# Supplier/Vendor Quality Audit Summary Report

**Year of Audit:** ____

| Audit # | Supplier/Vendor Name | Audit Date | Send Date | Due Date | Actual Completion | Start Date | End Date | Qualified? (1) Yes/No | Notes (Attach additional paper if necessary) |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |
|  |  |  |  |  |  |  |  | □Y□N |  |

(1): See SOP 1.002 for supplier qualification rating definitions.