Supplier Quality Survey

Supplier Name / Address
Phone Number / FAX Number
E-Mail Address / Website Address
Years in Business / Years at Current Location
Primary Product(s) or Service(s)
Major Customers
Qty Employees / Qty Quality
Assurance / Qty Manufacturings / Qty Engineering
Percent Military / Percent Commercial / Percent Other (Specify)
Quality Contact Name / Title
Phone Number / FAX Number
E-Mail Address
Senior Management Contact Name / Title
Phone Number / FAX Number
E-Mail Address
Quality Management System and Certifications

Quality Manual (Y/N)

/ Quality Manual IAW specification(s)
ISO 9001 certified (Y/N) / SAE AS9100 certified (Y/N) / SAE AS9110 certified (Y/N) / SAE AS9120 certified (Y/N)
Any Exceptions?
List other QMS Certification(s)
Special Processes
List Special Processes performed / Performed in-house (Y/N) / Outsourced (Y/N)
Describe controls for outsourced special processes / Nadcap certified (Y/N) / Certified for what processes?
Soldering & Workmanship
J-Std-001 (Y/N) / Class(es) / IPC-A-610 (Y/N) / Class(es) / IPC-WHMA-620 (Y/N)
Other
Miscellaneous
Describe your system for material traceability
Does your organization outsource assembly or testing? If so, please describe controls that are utilized.
Describe your records retention process
Does your organization flow down customer requirements to your suppliers as applicable?
Does your organization have a counterfeit parts detection and mitigation program?
Summarize inspection / process / test equipment
Calibrated per what standard(s)?
Describe training program
Summarize proactive tools utilized such as Statistical Process Control (SPC), Failure Modes and Effects Analysis (FMEA), Process Control Plans, etc.
List customer awards and other special recognitions
List customers with whom you have achieved certified status
Other important information or comments as warranted
Questionnaire completed By / Title / Date
To Submit, please:
1) Include electronic copies of current certifications, plus attachments as necessary in support of responses.
2) Return MS Word file, do not send PDF file.
3) Submit to , or as otherwise directed.
POC Review
Date Received / Approved / Not approved / Additional action(s) required?
Comments
Reviewed by / Title / Date
Date entered into AVL / Supplier Level / Additional comments

F-057, Revision E