Exit this survey Rx-360 Registration for Auditing Firm We encourage you to provide an overview of your auditing capabilities, as well as supporting documentation for any of the questions below, to rx-360auditor@dbr.com. Question Title 1. Please provide the name of the company you are registering: Question Title 2. Please provide us with the following information for the primary company contact: Your Last Name Your First Name Email address Phone number Street address City Zipcode Country Question Title 3. Please indicate the types of supplier quality audits your company is able to conduct: Active pharmaceutical ingredients Excipients Basic chemicals and raw materials Primary packaging components Printed materials Question Title 4. Please indicate the geographic regions in which your company is able to conduct supplier quality audits: Europe North America Central and South America & Caribbean Australasia East Asia Southeast Asia South Asia Central Asia Middle East Africa Question Title 5. Please describe your company's auditor training program. Question Title 6. Please indicate the approximate number of local auditors you have on staff by region: Europe North America Central and South America & Caribbean Australasia East Asia Southeast Asia South Asia Central Asia Middle East Africa Question Title 7. Please indicate the approximate number of local auditors you have through subcontracting arrangements by region: Europe North America Central and South America & Caribbean Australasia East Asia Southeast Asia South Asia Central Asia Middle East Africa Question Title 8. Please indicate the approximate number of auditors that you have available (either on staff or through subcontracting arrangements) for each type of audit: Active pharmaceutical ingredients Excipients Basic chemicals and raw materials Primary packaging components Printed materials Question Title 9. Please describe your process for qualification or selection of individual auditors. Question Title 10. Are you able to provide auditors that are fluent in both written and spoken English? Yes No Question Title 11. Are you able to provide an example or examples of the checklists you use for different types of audits? (If yes, please send to rx-360auditor@dbr.com). Yes No Question Title 12. Please indicate if your organization has received any type of accreditation as an auditing/inspection body: ISO/IEC 17020 Other Accreditation Question Title 13. How many years have you been in business? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ By clicking submit, you consent to the use of your personal information for purposes of maintaining a database of interested suppliers of auditing services and alerting you to opportunities to conduct Rx-360 audits. You understand and consent to the transfer of your personal information to the United States (as applicable, if located outside the United States) for such purposes. You understand that you may request that your information be removed from such database by contacting Rx-360 at rx-360auditor@dbr.com. Submit