SAMPLE OF SUPPLIER SURVEY

Co Survey Contact Survey performed via Phone Fax Email Mail

COMPANY INFORMATION
Company Name: Date of Survey:
Address: Contact:
City: State/Country: Zip: Phone:
Division or Subsidiary of: Fax:
Type of Business: Major Product(s):
MANAGEMENT
President: General Manager:
Manufacturing Manager: Quality Manager:
Marketing/Sales Manager: Finance Manager:
EMPLOYEES/FACILITIES
Years in Business: Total Employees: Quality Employees: Shifts:
Manufacturing Employees Current Plant Size: Expansion Plans: Current Capacity:
Location: :

Subcontractor: Location:
1) 1)
2) 2)
List Major Production & Inspection Equipment:
CERTIFICATIONS
It is encouraged for suppliers to have their quality systems certified by nominated third party certification agencies.
ISO9000: UL: CE: Other: Other: Other:
Comments:
MAJOR CUSTOMERS
Company/Division Name: Phone #: Contact:

DOCUMENTATION REVIEWED/REQUESTED
QA Manual Procedures Equipment List Organization Chart Workmanship Standards
Other:
 SAMPLE OF SUPPLIER SURVEY

QUALITY SYSTEMS
Scoring Guidelines: Yes= Procedure Exists / Fully Implemented No= Procedure Lacking / Not Fully Implemented
N/A= Question does not apply to this business
QUALITY MANAGEMENT Yes No N/A
Does the Quality Manager report to top management?
Does a Quality Manual exist which is approved by senior management?
Is there a training program for Quality Assurance personnel? For Production or other
personnel?
Are internal procedure audits performed?
Does management conduct reviews of the quality system?
Do you have a documented procedure for performing root cause analysis?
Does your company offer an operator incentive program for quality performance?
Is the overall facility cleanliness/orderliness adequate?
PRODUCT CONTROL
Are revisions to drawings, specifications, routings, process sheets, etc. controlled?
Is an effective qualification system followed for new products and revisions?
Is there a documented Engineering Change Notice (ECN) process?
PROCESS CONTROL
Are critical product and process characteristics identified/measured?
Are there documented set-up instructions?
Are there documented operator instructions?
Is there a work order or job order system?
Is there a qualification and preventive maintenance program for production equipment?
INSPECTION / TEST
Is receiving inspection performed?
Is supplier quality management being performed? Corrective actions? Continuous
improvement?
Are supplier audits or evaluations performed?
Are suppliers rated based on surveys, performance, etc.?
Are in-process inspections performed?
Are there written inspection instructions for each operation?
Are flow tags, routers, etc. used to show product status? Are traceable inspection stamps
used?
Are final inspections performed?
Is inspection equipment calibrated on a scheduled basis?
Is defective material adequately identified?
Is there an isolated reject/hold area? Is an effective MRB procedure followed for defect
disposition?
Is there monitoring/reporting of incoming, in-process, and external quality performance?
Is an effective corrective action system in place? Documented?
PACKAGING / DISTRIBUTION
Is there adequate packaging/storage to protect product prior to shipment?
Are product-packaging requirements documented to prevent damage in handling, storage,
and shipping?
Is there a system for meeting customer specified shipping requirements?
DATA MANAGEMENT
Does your organization have EDI (Electronic Data Interface) capabilities?

Rating: [ (Total Yes) / (Total Yes & No) x 100] = TOTALS

Final Decision: ACCEPTABLE NOT ACCEPTABLE CONDITIONAL

 SAMPLE OF SUPPLIER SURVEY

COMMENTS:

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