HARTZELL ENGINE TECHNOLOGIES

SUPPLIER SELF ASSESSMENT

L / QA02-
Supplier Information: / To be Completed by Hartzell SQA:
Company Name: / Date of Review:
Facility Address: / Full Approval / Conditional / Expires:
City and State: / Authorized signature:
Zip: / Phone: / Corrective Action Required: Yes No
Country: USA / C/A Follow-up: Approved: Not approved
Senior Company Official: / Name: / Title: / e-mail:
Senior Quality Official: / Name: / Title: / e-mail:
Sales/Contract Official: / Name: / Title: / e-mail:
No. of Production/Inspection Personnel:
Bargaining Unit: / Contract Expires:

A. QUALITY ASSURANCE SYSTEM PROCEDURES

1. / The quality system is registered to (attach copy):
AS9100 / ISO 9000 / ISO 17025 / TS16949 / AS9120 / Registrar:
2. / Seller agrees to notify Hartzell in writing of significant changes to their quality system or manufacturing processes that may affect inspection or the airworthiness of the product being supplied, or impact delivery of product.
Yes No
3. / Supplier agrees to notify Hartzell in writing when there are significant business climate or organizational changes such as company name, location or senior quality management. Yes No
4. / Supplier will allow access to Hartzell, Hartzell’s customer, and FAA to perform in-process surveillance.
Yes No Per special agreement (attach)
5. / Are captive special processes accredited by NADCAP? Yes No N/A
5a. / List all special processes accredited (attach copies of NADCAP certificates):
5b. / List all special processes not accredited:
6. / Special processes/NDT Out-sourced - (Attach list of currently used special process suppliers for Hartzell product)
7. / NDT personnel certified to MIL-STD-410 or ASNT-TC-1A / Yes / No / Other

B. FACILITIES

1. / Number of buildings:
2. / Product/services provided (describe briefly and/or attach list)
3. / Inspection and/or test equipment (describe briefly and/or attach list)
4. / Laboratory (describe briefly and/or attach list)
Prepared by: / Date:
Previous company name (if applicable):

Detailed Quality System Evaluation

QUALITY POLICY – SECTION 1

/ Y / N / NA
1. / Do you have a written Quality Policy? If so, attach a copy.
2. / Does management regularly review the status and adequacy of the quality policy and system?

CONTRACT REVIEW – SECTION 2

/ Y / N / NA
3. / Do you have procedures that define how the Hartzell purchase order will be reviewed for pertinent quality, commercial and technical requirements and flowed down into the organization appropriately?
4. / Do you have access to the latest industry specifications that may be invoked by the Hartzell purchase order, drawing and/or manual?

DOCUMENT CONTROL – SECTION 3

/ Y / N / NA
5. / Do you have written procedures that describe how you provide revision control of Hartzell drawings and specifications?

SUPPLIER CONTROL – SECTION 4

/ Y / N / NA
6. / Do you have written procedures that define the quality expectations and technical requirements of your suppliers who provide materials and processes used in Hartzell product?
7. / Do you have a list of approved suppliers and are they evaluated prior to placing orders?
8. / When applicable, are Hartzell requirements flowed down to your sub-tier suppliers via your purchase order?
9. / Does your quality system provide for effective corrective action with a subcontractor or supplier?
10. / Do you have written procedures for performing receiving inspection of production materials?
11. / If you use sampling inspection, what document is the plan based on?
METROLOGY CONTROLS – SECTION 5 / Y / N / NA
12. / Do you have written procedures for the control and scheduled frequency of measuring an test calibration?
13. / Are they based on ISO10012-1?

NONCONFORMING MATERIAL CONTROL & CORRECTIVE ACTION– SECTION 6

/ Y / N / NA
14. / Do you have written procedures for controlling defective material and ensuring corrective action?
15. / Are defective materials properly identified, segregated and held in a controlled area accessible only to authorized personnel?
16. / Is there an analysis of quality trends to identify root cause and prevent nonconforming products?
17. / When corrections are made, is their effectiveness reviewed and are they monitored later?

RECORDS – SECTION 7

/

Y

/

N

/

NA

18. / Are records available for on site review by HPI and/or government representatives?
19. / Are records maintained for a minimum of 7 years?
INTERNAL AUDITS – SECTION 8 / Y / N / NA
20. / Do you have written procedures that define an internal audit process, including responsibility, frequency, scope, distribution/review and corrective action process?

* * *

Form QC-01-005C 2Jan09 1