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Standard Meter Lab
236 Rickenbacker Cir.
Livermore, CA 94550
Phone 925 449-0220
Fax 925 449-1704

October 21, 2002

Dear Supplier:

As a potential or current supplier of critical materials to Standard Meter Lab (SML), a survey of your company’s Quality Systems and/or an audit of your company is required.

Attached is the SML Supplier Quality System Survey. This form is furnished to you for self-evaluation of your company. Please fill in all spaces completely, listing document, page and paragraph when applicable, under the ‘Supplier’s Procedural Reference’ heading. Mark N/A where questions do not apply.

If you have any questions or comments, please contact me at (925) 449-0220.

Please return this completed survey along with an uncontrolled copy of your Quality Manual and copies of any certificates or accreditations you may hold with-in one week of receipt to:

Standard Meter Lab

Attn. Quality Assurance

236 Rickenbacker Cir.

Livermore, CA 94550

Email:

Regards,

Standard Meter Lab

R. J. Smith

Quality Assurance Manager

Phone (925) 449-0220

Fax (925) 449-1704

Email:

Standard Meter Lab

Company:
Address:
City:
State: /
  1. Do your records contain:
Instrument Identification
Date of calibration
Calibration Interval
Name of person performing calibration
List of standards used
Condition when received
Environmental conditions
Traceability Numbers
Name/Title: /
Phone/Fax: /
Signature: ______Date: // /
  1. If one of your measurement standards is found to be Out-Of-Tolerance is there a system in place to notify the customer?
Yes How do you know which customer(s) to contact?
No
  1. Is your facility accredited to ANSI/NCSL Z540-1 and or ISO/IEC Guide 25?
Yes ANSI/NCSL Z540 ISO/IEC Guide 25
Accredited by:
Accreditation No.
Please send a copy of your accreditation certificate and a copy of your Quality Assurance manual. If the answer is Yes, then is no need to complete this survey.
No /
  1. Are internal audits performed to verify compliance to your quality system?
Yes No
  1. Are outside calibration sources and vendors audited on a periodic basis to verify compliance to your quality system?
Yes No
  1. Is there a documented training program for your employees?
Yes No
  1. Is your facility Accredited?
Yes 9001:2000
Registrar:
Other :
Registrar:
No Pending Expected Approval Date: : /
  1. Are calibration certificates provided?
Yes Comply with: ANSI/NCSL Z540-1
ISO/IEC 17025
No Other
  1. Does the customer purchase order number requesting the calibration service appear on the certificate?
Yes No
  1. Does your facility comply ANSI/NCSL Z540 and/or ISO/TEC Guide 25?
Yes ANSI/NCSL Z540 ISO/IEC Guide
No Don’t know /
  1. Are calibration labels affixed to the instrument?
Yes No
  1. Please list any other standards that you comply with.
/
  1. Are precautions taken to prevent tampering with the instrument to ensure the integrity of the calibration?
Yes No
  1. Do you have a written description of your calibration system?
Yes No /
  1. If a customer’s equipment is found Out-Of-Tolerance is there a program in place to notify the customer and give the associated measurement information?
Yes No
  1. Is there a document control system?
Yes No
  1. Are measurement standards maintained traceable to NIST?
Yes No /
  1. Is the equipment stored, handled, and packaged for shipment in a manner, which maintains the calibration integrity?
Yes No
  1. Do you have documented procedures for all calibrations performed?
Yes No
  1. Are records maintained for all calibration standards and all instruments calibrated?
Yes What is your retention period for these records?
No /
  1. Is shipping damage reported to the customer?
Yes No
  1. Do you have a system in place to address customer complaints?
Yes No
  1. Are environmental conditions maintained to ensure required accuracy of measurement standards?
Yes Limits Temps:
Hum:
No /
  1. Do you participate in a measurement assurance program?
Yes Describe:
No
Form No. SML-133 REV A /

Thank you for filling out our survey. Comments can be made on a separate page.

(QA Review) (Date Received) ()

Comments: