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Supplier Self Evaluation for Mass Supplier Name

Supplier Top Management Approval


Production Start up Main Process
(For Example Press/Stamping or Injection Molding/Blow Molding or Casting or Machining or
Electroplating/Paint)
Prepared by Checked by Approval
Supplier Self Evaluation Summary Main Parts Supplied 1. 5.

2. 6.

3. 7.

4. 8.
[ MGR Level ] [ GM ] [ DIR / CEO ]

No Topic Detail Target (100%) Actual (%) Remark

1 Production Equipment Verification Dies / Molds condition Readiness 100%

Jigs for process condition Readiness 100%

Electroplating and Paint equipment condition Readiness 100%

Production Equipment Verification Preventive maintenance of Dies/Molds/Jigs 100% OK (As per Check Sheet)

100% 2 Machines Condition Machines for production condition Readiness 100%


Others Machine Condition
Preventive maintenance of all Machines 100% OK (As per Check Sheet)
50% 3 Measuring Equipment Verification Measuring equipment condition Readiness 100%

Inspection jigs condition Readiness 100%

Man Power Education & Training 0% Measuring Equipment Verification Inspection jigs calibration As per Calibration Check Sheet

4 Quality of Parts Parts accuracy on trials before start up As per DWG

Appearance of parts As per Q Point Check Sheet

Dimensional Inspection of Parts (3 Pc/Lot) As per Dimensinal Inspection report


4M Change Point Quality of Parts
5 Material, WIP, Finish Good Check 100% inspection of Raw Material As per Rec. Insp. Check Sheet

Material, WIP, Finish Good Check 100% Inspection of all WIP Parts
Based on Limit sample
(Rust, crack, sub part miss, any quality issue etc.)

100% inspection of Finished Parts As per Final Insp. Check Sheet

Dimensional Inspection of Parts (3 Pc/Lot) As per Dimensinal Inspection report

6 4M Change Point 4M Change Point Sheet and Procedure 100% clarified

4M Change Handling No pending item


Concern Items
7 Man Power Education & Training Man Power process training
Concern Items Countermeasure PIC Target Quality inspectors training As per Training Plan and updated skill
matrix chart
- Procedure,OPS and Check items knowledge

8 Others Trials before mass pro result

- Parameters [Based on PQCT and Parameter sheet]*

- Rejection rate [Based internal reject target]*

* To be filled by supplier based on each supplier target


Target

Actual
Contents
Production Equipment Verification 100% #DIV/0!
Machine Condition 100% #DIV/0!
Measuring Equipment Verification 100% #DIV/0!
Quality of Parts 100% #DIV/0!
Material, WIP, Finish Good Check 100% #DIV/0!
4M Change Point 100% #DIV/0!
Man Power Education & Training 100% #DIV/0!
Others 100% #DIV/0!

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