SUPPLIER QUALITY SYSTEM SURVEY
FOR LMI AEROSPACE OFFICIAL USE ONLY
Supplier Code:
Surveyed by:
Date:
Approved:
Disapproved:
INSTRUCTIONS FOR USE OF THIS FORM:
Complete the form and/or attach copies of certifications, third party registrations and OEM approvals.
Return via one of the following methods or as directed by your LMI Aerospace Buyer:
MAIL: LMI Aerospace, Inc. PO Box 900, St. Charles, MO 63302-0900
FAX: 636-949-1576
E-mail: to your Buyer
Website: www.lmiaerospace.com
SECTION 1 – General Information
Company Name:
Date / Date
Address
City / State / Province / Zip / Postal Code
Name/Title (of person filling out this form)
E-mail Address / Telephone / FAX
President / Owner / E-mail Address
Qualiy Management Representative / E-mail Address
Sales / Service Representative / E-mail Address
Other Relevent Personnel / Contacts
Company Website Address / Quality Management System Scheme / Level
List Second or Third Party Certifications / Approvals:
List Products / Processes / Services Considered for Approval:


SECTION 2 - SUPPLIER QUALITY SYSTEM QUESTIONAIRE - SOFTWARE CONTROL

1 / Supplier has a system to receive electronically and to use CAD/CAM or MBD information. / YES / NO / N/A
2. / Does the supplier have a process to assess sub-tier digital data capability?
3 / Does the supplier have a seat of Catia? Revision:______
Is the supplier able to read Catia? List Software:______

If you answered yes to any of the above questions, you will need to complete an additional DPD survey. Contact your buyer to get the DPD survey.

SECTION 3: SPECIAL PROCESSES

For each special process performed in house, list the specification(s) used. Example: Anodize MIL-A-8625. *For each NADCAP approval, please submit a copy of your certificate. You may attach supplemental sheets as necessary.

Process / Specification(s) / Approval(s) / Expiration Date
Anodize (Example) / AS7108 / NADCAP 7108 / Nov. 15, 2008
Heat Treat (Example) / AMS2770 / NA / NA
Anodize
Chemical Conversion Coatings
Plating
Heat Treat
Coatings
Passivation
Welding
Chem Mill
Shot Peening
Non-Destructive Test
(List each type for which you have a Level II or Level III operator.)
Calibration
Machining
Other

(RESPONDENTS NOT 3rd PARTY REGISTERED TO AS9100 CONTINUE TO SECTION 4)

NEXT PAGE

SECTION 4: COUNTERFEIT CONTROL PLAN

/

COUNTERFEIT CONTROL PLAN

/

YES

/

NO

/

NA

1 / Do you provide product that contains electronic components?
2 / If yes, do you have a counterfeit control plan that includes a requirement to purchase components from the Original Component Manufacturer or the OCM authorized distributor?

SECTION 5: QUALITY SYSTEM

/

QUALITY SYSTEM

/

YES

/

NO

/

NA

1 / Do you have a quality manual? Record last revision date: ______
2 / Is there an organizational chart that clearly defines your organization? Please provide a copy of the organizational chart. (**This is for Repair Stations only**)
3 / Is there an internal audit process in place?
/

DOCUMENT CONTROL

/ YES / NO / NA
4 / Is there a system for controlling drawings, solid models, specifications and other technical data?

5

/

Is the document control system periodically audited to ensure continued compliance?

/

CONTRACT REVIEW

/ YES / NO / NA
6 / Is there a system to ensure contract requirements are identified and can be met prior to acceptance?
7 / Is there a system to ensure that revised contract requirements are evaluated and communicated to the appropriate functions?
/

SUPPLIER AND PURCHASE ORDER CONTROL

/ YES / NO / NA
8 / Do purchase orders clearly flow-down and define requirements including quality / FAA requirements, drawing and specification requirements with revision levels where appropriate?
9 / Is there a system in place for selecting and approving new suppliers?
10 / Is there a list of approved supplier?
11 / Are risks identified and monitored for supplier?
/

PRODUCT IDENTIFICATION AND TRACEABILITY

/

YES

/

NO

/

NA

12 / Are material and product identification maintained from receipt through delivery?
13 / Do you identify the inspection status of products in process?
/

PROCESS CONTROL

/

YES

/

NO

/

NA

14 / Do work instructions provide detailed, sequential steps including inspection points?
15 / Are the personnel performing work identified by stamp and/or signature?

16

/

Do work instructions and tech data indicate correct drawing revision levels?

/

STAMP CONTROL

/

YES

/

NO

/

NA

17 / If inspection stamps are used, is there a documented procedure in place to control their use?
/

INSPECTION

/

YES

/

NO

/

NA

18 / Is there a system for inspection of purchased parts and materials to ensure compliance with purchase order requirements?

19

/

Are acceptance criteria clearly defined for all inspections and tests performed?

20

/ If an acceptance sampling plan is used, state the standard.

21

/ Does out-going inspection ensure that all requirements (customer and regulatory) have been achieved?
/

CONTROL OF NONCONFORMING PRODUCT AND CORRECTIVE ACTION

/

YES

/

NO

/

NA

22 / Is nonconforming material properly identified, segregated, and records of disposition maintained?
23 / Are reworked or repaired product re-inspected to original criteria?
24 / Is there a process for corrective action and identifying the root cause?
/

MATERIAL HANDLING, AND STORAGE (WAREHOUSING)

/

YES

/

NO

/

NA

25 / Is material stored to protect from damage, deterioration, loss and unauthorized release?
26 / Are there controls in place to minimize the risk of damage/deterioration during packaging, production and transport/shipping processes?
/

CALIBRATION

/

YES

/

NO

/

NA

27 / Is there a system to ensure all measuring tools and equipment used for product acceptance are calibrated?
28 / Are calibration standards traceable to acceptable national standards e.g. NIST?

29

/

Are all measuring and test equipment verified or calibrated prior to usage?

30

/

Is the calibration system periodically audited to ensure continued compliance?

/

RECORDS

/

YES

/

NO

/

NA

31 / Are receiving inspection records including traceability maintained?
32 / How long are records (work packages, shop travelers, traceability documents, certificates of conformance, etc.) maintained?


SIGNATURE SECTION: TO BE COMPLETED BY THE INDIVIDUAL PROVIDING INFORMATION

Did you remember to include, as applicable:

§  ISO Certificates

§  AS9100 Certificate

§  AS9110 Certificate

§  FAA Air Agency Certificate

§  Other Civil Aviation Authority Certifications

§  NADCAP Approvals

§  Special Processes

§  Any professional documents, certifications & licenses applicable

I understand and will comply with the requirements of the LMI AEROSPACE Supplier Quality Requirements Manual (SQRM) while performing Maintenance or Manufacture work for LMI AEROSPACE.

I have accessed the LMI AEROSPACE Supplier Quality Requirements Manual located within LMI Aerospace Supplier Management section of the following webpage:

http://www.lmiaerospace.com/sqrm/sqrm.pdf

Surveys without a supplier signature will not be accepted.

Name / Title
Signature / Date

F7.4-03A, Rev. C Page 1 of 7


Form Revision History Page – F7.4-03A
/ Revision:
C
Title:
Supplier Quality System Survey / Issue Date:
JAN 04, 2013
Revision History
Rev. / Description of Change / Requestor of Change / Effective Date
A / Converted from QF -083 / Anne Waddell / 06/21/2010
B / Form fields added; content updated to align with current AS9100 requirements / Caroline Cue / 03/02/2012
C / Counterfeit Control Plan section added. / Caroline Cue / 01/04/2013