Supplier Quality Program Information Worksheet Rev 0.pdf

Supplier Quality Program Survey, Rev. 00

Supplier Quality Program Information Worksheet

SUPPLIER INFORMATION

Company Name:

Address:

City: State: Country (if outside USA):

Name & Title of person completing this assessment:

Phone: Email:

BUSINESS INFORMATION

Primary Product(s)/Services(s):

Are there multiple business locations? Yes No If yes, please indicate the following: same as above Headquarters Name:

Headquarters City: State: Country:

QUALITY MANAGEMENT SYSTEM REGISTRATIONS/CERTIFICATIONS

• Attach a current copy of the certificate for each registered standard

• If compliance is indicated (without registration), attach documentation supporting compliance (e.g., policy, quality manual, etc.)

AS9100D

Registered Compliant ISO 9001:2015 Registered Compliant

ISO 17025:2017 Registered Compliant NQA-1-2018 with NQA-1a-2009 with addendum Registered Compliant Other (please list): Registered Compliant Other (please list): Registered Compliant

Yes No

1. Is there an independent quality organization or job roles for quality management/assurance?

If Yes, please provide your organization's document title and revision. If No, please explain:

Yes No

2. Does your organization have a process for control of documents and records?

If Yes, please provide your organization's document title and revision. If No, please explain:

Yes No

3. Does your organization have a process for control, identification and segregation of nonconforming items until disposition by a competent authority has been completed?

If Yes, please provide your organization's document title and revision. If No, please explain:

Yes No

5. Does your organization have a process for detecting, preventing, and addressing counterfeit items?If Yes, please provide your organization's document title and revision. If No, please explain:

Yes No

6. Does your organization have a process to ensure your organization's personnel are trained, experienced, and qualified to perform work under the your organization’s quality system?

If Yes, please provide your organization's document title and revision. If No, please explain:

Yes No

N/A

4. Does your organization have a process to calibrate and maintain measuring and test equipment used for testing and inspection, as appropriate?

If Yes, please provide your organization's document title and revision. If No or N/A, please explain:

Supplier Quality Program Information Worksheet Rev. 00

Supplier Quality Program Information Worksheet

Yes No

Yes No

Date:

Signature (person completing worksheet)

This report may be shared with the Dept. of Energy (DOE), National Nuclear Security Administration (NNSA), and with other DOE/NNSA operating subcontractors.

For LLNL Internal Use Only Reviewed by: Date:

10. Check all types of inspection performed in this facility:

INCOMING IN-PROCESS FINAL AUDIT

Yes No

YeYess NoNo

9. When requested, is there a process to investigate and resolve rejected products and/or services found by the customer and implement corrective action to prevent future re-occurrence?

If Yes, please provide your organization's document title and revision. If No, please explain:

7. Does your organization have a process for selection and approval of suppliers and vendors to ensure they satisfy obligations and provide quality products and services?

If Yes, please provide your organization's document title and revision. If No, please explain:

8. Does your organization conduct evaluations (e.g., audits, review of test results, etc.) or ongoing monitoring of suppliers and vendors?

If Yes, please provide your organization's document title and revision. If No, please explain: