ISO 9001:2015 - AS9100D Registered

EEE Supplier Survey

Counterfeit Parts Supplier Evaluation Survey

This Suppler Survey must have all questions completed prior to submitting.

Once your form has been submitted, a copy will be sent to the email address you provided.

This survey is required to be completed to ensure compliance to AS6174A and AS5553D. After completing the survey, you may be asked to provide objective evidence of your counterfeit detection and prevention activities. If you would like to learn more about becoming compliant, CFC is willing to help. Please make your request for assistance through your CFC buyer. Thank you for taking the time to complete this survey and we look forward to working with you!

Supplier Information:

MM slash DD slash YYYY
Supplier Address(Required)

REQUIRED INFORMATION: EEE Survey Questions

1. Does your organization have documented procedures/plans addressing the avoidance of counterfeit parts?(Required)
2. Does your organization have documented procedures for the containment of suspect / confirmed counterfeit parts and customer notification?(Required)
3. Does your organization provide counterfeit part avoidance training to employees?(Required)
4. Does your organization procure Electrical, Electronic, and Electromechanical (EEE) parts, electronic parts, assemblies and equipment only through Original Equipment Manufacturers (OEMs) or an authorized distributor even if purchase from an unauthorized supplier achieves cost savings?(Required)
5. Does your organization agree to flow counterfeit part avoidance and other purchasing requirements through the supply chains?(Required)
6. Does your organization notify Customers when counterfeit parts are detected?(Required)
7. Does your organization maintain a method of item traceability that ensures tracking of the supply chain back to the original manufacturer of all Electrical, Electronic, and Electromechanical (EEE) components and devices included in assemblies and subassemblies being delivered per this order?(Required)
8. Does your organization approve and retain part Certificates of Conformance (CofC) for all Electrical, Electronic, and Electromechanical (EEE) components and devices being delivered as detail items and all EEE components and devices included in assemblies and subassemblies being delivered?(Required)
9. Will Certificates of Conformance (CofC) for all Electrical, Electronic, and Electromechanical (EEE) components and devices be available upon Century Fasteners request?(Required)
10. Does your organization utilize incoming inspection and test methods to assure the detection of potential counterfeit parts and materials?(Required)
11. Are approved sources monitored for maintaining effective processes for assuring the delivery of authentic and conforming material? Are actions included adopt processes which are in accordance with ISO12931?(Required)
This field is for validation purposes and should be left unchanged.