SUPPLIER SELF-SURVEY QUESTIONNAIRE
1.
GENERAL COMPANY INFORMATION
Company Name:
Address:
Phone Number:
FAX No.:
Years In Business:
EIN/State or City License #:
2.
ORGANIZATION. List names of Executives and Key Personnel:
Name
Position
Reports To
Phone
3.
PRODUCTS AND SERVICES. List details of all products and or services that may be of interest to our organization.
4.
QUALITY SYSTEM
Mil-Q-9858:
Mil-I-45208:
ISO9001, 9002, 9003*:
Other:
*(Specify which. If Registered, provide copy of Certificate. If applying, give target date for registration:
)
UL Registered?
Yes
No
CSA Registered?
Yes
No
Other:
Answer the following questions by placing a check mark in the appropriate column. If the question does not apply to the type of work you perform, write "N/A" to indicate Not Applicable.
QUALITY ADMINISTRATION
1.
Is a Quality Assurance Manual available and utilized? If yes, please provide.
YES
NO
N/A
2.
Is there a self-audit program in place to review both quality and manufacturing procedures?
YES
NO
N/A
3.
Is the Quality Assurance department independent of Engineering and Manufacturing?
YES
NO
N/A
4.
Is there a Management and Quality organizational chart? If yes, please provide.
YES
NO
N/A
DOCUMENT CONTROL
1.
Is there a retention period for your records?
YES
NO
N/A
2.
Do you have a back-up & retrieval system for your records / documents?
YES
NO
N/A
3.
How do you maintain external documentation; ie, Specs, Stds, etc. ?
YES
NO
N/A
PROCUREMENT CONTROL
1.
Are written procedures in use for quality control of purchased material and services?
YES
NO
N/A
2.
Do your procurement documents reflect drawing or specification requirements?
YES
NO
N/A
3.
Are certified test reports or certificates of conformance required by purchase orders?
YES
NO
N/A
4.
Is there an approved supplier list utilized?
YES
NO
N/A
INCOMING INSPECTION
1.
Does Receiving Inspection check incoming material to requirements of the purchase order, referenced specifications or applicable drawings?
YES
NO
N/A
2.
Are the inspection and test equipment used adequate for the type of inspection performed?
YES
NO
N/A
3.
Are periodic spot checks made to verify the validity of raw material test reports and certifications?
YES
NO
N/A
MATERIAL STORAGE AND HANDLING
1.
Are there procedures for the control and issuance of material?
YES
NO
N/A
2.
Are materials handled and stored in such a manner as to prevent damage?
YES
NO
N/A
3.
Do materials in the stock area reflect proper identification and inspection status?
YES
NO
N/A
4.
Are materials traceable to the chemical/physical analysis, inspection records, certificates of conformance, documents and purchase orders?
YES
NO
N/A
5.
Are materials stored to facilitate First-in First-out issuance?
YES
NO
N/A
IN-PROCESS CONTROL
1.
Do written procedures exist for in-process control of fabrication and manufacturing processes?
YES
NO
N/A
2.
Is Statistical Process Control (SPC) applied to the manufacturing process?
YES
NO
N/A
3.
Are written procedures used in addition to drawings and specifications for in-process inspection?
YES
NO
N/A
4.
Is adequate inspection and test equipment available for in-process inspection?
YES
NO
N/A
5.
Is non-conforming material promptly identified and segregated?
YES
NO
N/A
FINAL INSPECTION/TEST
1.
Is final inspection and/or test performed by or under the surveillance of Quality Assurance?
YES
NO
N/A
2.
Are inspection test procedures documented?
YES
NO
N/A
3.
Are inspection/test results maintained on file for customer review?
YES
NO
N/A
4.
Can SPC data on critical requirements be provided for each shipment of material upon request?
YES
NO
N/A
DRAWING AND CHANGE CONTROL
1.
Is there a formal written procedure for implementing drawing and specification changes?
YES
NO
N/A
EQUIPMENT MAINTENANCE AND CALIBRATION CONTROL
1.
Do detailed procedures exist for control and calibration of tools, gages and test equipment?
YES
NO
N/A
NON-CONFORMING MATERIAL CONTROL
1.
Do written procedures exist for:
- Non-Conformance Reports
YES
NO
N/A
- Identification of Discrepant Material
YES
NO
N/A
- Segregation on non-conforming material
YES
NO
N/A
- Discrepant material review / disposition (MRB)
YES
NO
N/A
- Re-test, inspection of reworked material
YES
NO
N/A
- Returned Material Procedures
YES
NO
N/A
- Closed-loop Corrective Action and Customer Service
YES
NO
N/A
- Control of Scrap material
YES
NO
N/A
2.
Do management reports reflect root-cause of non-conforming products?
YES
NO
N/A
3.
Are they published regularly and acted upon?
YES
NO
N/A
TRAINING
1.
Is there a training program in place to initially train and update employee(s) knowledge and skills?
YES
NO
N/A
2.
Is there an ongoing training record on file for each employee?
YES
NO
N/A
SURVEY COMPLETED BY:
POSITION:
DATE:
PHONE:
DC 330B