Supplier Survey

AUTEC POWER SYSTEMS 685 E. COCHRAN ST. SIMI VALLEY, CA 93065 TEL: 805-522-0888 / FAX: 805-522-8777

SUPPLIER SELF-ASSESSMENT

ORGANIZATION INFORMATION: COMPANY NAME: ADDRESS: CITY: PHONE:

STATE:

ZIP:

DATE:

TYPE OF MANUFACTURING SERVICE OR PRODUCT:

ASSESSMENT COMPLETED BY: NAME TITLE: PHONE:

The purpose of this self-evaluation is to provide our company with first level information about capabilities of your company as a potential Supplier to consistently produce products/services which meet our requirements. It will clarify status, extent and level of sophistication of suppliers Quality System, Management philosophy and continuous improvement capabilities. INSTRUCTIONS:

This Self-Assessment should be based on the system that is currently in place and working. Any plans for future systems may be listed as comments. It is important that we understand your current capabilities and operations, objetive evidence must be available for when it is required. Check the Score table below. 81 - 85 76 - 80 71 - 75 66 - 70 Below 66

Excellent Good Satisfactory Marginal Requires Corrective Action Plan

It is imperative that all questions be answered Yes or NO.

AUTEC POWER SYSTEMS 685 E. COCHRAN ST. SIMI VALLEY, CA 93065 TEL: 805-522-0888 / FAX: 805-522-8777

SUPPLIER SELF-ASSESSMENT

MANAGEFINANCIAL, MENT,WORK COST FORCE STRUCTURE STRUCTURE

TECHNICAL APPLICATIONS AND SUPPORT

QUALITY PLANNING AND CORRECTIVE ACTION

MANUFACTU- INCOMING SUBQUALITY MATERIAL CONTROL RING QUALITY QUALITY CONTRACTOR SYSTEMS CONTROL CONTROL CONTROL

QUALITY ASSESSMENT

YES Is your organization ISO certified? Please send copy of the Certificate

8

Is there a documented Quality Policy?

1

Is there a documented Quality Manual? Is management involved with the quality process at all levels of the company? Do Company wide training programs exist? Are Quality objectives and responsibilities clearly defined? Do periodic internal process audits occur? Does the supplier use a rating system for their sub-contractors, and carry out surveys, audits or some form of assessment? Is there evidence of a relationship with sub-contractors? Are there documented specifications, which define purchased material requirements? Is sub-contractor performance monitored?

4 2 2 2 2 2 2 2 2

Is there a system verifying incoming material either by inspection or accepting certificates of compliance or test reports? Is the inspection and test status of incoming material clearly identified? Is there a documented First Article procedure? Is there documentation that demonstrates product is manufactured to Specifications? Is the inspection and test status of final product clearly visible? Are documented work instructions readily available at the appropriate workplace? Are the criteria for workmanship clearly defined? Are inspection and test records maintained and available?

2 2 2 2 2 2 2 2

Are procedures available defining safe and adequate handling, storage and packing of material throughout all stages of manufacturing and delivery?

2

Are all working areas clearly identified with regard to safety issues and material handling? Is non-conforming material clearly identified, segregated and secured?

2 2

Is material properly identified at current revision levels and in accordance with customer requirements? Are corrective action procedures regularly and consistently utilized? Does detailed analysis occur on all non-conforming material?

2 2 2

Are statistical techniques utilized throughout the Manufacturing Process and are they visible (if applicable)?

2

Does the system ensure documented customer approval prior to shipment of any nonconforming product? Are there Product Engineering capabilities available to assist in product improvement? Are there Test Engineering Capabilities? Do ongoing Quality/Manufacturing Engineering functions occur? Do tooling design capabilities exist in house (if applicable)?

2 2 2 2 2

Does the Supplier offer or have access to advanced technology that would be beneficial to their customer? Does the Supplier communicate pricing trends and market increases timely? Will the Supplier provide a cost basis for pricing? Does the supplier demonstrate shared cost reduction opportunities? Does the Supplier have a stable work force? Has the Supplier suffered work force shortages/interruptions?

2 2 2 2 2 2

Is there labor or union unrest that presents a risk to Autec? Does Management participate in work force growth opportunities?

2 2

TOTAL SCORE

85

NO

AUTEC POWER SYSTEMS 685 E. COCHRAN ST. SIMI VALLEY, CA 93065 TEL: 805-522-0888 / FAX: 805-522-8777

SUPPLIER SELF-ASSESSMENT

SUPPLIER COMMENTS

AUTEC POWER SYSTEMS 685 E. COCHRAN ST. SIMI VALLEY, CA 93065 TEL: 805-522-0888 / FAX: 805-522-8777

SUPPLIER SELF-ASSESSMENT

FOR [ company ] USE ONLY Date: To:

Attn.:

Subj.:

Self-Assessment / Supplier Survey Results

Dear

Below, please find the results of the Self-Assessment / Supplier Survey. Should you have any further questions regarding the details of the survey, please contact the Quality Assurance Manager.

Score Totals:

85

Pass / Fail (check one): Approved Approved, but requires a Corrective Action Plan Will not be approved Sincerely,

( company REPRESENTATIVE/S)