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Supplier Assessment Form
Supplier Name
*
Serial Number
Form Code
Note this code for further purpose
Date
*
Supplier Code Number
Plant Location
Address For Communication
*
Mobile Number
*
Email ID/URL
*
Total Working Persons
For Quality
Responsible Person For Quality
*
Responsible Person For Delivery
*
Responsible Person For Quote
*
Nature Of Business
Manufacturer
Job work
Trader
Distributor
Dealer
Service Provider
Others
Nature Of the Company
Proprietory
Partnership
Public Ltd
Private Ltd
Name of Proprietor/Partner/Chief Executive with contact
If Owner Based Next Level Contact Person Name
If Owner Based Next Level Contact Person Number
GSTIN/UIN
*
PAN No
*
EPF No
MSME Registration Details
Operating Pattern of your Factory
Days/Week
*
No. Of Shifts/Day
*
No. Of Hours/Shift
*
Industry & Scope
Type Of Industry
Select Type of Industry
Micro Industry
Medium Scale
Small Scale
Large Scale
Scope Of Manufacturing / Supply
Raw Mat'l
Forging
Machining
Surface Coating
Heat Treatment
Components
Assembly
Consumable
Packaging Mat'l
Service/Calibration
Tool Mat'l
Fabrication
Tool Machining
Others
Scope for Expansion (Physical)
Scope for Expansion (Financial)
Any Sub-supplier / Sub-contractors
Manufacturing Facilities
Sl.No.
Machine Description
Make
Year
Condition
Remarks
Action
Add Facility Row
Inspection Equipment's details
Sl.No.
Instrument Description
Make
Calibration Status
Condition
Remarks
Action
Add Equipment Row
Technical Capability Assessment Report
Assessment Area
Yes/No
Remarks
1. PLANT FACILITIES
Sufficient Lighting
Yes
No
Covered Shed availability
Yes
No
Alternate power source
Yes
No
Storage area
Yes
No
Material handling equipment's
Yes
No
2. SKILL REQUIREMENTS
Whether skilled machine operators available
Yes
No
Are the necessary personnel trained in GD&T and using the facilities
Yes
No
Is there an effective mistake proofing system available
Yes
No
3. QUALITY PERFORMANCE
Is inspection done during every stages of operation
Yes
No
Inspection jigs availability
Yes
No
Is inspection done before dispatch
Yes
No
4. DELIVERY PERFORMANCE - EFFECTIVENESS(LAST ONE YEAR)
Is OTD(On Time Delivery) being monitored
Yes
No
5. COST REDUCTION PROPOSALS
Support for cost reduction proposals
Yes
No
Wittmann Remarks and Supplier Commitments
WITTMANN Remarks
Supplier Commitments and Targets
Action
Add Remark Row
Purpose & Status of Vendor Evaluation
New Evaluation
Re-Evaluation
Annual Schedule
% of Previous Rating Score
Present Rating Score
Preferred Over All Rating
Select Rating
>90% Preferred Rating > Plan to Sustain
75~90% Approved Rating > Minor Improvements Required
50~75% Satisfactory > Major Improvements Required
<50% Not Preferred Rating
Other Observations And Comments
Submit Assessment Form