Supplier Qualification Survey

    Please complete this form and contact Brian Campbell at 860-688-4844 Ext 104 if you have any questions.

    Company Name:

    Address:

    City:

      State:   Zip: 

    Website:

      Telephone: 

    Fax:

    Type of Business:

    ManufacturerDistributorServiceOther:

    Number of Employees:

      Number of Years in Business: 

    Contact Information

    Management Representative:

    Quality Representative:

    Title:

    Title:

    Email Address:

    Email Address:

    Telephone:

    Telephone:

    Quality Systems Certifications

    ISO 9001ISO 17025AS9100FAA

    ISO 9002ISO 14001NADCAPOther:

    If your company holds a current accreditation listed above, it is not necessary to complete the questionnaire.
    Please submit a copy of your current certifications with a signed copy of this form.

    If your company provides calibration services, please submit a copy of your Scope of Accreditation as well.

    Upload Document:

    Questionnaire

    YESNO

     Do you have a documented Quality Assurance Manual?

    YESNO

     Is there a person responsible for Quality who is separate from production?

    YESNO

     Is your system subject to management review?

    YESNO

     Do you have document control procedures which ensure only current revisions used?

    YESNO

     Do you have documented procedures? Are they controlled?

    YESNO

     Do you have a procedure for control and retention of Quality records?

    YESNO

     Do you carry out regular audits and reviews of your procedures?

    YESNO

     Is non-conforming product segregated?

    YESNO

     Do you have a documented procedure to prevent non-conforming products/materials from being used?

    YESNO

     Does purchased material receive inspection to assure conformance with purchase order requirements?

    YESNO

     Do you carry out in process and final inspection?

    YESNO

     Is there evidence that each manufacturing process has been completed in accordance to written procedures?

    YESNO

     Is inspection, measuring and test equipment calibrated to a required standard?

    YESNO

     Do you maintain product identification at all stages of manufacturing with traceability?

    YESNO

     Do you issue certificates of conformance/compliance?

    YESNO

     Do you have a system to assess customer satisfaction and utilize the results for improvements?

    YESNO

     Do you have corrective action and preventative procedures?

    YESNO

     Do you maintain an approved list of suppliers and/or evaluate their performance?

    YESNO

     Are customer requirements defined, documented, and communicated to all levels?

    The information submitted on this form is to the best of my knowledge accurate at the time of completion.

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