DQS Inc.

Management System Registration Program

AS Preliminary Information

COMPANY PROFILE

The information is essential for DQS Inc. to understand the organization and determine the resources required for the selected management systems
services. Please complete as much detail as possible. If a question does not apply, indicate with “N/A”

PLEASE COMPLETE IN BLOCK CAPITALS

Please return to the address below, with a copy of your company brochure if available. If you require help in completing this form, please contact us.
DQS Inc. 1500 McConnor Parkway, Suite 400 Schaumburg, IL 60173 (800) 285-4476

If DQS 's services are required for more than one facility, please complete a separate form for each facility.
1.0 Company Details
1.1 Company Name:
1.2 Street Address:
Suite # (if applicable):
City/State/Zip:
Country:
(please do not include P.O. Boxes)
1.3 Facility Mailing Address (if different from 1.2 above)
Street Address:
Suite # (if applicable):
City/State/Zip:
Country:
1.4 Name of Organization Representative:
1.5 Representative Title:
1.6 Main contact phone number:
1.7 Email address:
2.0 Organizational Information
2.1 Does your company do business under any other name? Yes No

If yes, please give alternative name:

2.2 Is your company part of a larger organization, such as a Yes No
holding company?

If yes, please give name of holding company:

Page 1 of 6 DQS Inc. Management System Registration Program AS Preliminary Information RP-1 AS
Issued: 8/28/2012 Revised: 6/13/2023 Implemented: 6/13/2023
2.3a Are there people within your organization whose native Yes No
language is not English?
2.3b If yes:
Language Number of Employees Process(es) where they work
Language Number of Employees Process(es) where they work
Language Number of Employees Process(es) where they work
Language Number of Employees Process(es) where they work
2.4 Total number of employees included in the activity for which
registration is sought (including temporary, part time, and
shared services):
2.5 Is your company responsible for design including Yes No
subcontracted design?

If yes, provide the total number of employees in the design

department:

If no, list the Customer(s) who are design responsible:

If all customers are design responsible, check yes. Yes

2.6 What is the operational schedule of the company? A. Continuous (year round) B. Seasonal

Explain if Seasonal
2.7 Please describe your primary activities for which registration is
sought.
2.8 What is the scope you are proposing for your management
system?

(If you are requesting certification to multiple standards,

please list the standard specific scopes if they differ.)
2.9 To which standards are you requesting certification? ISO 9001 AS9100 AS9120
2.10 If distributor/stockist, please give warehouse size (square
footage):
2.11 List any processes/ products/activities/services to be included
in the scope of registration that are outsourced.

Page 2 of 6 DQS Inc. Management System Registration Program AS Preliminary Information RP-1 AS
Issued: 8/28/2012 Revised: 6/13/2023 Implemented: 6/13/2023
2.12 Are any products you produce that will be under the scope of Yes No
registration classified or have export controls (ITAR or EAR)
requirements?
2.13 Please list any regulatory requirements applicable to the
products/services to be included in the scope of registration:
2.14 Please identify key production/ service processes and key
design technologies:
2.15 List any processes/products that would not be able to be
assessed due to being classified.
2.16 How many customers do you have in the
Aviation/Space/Defense industry?

Please list your top 5 Aviation/Space/Defense Customers:

2.17 Please provide information regarding business in the following sectors:

Organization Personnel Organizational Shift

Business
Revenue Numbers Patterns
% of Total
% of Total Number of Employees
F/P/T* Workforc
Revenue E/D/L/N**
e
Aviation, Space
and Defence
Other
2.18a To which standards/specification are you currently certified? ISO 9001 IATF 16949 AS9100 AS9120 AS9110
ESD S20.20 IEC 61340-5-1 ISO 13485 TL 9000
Other
If AS9100, AS9110, or AS9120 when does the certificate expire?
2.18b To which standards/specification are you seeking registration? ISO 9001 AS9100 AS9120 AS9110
Other

Page 3 of 6 DQS Inc. Management System Registration Program AS Preliminary Information RP-1 AS
Issued: 8/28/2012 Revised: 6/13/2023 Implemented: 6/13/2023
2.19 If seeking more than one AS standard, are you interested in an Yes No
integrated audit?

If yes, please respond to questions:

Do you hav integrated documentation including work Yes No
instructions?

Do you have an integrated Management Review that considers Yes No

the overall business strategy and plan?

Do you have an integrated approach to internal audits? Yes No

Do you have an integrated approach to policy and objectives? Yes No

Do you have an integrated approach to processes? Yes No

Do you have an integrated approach to improvement Yes No

mechanisms like corrective action, risk based approach,
measurement and continual improvement?

Do you have an integrated management with responsibility Yes No

and authority for conformance of all management systems?
2.20 Are you being assisted by a consultant? Yes No

If yes, please list Consultant name:

2.21 What is your preferred month for your certification
assessment?
2.22 What is your preferred month for a Gap Assessment if desired?
2.23 Is your quality manual completed?
2.24 Please list any current Approvals and/or Trade Association
Membership:
3. Structural Information
3.1 Does your company consist of multiple locations that Yes No
contribute to the overall registration?

Page 4 of 6 DQS Inc. Management System Registration Program AS Preliminary Information RP-1 AS
Issued: 8/28/2012 Revised: 6/13/2023 Implemented: 6/13/2023
3.1a Please list the address of each building, the activities performed there, and the total headcount (including temporary employees).

Check if process is performed at this address

Address Activities Design Human Purchasing Document Customer Total No. of
Resources Control Related Head Shifts
(Contract count
review /order
processing)

3.2a Is there a central function which oversees the other locations? Yes No

This would include the review of data for all locations,

management review over all locations, internal audits over all
locations, ability to require corrective action at all locations, ability
to initiate organizational changes as all locations, and a
legal/contractual link with each location by the central function.
3.2b If yes, please identify the location:
3.3 How many locations ship to your customers?
3.4 Do all of the locations that ship to your customers need to be Yes No
listed in OASIS?

(Please ensure you consider your customer’s requirements.)

3.5 Please identify all product families that are to be under the
scope of registration.

If there are more than 1, are they produced the same way? Yes No
3.6 Please attach a diagram of your value stream showing all product families, locations, and processes.

Page 5 of 6 DQS Inc. Management System Registration Program AS Preliminary Information RP-1 AS
Issued: 8/28/2012 Revised: 6/13/2023 Implemented: 6/13/2023
4.0 ADDITIONAL INFORMATION / COMMENTS
Please provide any additional information that you feel may be helpful as we prepare and conduct the auditing activities you have requested

Please identify your Sales Representative if known:

Completed by

Date:

Name:
Position:

For DQS use only:

Determined and agreed upon structure:

Single Site Multiple Site Campus Several Sites Complex Organization

Client Representative: DQS Representative:

Page 6 of 6 DQS Inc. Management System Registration Program AS Preliminary Information RP-1 AS
Issued: 8/28/2012 Revised: 6/13/2023 Implemented: 6/13/2023