Supplier QMS Evaluation Survey FormHome UTC …供应商质量管理体系评价调查的形式-家居UTC….docVIP

UTAS ISR UTAS ISR Systems Quality Management System Survey CF 1814N, WI BMS-0740-1001 Page PAGE 1 of NUMPAGES 12 08/20/2012 FORMCHECKBOX Supplier Self Survey Filled Out By: FORMTEXT Date: FORMTEXT Signature: CAUTIONSAVEOFTEN! FORMTEXT CAUTION SAVE OFTEN! Signature not required for electronic submissions FORMCHECKBOX On-Site Limited (ISR Use Only) Performed By: FORMTEXT Date: FORMTEXT Company Name: FORMTEXT Street: FORMTEXT PO Box: FORMTEXT City: FORMTEXT State/Province: FORMTEXT ZIP/Postal Code: FORMTEXT Country: FORMTEXT Main Telephone No.: FORMTEXT Top Facility Manager: FORMTEXT Title: FORMTEXT Phone: FORMTEXT Head of Quality Assurance: FORMTEXT Title: FORMTEXT Phone: FORMTEXT E-mail: FORMTEXT Fax: FORMTEXT Please provide e-mail address for communication with Head of Quality Assurance. Commodity of Supplier Commodity FORMDROPDOWN FORMCHECKBOX Other FORMTEXT CAGE CODE FORMTEXT ITAR Registered with Directorate of Defense Trade Controls FORMCHECKBOX Yes FORMCHECKBOX No Scope of Survey The survey will be used to gauge how compliant to AS9100 a supplier is. This survey does not cover all requirements of AS9100. It is focused on those elements considered essential for Product Realization when the supplier is not the designer. The responses are subject to on-site verification by UTAS ISR Supplier Quality Engineering. Facility Information Business Structure: Corporation FORMCHECKBOX Individual FORMCHECKBOX Partnership FORMCHECKBOX Division of: FORMTEXT Total Number of Employees at this Location: FORMTEXT Number of Quality Control Inspectors FORMTEXT Number of Quality Assurance Engineers FORMTEXT Number of Manufacturing Personnel FORMTEXT Square Footage: FORMTEXT Building Age: FORMTEXT FORMCHECKBOX Owned FORMCHECKBOX Rented/Leased Environmental Controls in Work Areas: FORMCHECKBOX Temperature - Heat and Cool FORMCHECKBOX Temperature - Heat Only FORMCHECKBOX Humidity Are