SUPPLIER SELF-DISCLOSURE
Dear Supplier,
with your supplier self-disclosure you present your company, product and service spectrum.
As the basis for a successful partnership please fill in this questionnaire as completely as possible. The information will be treated confidentially and will not be disclosed to any third party.
With earlier versions of Office, when opening the file a security alert may appear. Should this occur, please select the option “activate content”.
Thank you very much for providing us with this self-disclosure and hence allowing us a detailed overview of your company.
Date:
1. Information on the company
1.1 General information
Company
Form of company
Year of foundation
Trade register number
Street, house number
Postcode, city
Country
Tel./Fax
Homepage
Branch
Production locations
(with statement of place)
Subsidiaries
(with statement of place)
1.2 Contact
Name Tel. Fax e-mail
Sales
Development
Logistics
Production
Quality
1.3 Business language
Other:
1.4 Payment conditions
Which payment conditions do you use?
1.5 Production planning and control
Which production planning and control systems
do you use?
2. Key performance indicators and market information
2.1 Key performance indicators 2012 2013 2014
Total turnover (in T€)
Annual turnover construction industry (in T€)
Equity ratio in (%)
Market proportion (in %)
Total number of employees
Number of employees in Production
Number of employees in Quality Assurance
Number of employees in Research/
Development
2.2 Main customers/branch
Customer/branch Turnover (in T€) Country Product/Service
Supply to GEZE competitors
If yes, which competitors:
2.3 Main supplier base
Other:
2.4 References/Serial deliveries
Reference customer Contact Project/Service Order volume (in T€) Year of commission
2.5 Product liability
Insurance held
Insurance:
Insurance sum:
3. Information on the delivery and production program
Product groups (only core competencies)
Other:
List of machinery enclosed
List of product portfolio enclosed
4. Information on logistics
Barcode label
4.1 Capability to transfer remote data transmission standard messages
VDA
Odette
Edifact
Other:
4.2 Delivery conditions
From supplier plant
Free buyer's address GEZE
Via intermediate storage
4.3 Delivery possibilities
Kanban
Consignment warehouse
E-catalogue
1x weekly
1x monthly
4.4 Materials Management
Minimum stocks in supplier warehouse
Emergency plan
FIFO
5. Information on Quality Management
5.1 Certificates (Please enclose copies of the certificates)
DIN EN ISO 9001 In year
DIN EN ISO 14001 In year
TS 16949 In year 2
VDA 6.1 In year
DIN ISO 50001 In year
Other:
5.2 Quality Management Methods
Do you use Quality Management Methods?
If yes, which methods are used?
Other:
5.3 Testing facilities
Own testing laboratory
If yes, which testing equipment do you have at your disposal?
Other:
CAQ system available Software
5.4 Audit results
Results of customer audits:
(Please enclose copy of audit report)
5.5 Product legal Information
Do the used materials / substances meet the currently valid
legal requirements for prohibited, restricted, toxic and
hazardous substances?
Do your products completely meet the currently valid legal
requirements (e.g. RoHS, REACH, WEE)?
Remarks:
6. Development
Own Development/Design Departments
Own Mould/Tool Construction
CAD systems: Patents:
7. Conditions and Agreements
Confirmation of the GEZE Purchasing Terms and Conditions
Confirmation of the GEZE Delivery Terms and Conditions/
Packaging Regulations
Confirmation of the Non-disclosure Agreement
Readiness to establish a Quality Assurance Agreement
Readiness to participate in the Web SCM portal
Readiness for GEZE procurement logistics
Remarks/supplements:
We hereby confirm that consciously made false allegations represent a major breach of confidence and can therefore - depending on the individual case - mean immediate termination of collaboration.
The following certificates and documents are enclosed:
GEZE supplier self-disclosure – Version 05: January 2015 -3-