Superintendence of Procurement and Strategic Contracts - CS Department of Material Inspection and Qualification - CSQ Identification of the form quality: Chek List for Suppliers and Materials Qualification (Q-LV-QUAL) Supplier Identification Corporate name:Address:City: CNPJ: UF:Web site: ZIP CODE:Contact:E-mail:Position / Function:Phone Number: Manufacturer Sales Representative Resale Reason of the visit Qualification Qualification of new product Auditing List of Materials Tested Code SGL: Legend A – meet AP – parcially meet NA – don’t meet NAP – not applicable Basic Name:Relevant Standards:Sistema de Qualidade The company is certified of 3rd part. Norma:Yes No PS.: In case affirmative, fill in the field “A”, Otherwise, fill in the field “B”. Observation / Scope of the certification: A Órgão Emissor:Data Emissão:Validade: A A A A AP AP AP AP NA NA NA NA NAP NAP NAP NAP The Quality System is well structured, documented and deployed, following international standards of management quality. Documentation of quality system, procedures, charts, defining authority and responsibility. Internal Auditing. B Keep records of product quality traceable. Observations: Note: Document for internal use. Filing with the qualification process (dossier). 1/4 Atached file 4 PI-Qual v_3 de 12_02_07 Superintendence of Procurement and Strategic Contracts - CS Department of Material Inspection and Qualification - CSQ Identification of the form quality: Chek List for Suppliers and Materials Qualification (Q-LV-QUAL) Plant Industrial area / inventory General facilities Cleaning and organization Safety standards and physical assets Laboratories Technology used Observations:A A A A A A AP AP AP AP AP AP NA NA NA NA NA NA NAP NAP NAP NAP NAP NAP Production Process Production Capacity (equipment and manpower) Documentation involving the production process Selection criteria for suppliers Preparation and orientation of the manpower Specific procedure in obtaining inputs Storage planning Storage and identification of raw material used in production. Maintenance planning. Storage and packaging of finished product. Transportation and distribution logistics Observations:A A A A A A A A A A AP AP AP AP AP AP AP AP AP AP NA NA NA NA NA NA NA NA NA NA NAP NAP NAP NAP NAP NAP NAP NAP NAP NAP Quality Control Receipt of raw material Production Quality Control Disapproved product segregation Calibration of measuring instruments Specific test bench Additional Tests Product traceability ObservationsA A A A A A A AP AP AP AP AP AP AP NA NA NA NA NA NA NA NAP NAP NAP NAP NAP NAP NAP 2/4 Note: Document for internal use. Filing with the qualification process (dossier). Atached file 4 PI-Qual v_3 de 12_02_07 Superintendence of Procurement and Strategic Contracts - CS Department of Material Inspection and Qualification - CSQ Identification of the form quality: Chek List for Suppliers and Materials Qualification (Q-LV-QUAL) Additional Records Note: Document for internal use. Filing with the qualification process (dossier). Atached file 4 PI-Qual v_3 de 12_02_073/4 Superintendence of Procurement and Strategic Contracts - CS Department of Material Inspection and Qualification - CSQ Identification of the form quality: Chek List for Suppliers and Materials Qualification (Q-LV-QUAL) Evaluation Formula Calculation Result R ≥ 70 = Meet R < 70 = Don’t Meet Meet Don’t meet R = Nº A + (Nº AP) / 2 x 100 Nº Aplicáveis Normative Tests of the Product – NTP Observations:R= Conclusion R ≥ 70 e ENP meet R ≥ 70 e ENP don’t meet R < 70 e ENP meet R < 70 e ENP don’t meet Qualified Unqualified Unqualified Unqualified Validity Qualification 3 Months Responsible SABESP:6 Months 12 Months Place and Date:18 Months Note: Document for internal use. Filing with the qualification process (dossier). Atached file 4 PI-Qual v_3 de 12_02_074/4
