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ABC ENTERPRISE OVERALL PERFORMANCE EVALUATION

External Provider requires improvement - Communicate to external


AVERAGE PERFORMANCE 7.92 AVERAGE provider to improve its performance

Date PO No. SCORE GRADE SCORE


15-Aug-17 X1 7.55 AVERAGE 9.1 10

15-Aug-17 X2 8.55 ABOVE AVERAGE 8.1 9

16-Aug-17 X3 6.60 AVERAGE 6.1 8

16-Aug-17 X4 8.45 ABOVE AVERAGE 4.1 6

17-Aug-17 Xn 8.45 ABOVE AVERAGE 1.1 4


ternal Provider requires improvement - Communicate to external
ovider to improve its performance

RECOMMENDATION
External Provider is prioritized during selection process

External Provider is highly recommended during selection


process

External Provider requires improvement - Communicate to


external provider to improve its performance

External Provider needs lot of improvement - Onsite Quality


Management System Audit is required
External Provider is recommended for removal from the List of
Approved External Provider

`
MARITIME CLINIC FOR INTERNATIONAL SEAFARERS, INC.
External Provier Performance Evaluation Form
This performance evaluation is to be carried out AFTER completion of every PURCHASE ORDER transaction

DATE: 15 Aug 2017


P.O. No. X1

POOR: 1 - 3; BELOW AVERAGE: 4 - 5; AVERAGE: 6 - 7; ABOVE AVERAGE: 8 - 9; OUTSTANDING: 10


MAXIMUM ALLOWABLE POINTS = 10 POINTS Points Factor % EVAL
1. COMMUNICATIONS and FOLLOW-UP 6 20% 1.2
Timely response to requests for quotation DOQ: _________________
Responsiveness to requests for quotations/inquiries DQR: _________________
Communication on job progress, problems & corrective actions
Clarity in communications
Responsiveness to follow-up requests
DOQ = Date of Quotation; DQR = Date Quotation is Received

2. WORKMANSHIP/ QUALITY 7 30% 2.1


Quality of Product (result of verification/inspection/issued CAR) CAR No. ________________
Timely submission of outsourced process
100% acceptance of delivered material/outsourced process/ document
Satisfaction with the service provided
Accuracy of inspection/laboratory/calibration test reports

3. COMMERCIAL PRACTICES 8 25% 2


Favorable payment terms
Consistency in pricing & willingness to negotiate
Fulfill warrantee obligations
Compliance to contractual terms and conditions
Commitment to work on agreed time frame as per terms and condition

4. DELIVERY and/or MOBILIZATION 9 25% 2.25


On time delivery of materials/service as per requirement RDD: 8 August 2017
Responsiveness to urgent requirements ADD: 12 August 2017
Providing advance information about delays in delivery
RDD= Requested Delivery Date; ADD = Actual Delivery Date TOTAL SCORE 7.55
GRADE AVERAGE
RECOMMENDATION GRADE SCORE
External Provider is prioritized during selection process Outstanding 9.1 10
External Provider is highly recommended during selection process Above Average 8.1 9
External Provider requires improvement - Communicate to external provider to improve
its performance Average 6.1 8
External Provider needs lot of improvement - Onsite Quality Management System Audit
is required Below Average 4.1 6
External Provider is recommended for removal from the List of Approved External
Provider Poor 1.1 4

NOTE: The above recommendation is determined when the rating of the external provider is computed prior to annual
management review. SEE STATUS
MARITIME CLINIC FOR INTERNATIONAL SEAFARERS, INC.
External Provier Performance Evaluation Form
This performance evaluation is to be carried out AFTER completion of every PURCHASE ORDER transaction

DATE: 15 Aug 2017


P.O. No. X2

POOR: 1 - 3; BELOW AVERAGE: 4 - 5; AVERAGE: 6 - 7; ABOVE AVERAGE: 8 - 9; OUTSTANDING: 10


MAXIMUM ALLOWABLE POINTS = 10 POINTS Points Factor % EVAL
1. COMMUNICATIONS and FOLLOW-UP 7 20% 1.4
Timely response to requests for quotation DOQ: _________________
Responsiveness to requests for quotations/inquiries DQR: _________________
Communication on job progress, problems & corrective actions
Clarity in communications
Responsiveness to follow-up requests
DOQ = Date of Quotation; DQR = Date Quotation is Received

2. WORKMANSHIP/ QUALITY 8 30% 2.4


Quality of Product (result of verification/inspection/issued CAR) CAR No. ________________
Timely submission of outsourced process
100% acceptance of delivered material/outsourced process/ document
Satisfaction with the service provided
Accuracy of inspection/laboratory/calibration test reports

3. COMMERCIAL PRACTICES 9 25% 2.25


Favorable payment terms
Consistency in pricing & willingness to negotiate
Fulfill warrantee obligations
Compliance to contractual terms and conditions
Commitment to work on agreed time frame as per terms and condition

4. DELIVERY and/or MOBILIZATION 10 25% 2.5


On time delivery of materials/service as per requirement RDD: 8 August 2017
Responsiveness to urgent requirements ADD: 12 August 2017
Providing advance information about delays in delivery
RDD= Requested Delivery Date; ADD = Actual Delivery Date TOTAL SCORE 8.55
GRADE ABOVE AVERAGE
RECOMMENDATION GRADE SCORE
External Provider is prioritized during selection process Outstanding 9.1 10
External Provider is highly recommended during selection process Above Average 8.1 9
External Provider requires improvement - Communicate to external provider to improve
its performance Average 6.1 8
External Provider needs lot of improvement - Onsite Quality Management System Audit
is required Below Average 4.1 6
External Provider is recommended for removal from the List of Approved External
Provider Poor 1.1 4

NOTE: The above recommendation is determined when the rating of the external provider is computed prior to annual
management review. SEE STATUS
MARITIME CLINIC FOR INTERNATIONAL SEAFARERS, INC.
External Provier Performance Evaluation Form
This performance evaluation is to be carried out AFTER completion of every PURCHASE ORDER transaction

DATE: 16 Aug 2017


P.O. No. X3

POOR: 1 - 3; BELOW AVERAGE: 4 - 5; AVERAGE: 6 - 7; ABOVE AVERAGE: 8 - 9; OUTSTANDING: 10


MAXIMUM ALLOWABLE POINTS = 10 POINTS Points Factor % EVAL
1. COMMUNICATIONS and FOLLOW-UP 5 20% 1
Timely response to requests for quotation DOQ: _________________
Responsiveness to requests for quotations/inquiries DQR: _________________
Communication on job progress, problems & corrective actions
Clarity in communications
Responsiveness to follow-up requests
DOQ = Date of Quotation; DQR = Date Quotation is Received

2. WORKMANSHIP/ QUALITY 7 30% 2.1


Quality of Product (result of verification/inspection/issued CAR) CAR No. ________________
Timely submission of outsourced process
100% acceptance of delivered material/outsourced process/ document
Satisfaction with the service provided
Accuracy of inspection/laboratory/calibration test reports

3. COMMERCIAL PRACTICES 9 25% 2.25


Favorable payment terms
Consistency in pricing & willingness to negotiate
Fulfill warrantee obligations
Compliance to contractual terms and conditions
Commitment to work on agreed time frame as per terms and condition

4. DELIVERY and/or MOBILIZATION 5 25% 1.25


On time delivery of materials/service as per requirement RDD: 8 August 2017
Responsiveness to urgent requirements ADD: 12 August 2017
Providing advance information about delays in delivery
RDD= Requested Delivery Date; ADD = Actual Delivery Date TOTAL SCORE 6.6
GRADE AVERAGE
RECOMMENDATION GRADE SCORE
External Provider is prioritized during selection process Outstanding 9.1 10
External Provider is highly recommended during selection process Above Average 8.1 9
External Provider requires improvement - Communicate to external provider to improve
its performance Average 6.1 8
External Provider needs lot of improvement - Onsite Quality Management System Audit
is required Below Average 4.1 6
External Provider is recommended for removal from the List of Approved External
Provider Poor 1.1 4

NOTE: The above recommendation is determined when the rating of the external provider is computed prior to annual
management review. SEE STATUS
MARITIME CLINIC FOR INTERNATIONAL SEAFARERS, INC.
External Provier Performance Evaluation Form
This performance evaluation is to be carried out AFTER completion of every PURCHASE ORDER transaction

DATE: 16 Aug 2017


P.O. No. X4

POOR: 1 - 3; BELOW AVERAGE: 4 - 5; AVERAGE: 6 - 7; ABOVE AVERAGE: 8 - 9; OUTSTANDING: 10


MAXIMUM ALLOWABLE POINTS = 10 POINTS Points Factor % EVAL
1. COMMUNICATIONS and FOLLOW-UP 8 20% 1.6
Timely response to requests for quotation DOQ: _________________
Responsiveness to requests for quotations/inquiries DQR: _________________
Communication on job progress, problems & corrective actions
Clarity in communications
Responsiveness to follow-up requests
DOQ = Date of Quotation; DQR = Date Quotation is Received

2. WORKMANSHIP/ QUALITY 7 30% 2.1


Quality of Product (result of verification/inspection/issued CAR) CAR No. ________________
Timely submission of outsourced process
100% acceptance of delivered material/outsourced process/ document
Satisfaction with the service provided
Accuracy of inspection/laboratory/calibration test reports

3. COMMERCIAL PRACTICES 9 25% 2.25


Favorable payment terms
Consistency in pricing & willingness to negotiate
Fulfill warrantee obligations
Compliance to contractual terms and conditions
Commitment to work on agreed time frame as per terms and condition

4. DELIVERY and/or MOBILIZATION 10 25% 2.5


On time delivery of materials/service as per requirement RDD: 8 August 2017
Responsiveness to urgent requirements ADD: 12 August 2017
Providing advance information about delays in delivery
RDD= Requested Delivery Date; ADD = Actual Delivery Date TOTAL SCORE 8.45
GRADE ABOVE AVERAGE
RECOMMENDATION GRADE SCORE
External Provider is prioritized during selection process Outstanding 9.1 10
External Provider is highly recommended during selection process Above Average 8.1 9
External Provider requires improvement - Communicate to external provider to improve
its performance Average 6.1 8
External Provider needs lot of improvement - Onsite Quality Management System Audit
is required Below Average 4.1 6
External Provider is recommended for removal from the List of Approved External
Provider Poor 1.1 4

NOTE: The above recommendation is determined when the rating of the external provider is computed prior to annual
management review. SEE STATUS
MARITIME CLINIC FOR INTERNATIONAL SEAFARERS, INC.
External Provier Performance Evaluation Form
This performance evaluation is to be carried out AFTER completion of every PURCHASE ORDER transaction

DATE: 17 Aug 2017


P.O. No. Xn

POOR: 1 - 3; BELOW AVERAGE: 4 - 5; AVERAGE: 6 - 7; ABOVE AVERAGE: 8 - 9; OUTSTANDING: 10


MAXIMUM ALLOWABLE POINTS = 10 POINTS Points Factor % EVAL
1. COMMUNICATIONS and FOLLOW-UP 8 20% 1.6
Timely response to requests for quotation DOQ: _________________
Responsiveness to requests for quotations/inquiries DQR: _________________
Communication on job progress, problems & corrective actions
Clarity in communications
Responsiveness to follow-up requests
DOQ = Date of Quotation; DQR = Date Quotation is Received

2. WORKMANSHIP/ QUALITY 7 30% 2.1


Quality of Product (result of verification/inspection/issued CAR) CAR No. ________________
Timely submission of outsourced process
100% acceptance of delivered material/outsourced process/ document
Satisfaction with the service provided
Accuracy of inspection/laboratory/calibration test reports

3. COMMERCIAL PRACTICES 9 25% 2.25


Favorable payment terms
Consistency in pricing & willingness to negotiate
Fulfill warrantee obligations
Compliance to contractual terms and conditions
Commitment to work on agreed time frame as per terms and condition

4. DELIVERY and/or MOBILIZATION 10 25% 2.5


On time delivery of materials/service as per requirement RDD: 8 August 2017
Responsiveness to urgent requirements ADD: 12 August 2017
Providing advance information about delays in delivery
RDD= Requested Delivery Date; ADD = Actual Delivery Date TOTAL SCORE 8.45
GRADE ABOVE AVERAGE
RECOMMENDATION GRADE SCORE
External Provider is prioritized during selection process Outstanding 9.1 10
External Provider is highly recommended during selection process Above Average 8.1 9
External Provider requires improvement - Communicate to external provider to improve
its performance Average 6.1 8
External Provider needs lot of improvement - Onsite Quality Management System Audit
is required Below Average 4.1 6
External Provider is recommended for removal from the List of Approved External
Provider Poor 1.1 4

NOTE: The above recommendation is determined when the rating of the external provider is computed prior to annual
management review. SEE STATUS

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