Date:

Company:
Address:
Web Site:
Primary Contact:
Phone:
Fax:
eMail:
General Company Information
Is this address Corporate Headquarters? / Yes / If no, name of parent company:
Local Sales Office/Distributor (if any) / Contact:
Address:
Product or Service
Year Company Established: / Publicly Held / Privately Held
Sales for past two years: / Year: / Amount: / $
Year: / Amount: / $
Facility Statistics
# of Buildings: / Sq Ft: / Shifts: / % Capacity: / %
Personnel (Names)
President/CEO: / Sales Manager:
MFG Manager: / ENG Manager:
QA Manager: / Other:
Employees (Qty)
Admin: / MFG: / ENG: / QA/Insp:
Quality Systems (Check all that Apply)
ISO 9001:2000 / Certificate No. / Exp. Date
AS 9100 / Certificate No. / Exp. Date
ISO 14001 / Certificate No. / Exp. Date
ITAR / Certificate No. / Exp. Date
NADCAP / Certificate No. / Exp. Date
MIL-I-45208 / Approved By:
Certificate No. / Exp. Date
Certificate No. / Exp. Date
Please attach a copy of your Certifications or provide a Web link:
Company Classifications (Check all that Apply)
Small / Veteran Owned Small Business
Small Disadvantaged / Service Disabled Veteran Owned Small Business
Woman Owned / Native American Owned
HUB Zoned Small Business Concern
% of Business
Military/Aerospace / % / Commercial / % / Medical / % / Nuclear / %
No further questionnaire completion is required for third party certified ISO-900x/AS-9100 suppliers.
For Cobham Use Only:
Reviewed By: / Date:
Approved / Conditional / Disapproved
General remarks:
General Quality Assurance Information
If you are not third party registered ISO compliant Supplier, please answer the following questions;
Yes / No / N/A / Comments:
Do you have a Quality Assurance Manual?
Do you use Workmanship Procedures?
Do you use Inspection Instructions?
Do you have a Receiving Inspection Dept.?
Do you have a Final Inspection Dept.?
Do you maintain calibration of measuring equipment used for final acceptance per ANSI/NCSL Z540.3-2006?
Do youmaintain Electrical Test Data?
Does QA Approve of Drawings?
Do you have a Drawing Change Procedure/Notification?
Are Customer Drawings Re-drawn?
Failure Analysis; Corrective/Preventive Action?
Do you have an Approved Supplier List?
Does QA Approve Purchase Orders?
Do you maintain Lot/Date Code traceability?
Are Work Instructions in Use?
Do you have a Controlled Stockroom?
Do you have Shelf Life Control?
Are Travelers/Route Sheets Used?
Is SPC used in your Facility?
Do you have Electronic Discharge (ESD) Controls?
Do you meet Environmental (EPA) Compliance?
Is your facility O.S.H.A. Compliant?
Specialty Metals Compliant? DFARS 252.225-7014

Dear Valued Supplier,

Cobhamis a recognized manufacturer around the World. At all times the perfect condition and reliability of purchased components, materials and services as well as the verified process and quality capability of our suppliers contributes significantly to this goal. Hence, the quality of our suppliers is an integral part of Cobham’s product quality. This requires process capability and continual improvement of all processes and flows within the Supply Chain.

This Questionnaire is the first step in establishing a partnership between our companies. As we move forward, we may require additional information, surveys and site visits to fully develop the necessary controls and processes to provide the highest quality product. We are looking forward to this partnership and thank you for taking this initial step towards that goal.

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