PPP-021 Rev.

A 1/3/08, 9/22/11

VENDOR AUDIT / SURVEY FORM & TRIP REPORT

Report by:

Date: Arrival time: Departure:

Profile
Company name
Address:
Telephone: Fax #:
Years in business:
Number of employees:
Square footage of building(s):
Age of building(s):
Type of building(s):

Personnel Met Yes No Name

CEO:

President

Sales manager:

Sales contact:

Q. C. manager:

Production manager
Other

Business Profile
Annual sales in dollars: N/A $m
Main product line:
Minor product line:
Major customers:

Q. C. Department
Yes No N/A

CONFIDENTIAL INTERNAL USE ONLY

PPP-021 Rev. A 1/3/08, 9/22/11

Equipment calibrated:
Calibration tags in place:
Travelers in place:
General impression: Poor Good Excellent
Total Q. C. employees: 1-2 3-5 more
Military or ISO certification: ISO MIL-STD AS / Other

Production Area Poor / No Good / Yes Excellent /N/A

Cleanliness: -

Organized: -

Sq. footage:

Capacity percentage of total production:

Safety devices in place:

General safety condition:

General employee demeanor:

Equipment condition:

Regular maintenance schedule maintained

Does the factory appear busy?:

Is the equipment running?:

Are there stock piles of raw material:

Are there stock piles of finished goods?

Is the shipping dock busy?

Summary
How does vendor intend to meet our requirements?:

Overall impression: Poor Good Excellent

Should we do business with this company?:

CONFIDENTIAL INTERNAL USE ONLY

PPP-021 Rev. A 1/3/08, 9/22/11

Yes Yes with conditions Revisit needed Not at this time

Vendor Rating
Please circle one: 1-should not do business with
2-caution rating
3-average
4-good rating
5-world class rating

Details of Issues discussed:

Other Services Available:

CONFIDENTIAL INTERNAL USE ONLY