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Supplier-Questionnaire

 if already LEYBOLD-Supplier please fill in the LEYBOLD-Supplier No. __________ here

Preface
 All information given by this questionnaire are for internal use at LEYBOLD only and will be treated
confidentially
 This questionnaire will be an important evaluation criterion for the internal assessment of suppliers.
 You have the occasion of representing your efforts in quality management
 Please fill out this questionnaire completely. If a question does not apply to your enterprise please mark by n.a.
 Additional information can be enclosed

1. Name and Address of Supplier

1.1 Name

1.2 Address

1.3 Telephone

1.4 Telefax

1.5 Email

1.6 WEB

2. Responsibilities (Name / Tel. -Extention)

Version: G Datum: 14.09.2006 Seite: 1 von 8 Supplier Quastionnaire Owner: Beate Boos

product recalls  yes  no Insurance company _______________ insurance sum _______________EUR Version: G Datum: 14.09.3 Commercial Leader 2.9 Partner Service 3.7 Main products 3.2.5 Quality Manager 2.4 Production Manager 2.5 Addresses/branch in Germany 3.2 Technical Manager 2.8 Are you insured for case of: .2006 Seite: 2 von 8 Supplier Quastionnaire Owner: Beate Boos . Special Data 3.1 Managing Director 2.1 Year of the foundation 3.7 Partner Sellings 2.6 Development Leader 2.product liability  yes  no .3 Company affiliation 3.2 Company form 3.production downtimes  yes  no .4 Ownership structures (managing directors/shareholders) 3.6 Addresses/branch in other countries 3.8 Partner Field Service 2.indirect claims  yes  no .direct claims  yes  no .

3 Do you supply still other customers  yes  no in the vacuum market? 4.g.09.6 If yes.g.G.2006 Seite: 3 von 8 Supplier Quastionnaire Owner: Beate Boos . customer-oriented) 5. Turnover in financial year last year current year next year planing Version: G Datum: 14.5 Who are your 5 most important suppliers with turnover? 5.4 If yes. shift operation.4 If yes..) 5.8 What can impair your flexibility? (e. borrowing forces.5 Do you use a PPS system?  yes  no 5.2 Do you already practice KANBAN  yes  no Consignation  yes  no Other logistic systems  yes  no which? 5. material. etc. which? 4.1 How is your selling structured? (e.2 Are there exclusive contracts with  yes  no customers? 4. bottleneck machines) 6. Your market 4.1 Who are your 5 most important customers with turnover? 4.4. Concepts 5. to which extent ? 5.3 Do you practice electronic data  yes  no exchange? 5. which one? 5.7 Which capacity reserves are available? (e. product-oriented.

Machine equipment type of machine tolerance class capacity separate listing enclose if necessary e.6 quality management: 8. Investments in % of the turnover last year current year next year planning 7. Typ ***** IT 6 one-shift Version: G Datum: 14. Number of employees last year current year next year planning 8.1 total: 8.09.2 research and development 8.4 purchasing: 8. drilling and milling MAHO.g.1 total: 6.2 with LEYBOLD: 6.1 total: 7.2 sales: 8.7 service/field service: 9.5 production: 8.2006 Seite: 4 von 8 Supplier Quastionnaire Owner: Beate Boos .6.3 volume of purchase: 7.3 research and development: 8.

10.1..3 Is your QM-system certified?  yes  no Attach please a copy of the certificate 11. ISO TS 16949 ..6 Which of the following quality tools  QFD  FMEA  DOE/Taguchi are demonstrably used.09.4 Further QM-rules are relevant?  yes  no e. coordinate measuring machine  yes  no which? utility. ISO 14001.. 11. Quality Management 11.. etc.2 If yes. which? 11..1 Do you have a QM-system?  yes  no 11. Measuring Equipment separate listing enclose if necessary please fill in (supplement missing equipment) gauge tolerance class  IT 7  IT 6  IT ....2006 Seite: 5 von 8 Supplier Quastionnaire Owner: Beate Boos . VDA 6.  SPC  andere 11.8 In which time are you able to answer  24h  48h  ____h our notice of defects (F2-reports) ? Version: G Datum: 14..5 If yes. on which standard basis?  DIN EN ISO 9001:2000 (DIN EN ISO)  other 11. KTA 1401.and comparison model  yes  no which? optical measuring instruments  yes  no which? temperature-stabilized measuring  yes  no room roughness depth testing sets  yes  no which? in-circuit tester  yes  no electronic measuring instruments  yes  no which? 11.g.7 Do you make internal audits?  yes  no to which extent? 11.

1 Do you have a described contract  yes  no examination? planned until: 12. please list! (attach certificate.G. who planned until: implement activities.1 Are there written definitions for the  yes  no qualification.12. etc.6 Are these documents archived?  yes  no planned until: 12. please) Version: G Datum: 14.3 Contain these testing instructions all substantial data for: Test sequence?  yes  no Test frequency?  yes  no Test characteristics?  yes  no Used test equipment?  yes  no 12.5 Are these examinations  yes  no documented? planned until: 12. welding specialist.2006 Seite: 6 von 8 Supplier Quastionnaire Owner: Beate Boos .3 If yes.09.2 Do you have described testing  yes  no instructions for all products? planned until: 12.7 Is it possible to obtain traceability to  yes  no the order? planned until: 13. 13. which have influence on the quality of the products? 13. Personal / Training 13. Quality Planning / Documentation 12. electrical specialist. training and further training of the personnel.4 Are these test equipment regularly  yes  no supervised? planned until: 12.2 Does your enterprise have  yes  no personnel with special tasks ? E.

2006 Seite: 7 von 8 Supplier Quastionnaire Owner: Beate Boos . which products are concerned (please list them) and how do you convert these regulations 15.2 Are your products subject to the guidelines 76/769/EWG (Restrictions of the  yes  no placing on market /usage of certain dangerous materials and preparation) 2002/95/EG (Restriction of the  yes  no use of certain dangerous materials in electrical and electronics devices. Environment Management 15.6 Are there written instructions  yes  no concerning the packing of products regarding customer's requests? 15.5 Do you use documented delivery  yes  no examination? 14.4 Do you have own forms for initial  yes  no samples? Attach a copy of it please 14.1 Do you have an environment mangement system such as: DIN 14000  yes  no EURO ECO audit regulation  yes  no Or other system  yes  no which? 15.09.4 Do legal disposal possibilities exist  yes  no for the products manufactured by you? Version: G Datum: 14.3 Are your employees trusted with the  yes  no procedure of initial samples? (handling and documentation) 14.3 If yes.14.1 Purchase checks are accomplished?  yes  no to which extent? 14.2 How do you place incorrect parts to be sure that mixing with good parts is impossible? 14. Procurement / Logistics 14. "ROHS") 15.

com will be filled by LEYBOLD: suitable for LEYBOLD as  Key Supplier (please mark appropriate)  Serial supplier  special demand  not fitted Commentary: Desided by: _______________________________ (Purchaser / Date + Signature) Version: G Datum: 14.2006 Seite: 8 von 8 Supplier Quastionnaire Owner: Beate Boos .boos@oerlikon.09. 498 50968 Köln or beate.Place / Date: ________________________________________ Name / Department: ________________________________________ Signature: ________________________________________ Please send the filled in questionnaire to: Oerlikon Leybold Vacuum GmbH Beate Boos OP11 Bonner Str.