MAINE DIVISIONS

Supplier Evaluation Questionnaire

Survey Date: _____/_____/_____
Company Name: __________________________________________________________________________________
Address: ________________________________________________________________________________________
City: ______________________________________________ State: ___________ Zip Code: ____________________
Phone: __________________ Fax: __________________ Website: _________________________________________
Management Representatives:
Quality Assurance: ____________________________________ Reports To: _________________________________
Production: __________________________________________ Sales: ______________________________________
Engineering: _________________________________________ President: ___________________________________
Business Information:
( ) Corporation

( ) Public

( ) Private

Business Type: ( ) Manufacturer

( ) Partnership

( ) Distributor

( ) Value-Added Distributor

( ) Design

( ) Special Processes

Total years in business: ______ Years at Current Location: ______

Employees:
Total Number of Employees: _____; Quality: _____; Engineering: _____; Sales: _____; Manufacturing:_____;

If the Quality System is ISO certified and/or accredited, please sign below and return survey with a copy of your
registration certificate; completion of sections 1-13 is not required.

___________________________________

____________________________________

Vendor Representative Signature

Title

__________________
Date

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FORM QP 07-2
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I. GENERAL
1. Is your company receptive to a physical survey confirming and elaborating on this survey?
2. Is your company receptive to source inspection?
3. Is security clearance required to visit your plant?
II. QUALITY CONTROL ORGANIZATION
1. Do you have a current Quality Manual or written procedures?
2. Does your Quality Manual or procedures carry management approval?
3. Does your Quality department have responsibility for final inspection?
4. Does your Quality system provide for retention all inspection and acceptance records?
5. How long are records of inspection retained?
III. INCOMING INSPECTION
1. Are incoming shipments identified pending inspection?
2. Do you have a process to prevent unauthorized material use pending Receipt Inspection?
3. Are copies of your purchase orders available to Receiving Inspection?
4. Are drawings, specifications and supplier catalogs available to Receiving Inspection?
5. Is sampling inspection used in Receiving Inspection?
6. Is Rejected/Nonconforming Material identified and segregated?
7. Are inspection records maintained and available for review?
IV. RAW STOCK / MATERIAL CONTROL
1. Are incoming raw materials properly identified pending acceptance?
2. Do you require, receive and file chemical / physical analysis or test certifications?
3. Are scheduled verifications made to determine your suppliers compliance to
specifications and accuracy of chemical / physical test reports?
4. Do you control by segregation and identification contractor furnished material?
5. Are items with shelf life requirements identified as to end date, and does Quality
survey/monitor these requirements?
V. INSPECTION / TEST EQUIPMENT
1. Are measuring and test equipment (M&TE) periodically calibrated at established intervals?
2. Are suitable records maintained of calibration and are recalibration dates specified?
3. Are employee-owned tools and gages used?
4. Are they calibrated?
5. Can you show traceability of M&TE to NIST?
VI. NON-CONFORMING MATERIAL
1. Do your written procedures provide for the control of non-conforming material?
2. Are corrective action requests formally documented?
VII. IN-PROCESS INSPECTION/TEST
1. Is in-process inspection performed or verified by the Quality department?
2. Are in-process inspection instructions available?
3. Are results of in-process inspection available?
4. Are results on in-process inspections used to promote corrective action?

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

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FORM QP 07-2
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VIII. DRAWING & CHANGE CONTROL

1. Does the Quality department review customer contracts/POs and change notices?
2. Does the Quality department have responsibility to verify that changes are
incorporated at effective date?
3. Are obsolete drawings removed from all points of issue and use?
4. Are applicable engineering drawings available at time and place of inspection?
5. Are engineering change orders readily available to inspection personnel?
6. Does your system provide for processing changes to vendors?
IX. FINAL INSPECTION
1. Is final inspection performed by Quality Control?
2. Are items identified to indicate final acceptance?
3. Are records of final acceptance maintained?
4. Does Quality verify conformance to all requirements on buyers purchase orders?
5. Is final acceptance on complex items performed to checklist or other guides?
X. INSTRUCTIONS & PROCEDURES
1. Are instructions / procedures available at inspection or test stations?
2. Do instructions and procedures accurately describe inspection / test methods?
3. Do inspection / test instructions or procedures have Quality approval?
XI. RECORDS
1. Are records maintained for inspection and / or Quality?
2. How long are records maintained?
XII. SUPPLIER PROGRAM
1. Do you have a program for quality approval of your suppliers and subcontractors?
2. Do you use inspection / test results to contribute to supplier selection?
XIII. PROCESSING CONTROL
1. Are documented procedures available for special processes (e.g. welding, x-ray
magnetic inspection etc.)?
2. Are process controls monitored at established intervals?
XIV. PRODUCT CONTROL
1. Are materials or parts planned for sequence of production using traveler or similar
paperwork?
2. Are handling and packaging procedures in place to prevent damage to parts?
XV. CORRECTIVE ACTION, FEEDBACK AND PRODUCT IMPROVEMENT
1. Is there a written corrective action procedure?
2. Are root causes determined and documented?
3. Is there a follow up system established?
4. Is there data and trend analysis?
5. Is customer feedback used?
6. Are there programs for product improvement?

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

Schulz Group Maine Divisions use only

Quality Assurance Status: Approved__________ Conditionally Approved__________ Disapproved:__________
General Comments

Evaluated By:______________________________________________________ Date:___________________________

Next Evaluation Due Date:_________________

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FORM QP 07-2
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