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    Supplier Self Assessment Short Form

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    christina sitorus
    This document is a supplier self-assessment form completed by ABC Company. It contains evaluations of the company's quality management system across several categories on a scale of 1 to 4. An average score of 3.7 was calculated. The form identifies one area for improvement, as the supplier quality manual was not at the current revision level. An audit date of December 30, 1999 is listed. The document provides a template for suppliers to evaluate their own compliance with quality standards and identify areas for corrective action.

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    Supplier Self Assessment Short Form

    Uploaded by

    christina sitorus
    5 views4 pages
    This document is a supplier self-assessment form completed by ABC Company. It contains evaluations of the company's quality management system across several categories on a scale of 1 to 4. An average score of 3.7 was calculated. The form identifies one area for improvement, as the supplier quality manual was not at the current revision level. An audit date of December 30, 1999 is listed. The document provides a template for suppliers to evaluate their own compliance with quality standards and identify areas for corrective action.

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    This document is a supplier self-assessment form completed by ABC Company. It contains evaluations of the company's quality management system across several categories on a scale of 1 to 4. An average score of 3.7 was calculated. The form identifies one area for improvement, as the supplier quality manual was not at the current revision level. An audit date of December 30, 1999 is listed. The document provides a template for suppliers to evaluate their own compliance with quality standards and identify areas for corrective action.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    5 views4 pages

    Supplier Self Assessment Short Form

    Uploaded by

    christina sitorus
    This document is a supplier self-assessment form completed by ABC Company. It contains evaluations of the company's quality management system across several categories on a scale of 1 to 4. An average score of 3.7 was calculated. The form identifies one area for improvement, as the supplier quality manual was not at the current revision level. An audit date of December 30, 1999 is listed. The document provides a template for suppliers to evaluate their own compliance with quality standards and identify areas for corrective action.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 4

    Supplier Self Assessment (Short Form)

    Supplier: White fields have to be completed !


    Supplier No.:
    Location of production:

    RED
    Part Description: 0

    Part Number(s)

    YELLOW
    Date: 0
    Name:

    x
    x GREEN

    Mark with "X"

    Avg. Score: #DIV/0!


    Evaluation key Evaluation Comment
    1. No Compliance
    2. Major deviations
    3. Minor deviations
    4. Full compliance 1 2 3 4

    Product Development

    Are the customer specifications available?

    Is the Control Plan, FMEA, Flow Chart available?

    Is the process FMEA updated when corrective actions occur or changes are made to
    the process?

    Suppliers

    Are only approved suppliers used?

    Are suppliers performance monitored?

    Are the stock levels of supplied materials matched to production needs?

    Is the stock delivery and storage according to their purpose, and is FIFO practiced?

    Is there an incoming receiving procedure?

    Personnel / Qualification

    Are the employees given responsibility and authority for the monitoring of the
    product / process quality?

    Are the employees given responsibility and authority for the monitoring of
    production equipment and environment?

    Are the employees suitable to perform the required tasks and is their qualification
    maintained?

    Is there visible evidence of employee motivation?

    Production Materials / Equipment

    Can the quality requirements be monitored effectively during serial production with
    the implemented inspection, measuring and test equipment?

    F-QA-06-003 Issue 1 04/10 Page 1 of 4


    Evaluation key Evaluation Comment
    1. No Compliance
    2. Major deviations
    3. Minor deviations
    4. Full compliance 1 2 3 4

    Are the work and inspection stations appropriate to the needs?

    Is an approval for production starts issued and are adjustments details, as well as
    deviations recorded?

    Are work instructions posted at the work center and do they follow the control plan?

    Is there a PM plan present and is it followed?

    Is there a critical spare part listing and are these parts available?

    Transport / Parts Handling / Storage / Packaging

    Are the products / components appropriately stored and are the transport means /
    packaging equipment tuned to the special properties of the product /components

    Are rejects, rework and adjustment parts, as well as internal residues strictly
    separated and identified?

    Is the material and parts flow secured against mix ups/ exchanges by mistake and
    traceability guaranteed?

    Are tools, equipment and inspection measuring and test equipment stored correctly?

    Are the gages used for measuring and monitoring set up in a calibration system?

    Fault analysis / Correction / Continual Improvement

    Are the quality and process data recorded complete and ready to be evaluated?

    Are the quality and process data statistically analyzed and are improvement
    programs derived from this?

    Are the causes of product and process nonconformities analyzed and the corrective
    actions checked for their effectiveness?

    Are process and products regularly audited?

    Are the target parameters available for the product and process and is their
    compliance monitored?

    General:

    Is there a contingency plan available?

    Is the supplier certified to a standard?

    F-QA-06-003 Issue 1 04/10 Page 2 of 4


    Audit Date: 30-Dec-99
    Supplier : 0

    No. Issue / Concern Champion Improvement / Correction Due Date Status


    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14

    F-QA-06-003 Page 3 of 4
    Issue 1
    04/10
    Supplier Self Assessment (Short Form)

    Supplier: ABC, Company White fields have to be completed !


    Supplier No.: 33432
    Location of production: Greenville, SC

    RED
    Part Description: Widget 0

    Part Number(s) 5564533

    YELLOW
    Date: 29-Mar-15 0
    Name: John Smith
    Title: QA Manager
    X
    X GREEN

    Mark with "X"

    Avg. Score: 3.7


    Evaluation key Evaluation Comment
    1. No Compliance
    2. Major deviations
    3. Minor deviations
    4. Full compliance 1 2 3 4

    Product Development
    Supplier Quality Manual not available at current revision level.
    Are the customer specifications available? 3

    Is the Control Plan, FMEA, Flow Chart available? 4

    Is the process FMEA updated when corrective actions occur or changes are made to
    the process? 4

    F-QA-06-003 Page 4 of 4
    Issue 1
    04/10

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