Certifications & Awards
 
 
Contact Mrs Heena at info@globelapharma.com for purchase related queries.
 
MANUFACTURER  /  SUPPLIER EVALUTION QUESTIONNAIRE
 
ABOUT   THE  QUESTIONNAIRE
 
This questionnaire is to obtain data , which is felt necessary for our evaluation of the quality of the product being purchased from you. Being manufacturer you can describe in the better way the manufacturer at your end. Hence Globela request you to fill the questionnaire as completely as possible . the information will be the great assistant in making valid quality jug dement at Globela.

Since this questionnaire is desired to be used by manufacturer of varied range of product , there may be question applicable to you. In case please indicate “ NOT APPLICABLE “. Your co operation in this regard will be very much appreciated. Please feel free in contacting us for any clarification. The confidentiality of the information shared shall be maintained.
 
All Fields are mandatory
MATERIAL :

VENDOR  :

 
GENERAL INFORMATION:
 
Constitution of the form
(Proprietary / Partnership / Director / Partner)
:
Office address :
Contact Person :
Tel No. :
Mob : :
Address of works :
Contact Person :
Tel No. :
Mob : :
Sale Tax No. :
Central sales Tax No. :
Banker‘s Name & Address :
Product Manufactured. :
List of other customers
(use separate sheet if require )
:
Drug license no.
(If applicable )
:
Name & status of Quality In charge :
Responsible to :
e. g. WHO-GMP, USFDA :
ISO 9000 etc. If so give Certificate Nos. :
 
SR. NO. Question      
3.0 Warehousing & Storage Yes No NA
3.1 Do you have segregated areas for Starting material, Packing Materials, Semi-finished
products and finish products ?
3.2 Are storage conditions (temperature & humidity) controlled and regulated?
3.3 Do you have pest Control and sanitation procedure for your Warehouse?
3.4 Which of the following principle is applied in storage operation (FEFO/ FIFO)?
4.0 Facility & Production Yes No NA
4.1 Are any of the following procedure at the same site ?
(Penicillin/ Cytotoxics/ Steroids/Pesticides/ Herbicides/Biological/ High potent drugs)
4.2 Is the equipment: › dedicated     › multipurpose
If multipurpose, please state the products for which it is used
4.3 Are critical parameters of the process identified?
4.4 Have you validated  ›production processes    ›cleaning processes
4.5 Is your Air Handling system qualified and pressure differentials monitored ?
4.6 What type of water do you use in production?
4.7 Is your water system validated?
5.0 Quality control & Quality Assurance Yes No NA
5.1 Is QA an independent department?
If yes to whom to they report?
5.2 Do you have a Site Master File & Validation Master Plan in Place?
5.3 Is there a list of approved supplier for :
1 All materials used in the production and all services that affect product quality
2 All starting and packing material
3 Critical material only
5.4 Is sampling performed by QC done for
1 Starting and packing materials
2 Intermediates
3 Semi- finished and finished products
5.5 Are Starting and packing materials accepted on the basis of
1 in-coming analysis
2 supplier's analytical certificate
If on the basis of suppliers analytical certificate, how is the suppliers controlled ?
5.6 Is Sampling performed  according to the sampling plan ?
If affirmative, what is the applied standard ?
5.7 Do you analyze every batch of the products ?
5.8 Are the analytical tests performed in-house ?
5.9 Do you store your control sample ?
If yes, then how long it is stored ?
5.10 Do you carry out stability studies at your end ?
If yes, what are the conditions ?
5.11 Do you characterize all the impurities ?
If yes, can you supply us reference standard of known impurities ?
5.12 Do you review all the  batch documents before release of the products ?
6.0 Packaging and Dispatch Yes No NA
6.1 What are your standard pack sizes ?
6.2 What is your standard packing ?
6.3 Can you adjust your packing size to our requirement ?
6.4 Do you have your own transport for delivery of the products to the customers ?
6.5 How do you transport the materials requiring special storage condition?
6.6 Do you use the re-usable packaging material?
If affirmative, state its type and how do you ensure cleaning of the packaging material?
6.7 How do you ensure cleaning of the re-usable packaging material?
6.8 Do you provide certificate of analysis with every batch of material?
7.0 Regulatory Compliance ( If applicable)      
7.1 To which market do you delivered your products?
7.2 Are you a Certificate of suitability (COS) holder?
If yes, then write the number.
7.3 Was FDCA 483 issued to you?
7.4 What products were inspected?
7.5 Do you use any starting or raw material of biological or animal origin?
If affirmative, Please specify the material and the controls
(in compliance with EMEA/410/01)
Following attachments are required to be provided by the manufacturer/ Supplier:
- Specification and Test Method.
- Certificate of analysis.
- Material Safety Data Sheet.(MSDS)
 
- Stability data sheet (Accelated)
- Working std. Sample 2 Nos.
 
    Compiled By:   Reviewed By:  
Name :    
Designation :    
Date :    
Place :