/ Strategic Purchasing Department / BP01FO19E
Supplier Self Information Sheet – Electronics / Page 1 of 4
 Please tick! own initiative application on demand of VAT; Name:
1. General Information
Company Name / Address:
Tel: / E-Mail: / Website:
Legal form:
Turnover last 3 years: / Investment volume last 3 years:
USD / USD / USD / USD / USD / USD
Product liability insurance for the countries, to the sum of:
2. Key Personel - Departments
Corporate Management / Sales / Development
Name:
Telephone:
E-Mail:
Language:
Number of Employees:
Production / Quality / Logistics
Name:
Telephone:
E-Mail:
Language:
Number of Employees:
 / Total Number of Employees:
3. Audits by other Customers
Customer / Kind of Audit (System-, Process- or Productaudit) / Score / Assessment
4. Abilities
4.1 Which of the following production processes are established? Please check where applicable.
Please check / THT assembly and lead-free soldering / single-sided SMT assembly and lead-free soldering / double-sided SMT assembly and lead-free soldering / Mixed assembly THT and SMT / BGA assembly / Selective soldering / Hand-soldering / Grouting / Functional test / In-Circuit-Test (ICT) / Flying-Probe-Test / X-ray inspection / Automated optical inspection (AOI) / Burn-in test (passive burn-in) / Run-In
(active burn-in) / electronics final assembly / mech. components final assembly / cable assembly (flat and round cables)

4.2 Which of the following standards / processes are established? Please check where applicable.
Please check / Class 2; Dedicated Service Electronic Products
IPC-A-610 / Requirements + Acceptance for Cable and Wire Harness Assemblies IPC/WHMA-A-620;
/ Rework, Modification and Repair of Electronic Assemblies
IPC-7711/21; / Introduced and established „Copy Exact Prozess“ / Continuous ESD protection through all manufacturing steps including stock receipt, assembly, inspection, storage, shipment and repair. / Demand driven procurement / Online access to stock list / Production of products that complies with
RoHS Directive / Knowledge of
JIG 101B and JIG 201

4.3What are your core competences?
5. Quality- and Environmental Management
5.1 Is your company certifiedaccording to ISO 9001:2000, ISO/TS 16949:2002, VDA 6.1 or an UM-System according to ISO 14001:2004? / Yes / No
If yes, which:
Please check / ISO 9001:2000 / ISO/TS16949:2002 / VDA 6.1 / ISO 14001:2004 / Others

If No
Do you plan to get certified? / Yes, Which:
When: / No
Are customer-relevant processes defined and established in the entire company? / Yes, Which: / No
5.2Is a continuous improvement process defined (CIP)? / Yes / No
5.3 Do you use statistical process controls (SPC) as part of the production system? / Yes / No
5.4 Do you carry out process FMEAs? / Yes / No
5.5Is a process to manage defective products established, and is the process applied? / Yes / No
5.6 Is the test equipment calibrated, and is it monitored regularly? / Yes / No
5.7 Are test results recorded and retained (when required) in order to provide evidence? / Yes / No
5.8 Are defective parts marked and disposed properly, e.g. stored separately? / Yes / No
6. Purchasing
6.1 Is your selection of sub-suppliers made on the basis of a defined procedure and in accordance with established criteria? / Yes / No
6.2 Do your orders to sub-suppliers include QA and environmental requirements where applicable? / Yes / No
6.3 Do you use any supply processes (such as Kanban, JIT, etc.) when you work with your suppliers? / Yes / No
6.4 Do you have appropriate instructions for handling sensitive products (ESD – Electrostatic Discharge) ? / Yes / No
6.5 Is the achieved delivery performance (delivery reliability, volume) measured, analyzed and communicated (Supplier Score Card)? / Yes / No
6.6 What is your typical / preferred batch size?
7. Production Process
7.1 Are the manufacturing processes monitored and continuously improved by appropriate measures? / Yes / No
7.2 Are any identified deviations and customer complaints analyzed, and are corrective measures established as a result? / Yes / No
7.3 Are manufacturing processes/procedures validated and/or qualified with regard to their suitability? / Yes / No
7.4 Are there any processes established for product identification and traceability? / Yes / No
7.5 Are all necessary tests planned, and will they be carried out in advance? (goods in, goods in production, goods out) / Yes / No
7.6Is there a preventive maintenance schedule for machines and facilities? / Yes / No
8. Engineering
8.1 Number of engineers: Employees
8.2 Which CAD system do you use? Type: Version:
8.3 Which EDA system do you use? Type: Version:
8.4 Are all research and development tasks carried out in your own company? / Yes / No
8.5 Are prototypes designed and assembled in house? / Yes / No
8.6 Is test equipment designed and assembled in house? / Yes / No

Date: Supplier of the document:

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Workingdocument / Supplier Self Information Sheet - Electronic English_V1.doc
Archiving / Ordner in SB / Dauer: > 5 Jahre / ------
PMS Document / BP01FO19EB / MEY / B / 15.11.2011