Supplier Quality System Survey Page 2

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SUPPLIER QUALITY SYSTEM EVALUATION REPORT
General Information
Company Name:
Address:
Phone Number:
Fax Number:
E-mail address:
Sole Proprietorship
Partnership
Corporation
If subsidiary, name of parent company:
Organization
Facility Manager:
Quality Assurance Manager:
Number of Employees:
Quality Manager Reports to (Title):
Number of Production Employees:
Number of Inspection Employees:
Number of Engineering Employees:
Total Quality Employees:
Facility Description
Facility Size (square feet):
Number of Sq. Ft. A/C:
Number of Buildings:
Number of Sq. Ft. Heat:
Business
Describe any active registrations/accreditations (ISO 9001, AS9100, ISO/TS16949, NADCAP, etc) Attach copy of applicable certificate(s):
Number of Years in Business:
Number of Shifts:
Types of Products Manufactured at Facility Evaluated:
Names of Major Customers:
Survey Completed by:
Title:
If the supplier is currently registered to ISO 9001:2000/2008, ISO/TS 16949:2002, AS9100B/C or AC7004, completion of the remainder of the survey is not
required. Attach a copy of the applicable certificate and return to AO Precision Manufacturing, LLC.
To be completed by AO Precision Manufacturing
Supplier Approved by:
__________________________, Title: __________________________,
Date:
____________________,
INSTRUCTIONS FOR COMPLETING SURVEY
1.
Use Section Scoring Criteria to score each question.
2.
If a document (procedure/instruction) exists to support the question, list in “COMMENTS”.
3.
If a question score is less than (3), provide explanation in “COMMENTS”. Use Section 16 “COMMENTS” if more space is required.
4.
Return completed survey to Manager, Quality Assurance, FAX: (386)274-5966 or
or mail to address on cover page.
Form QA001 Rev C 2/24/10
Supplier Quality System Evaluation Report
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