UPDATED:

27/08/2012

SELF-EVALUATION OF QUALIFICATION RESPONSABILE:

QUALITY SYSTEM
CONTROL INTERNATIONAL SUPPLIERS

AUDITOR: Signature
COMPANY NAME:
BRANCH OF ACTIVITY:

INSTRUCTION TO FILL THE THIRD COLUMN (EVIDENCES/COMMENTS)

Toward our evaluation, please send a lot of evidences (pics, documents, registers, certifieds)

For items which not belong to your company, fill with non-aplicable (NA)

REQ. VERIFICATION COMMENTS/REMARKS EVIDENCE/COMMENTS

1 - QUALITY MANAGEMENT

Inform: the certification body, scope of

Has the company any system of quality management,
1.1 certification, certificate number,
such ISO 9001:2008, ISO 14001 e OHSAS 18000?
expiration date of the certificate

Are there a quality plan, with objectives and goals To be shown in the technical evaluation
1.2
approved? visit

To be shown in the technical evaluation

1.3 Are there a quality policy?
visit

To be shown in the technical evaluation

1.4 Is there in the company a Quality Manager?
visit

Has the company a procedure to control the To be shown in the technical evaluation
1.5
documments? visit

To be shown in the technical evaluation

1.6 Has the company a procedure to control purchase?
visit

Does the company have, in physical or electronic

1.7 technical standards national / international relevant to Inform the standards available
your product?

Is there traceability system that allows identification

1.8 state what materials are tracked
of batches of raw materials used in manufacturing?

Non-conforming products are identified and separated Tell how the non-conforming products
1.9
from other products? are identified and separated

For planning and control activities, the company

1.10 generates schedules for manufacturing and inspection No comments
periodically updated?

Have the new products developed by the company or

products with modified design are validated (to ensure
1.11 Tell a form of validation
that they comply with the intended use or customer
requirements), before your delivery?

Are there criteria for selecting suppliers of raw

1.12 materials, considering quality requirements, safety Report selection criteria for suppliers
and environment?

1/5
 UPDATED:
27/08/2012

SELF-EVALUATION OF QUALIFICATION RESPONSABILE:

QUALITY SYSTEM
CONTROL INTERNATIONAL SUPPLIERS

AUDITOR: Signature
COMPANY NAME:
BRANCH OF ACTIVITY:

INSTRUCTION TO FILL THE THIRD COLUMN (EVIDENCES/COMMENTS)

Toward our evaluation, please send a lot of evidences (pics, documents, registers, certifieds)

For items which not belong to your company, fill with non-aplicable (NA)

REQ. VERIFICATION COMMENTS/REMARKS EVIDENCE/COMMENTS

Have the raw materials purchased inspected by the

Inform raw materials and type of
1.13 receiving test or analysis of test certificates issued by
inspection
the supplier?

Is the manufacturing process, including machinery and

tools, technologically appropriate and finds the To be shown in the technical evaluation
1.14
requirements of the technical specifications of IMPSA visit
for the product?)

Does perform final inspection of the product in

accordance with the of IMPSA's technical
1.15 Model (blank) in the test report
specifications requirements, issuing test reports,
regardless of inspection accompanied by IMPSA?

Does the company use inspection plan and samples of

1.16 No comments
the products in process and after finished?

Does the company have record with the analyses datas

1.17 No comments
and inspections available?

Has the company a lab to inspection and quality

1.18 No comments
control?

1.19 Is there a calibration plan of measuring devices? No comments

1.20 Are there quality inspectors in the company? No comments

Are there procedures to manager the non- To be shown in the technical evaluation
1.21
conformities? visit

Is there criteria for selection of furnishers, considering

1.22 Inform the criteria of selection
requisites of quality, safety and enviroment?

Are there a sistematic analyse to receive the raw Inform raw materials and kind of
1.23
material and stuffs? inspection

2/5
 UPDATED:
27/08/2012

SELF-EVALUATION OF QUALIFICATION RESPONSABILE:

QUALITY SYSTEM
CONTROL INTERNATIONAL SUPPLIERS

AUDITOR: Signature
COMPANY NAME:
BRANCH OF ACTIVITY:

INSTRUCTION TO FILL THE THIRD COLUMN (EVIDENCES/COMMENTS)

Toward our evaluation, please send a lot of evidences (pics, documents, registers, certifieds)

For items which not belong to your company, fill with non-aplicable (NA)

REQ. VERIFICATION COMMENTS/REMARKS EVIDENCE/COMMENTS

1.24 Is there na internal auditorship plan? Inform the plan

2 - PROCESS CONTROL

inform about the equipment, dates and

Are the monitoring and measuring equipments
2.1 place of last calibration where the
calibrated against traceable standards?
calibration was performed

The company has measuring equipment to perform all

2.2 routine tests listed in the technical specifications of Inform list of measuring equipment
IMPSA for the product?

What kind of tests and what standards adopted to

2.3 No comments
evaluate the quality performances?

How is controlled electrical testing patterns and

2.4 instruments measuring used in the manufacture of the No comments
equipment?

2.5 Is there process control? No comments

There is trend-following indicators of production

2.6 No comments
process?

3- PRODUCTION CONTROL

Is the layout reasonable and ensures smooth

To be shown in the technical evaluation
3.1 production flow, minimizing transport distance and
visit
avoiding damage and mixtures?

3.2 Is there flexibility in demand? No comments

Is there loss control, segregation and recycling of

3.3 Verify corrective actions
materials?

Are used, for optimization and increased productivity,

Inform activities that rely on features of
3.4 IT resources / software company's technical activities
computer / software
(design, production, testing)?

4- STORAGE AND MATERIALS

3/5
 UPDATED:
27/08/2012

SELF-EVALUATION OF QUALIFICATION RESPONSABILE:

QUALITY SYSTEM
CONTROL INTERNATIONAL SUPPLIERS

AUDITOR: Signature
COMPANY NAME:
BRANCH OF ACTIVITY:

INSTRUCTION TO FILL THE THIRD COLUMN (EVIDENCES/COMMENTS)

Toward our evaluation, please send a lot of evidences (pics, documents, registers, certifieds)

For items which not belong to your company, fill with non-aplicable (NA)

REQ. VERIFICATION COMMENTS/REMARKS EVIDENCE/COMMENTS

Is the storage of liquid combustibles, flammable

To be shown in the technical evaluation
4.1 liquids and gas (GLP) done in a legal standard as
visit
defined in your country?

Is there a specific area for the packaging, To be shown in the technical evaluation
4.2
identification and dispatch of finished products? visit

Is there warehouse for receipt and storage of raw

To be shown in the technical evaluation
4.3 material, with sufficient area, organized and
visit
identified?

4.4 Is there storage control and conservation of materials? No comments

5 - LOGISTICS

Does the company have vehicles (owned or

5.1 contracted), in good repair and maintenance, No comments
transportation of finished product?

6 - MAINTENANCE AND EQUIPMENT

Does the company carries out regular maintenance of Tell what machines and equipment
6.1
machinery and equipment? receive periodic maintenance

6.2 Are there preventive maintenance system? No comments

6.3 Is the corrective maintenance documented? No comments

Does the company provide equipment for moving

6.4 Report of cargo handling equipment
loads, with adequate capacity?

Are the equipment keep and able to meet production

6.5 No comments
planning?

7- CONTROL ENVIRONMENT / HEALTH

Do the facilities offer good cleaning and organization

7.1 No comments
structure?

8-TRAINING

Does the company offer systematically training and Report for the past 12 months, the
8.1 awareness in safety, environment and activities that number of hours of training and
affect quality product? awareness held

Is there a training plan aimed at the

8.2 No comments
quality/productivity?

9- COMMERCIAL

9.1 Has the company technical assistance after the sale? No comments

4/5
 UPDATED:
27/08/2012

SELF-EVALUATION OF QUALIFICATION RESPONSABILE:

QUALITY SYSTEM
CONTROL INTERNATIONAL SUPPLIERS

AUDITOR: Signature
COMPANY NAME:
BRANCH OF ACTIVITY:

INSTRUCTION TO FILL THE THIRD COLUMN (EVIDENCES/COMMENTS)

Toward our evaluation, please send a lot of evidences (pics, documents, registers, certifieds)

For items which not belong to your company, fill with non-aplicable (NA)

REQ. VERIFICATION COMMENTS/REMARKS EVIDENCE/COMMENTS

Is there sector or personnel assigned to provide

9.2 technical and warranty service for the product Inform name / position of employees
supplied?

It was established systematic attention to customer

9.3 Check if there is feedback
complaints?

10- SAFETY AND ENVIRONMENT

Has the company in its manufacturing facilities,

To be shown in the technical evaluation
10.1 equipment fire protection, compatible with the
visit
standard of your country?

The company, if you have one lab for testing high

10.2 voltage electrical, have interlocking devices, signaling Know which devices used
and protection?

Before the start of inspection activity involves

electrical tests, are performed and recorded risk
10.3 Risk Analysis Form
assessment as standard electrical safety tests in your
country?

Do the employees use personal protective equipment,

List of personal protective equipment
10.4 with CA (Certificate of Approval from the Ministry of
used
Labour), appropriate activities?

Has the company plans for emergency response

environmental activities involving risk situations and Know which security plans and the
10.5
train its employees/contractors to face such number of employees trained
situations?

Wastes generated during industrial activities of the Know which forms of waste and
10.6
company, are they treated for? treatment and disposal

Does the company drive statistics of accidents at

10.7 No comments
work?

Is there systematic waste disposal after completion of

10.8 No comments
service with their traceability?

11- DOCUMENTS CONTROL (CAPACITY, JURIDIC AND FINANCIAL)

5/5