Raw Material Risk Assessment Questionnaire
Assess the risk profile of a raw material by providing material details, supply chain information, quality checks, and mitigation measures. Use the same title consistently throughout the form.
Material Identification
Raw Material Name
*
Material Type / Category
*
Mineral
Chemical
Agricultural
Polymer
Metal
Other
Supplier Name
*
Supplier Location / Country
*
Intended Use / Application
*
Risk Assessment
Inherent risk level before controls
*
Low
Moderate
High
Very High
Supply continuity risk
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Quality and consistency risk
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Regulatory and compliance risk
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Environmental and ethical sourcing risk
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Supply Chain and Availability
Source Region(s)
*
North America
South America
Europe
Asia-Pacific
Middle East & Africa
Global
Other
Lead Time (days)
*
Alternative Supplier Availability
*
Yes
No
Limited
Supply Chain Constraints or Seasonality Notes
Quality and Specification Checks
Specification requirements met?
*
Yes
No
Partial
Key quality parameters to monitor
Required certifications / documents
COA
SDS
Origin certificate
ISO documentation
Test report
Product specification sheet
Other
Testing / inspection frequency
Every batch
Daily
Weekly
Monthly
Quarterly
Per shipment
As needed
Other
Impact and Mitigation
Potential impact of failure
*
Low impact
1
2
3
4
5
6
7
8
9
Severe impact
10
1 is Low impact, 10 is Severe impact
Existing controls and mitigations
*
Recommended additional controls
Final overall risk rating
*
1
2
3
4
5
Submit Questionnaire
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