Coperion K-Tron Salina, Inc.

606 N Front Street

Salina, KS 67401 USA
Tel (785) 825-1611
Fax (785) 825-8759
www.coperion.com
email: info@coperion.com

NEW VENDOR QUESTIONNAIRE

Date: __________________ __

Vendor Name:

Address:

Phone:

Contact Name:
Title:
Phone Number:
Email Address:

Products/Services:

ISO 9001 Certified: Y N

Certificate Expires:
(If ISO certified, skip next section)

Document #1990000237 Rev. A

 Coperion K-Tron Salina, Inc.
606 N Front Street
Salina, KS 67401 USA
Tel (785) 825-1611
Fax (785) 825-8759
www.coperion.com
email: info@coperion.com

Are processes defined, controlled and reviewed? Y N    

Document #1990000237 Rev. A

 Coperion K-Tron Salina, Inc.
606 N Front Street
Salina, KS 67401 USA
Tel (785) 825-1611
Fax (785) 825-8759
www.coperion.com
email: info@coperion.com

     
         
Are there testing procedures performed on-site? Y N    
Please list (I.e. Ultrasound, Radiographic, Dye Testing, etc.)        
 

       
Incoming material inspections performed prior to use? Y N    
Are specs for approval / rejection defined? Y N    
Are results documented? Y N    
Is an Approved Supplier List developed and in-use? Y N    
Has a Criteria for Approval been established? Y N    
 
What is the Re-evaluation period?  Every year
         
Are In-process inspections performed? Y N    
Documented? Y N    
Inspections Performed By:  Quality control staff
         
         
Are final Inspections Documented? Y N    
Have the Criteria for Release been established? Y N    
Are inspections documented? Y N    
Inspections Performed By?   Quality control staff
 

       
Is the Control of Non-Conforming Material communicated? Y N    

Document #1990000237 Rev. A

 Coperion K-Tron Salina, Inc.
606 N Front Street
Salina, KS 67401 USA
Tel (785) 825-1611
Fax (785) 825-8759
www.coperion.com
email: info@coperion.com

Is there a designated segregation area? Y N    

Is there a release approval procedure? Y N    
Is the procedure documented? Y N    
Who has approval for release of non-conforming material?  Quality Coordinator 
 

       
Is calibrated equipment used? Y N    
Are calibration records maintained? Y N    
Are the calibrated Standards certified to NIST? Y N  EMA validated

Where are the calibrated records stored? Physically and digitally by SGC
         
Are equipment PMs performed? Y N    
Are they documented? Y N    

Where are preventive maintenance records stored? Physically and digitally by SGC
         
         
What other process records are maintained?        
I.E. Certificates of Origin, Batch Numbers, (any form of
traceability)  Production Records
         
         
         
         
Evaluation Performed by:  Marco A. Martínez Martínez
Title:  Quality Coordinator
         

For Office Use Only          

Document #1990000237 Rev. A

 Coperion K-Tron Salina, Inc.
606 N Front Street
Salina, KS 67401 USA
Tel (785) 825-1611
Fax (785) 825-8759
www.coperion.com
email: info@coperion.com

           
Date Reviewed:          
Reviewed By:          
           
On
Decision: Accept Reject Hold    
Comments:          
           
           

Document #1990000237 Rev. A