Fm-119 (supplier Survey & Memo) Rev 2, 4-8-2009

(Date)

Dear Quality Department,

Automated Dynamics has implemented the ISO 9000:2000 standard within the company. We are sending you this letter to inform you that you will be evaluated as a supplier of Automated Dynamics. To assist us in this process, we would appreciate you completing the attached survey. If you have any questions or concerns, please contact us at [email protected] or 518-377-6471 x 271. Also, please send your response back to us as soon as possible at the same email above or fax it to 518-377-5628. Thank you for your assistance and cooperation.

Sincerely,

Melissa Sargent

UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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Supplier Quality Assurance Survey Form Date: _________________ Supplier: ______________________________________________________________________ Address: ______________________________________________________________________ Quality Point of Contact: __________________________ Title: _________________________ Phone: _________________ Fax: ___________________ Email: ________________________ Head of Quality Assurance: ________________________ Email: ________________________ Number of Employees: ____________________________ QA/QC Employees: _____________ Square footage of facility where work is performed: ___________________________________ Annual Sales Volume: ____________________________ Date of establishment: ___________ Type of Organization (Corp. Partnership, etc.): _______________________________________ Standard Payment Terms: _________________________

Instructions: If your company is ISO certified, please attach a copy of the certification and complete Part A only. If your company is not ISO certified, please complete Part B only.

Part A – For ISO Certified companies only. ISO Certification: ________________________________ Date of certificate expiration: ______________________ ISO Certification #: ______________________________ UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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Part B – For Non-ISO Certified companies.

General Quality Management System Do you have a documented quality management system including a quality manual? __________ Certified QA System(s): _________________________________________________________ Date of last certification: _________________________________________________________ Does your company have an autonomous QA department? ______________________________ Is QA given sufficient authority to identify problems to be instrumental in corrective actions and to verify implementation of solutions? ______________________________________________

Management Review Does top management periodically review the Quality Plan? ____________________________ Is the Quality Plan complemented by appropriate written procedures? _____________________

Contract/Purchase Order Review Is there objective evidence of formal contract/purchase order review? _____________________

Design/Document Control Are document revisions controlled to ensure that only the latest revisions of documents are available for use? _______________________________________________________________ Is there an approval process for changing documents? __________________________________ Are records of document changes and approvals maintained? ____________________________ Upon receiving a PO, does QA identify verification activities qualified? ___________________ UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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Are procedures and practices in place to control design changes? _________________________ Is the design output verified to meet design input requirements? __________________________ Is there written record of this verification? ___________________________________________ Is there a system in place for retrieval of obsolete documentation? ________________________

Purchasing Does an Approved Vendors List exist and is it updated periodically? ______________________ Are Purchase Orders reviewed by QC prior to issue? ___________________________________ Are quality requirements noted on Purchase Orders issued to others? ______________________

Process Control List Processes and applicable control procedures: ______________________________________ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ Where appropriate, is product appropriately identified throughout production? ______________ Where traceability is a requirement, do you control and record unique identification of the product? ______________________________________________________________________

Inspection/Testing UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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Are formal receiving inspection procedures in place? ___________________________________ Is there evidence of proper receiving inspection data and controls? ________________________ Are sampling methods used in receiving inspection? ___________________________________ Is material properly identified as part of the receiving process? ___________________________ Are certificates of conformance, chemical/physical/NDT reports reviewed? _________________ Are production travelers in use and do they note inspection points? _______________________ Are travelers stamped by QA? _____________________________________________________ Are travelers/product re-routed to QC after rejection/rework? ____________________________ Do test procedures and test reports exist? ____________________________________________ Do test reports indicate both desired and actual test results? _____________________________ Does QC witness/stamp all final testing? ____________________________________________ Do test procedures note required test equipment? ______________________________________ Is all measuring and test equipment properly calibrated? ________________________________ Is all fabrication equipment properly calibrated? ______________________________________ Is a procedure in place to address recall and recalibration of calibrated equipment? ___________ Are all calibration standards traceable to a recognized bureau of standards? _________________ Are inspection stamps controlled per an in-place procedure? _____________________________ Are quality/inspection/manufacturing/testing records maintained? ________________________

Non Conformance Are nonconformance procedures in place and in practice? _______________________________ Is nonconforming material identified as such and isolated from other material? ______________ UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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Is there a Material Review Board? __________________________________________________ Are procedures for corrective action in place and in practice? ____________________________ Are corrective action procedures adequate? __________________________________________

Material Handling and Storage Are material handling and storage procedures in place? _________________________________ Are parts handled and stored to preclude them from damage or loss? ______________________ Are perishable items stored in the proper environment? _________________________________

Miscellaneous Are internal quality audits conducted on a routine basis? ________________________________ Is management apprised of the results of internal audits? ________________________________ Does a formal training program exist for people whose position affect quality? ______________

Additional Remarks by Supplier _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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_____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _

UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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For Automated Dynamics Internal Use Only Supplier Status: ________________________________________________________________ Conditional approval details: ______________________________________________________ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ Corrective actions requested to become an approved supplier: ____________________________ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ Reason for not being approved or removal from approved status: _________________________ _____________________________________________________________________________ _ _____________________________________________________________________________ _

UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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_____________________________________________________________________________ _ _____________________________________________________________________________ _ Automated Dynamics Auditors Financial Reviewer: ___________________________________________ Date: _____________ Business Group Reviewer: _____________________________________ Date: _____________ Quality Reviewer: ____________________________________________ Date: _____________

UNCONTROLLED DOCUMENTATION WHEN PRINTED OR REMOVED FROM THE AUTOMATED DYNAMICS NETWORK This document is to be kept as long as a Quality Management System is implemented at Automated Dynamics or until it is replaced by a more current version. A record of this document is to be kept until the Quality Manager or President allows the record to be disposed of.

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