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Vendor Checklist Instructions

1.

Supplier Representative:

Complete #’s 1 - 4 and documentation must be provided for #’s 3, 5, 6 and 9.  Review policies that are attached and sign the bottom of the checklist, verifying that you have completed your requirements and understand the policies governing your presence on our campus.

2.

Clinical Department:

Complete #’s 1 - 6 with the Representative and approve for them to be present in your areas by signing at the bottom at the checklist.  Immunization information is required for those visiting surgical areas.  

Make a copy for your files and then forward the original documents to Materials Management, Attn: Debbie Murrain

3.

Materials Management:

Will maintain the master file of all documentation and will keep track of all representatives and their compliance to this policy.

Vendor Checklist

Updated 9.1.06

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