Critical Supplier Risk Assessment
Assessment Code
Vendor Name
*
Vendor #
Description
*
Division
*
Please Select
Marketing
Corporate
Osprey
Osprey/3PP
Osprey/Reman
Supply Chain
Packaging
Supply Chain Solutions
Marketing, Supply Chain Solutions
Client
*
Please Select
Business Analytics
Nicor
Group O
PEPSI
Inspire
AT&T
Michelin
Michelin Print
PepsiCo
IDPH
FABRIKO
FLEX
LIKOM
ECI
BRH2
SCHNEIDER
Multiple Clients
Other
Purchasing Representative
Other Client
*
Primary Contact
*
example@GroupO.com
Secondary Contact 1
example@GroupO.com
Secondary Contact 2
example@GroupO.com
Secondary Contact 3
example@GroupO.com
Secondary Contact 4
example@GroupO.com
Critical Supplier Criteria
*
Please Select
Labor
Product
Production Equipment Maintenance/Supplies
Software - Required
Service - Required
Store, Process, Transmit client or GO data (PPI, Financial, Technical)
Bubble Products
Corrugated finished goods
Equipment
Foam products
Honeycomb Products
Labor
PE Bags
PE Film Products
Product
Production
Products
Products / Equipment
Production Equipment
Service
Service - Client Requirement
Services related to business requirement
Software
Software - Client Requirement
Wood pallets and wood finished goods
Certifications?
*
Please Select
Yes
No
Type of Certification
*
Does this supplier have access to, store, process or transmit client or Group O data in electronic or hardcopy form?
*
Please Select
No
Yes - Financial
Yes - PII
Yes - Technical
If YES, what type?
*
Please Select
Electronic
Hard Copy
Both
If YES, how long? (In Months)
*
If YES - What Data?
*
Access ID/Username
Account Number
Address
Customer Name
DOB
Email Address
Financial
Network Diagram
Phone Number
SSN
User Listing
Other
Other
*
Potential Threats/Risk
*
Probability
*
Low
1
2
High
3
1 is Low, 3 is High
Risk Score
Impact
*
Low
1
2
High
3
1 is Low, 3 is High
Submit
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