,supplier can’t be qualified if any key element is not compliant. 标有*号的条款为关键要素,关键要素的不符合将取消其评定资格.评分规则“0” = No procedure / Not implemented 无程序文件/未执行b)Overall scores less than 60% or over 2 parts less than 60%总分低于60或低于60分的单元超过2处.Date 日期:Lead auditor 审核员:Recommendations 建议:。
供应商调查表中英文版供應商調查表編號（Code)：年月日公司名稱(CompanyName) 中文Chinese 英文English公廠地址Factory Address公廠聯系電話Factory Phone NumberTel:Fax:辦公室地址Office Address辦公室電話Office Phone NumberTel:Fax:業務代表人Sales Representative業務聯系電話Sales Contact NumberTel:Fax:公司法人代表（中方）Company Owner法人代表（港.奧.臺.外方)公司營業證號Irrelevant to oversea vendor公司稅務證號Irrelevant to oversea vendor公司年營業業績Company Turn Over公司性質Company Type公司組織架構Company Structure管理人員狀況Management Personnel 高級管理人員/HigherLevel Manager 人, 中層管理人員/Mid Level Manager 人, 基層管理人員/Supervisory 人.技術人員/Engineer 高級工程師/Senior Engineer 人,工程師/Engineer 人, 技術人員/Technician 人.品管人員Quality Control Personnel 品管管理人員/QC Manager 人,品質工程師/QC Engineer 人, QA 人,QC 人,IQC 人.員工狀況No. of Worker 1.員工人數/Worker 人.2員工通過培訓/Trained Worker 人.3員工有拿到上崗證/Worker with working permit 人.品質系統Quality Certificate 1.有無通過ISO品質系統/Factory passed ISO Audit: 有無2通過哪個論證系列/Certification passed: ISO9001 GMPC QS14001，其它/Others主要產品Mainstream Product 1. 2. 3. 4.5. 6.月產能MonthlyProduction主要設備List of Majore Machinery儲存狀況Storage area 工廠總面積/Factory Floor Area 平方米，倉庫總面積/Warehouse Floor Area 平方米，儲存量/Store Volume 立方米.運輸能力狀況Transportation Capability車輛/No. Of Truck 輛，噸位/No. of Tonne樣板/Sample：合格/Pass：不合格/Fail：驗廠員/Auditor: 采購部主管/Purchasing Supervisor: 經理/Purchasing Manager:。
PREQUALIFICATION FORMFOR SUPPLIERS / CONTRACTORS供应商调查表A)PARTICULARS OF THE FIRM 企业概况: of the Firm公司全称:2.Registered Address注册地址:3.Mailing Address邮寄地址(If different from 2)4.Telephone No.电话:5.Fax No.传真::6.Web-site Address公司网址:7.E-mail Address 电子邮件:8.Type of Company公司性质Public/Private/ Partnership/ Sole Proprietor/Joint Venture/Others (Please specify)国营/私营/股份制/独资/合资/其他（请列出）9.Country of Incorporation国家:10.Registration No.营业执照号::11.Date of Registration/Incorporation注册日期NB : To attach a copy of the latest Business Instant Information from Registry ofCompanies请附上最近的公司登记情况表12.Registration with Professional, Trade or Quality Control Organisation, board and/orAssociation etc.在有关专业团体，贸易机构和质量控制机构的登记证书:(Please attach a copy of the certificate of registration请附上营业执照附本)13.Other Affiliations, Subsidiaries or Joint Venture (with indication of % owned)其他从属关系或合资关系（请用%指出）B)PARTICULARS OF HEAD QUARTERS (IF ANY) 总公司概况（如有）: of the Firm公司全称:2.Registered Address注册地址3.Telephone No.电话:4.Fax No.传真::5.Web-site Address公司网址:6.Type of Company经济性质7.Country of Incorporation国家:C)FINANCIAL CAPACITY 财务概况: of Bank and Address银行全称和地址:2.Credits Facilities / Overdrafts信用设备/透支款项3.Financial Standing of the Last 3 Financial Years:过去三年里财务状况Year 20__ Year 20__ Year 20__ Authorized Capital 注册资金Paid up Capital 已缴资金Net Worth 净值Turnover 交易额Net Profit / <Loss> after Tax 除税后净利/损Current Assets 流动资金Current Liabilities 流动债务NB : To attach complete annual reports with corresponding Statements of Profit and Loss Account certified by accountants and a certified copy of the audited Balance Sheet for the last 3 years.请会计员附上过去3年完整的相应年度亏赢报告和审计对比报告。
