Supplier Qualification Survey

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

    Company Name:
    City:   State:   Zip: 
    Website:   Telephone: 
    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 9001 ISO 17025 AS9100 FAA
    ISO 9002 ISO 14001 NADCAP Other:

    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:


    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.