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Vendor
Self-Survey
INSTRUCTIONS
1.Fill in all fields in the "Company Information Section" using separate paper where applicable.
2.Answer with a simple YES or NO to questions, or give more in-depth answers where required in the remaining sections, as applicable.
3.The use of N/A is acceptable only when the question does not apply.
4.Both FAX and MAIL the completed form to:
Arnold Tool & Die Co.
48200 Structural Drive
Chesterfield, MI 48051
586-598-0099 FAX 586-598-9480
ATTN: Purchasing
SECTION A: Company Information (Please print all information)
Company Name:__________________________________________________________
Company Address:________________________________________________________
Company City, State & ZIP:____________________________________________________________
Company Main Phone Number:_________________________________________________________
Company FAX Number:_________________________________________________________
Company Internet e-mail address:_________________________________________________________
Minority Certified?_________________ By Whom? _____________________
Company Contact:________________________________________________________
Direct line or extension number of contact::________________________________________________________
Emergency Contact Names
(Minimum of 3 names, Include after hour phone numbers, beepers, cell phones etc.)
Answer this question on a separate paper
Name of company Quality Manager:________________________________________________________
Direct line or extension number of QA Manager:________________________________________________________
Current commodity or quoting commodity purchased by AT&DC:_________________________________________________________
Add additional pages as necessary
Other commodities you provide that AT&DC might consider:________________________________________________________
Add additional pages as necessary
SECTION B: Quality
Does your company have a staffed Quality Assurance Department?
p Yes p No p N/A
Does your company have "in-house" laboratory facilities?
p Yes p No p N/A
Is this lab A2LA certified?
p Yes p No p N/A
Does your company use SPC?
p Yes p No p N/A
Does your company use LOT CONTROL?
p Yes p No p N/A
Do you create and use CONTROL PLANS?
p Yes p No p N/A
Do you create and use PFMEA's?
p Yes p No p N/A
Is your QA Department equipped with a CMM?
p Yes p No p N/A
Is your company QS-900X or ISO-900X certified?
p Yes p No p N/A
If yes, attach a copy of your certificate
If not, when do you plan to be certified?_______________________________________________________
The following quality questions are for steel suppliers only, other commodity suppliers may skip the remainder of this section:
How do you measure and verify material thickness throughout the slitting process:_____________________
Use additional pages to answer this question
What criteria do you use to verify that "Mill Stain" is not rust?______________________________________
Use additional pages to answer this question
Do you verify the "Rockwell Hardness" of the leading and trailing coil ends?
p Yes p No p N/A
Do you regularly supply COUPONS for verification?
p Yes p No p N/A
Do you run an OLSEN test on all master coils received?
p Yes p No p N/A
Do you use an outside (3rd party) lab to verify test results?
p Yes p No p N/A
SETION C: Service
What is your NORMAL lead time after the receipt ofa release?___________________________________
When notified of non-conformance, how soon will your company representative be at our facility to verify the problem?_______________________________________________
What is your turn-around time to replace the defective product?__________________
Will you absorb the additional cost of trucking involved?
p Yes p No p N/A
Will you absorb the additional costs created by plant down time?
p Yes p No p N/A
If shipments are LATE, will you absorb additional costs incurred?
p Yes p No p N/A
What is your current capacity?________________________________________________________ ______
Using your own data, what is your ON TIME delivery percentage rate?______________________________
Is your shipping department BAR CODE capable?
p Yes p No p N/A
If so, do you use it internally for inventory purposes?
p Yes p No p N/A
Is your bar coding to AIAG approved standards?
p Yes p No p N/A
Explain in detail (using separate paper) your companies contingency plans for the following possibilities:
- Fire
- Acts of God
- Toxic or chemical spill
- Labor disputes
- Power outages
SECTION D: Cost
Using your own "benchmark" data, are your prices:
p Guaranteed Lowest p Middle of the road p High end
Is your company willing to share COST DATA with AT&DC?
p Yes p No p N/A
Do you offer volume discounts?
p Yes p No p N/A
If so, do you automatically quote where price breaks occur?
p Yes p No p N/A
Are your quoted prices FIRM for 2 years?
p Yes p No p N/A
SECTION E: Delivery
Are products or services delivered to AT&DC free of trucking charges?
p Yes p No p N/A
Does your company have its own delivery vehicles?
p Yes p No p N/A
This Self-Survey was completed by:
________________________________________________________________
Name (Please Print) Signature
________________________________________________________________
Title (Please Print) Date
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