Supplier Evaluation Form

Supplier:

Phone No:

Street:

Fax No:

P.O. Box:

State:

City:

Zip:

Person completing survey

Date

Main products or services:

Facility Size (Sq. Ft.):

Employees

Total:

Manufacturing:

Quality:

Shifts:

What processes are performed?

Management and Organization

Head of Quality:

Title:

Reports to:

Title:

Other Contacts:

Title:

Other Contacts:

Title:

To what quality standard does your quality manual comply?

Is the company currently registered or certified to ISO 9001, AS9100, QS 9000,

Nadcap, Guide 25 or other recognized 3rd party system?

Yes

No

If Yes - provide a copy of the registration certificate and completion the remainder of this survey is not required.

If the above was No, complete the remainder of this survey.

What is the company’s intentions, if any, for any future registration?

Quality System Requirements

Yes

No

N/A

1.

Does the company maintain an inspection system which ensures product conformance to contract Requirements?

2.

Is the inspection system documented and made available for customer review?

3.

Does the inspection system contain previsions for notifying customers for any significant change in quality management or inspection system?

4.

Does the company provide documented inspection and testing instructions to ensure inspection and test of material, work in process, and completed articles?

5.

Are adequate records of all inspections and tests, including results, type of defects, quantities and required corrective actions maintained?

6.

Does the company maintain a system to ensure prompt action to correct assignable conditions, which resulted or could have resulted in a submission of nonconforming material or services to the customer?

7.

Does the company maintain a system to ensure timely response to any corrective action requests from customers?

8.

Is there a system to provide controls, which ensure that the latest applicable drawings, specifications, and instructions required by the P.O.; as well as, authorized changes thereto, are used for manufacture, inspection, and testing?

9.

Does the company provide and maintain gages and other measuring and test devices necessary to assure all delivered product or service is conforming?

10.

Is applicable inspection, measurement, and test devices calibrated at established intervals against certified masters, which are traceable to national standards?

11.

Are special process controls an integral part of the inspection system when such processes are part of the purchase order?

12.

Does the company maintain a system which ensures that special process procedures are not modified without prior approval of the customer?

13.

Is there a system that maintains positive identification of the inspection of the inspection (manufacturing) status of all product?

14.

When the customer furnishes material, does the Company’s system address the following minimum requirements?

a)  Examination upon receipt, consistent with       practicability, to  detect damage in transit.

b)  Inspection for completeness and proper type and quantity.

c)  Periodic inspection and precautions to assure      adequate storage conditions.

d)  Identification and protections from improper  use      and disposition.

15.

Does the system provide for reporting any customer furnished material found damaged or otherwise unsuitable for use?

16.

Does the inspection system address an effective and positive system for controlling nonconforming material?

17.

If it is determined that nonconforming material may have inadvertently been shipped to the customer, does the inspection system address immediate customer notification?

18.

Are any sampling plans used by the company   approved by the customer?

19.

Are subcontracted or purchased material and services subjected to receiving inspection and any other controls, as required, to ensure compliance to the purchase order?

Klinge Coatings Evaluation

Reviewed by

Points Deducted

Observations and remarks: