To Pote ntial Supplier:
As part of our commitme nt to quality and con ti nual improveme nt, we ask select providers of critical products or services to complete this supplier quality survey, in order to qualify your compa ny for future purchases.
If your company is currently ISO 9001, ISO/TS 16949, ISO 13485 or AS9100 certified, you may submit a copy of your certificate in lieu of this report. All such certificates must be provided by a third party registrar accredited by ANAB, UKAS or ano ther IAF sig natory accreditati on body. Un accredited certificates are not recog ni zed by [Short Clie nt Name].
Retur n the completed survey to our Purchas ing Dept. via email to [Email for SCAR Process ing Pers on], or via fax to [Fax]; please mark to the attention of Purchasing.
GENERAL INFORMATION
Compa ny Name:
Address:
Teleph one:
Supplier s Primary
Bus in ess/Product:
Product Being Con sidered
From This Source:
Total Number Of Pers onn el:
Quality: Engin eeri ng: Man ufacturi ng:
Poi nts of Con tact: Name:
Quality Assura nee Represe ntative
Purchas ing Represe ntative
Man ageme nt Represe ntative
Survey Completed By: Departme nt: Date:
YES
NO
UNDER
WAY
N/A
QUALITY ASSURANCE INFORMATION
1
The quality assurance organizations authorities and responsibilities are clearly defined in writing.
2
The QA/QC Dept. has the authority to withhold items that have not met acceptable quality standards.
3
There is a Quality System Manual defining the company s QMS in detail.
4
The company prepares and issues periodic reports and maintains records relative to item acceptance/rejection, and disposition of rejected items.
5
The quality assurance organization maintains a system for the use and control of inspection stamps.
6
The quality assurance organization has a system for quality evaluations of potential suppliers.
7
The quality assurance organization reviews all purchase orders.
RECEIVING INSPECTION
8
Is each lot of material received subjected to receiving inspection?
9
Inspectors are
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