Supplier Survey

If your company is currently registered to ISO 9001:2015, AS9100, IATF 16949:2016, QS-9000, or some
equivalent Quality Management System, please complete Section A only and return survey with a copy of
your valid Quality Management System Registration Certificate by the “Response Due Date” above.

Section A

Company Name:

Phone:

Street Address:

Zip Code:

State:

Fax:

Website:

Total No. of Facilities:

Total No. of Employees:

Sales Contact:

Email:

Quality Contact:

Email:

Section B

Please complete this section if your company is NOT registered to ISO 9001:2015, AS9100, IATF 16949:2016,
QS-9000, or an equivalent Quality Management System (ISO 9000:2000 is not valid).

Are you a Distributor?

YesNo

If you are a Distributor, you do not have to answer the rest of the Survey.
Total Score:

Document Controls (i.e. formal document release process)?
2 Points

YesNo

Management Review of Business Performance and Quality Data?
2 Points

YesNo

Training Program/Training Records?
2 Points

YesNo

Calibration Controls (do you maintain Calibration Records)?
2 Points

YesNo

Supplier Qualification or Evaluation Process?
2 Points

YesNo

Customer Satisfaction Surveys?
5 Points

YesNo

Outgoing Product Inspections?
5 Points

YesNo

Nonconforming Product Controls (NCMRs – Non-Conforming Material
Reports, or equivalent)?
2 Points

YesNo

Corrective & Preventive Action Program?
2 Points

YesNo

On-Time Delivery Tracking (Suppliers and/or Customers)?
5 Points

YesNo