Supplier Survey Page 2
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2SUPPLIER SURVEY
To be completed by Supplier:
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Website / email Address:
Name of Person
completing this survey:
Title
Extension:
Describe Product or Service Provided:
Supplier Survey Questions:
1) If, Supplier is ISO9001, AS9100, or TS16949 Certified, etc. you do not need to
Yes
No *
complete following questions. Please attach Certificate to this Survey and return.
2) Are Material Safety Data Sheets (MSDS) provided with product (if, requested):
Yes
No *
3) Can your company confirm our Purchase Order via email or fax (if, requested):
Yes
No *
4) Can your company provide Certificates of Conformance including proof of
Yes
No *
conformance to regulatory and statuary requirements (if, requested):
5) Will your company allow our customers or regulatory authorities access to your
Yes
No *
facilities and applicable records (if, requested):
6) Does your Product, or Packaging, or Paperwork indicate Part Number, Description,
Yes
No *
Bar Code, etc. and Quantity:
7) Does your company have a process for handling Customer Corrective Action,
Yes
No *
Customer Complaints, Customer Service, or Technical Support?
* Note: Please explain any NO responses:
Signature
ate:
_____________________________
D
____________________________
Company use only
(
) Recommended as approved supplier
(
) Not recommended as approved supplier
Reason for approval or rejection:
Approved by:
Date:
F_008 Rev. NC
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Parent category: Business