1741 S. HOOVER CT

WICHITA, KS 67209

316-942-0411

316-942-0011 (FAX)

Supplier/VendorSurvey Questionnaire

General Information:

Company Name: ______

Address: ______

City: ______State: ______Zip Code: ______

Telephone: ______Fax #: ______

Administration:

Head of Quality Dept.: ______Title: ______

Email Address: ______

Reports To: ______Title: ______

Total Employees: ______Production: ______Quality:______

Company Website: ______

Distributor: Yes:______No: ______

Indicate Products to Distributed: ______

Manufacturer: Yes:______No: ______

Indicate Products to Manufacture:______

Service Provider: Yes:______No: ______

Indicate Service to be Provided: ______

Quality System Information

Please indicate the standard(s) that your quality system is based upon:

Third-Party Certified to the following Compliant to the following*

ISO9001:2000 / ISO9000
AS9100 Rev: B / NADCAP
AS9100 Rev: C / FAA Repair Station
D1-9000 / Other

* If applicable please indicate when your company plans on upgrading to

ISO9001:2000 or AS9100 Rev C: ______

If you are certified to any of the standards listed above please include a copy

of your certification and skip to the Digital Data Section.

______

Quality System/Planning: Yes NoN/A

1.Do you have a documented Quality Manual? ______

2.Do you have a Quality Policy andProcedures? ______

3.Do you have evidence of current internal audits?______

4. Do you have a training program for employees?______

5.Do you provide process certification reports with each

shipment to your customer? ______

6.Are quality records maintained for a period of time as

required by contract, purchase order or specification?______

7.Do you have work orders or routers present with each

in-process fabrication project?______

8.Does every operation on the work order or router have

sufficient instructions to correctly manufacture the product?______

9. Are product quantities verified at each operation? ______

In-Process Inspection:Yes NoN/A

1.Are there sufficient inspection points during and after

manufacturing and processing to ensure a quality product?______

  1. Are non-conforming parts identified and segregated? ______

3. Is each operation signed off or stamped before

proceeding to the next operation? ______

4.Are all incoming parts and materials processed through

a receiving inspection function?______

5.Is there a calibrated tool and gauge recall system?______

6. Are tool and gauges calibrated on a regular basis and

traceable to the National Institute of Standards &

Technology (NIST)?______

Drawing and Document Control:Yes NoN/A

1.Are procedures in place to ensure supplier created and/or

customer furnished drawings are issued or supplied for

use by procurement, planning, production and quality?______

2.Are procedures in place for control of customer furnished

drawings and data? ______

3.Does a procedure exist to approve each document for

adequacy prior to issue, reviewed, updated and re-approved

as needed?______

Discrepant Material and Corrective ActionYes NoN/A

1.Does your Quality System have a process for

non-conforming product and provide evidence of

corrective action?______

2.Are products that do not conform to customer manufacturing

and process specifications immediately tagged and

segregated?______

3.Are nonconforming or discrepant products brought before

the customer’s Material Review Board for action?______

Yes No N/A

4.Are written procedures used for repair, rework, and

disposition of discrepant material, including customer returns?______

5.Are corrective action procedures in place to prevent

recurrence of discrepancies?______

Receiving Inspection/Stock:Yes NoN/A

1.Are incoming materials/supplies inspected to verify compliance

to purchase order and specification requirements?______

2.Are purchase orders readily available for receiving inspection

purposes?______

3.Are inspection results documented and on file?______

4.Does the company use an Approved Supplier List to procure

items and are incoming materials checked against the

approved supplier list prior to acceptance?______

5.Are all raw materials, chemicals and purchased hardware,

which are utilized for manufacturing, stored in a controlled area

and clearly identified and can be traced to the applicable

certification documents ?______

Packaging and Delivery:Yes NoN/A

1.Are parts/product packaged to protect from damage during

delivery?______

2.Are products traceable to all material, manufacturing and

processing certifications?______

3.Are all required documentation, i.e., test reports, certifications,

First Article Inspections, etc. supplied with each shipment? ______

If you are a manufacturer please fill out the Digital Data Section below, if not please proceed to the Supplier/Vendor Certification Section.

Digital Data (CAD, CAM, IGES, ets):Yes NoN/A

1.Do you currently possess and/or use digital data?______

Yes NoN/A

2.Is there a process to control configuration of data sets from

receipt throughout the manufacturing and acceptance

processes?______

3.Do you have a customer approval for the Digital Data

(DPD/MBD) Program being used at your facility? ______

Supplier/Vendor Certification:

Print Name: ______Title: ______

Signature: ______Date: ______

Reason for Request:

New Supplier:  Annual Update: 
Other: ______
Supplier/Vendor Classification:______

Quality Assurance Remarks/Recommendations:

Approval:  Disapprove: 

Comments: ______

Reviewed By CE Machine Quality Assurance Manager:

Name: ______Date: ______

SVQ-001 Rev A C.E. Machine Co., Inc. Supplier/Vendor Questionnaire Page 1