Vendor Survey Questionnaire (Self-Assessment)

(All provided information required by this document must be true and correct. It should be understood that any false
statement, fraudulent, unsatisfactory and/or incomplete information shall be a basis of disqualifying your company as a
vendor. Company Quality representative recommend to accomplish this survey questionnaire)
1.Vendor details:
Company Name : Cage Code (If applicable) :
Location and Address:

Company Website :
Types of Services Provided:
Part Supplier/distributor , Calibration , Other/s Please specify below :

Quality Contact Person:

Name :
Title :
Contact Number:
Email Address :
Marketing or Sales Contact Person or Procurement Contact Person:
Name :
Title :
Contact Number:
Email Address :
Key Management Personnel:
Name :
Title :
Contact Number:
Email Address :

Guidelines and Instructions to fill out the below:

1. Supplier Objective Evidence: Please include references to supplier procedures or processes that
satisfy the requirements of this section.
2. Index: C: Compliant, N-C: Non-Compliant, NA: Not Applicable, NE: Not Evaluated.
2.Quality Management System:
Sl No. AS9100 Requirement C NC N/A N-E
Ref.
Is the supplier certified to all appropriate required standards (i.e.
1. 4.1 ISO/AS/EN/JISQ 9100, AS9120, and NADCAP AC7004)?
Are all certifications current?
Are the copy of company approvals and /or certification attached in
2. 4.1 this document?
Note: If No or N/A please briefly explain:
Is the supplier and its entire supply chain compliant to applicable
Quality Management System requirements? Specifically, when
3. 7.4.1 product or product-related services are provided by a sub-tier, does
the supplier flow down and verify Customer requirements as
specified on the Customer's purchase order or other contractual
document?
Are regular, documented Management reviews held of the Quality?
5.6.1 If supplier performance is not in compliance with customer
4. 8.2.1 expectations, does the supplier take the appropriate action for
improvement?
Do the supplier's internal procedures ensure the return of all
5. 7.5.4 documents, records, gaging, and stamps, upon written notification
from Customer or when business with the Customer has ceased?
6. 9.2 Is there a scheduled internal Audit to quality system and customer
requirements to ensure compliance?
7. 8.4 Are External Audits conducted on suppliers/Externally providers?

Does the supplier's Quality Management System ensure verbal

8. 7.2.2 agreements or instructions are not construed as approval or
authorization to proceed
(E.g. on items that effect quality, fit, form or function)?
9. 7.2 Is there a documented training program? Are training records
maintained for the training conducted?

3.Facility,Storage,Material Handling, Shelf Life:

Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.5.4 Are all the parts/items stored in specifically identified and
secure storage areas?
8.5.4 Are Materials /components sensitive to electrostatic discharge
2. (ESDS) are handled in accordance with the proper requirements?
3. 8.5.4 Is there a documented process available for handling dangerous
goods?
4. 8.5.4 Are chemicals identified and stored in accordance with its types
such e.g. flammable, etc., Are MSDS available for these?
5. 8.5.4 Is there a system to system that no items used when expiry date
passed?
6. 8.5.4 Are Parts, materials, Customer units adequately protected from
damage and contamination?
7. 8.5.4 Are facilities provide adequate protection of parts in work? Exa:
Filtered air or clean area depending on the work.
8. 8.5.4 Are appropriate limits concerning temperature, humidity, light,
wind, cleanliness, and are they controlled and verified regularly
verified for storage parts, material and /or chemicals specified?
9. 8.5.4 Is there a system for identifying and controlling shelf life limited
parts/materials?
 10. 8.5.4 Is there list of shelf life limited materials and parts with their limits?

4.Product Inspection:
Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.5.1 Are all the parts inspected for Physical damage, preservation
and customer requirements?
2. 8.5.1 Is there an adequate handling of received materials and parts?

3. 8.5.1 Is there a procedure available for inspection processes and customer

documents are available for the inspectors?
4 8.5.1.3 Are First Article Inspections (FAI) performed in accordance with
SAE AS9102?
5 7.1.4 Are procedures documented and implemented to ensure annual eye
examinations are administered for all personnel involved in
Inspection activities?

5. Record Retention and Document Control:

Sl No. AS9100 Requirement C NC N/A N-E
Ref
Are corrections to work instructions/documents/router
1. 4.2.3 recorded, dated, and traceable to the originator in ink or
other permanent method with the original data being legible
and retrievable after the change?
4.2.4 For electronic Quality records, is storage media capable of
2. maintaining data integrity for full retention period when electronic
records are transferred from computer files?
Are the appropriate revisions of Customer specific requirements or
3. 4.2.4 related industry standards referenced in Purchased Orders or other
Contractual documents incorporated in the supplier's Quality
Management System?
4. 4.2.4 Are Engineering documents provided by customer controlled and
kept current?
5. 4.2.4 Are documents readily available and identifiable ?

6.:Tools and Equipment:

Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 7.1.5.2 Is there a documented procedure available for controlling
tool and Equipment?
2. 7.1.5.2 Is there a documented program to maintain serviceability and
calibration of the tools?
3. 7.1.5.2 Is the calibration of tools traceable to the National institute of
standards and technology or appropriate government or OEM
standards?
4. 7.1.5.2 Are there adequate tools and equipment’s available to perform all
of the tasks undertaken by the company?
 5. 7.1.5.2 Are historical documents maintained for the calibration?

7:Control of Non-Conforming output:

Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.7.1 Is there a documented Non-Conforming Material process
that describes the activities & responsibilities required for
the control of non-conforming product?
2. 8.7.1 Is there a secure location for non-conforming product
awaiting customer concession (eg. the prevention of non-
conforming material from intermixing with conforming
material, clear visual identifier of non-conforming material
from conforming material, etc.)?
3. 8.7.1 Do corrective action reports (e.g. part-related non-
conformances, supplier audit findings, etc.) document the
occurrence, findings, assessment of the affected product and
are they submitted to Customers upon request?
4. 8.5.4 Are the requirements for Foreign Object Damage/Debris
Prevention, Handling, Storage, Packaging are complied
with?
5. Does the supplier have a documented process to prevent and
8.1.4 mitigate the use of counterfeit parts that aligns with the
requirements of for electronic components AS5553 or AS 6174 for
non-electronic product, as applicable.
6. 8.7.1 Is there a documented procedure in place for identification and
segregation of Non-conforming outputs?
7. 8.7.1 Is there a process which make certain the product dispositioned for
Scrap are conspicuously and permanently marked, or positively
controlled, until physically rendered unusable?

8. Sub-Tier Control:
Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.4.1 Is a list of approved sub-tier suppliers, including the type and
8.4.2 extent of control exercised over each supplier created and
maintained by the tier 1
Supplier? Specifically, does the supplier's process define:
• How and by whom are suppliers added or removed from
the list of Approved suppliers?
• the process to evaluate new suppliers
• The regular re-evaluation of existing suppliers and the
method and frequency to be used?
• The type and retention period for records of all approved
suppliers lists?
2. 8.4.2 Does suppliers use only Customer-approved suppliers when a
specific material or manufacturing special Process is identified on
drawing related documents, purchase orders, or any other
contractual requirement? (E.g. special processes, raw material,
ASL, etc.)
3. 8.4.2 Where the supplier utilizes test reports to verify purchased product,
does the supplier ensure the data in those reports is acceptable per
applicable
 Specifications? Does the supplier periodically validate test reports
for raw material or test material independently?

9.Software Control:
Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.5.1 Is there a documented process defining the scope, activities
& responsibilities for the control of non-deliverable software
used in manufacture, inspection, test acceptance or
calibration that has a direct effect on the deliverable product?
2. 8.5.1 Does the supplier have a robust control program in place for the
control of non-deliverable software, specifically:
a) Are software programs archived in a manner that allows
retrieval of all released versions for traceability purposes?
b) Are obsolete versions controlled to restrict access to prevent
unauthorized use?
c) Are master copies stored in a secure location?
3. 8.5.1 For NC, & CNC software, does the process define the methods for
identification, storage, handling and release of the software to the
user?
Does this process ensure that the end user can only access the latest
software program version? Is there limited access control?

10.Special Manufacturing process :

Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.5.1.2 Does Supplier have a documented process for Special
Manufacturing Processes(SMP) required to meet critical
performance criteria and therefore requires defined process
controls, certification and periodic auditing to ensure
compliance? Reference: AS9100 Section: 8.4.1.
2. 8.5.1.2 Are the Special process personnel’s qualified/certified to perform
the job?
3. 8.5.12 Is the environmental controls are adequate?

4 8.5.12 Detailed, step-by-step processing, inspection instructions and

Inspection criteria available?

11.Shipping :
Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.1 Are Space, Lighting, Shelving, Security and fire protection
adequate on shipping and receiving area?
2. 8.1 Are all parts shipped protected against water, dirt and dust by
means of wrapping, bagging, fitting plugs, connector caps, etc in a
manner that transport damage is not likely to occur?
3. 8.1 Are containers used for shipping as per the international standard
requirement? If not, appropriate for the part being shipped?
 12.Purchasing and Procurement :
Sl No. AS9100 Requirement C NC N/A N-E
Ref
1. 8.4 Are documented procedure to ensure that the purchased
products are confirming to applicable specifications?
2. 8.4 Is the system assure that special requirements are adequately
communicated to the suppliers?
3. 8.4 Are parts/materials are purchased from the approved sources?

4. 8.4 Is there a system demonstrating the ability to provide upon request,

information pertaining to the part, product or material?
5. 8.4 Are records relevant to supplier performance and quality kept
updated?
6. 8.4 It ensured unapproved supplier are not used?

I hereby certify that the information that is provided in this quality system self-assessment is complete and accurate
to the best of my knowledge.

Name: _________________

Title: ___________________

Email: __________________

Date: __________________

Signature: ________________

Remarks :