制药类企业供货商问卷调查制药类企业供货商问卷调查.doc

制药类企业供货商问卷调查 Questionnaire for suppliers of active or inactive pharmaceutical ingredients (?? ?? ??? ????? ????? ) Supplier(???) 供货商 Name of vendor company:卖方国家 (???) Address:地址 (??) Country: 国家 (??) Phone No.: 电话 Fax No.: 传真 (????) (????) Concerned products (????) 联系产品 Name of contact person: 联系人 Title: 职位 (???) (??) Phone No.: 电话 Fax No.: 传真 (????) (????) E-mail address of contact person: 联系人邮箱地址 (??? ??? ??) 买方 Date(??) 日期 . . Confirmed by (???) 确定日期 Quality Assurence team leader (???? ??) 质检组领导 Quality Control manager (???????) 质量控制经理 1. General Information (?? ??) No. ? ? YES NO 1.1 What type of products do you manufacture?贵司生产何种产品？ (?? ??? ??? ????) Plant Extracts，Food additive，Feed additive，Chemical Intermediate 植物提取物，食品添加剂，饲料添加剂，化学溶媒 1.2 Are any of the following materials produced at the same site as materials to be/being purchased 我们所购产品的生产场地是否同时生产如下产品： (?? ??? ??? ?? ??? ??? ?? ???? ???? ??? ??) a. Antibiotics (???) 抗生素 No b. Pesticides / herbicides (???/???) 杀虫剂、除草剂 No c. Biologicals (???? ??) 生物制剂 No d. Steroids (?????) 激素类 No e. Cytotoxics (??????) 细胞毒素 No f. Highly active materials (??? ??) 高活跃性原料 No 1.3 How is cross-contamination avoided (controlled)?交叉污染如何避免 (??? ????? ??(??)??) Product protection training, partition storage, sanitation and cleaning training, 1.4 Is the company a division or su