Supplier Self Assessment
Graepel supplier no:
Company name:
Adress.
Zip code/City:
Internet:
Founding year:
Our Cust.no. in your comp.
Contact persons
(Organ. Chart needed, if present) / Name / Email / Phone / Fax
-Managing Director
-Sales
-Quality
-Production
-Logistics
-Purchasing
-Engineering
Suppliers Management System
Has a documented Management System been implemented? / YesNo
If yes: According to which standard?
(notes, if applicable)
Pleasespecify certifying body and enclose copies of certificates. / ISO/TS 16949, Issue:_____
ISO 9001, Issue:_____
ISO 14001, Issue:_____
ISO 18001 (OHSAS), Issue:_____
Others:
Copy of certificate(s) as attached
Certifying body:
If no: Is the Implementation of a
ManagementSystem planned?
(notes, if applicable) / Yes, by(date needed) :
According to standard (see standards above):
______
No, but we agree to an audit by Graepel.
Has the M.- System been audited by OEM customers
(e.g. car or agricultural machinery manufacturers)? / Yes
No
If yes: / OEM / Date: / Standard / audit result / rating:
Copy of audit report attached.
If no: Is an audit by an OEM scheduled? / No, Yes,by (date):
Conducted by
Do you conduct an incoming inspection? / YesNo
Do you use an 8D-Report by processing on complaints and are you familiar with this method? / YesNo
Will faulty parts be separated and/or marked for avoiding an unintentionally further processing and delivery? / YesNo
Contracts
Has a Basic Agreement been signed with Graepel? / YesNo
If not: Are you willing to sign an agreement as mentioned before with Graepel? / YesNo
Has a Quality Assurance Agreement (QAA) signed with Graepel? / YesNo
If not: Are you willing to sign a QAA as mentioned before with Graepel? / YesNo
Miscellaneous
Sales volume
Sales volume of the last 5 years: / Volume (€)
______
______
______
______
______/ Quotient of Graepel (%)
______
______
______
______
______
Location/Subsidary
Please list your locations and subsidiaries,if available. / Adress
______
______
______
______/ Production program
______
______
______
______
No. of employees
Administration
Tool shop
Quality
Engineering
Production
Total: / ______
______
______
______
______
Product program
Core Competence(s):
______
______
______
______/ Further Products:
______
______
______
______/ Trading goods:
______
______
______
______
Machinery
Please list your core machines and equipments below:
______
______
______
______
______
Toolroom
Do you have an own toolroom?
Yes No
If so, which machines are part of it?
______
______
______
______
Do you have an own construction of tools?
Yes No
Does the maintenance of the tools take place internally?
YesNo
Miscellaneous
Capacity Machinery
Are enlargements of the Capacity Machinery planned? / If so, starting from when?
Production planning and control system (PPCS)
Is an PPCS existing?
YesNo / If so, which system do you work with?
CAD-System
Do you have a CAD-System?
YesNo / If so, which system do you work with (name of the system)?
Which data exchange formats are possible?
Are measurements against CAD data possible?
Logistics
Are there delivery schedules viadata telecommunications possible?
Yes No / If so, which formats do you work with?
Logistics Systems
According to which Logistics system do you work?
Kanban
Just-In-Time (JIT)
Consignment stock / Do you work with bar codes on delivery notes and material tags (Code 39 or 128)?
YesNo
Vehicle pool
Do you have an own vehicle pool?
YesNo / If so, which kind are your vehicles?
______
______
______
Suppliers signature:
______
PlaceDate Signature

Please return to:Friedrich Graepel AG / Zeisigweg 2 / 49624 Löningen / Germany

Telefon: +49 (0) 5432 85-0, Fax: +49 (0) 5432 85-2052, Email:einkauf @graepel.de

To be completed by Graepel (Purchasing and Quality): No furtheractions necessary Accepted as supplier

Further actions required:

Date: , Signature Graepel: ______/______

Purchasing Quality

Notice: After processing of the form, filing by Purchasing Dept.

Issue date: 28.02.13FB0009Side1of 3

Revisionstatus: 1