Medical Equipment Vendor Technical Assessment Form

Vendor Information

Vendor Name Contact Person Email Phone Number Address

Equipment Details

Equipment Name Model Manufacturer Country of Origin Warranty Period

Technical Specifications

Specification	Vendor Response	Remarks

Compliance & Certification

Certifications (e.g., FDA, CE, ISO) Compliance with Local Regulations Yes No

After-Sales Support

Availability of Spare Parts Service Response Time Training Provided Yes No

Additional Comments

Date of Assessment Assessed By