Supplier Evaluation Form

1. Supplier Details

• Supplier Name: [Enter Full Business Name]
• ABN: [Enter Australian Business Number]
• Contact Person: [Enter Name]
• Phone Number: [Enter Phone]
• Email Address: [Enter Email]
• Business Address: [Enter Full Address]
• Date of Evaluation: [DD/MM/YYYY]
• Evaluator Name: [Enter Your Name]

2. Legal and Compliance Check

• ABN Status: [ ] Active / [ ] Inactive / [ ] Pending (Check at www.abr.business.gov.au)
• Public Liability Insurance: [ ] Current / [ ] Expired / [ ] Not Provided
• Policy Number: [Enter Number]
• Expiry Date: [Enter Date]
• Coverage Amount: $[Enter Amount]
• Workers Compensation Insurance: [ ] Current / [ ] Exempt / [ ] Not Provided
• Policy Number: [Enter Number]
• WHS Compliance:
• SWMS Provided (if required): [ ] Yes / [ ] No
• WHS induction completed: [ ] Yes / [ ] No
• Plant and Equipment tagged/tested: [ ] Yes / [ ] N/A

3. Performance Assessment

• Quality of Products/Services (Rate 1-5): [1]
• Comments: [Enter comments about quality, defects, finish, etc]
• Delivery Timeliness (Rate 1-5): [1]
• Comments: [Enter comments about on-time delivery, lead times]
• Communication and Responsiveness (Rate 1-5): [1]
• Comments: [Enter comments about replies to emails, phone calls, problem solving]
• Value for Money (Rate 1-5): [1]
• Comments: [Enter comments about pricing compared to market]
• Documentation and Invoicing (Rate 1-5): [1]
• Comments: [Enter comments about accuracy of invoices and purchase orders]

4. Incidents and Issues

• Number of safety incidents involving this supplier this period: [Enter Number]
• Details: [Enter details of any safety issues]
• Number of non-conformance reports this period: [Enter Number]
• Details: [Enter details of quality issues]

5. Overall Evaluation

• Total Score (Out of 25): [Enter Score]
• Evaluator Recommendation:
• Approved - No changes needed
• Approved - Conditions apply (list below)
• Probation - Monitor closely for [Enter Time] months
• Not Approved - Seek alternative supplier
• Specific Actions Required: [List any steps the supplier must take to remain on the list]

6. Signatures

Evaluator Signature: __________________________ Date: __________________________

Manager Review (if required): Manager Signature: __________________________ Date: __________________________