quality assurance supplier survey audit form（质量保证供应商调查审计形式）（7页）.docVIP

Supplier: Address: Supplier Representative: City/State: Title/Position: Zip: Date of Completion: / / ISO-9001 / 2 AS-9100 D1-9000 SSQA Quality Systems Third Yes No Yes No Yes No Yes No ( ( ( ( ( ( ( ( Party or Customer Approval Customer Name Last Surveyed Major Customers Number of Personnel Production Quality Support Inspection Engineering Other Total Plant Area Lead Auditor Department Auditor Department Auditor Department For Modern Industries Use Only Approved Conditional Approved Disapproved Yes No Yes No ( ( ( ( ( Date Expires____________ Date Expires____________ Survey Disposition: Re-surveyed and Approved: Yes ( Date:____________ Auditor Name:__________________ Reason for Conditional Approval: __________________________________________________________________________________________ __________________________________________________________________________________________ Reason for Disapproval: __________________________________________________________________________________________ __________________________________________________________________________________________ Approved to Manufacture or Service Only: __________________________________________________________________________________________ __________________________________________________________________________________________ Survey Status Notification Presented to Supplier During Audit Yes ( No ( If No: Date Survey Status Sent to Supplier:_______________ Auditor Name:___________________ Survey / Audit Categories Category I Quality Assurance Organization and Planning 3 Category II Initial Quality Planning 3 Category III Inspection and Test Documentation 3 Category IV Record Retention 3 Category V Corrective Action 4 Category VI Drawing, Documentation and Changes 4 Category VII Measuring and Test Equipment 4 Category VIII Purchase Responsibility 5 Category IX Materials and Materi