Supplier Survey Form – REV3.21Assessment of Quality Management System Utilization.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. Supplier Information:Date(Required) MM slash DD slash YYYY Supplier Company Name(Required)Contact name(Required)Contact title(Required)Contact Phone(Required)Contact Email(Required) Contact FAXTotal number of employees at the facility(Required)Website Supplier Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Basic information on organization and ISO accreditation.Supplier Type(Required)Choose all that may apply Raw Materials Special Processor Distributor Manufacturer (build to print) Manufacturer (design and development)Is your company ITAR registered?(Required) Yes NoITAR Registration Number?(Required)Upload your organization's 3rd party Special Process Approval Certifications (NADCAP, etc.)(Required)If you do not have a 3rd party Special Process Approval Certification, please select “No accreditation available” and a separate “3rd party Special Process Approval” survey will be sent to your organization to complete. I will upload 3rd party Special Process Approval Certification No accreditation available3rd party Special Process Approval Certification File Upload(Required) Drop files here or Select filesMax. file size: 5 MB.Does your organization incorporate processes (Passivation, Plating, Coating, Heat Treating, etc.) in your production processes?(Required) Yes NoIs your organization ISO certified?(Required) Yes NoUpload a copy of your ISO certification(Required) Drop files here or Select filesMax. file size: 5 MB.REQUIRED INFORMATION: Quality Management System (QMS) Questionnaire:1. Has your organization established and implemented a QMS?(Required) Yes No2. Has your organization established the processes needed for the QMS?(Required) Yes No3. Has your organization determined and applied the criteria and methods (including monitoring, measurements and related performance indicators) needed to ensure the effective operation and control of these processes?(Required) Yes No4. Has your organization addressed the risks and opportunities as determined in accordance with the requirements to give assurance that the QMS can achieve its intended results?(Required) Yes No5. Does your organization maintain documented information to support the operation of its processes?(Required) Yes No6. Does your organization establish and maintain documented info that includes a description of the processes needed for the QMS and their application throughout the organization?(Required) Yes No7. Does your organization demonstrate leadership and commitment with respect to the QMS by taking accountability for the effectiveness of the QMS?(Required) Yes No8. Does your organization demonstrate leadership and commitment with respect to the QMS by ensuring that the QMS achieves its intended results?(Required) Yes No9. Does management demonstrate leadership and commitment with respect to customer focus by ensuring that customer and applicable statutory and regulatory requirements are determined, understood, and consistently met?(Required) Yes No10. Does management demonstrate leadership and commitment with respect to customer focus by ensuring that product and service conformity and on-time delivery performance are measured and appropriate action is taken if planned results are not, or will not be, achieved?(Required) Yes No11. Is your Quality Policy available, communicated, understood, and applied within the organization and maintained as document information?(Required) Yes No12. Does management ensure that the responsibilities and authorities for relevant roles are assigned, communicated, and understood within the organization?(Required) Yes No13. Does management assign the responsibility and authority for reporting on the performance of the QMS and on opportunities for improvement in particular to top management?(Required) Yes No14. When planning for the QMS, does your organization consider the issues associated with the risks and opportunities that need to be addressed to prevent, or reduce undesired effects?(Required) Yes No15. Does your organization establish quality objectives at relevant functions, levels, and processes needed for the QMS?(Required) Yes No16. Does your organization determine and provide the resources needed for the establishment, implementation, maintenance, and continual improvement of the QMS?(Required) Yes No17. Does your organization determine, provide, and maintain the infrastructure necessary for the operation of its processes and to achieve conformity of products and services?(Required) Yes No18. Does your organization determine, provide, and maintain the environment necessary for the operation of its processes and to achieve conformity of products and services?(Required) Yes No19. Does your organization determine and provide the resources needed to ensure valid and reliable results when monitoring or measuring is used to verify the conformity of products to requirements?(Required) Yes No20. Does your organization establish, implement, and maintain a process for the recall of monitoring and measuring equipment requiring calibration or verification?(Required) Yes No N/A21. Does your organization determine the knowledge necessary for the operation of its processes and to achieve conformity of products and services?(Required) Yes No22. Does your organization determine the necessary competence of person(s) doing work under its control that affects the performance and effectiveness of the QMS?(Required) Yes No23. Does your organization determine the internal and external communications relevant to the QMS, including what it will communicate?(Required) Yes No24. Is documented information required by the QMS controlled to ensure it is available and suitable for use, where and when it is needed?(Required) Yes No25. Does your organization plan, implement, and control a process for managing operational risks to achievement of applicable requirements, which includes as appropriate to the organization and the products and services: assignment of responsibilities for operational risk management?(Required) Yes No26. Does your organization plan, implement, and control a process for configuration management as appropriate to the organization and its products and services in order to ensure the Identification and control of physical and functional attributes throughout the product lifecycle?(Required) Yes No27. Does your organization plan, implement, and control the processes, appropriate to the organization and the product, for the prevention of counterfeit or suspect part use and their Inclusion in product(s) delivered to the customer?(Required) Yes No28. When determining the requirements for the products and services to be offered to customer, does your organization ensure that the requirements for the products and services are defined, Including any applicable statutory and regulatory requirements?(Required) Yes No29.Does your organization ensure that externally provided processes, products, and services do not adversely affect the organization's ability to consistently deliver conforming products and Services to its customer?(Required) Yes No30. For processes where the resulting output cannot be verified by subsequent monitoring or measurement, does your organization establish arrangements for these processes including, as applicable, definition of criteria for the review and approval process?(Required) Yes No31. Does your organization meet requirements for post-delivery activities associated with the products and services in determining the extent of post-delivery activities that are required, does your organization consider statutory and regulatory requirements?(Required) Yes No32. Does your organization ensure that outputs (including non-conforming product or service generated internally, received from an external provider, or identified from a customer) that do not conform to their requirements are identified and controlled to prevent their unintended use or delivery?(Required) Yes No33. Does your organization conduct internal audits at planned intervals to provide information on whether the quality management system conforms to the organization's own requirements for its quality management system?(Required) Yes No34. Does your Organization plan and carry out management reviews and take into consideration external and internal issues that are relevant to the QMS?(Required) Yes No35. Does your organization determine and select opportunities for improvement and implement any necessary actions to meet customer requirements and enhance customer satisfaction as well as improving products and services to meet requirements to address future needs and expectations?(Required) Yes No36. Does your organization continually improve the suitability, adequacy, and effectiveness of the quality management system?(Required) Yes NoCAPTCHACommentsThis field is for validation purposes and should be left unchanged.