SUPPLIER QUALITY AUDIT QUESTIONNAIRE

- Foundry Raw Material/Scrap Metal -

Date:

Supplier:

Address:

Phone No:

FAX No.:

Supplier Contact:

Name & Title (Please print or type)

Signature Date

Victaulic Company (use only)

Initial Quality Audit Follow-up Quality Audit

Quality Assurance / Date / Procurement / Date

Preface:

This document is used for the evaluation of the capabilities and quality system of potential or current Victaulic supplier. A Quality Audit does not convey source approval or assurance of commercial business.

Please answer all questions. If you cannot answer a question, contact your Victaulic Representative.

Contents of this audit will be kept confidential.

Section І: Overall Quality Information:

1. Is your company ISO 9000 registered? Yes No

a) If yes, by what agency or registrar granting certification, to what level, and when is the expiration

date?

Please provide a copy of ISO certificate as attachment of this Questionnaire.

b) If no, are you currently pursuing ISO 9000 registration? Yes No

c) If you are currently pursuing your ISO 9000 registration, when is an audit scheduled?

d) If multiple facilities/operations exist in your company, are these also ISO certified?

Yes No

If not, please list all the facilities/operations without ISO certification as bellows:

2. Please provide the name of your Quality Assurance Manager:

Phone: Email address:

3. Please provide a copy of detailed Quality Assurance Manual for our reference.

4. What languages except English are spoken by the management representatives for Manufacturing and Quality Assurance?

5. Do you have a supplier qualification/rating system in place? Yes No

If yes, please describe:

If not, how do you approve your suppliers and manage their quality issues?

6. How are your management kept informed of quality issues?

7. Do you have a Quality Improvement Plan? Yes No

If yes, please describe:

8. Do you have a Quality Cost Measurement Plan? Yes No

If yes, please describe:

9. Do you have a procedure to periodically calibrate measurement/test equipment?

Yes No

10. Do you provide the training associated with quality system to the employees? Yes No

If yes, how?

11. Do you have the ability to exchange drawings with your customer electronically? Yes No

12. Do you perform internal audit on a regular basis? Yes No

13. For non-conforming material, what procedure is in place for corrective/preventative action?

Please describe in details and attach a copy of original records showing a recent example:

14. In the event of a field failure of the product you supply to Victaulic, who would be our urgent contact:

Name: Title:

Phone: Email Address:

Fax:

15. Are there material recall procedures in place? Yes No

If yes, please describe in details:

16. Do you have a workplace safety program? Yes No

17.  Do you have a program to control hazardous materials or chemicals used at your facility?

Yes No

18. Do you have the proper environment permits for air/water and noise discharges from the local authority? Yes No If yes, please attach a copy of the permit.

Section II: Incoming/Raw Material Control

1. Receiving inspection procedures (use reverse side of form if necessary):

a) Is raw material routinely tested? Yes No

b) Frequency of tests?

c) Are raw material tests documented? Yes No

If yes, where are test records maintained?

d) Are material certifications furnished by suppliers? Yes No How often?

2. a) Where is raw material staged?

b) How is the material identified/labeled?

c) How is the material tracked through production?

d) Is there a dedicated Quarantine area? Yes No

e) How is the incoming inventory used? (oldest material used first?)

3. a) Is there a specified shelf life? Yes No

If yes, please describe:

b) Are there any storage requirements based on temperature/or other atmospheric conditions?

Yes No

If yes, please describe:

c) How is expired material identified?

Section III: In-Process Control

1. Is there a process flow diagram in use? Yes No

If yes, please attach a copy for our reference.

2. a) How is material released into production?

b) How is the material identified (traceable) throughout the manufacturing process?

c)  Is there a dedicated area for non-conforming material? Yes No

d) Describe any quarantine / material hold procedures:

3. What is the procedure for tracking a specific batch?

4. a) How is the equipment set up for a production run?

b) Who is authorized to perform equipment “set-ups”?

c) Who is authorized to make set-up changes?

5. a) Is there any in-process tests performed? Yes No

b) How often? c) By whom?

d) Please list these tests:

6. Are test procedures validated? Yes No

If yes, describe a typical example:

7.  Describe inspection and preventive maintenance of manufacturing equipment

Please provide details or copy of procedure:

8. Describe the equipment used for inspection:

9. a) What is the approximate number of gages used throughout the manufacturing process?

b) How often are gages calibrated? c) By whom?

d) Describe the storage and distribution of gages:

Section IV: Finished Goods Control

1. Describe final inspection procedure:

2. Are checks in place for:

a) Visual Inspection: Yes No

b) Dimensional Inspection: Yes No

c) Markings/Color Code: Yes No

3.  Final testing to verify:

a) Material compound / chemistry: Yes No

b) Material strength/integrity: Yes No

c) Other requirements, please indicate:

4. Do you indicate the material and specification requirement(s) as well as the inspection standard(s) in the final inspection sheet? Yes No

Please attach a copy of the completed final inspection report for our reference.

5. For finished product, please describe the method of:

Storage:

Packaging:

Section V: Statistical Process Control

1. Do you have an on-going SPC program? Yes No

2. Is SPC utilized for significant product characteristics and process parameters? Yes No

If yes, who chooses which items are to be monitored through SPC?

3. Do your SPC control charts indicate that statistical control has been achieved and process

capability demonstrated? Yes No

(If yes, please attach a copy of a control chart that is used for a Victaulic product)

4. Are your sub-suppliers required to use SPC and provide that information?

Yes No If yes, what percentage?

5. Are all levels of your personnel undergoing any type of SPC training programs? Yes No

-- The end --

Victaulic Company (use only)

Comments/Observations:

Conclusion:

Accept Reject On-site Audit Required

Remark: On-site Audit is required for all the Follow-up Audits.

Reviewed by: ______

Date: ______

VICTAULIC

Supplier Quality Audit Questionnaire – Version B

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