Form-385

Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Vendor Company Name:

Supplier Site Address: Supplier Business Address (if different):

Phone No: Phone No:

Fax No: Fax No:

E Mail: E Mail:

Material supplied to Sydco, covered by this questionnaire:

Is the Company a division/subsidiary of another corporation? Yes No N/A

If Yes, Please Specify

This questionnaire was completed by:

Name:

Job Title:

Date:

Signature:

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 1 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

For Yes / No answers;

Please tick the box for the one which applies, or select N/A (Not Applicable)

Management Responsibility
Is an organization chart available? If yes, please enclose a copy. Yes No N/A
Are there any written job descriptions defining each individuals responsibilities Yes No N/A
How many shifts of operation are there in the Production Area?
How many shifts of operation are there in QC Laboratory?
Approximately how many employees do you have?
- Site total
- QA/QC
- Production
To whom does the QA/QC Manager report?
Does the company have a policy on EHS (Environmental, Health & Safety)? Yes No N/A
Does the company have a policy on Quality? Yes No N/A
Who is responsible for contacts with Sydco with regards to the following areas:

Quality:

Technical:

Commercial:

Are subcontractors (if used), used for significant steps or components in

Preparation of Sydcos products?
Yes No N/A
The term subcontractors includes both contracted operations within Production
and the Laboratory
If Yes, please list and explain:

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 2 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Can you please provide full Supply chain(s) for the referenced material(s)
(i.e. Manufacturer, Testers, Providers of C of A / C of C, Yes No N/A
Packers / Repackers and Storage & Distribution)
If Yes, please list & explain:

Quality Management System

What is the basis of your quality system, i.e. ISO?

Please state your Certificate/Registration reference and appropriate dates:

Have any regulatory agencies inspected your facility in the last five years? Yes No N/A
If Yes, by whom, when and what were the results?

Are all procedures documented and approved? Yes No N/A

Are there change control procedures in place? Yes No N/A
Is there a procedure to notify customers of change? Yes No N/A
Are QA/QC responsibilities well defined and independent? Yes No N/A
Does QA/QC approve all analytical specifications and methods? Yes No N/A
How is a batch (standard quantity) defined?

What is the batch numbering system? (Please explain in detail)

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 3 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Do you assign shelf/expiry/retest-lives for all materials (incoming & No N/A

Yes
produced)?
If Yes, please provide details.

Which department reviews and approves production procedures?

Are reference samples retained? Yes No N/A

If Yes, for how long?

For how long are records retained?
Is there a self-audit program? Yes No N/A

Incoming Goods
Is a list of approved suppliers used? Yes No N/A

Is there a documented procedure for approval of suppliers? Yes No N/A

Does this include audit of suppliers? Yes No N/A

If bulk tankers are used, are they dedicated? Yes No N/A

If not, is a cleaning certificate required? Yes No N/A

Is there a system for monitoring or reviewing suppliers performance? Yes No N/A

Are there documented procedures for:

Yes No N/A
- Inspecting material
- Testing material Yes No N/A

Are established Purchase Specifications used? Yes No N/A

What is the basis for acceptance of raw materials, i.e. testing, receipt of suppliers C of A or both?

Is a sampling plan in place? Yes No N/A

Is a testing plan in place? Yes No N/A

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 4 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Warehouse
Are storage facilities/equipment/ rented or personnel contracted? Yes No N/A
If Yes, please provide details.

Are receipt and release procedures documented? Yes No N/A

Is the supply chain documented? Yes No N/A
How is material status controlled? (i.e. Physical, system or labelling)

How is rejected material controlled? (i.e. Physical, system or labelling)

Is there an identified sampling area? Yes No N/A
Are all containers identified? Yes No N/A
Is a First-In-First-Out or First-Expiry-First-Out system in use? (Identify) Yes No N/A
Are shelf life/expiration dates used? Yes No N/A
Is Temperature (T), controlled and documented? Yes No N/A
Comments:

Is Relative humidity (RH%), controlled and documented? Yes No N/A

Comments:

Production
Is there more than one site or plant used for the manufacture
Yes No N/A
of the specified material(s)?
If Yes, please provide details.

Is plant equipment labelled as to its status and contents? Yes No N/A

Is Pipe work labelled? Yes No N/A
Are critical processes validated? Yes No N/A
Does process documentation include:
Yes No N/A
Process instructions
Cleaning instructions Yes No N/A
Cleaning records Yes No N/A
Area clearance Yes No N/A
Are cleaning processes validated? Yes No N/A

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 5 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Is there traceability throughout the process? Yes No N/A

Is there an in-process monitoring system? Yes No N/A
Is there an equipment use log? Yes No N/A
Are all critical instruments calibrated? Yes No N/A
Is there a preventative maintenance program? Yes No N/A
Is reprocessing allowed? Yes No N/A
Is there a non-conformance procedure? Yes No N/A
Is the yield checked against defined limits? Yes No N/A
Are different grades of material produced? Yes No N/A
If Yes, how and at what stage are these differentiated/selected?

Is the plant dedicated or multi purpose?

If the plant is multi purpose, what other types of materials are produced in the unit(s)?

Please list any hazardous materials that are manufactured on your site (whether in dedicated or multi
purpose facilities). E.g. herbicides.

If available, please enclose a brief process flow, and

if possible include where in-process controls are performed.

Packing
Are packing operations segregated from production? Yes No N/A
Are barcode readers in use? Yes No N/A
Are areas labelled with the product being packed? Yes No N/A
Are re-usable containers used? Yes No N/A
Are cleaning procedures in place? Yes No N/A
Are controlled procedures used for issuing labels and labelling? Yes No N/A
Are label details checked? Yes No N/A
Are there label reconciliation procedures? Yes No N/A

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 6 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Are there label disposal procedures? Yes No N/A

How are containers security sealed?

Is material clearly labelled, including waste and reject material? Yes No N/A

Computerized Systems
Do you have a list of the Computerized systems used by this facility? Yes No N/A
If Yes, do you identify the Computerized systems that are considered to
Yes No N/A
have an impact on Quality of Product, or Service offered?
If Yes, how is this documented?

Does your Quality system cover the quality of Computerized systems? Yes No N/A
Do you have procedures in place for disaster recovery and restoring
Yes No N/A
of data archives?
Do you have access security levels for the Computerized systems? Yes No N/A
Do your procedures for validation cover the Computerized systems? Yes No N/A
Do you have anti-virus protection? Yes No N/A
Does the Change Control procedure include Computerized systems? Yes No N/A

Laboratories, QA & QC
Is an equipment use log in place? Yes No N/A
Are all instruments qualified (IQ, OQ, PQ)? Yes No N/A
Are all instruments calibrated? Yes No N/A
Is there a preventative maintenance program? Yes No N/A
Are there documented procedures for:
Yes No N/A
Sampling
Sample handling Yes No N/A
Sample labelling Yes No N/A
Re-testing / Re-sampling Yes No N/A
Specification generation Yes No N/A
Analytical method generation Yes No N/A
Control and review of analytical methods Yes No N/A

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 7 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

Investigation of rejected material Yes No N/A

Product complaints Yes No N/A
Handling out of specification results Yes No N/A
Are manual calculations checked by a second person? Yes No N/A
Are data transcriptions checked by a second person? Yes No N/A
Is all raw-data retained? Yes No N/A
Are all standards traceable to their preparation and the reagents used? Yes No N/A
Are analytical methods validated? Yes No N/A
Do you perform stability testing on materials and/or products? Yes No N/A
If so, what shelf life / retest dates are available for the referenced product(s)?

Do you perform annual product reviews or campaign reviews on

Yes No N/A
products?

Material Release
Is the decision to release/reject product made by a person or function
Yes No N/A
independent from production?
Is the final status recorded? Yes No N/A
Are certificates issued for each batch? Yes No N/A
Are certificates signed by QA/QC? Yes No N/A
If not, who signs certificates?

Is shelf life or retest dates or expiry date provided on the C of A OR

Yes No N/A
C of Cs
Is there a documented recall procedure? Yes No N/A

Transport
Is a list of approved hauliers in use? Yes No N/A
Is temperature controlled transports used? Yes No N/A
If Yes, are temperature records reviewed and retained? Yes No N/A
If bulk tankers are used, is a cleaning certificate required? Yes No N/A
If bulk tankers are used, are they dedicated? Yes No N/A
If not, what other substances could be transported in the tankers?

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 8 of 9

 Form-385
Issue date:
Vendor Audit Questionnaire
(Ref. SOP QMS-045; QMS-080)

If Agent/Distributor involved, is the pipe work used on delivery to the

Yes No N/A
agent/distributor dedicated?
Are the Agent/Distributor storage facilities dedicated? Yes No N/A
If No, what other substances are stored in the facilities?

Does the Agent/Distributor use dedicated filling lines? Yes No N/A

What instructions are given to the haulier for delivery to a Sydco site e.g. dedicated hoses,
dedicated tanks, dedicated pumps, temperature control, and paperwork to accompany delivery?

Facilities & Housekeeping

Are there procedures for health and hygiene? Yes No N/A
Are rest/change/wash facilities separated from production areas? Yes No N/A
Are access restrictions implemented as needed? Yes No N/A
Do any production areas have special containment needs? Yes No N/A
Are waste disposal systems in place? Yes No N/A
Are there procedures documenting a pest control program? Yes No N/A
Are material Safety Data Sheets maintained? Yes No N/A

Training
Is there a written training program? Yes No N/A
Are job-training needs evaluated? Yes No N/A
Is completed training evaluated and approved? Yes No N/A
Are there completed written training records for all employees? Yes No N/A

Questionnaire reviewed for Buyer lead audit site by:

Name:

Title:

Date:

All information contained within this document will be treated as confidential between the Supplier and Buyer.

File Location: Date Printed: Page 9 of 9