Hollywood Manufacturing, Inc Vose St. North Hollywood, CA Phone: (818) Fax: (818)

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1 Supplier Name: Supplier Address: City: State: Zip: Contact Person: Telephone: Title: Fax: *** This section is to be filled out by Hollywood Manufacturing, Inc. *** Survey Reviewed By: Date: Survey Approved By: Date: Follow-up Action Needed? Yes No If yes, explain: Comments: FORM# QC012 REV. A Page 1 of 5

2 This report is intended to furnish data relative to the capability of the seller to control the quality and conformance of applicable supplies and services to Hollywood Manufacturing Inc. Please complete this report in accordance with the instructions below and return one copy with your comments, if any, within ten days. A typewritten form is preferable; otherwise, it must be legibly printed in ink. You are encouraged to keep a file for yourself. INSTRUCTIONS 1. All elements must be answered by the supplier in sufficient detail to permit Hollywood Manufacturing, Inc. to evaluate the capability of furnishing the listed supplies or services. 2. All Elements must be completed. Check the appropriate spaces that apply to your organization. Enter N/A for those items that are not applicable to your organization. 3. The report must be signed by an authorized person. 4. When supplemental data is submitted, the text shall reference the related item of this report. 5. Submittal of an incomplete report will be cause for delay in completing the evaluation and will put your company at hold. 6. Customer as used herein refers to Hollywood Manufacturing, Inc. 7. The application of the requirements as stated in this report is subjected to an audit by Hollywood Manufacturing, Inc. Quality Control Department at any time. 8. Supplier is encouraged to attach information not requested by this report but which may be beneficial in providing a complete evaluation. 9. Please return survey my mail, or fax to: Hollywood Manufacturing, Inc Vose Street North Hollywood, CA qualitycontrol@hollywoodmfg.com or hmi@afo.net. Fax: (818) FORM# QC012 REV. A Page 2 of 5

3 The Bill of Rights of Manufacturing YES NO N/A 1. Does the Supplier realize that he is accountable to God for the quality and the integrity of the work he is doing? 2. Does the Supplier appreciate all its customers equally? 3. Is the Supplier honest and upfront about the quality of his services? 4. Is the Supplier honest with its weights and scales when determining how much to invoice? 5. Does the Supplier treat his customers concerns with patience and respect? 6. Do Supplier s employees take their work seriously and appreciate the value of the parts they are handling? 7. Is Supplier implementing new plans and ideas for quicker deliveries? 8. Is there a disciplinary action against employees who show continuous pattern of carelessness? 9. Does the Supplier deem profit to be more important than quality? Handling and accountability YES NO N/A 1. Has the Supplier had parts rejected within the last six months due to dings? 2. Have the Supplier s employees been carefully instructed on how to handle parts to prevent dings? 3. Do Supplier s employees stack pans on top of each other thus damaging parts? 4. Does the Supplier have a habit of losing parts? 5. Is Supplier prepared to compensate the customer for lost parts? FORM# QC012 REV. A Page 3 of 5

4 6. Have Supplier s employees been instructed to double check their ovens/tanks for lost parts after the process is finished? 7. Does Supplier count parts before and after processing? 8. Does Supplier make sure that set-up pieces are kept separate during the processing of parts? P.O. Review and Certifications YES NO N/A 1. Are Purchase Orders carefully reviewed to ensure that all instructions are followed? 2. Are plating Suppliers careful not to over plate the parts? 3. Does plating Suppliers have Go / No-go gages for the most common thread sites? 4. Is Supplier conscientious of its customer s required delivery date? 5. Does Supplier notify customers quickly if he can not comply with Purchase Order requirements/specifications? 6. Do both secretary and QC Manger double check certifications to prevent typos? 7. Does customer receive by mail the original copies of corrected certifications? Quality Systems and Procedures YES NO N/A 1. Does Supplier have a Quality Control Manual? 2. Does Supplier periodically review the Quality Control Manual and make necessary changes? 3. Does Supplier have procedures to prevent lots from getting mixed? 4. Are work instructions prepared for each job? FORM# QC012 REV. A Page 4 of 5

5 5. Are Supplier measuring tools calibrated regularly? 6. Are recall records maintained that indicate when equipment is due for calibration? 7. What standard (s) your quality system is certified to (i.e. ISO 9001:2008; AS9100 Rev. C, etc.)? Please attach a copy of certificate. 8. Does Supplier periodically train his employees for reevaluation? 9. Does Supplier have training records of his employees on file? Has your company received corrective action in the last three months? 10. Can Supplier supply evidence of corrective action within the last two years? Supplier Comments: The data furnished herein pertains to the facility listed above and is applicable to the execution of Hollywood Manufacturing, Inc. contracts. It is agreed that Hollywood Manufacturing, Inc. will be notified upon any relocation or transfer of seller manufacturing operations, or upon any change in quality control organization of procedures which affects conformity verification of applicable supplies or services. It is recognized that failure to furnish a description of much change for Hollywood Manufacturing, Inc. review, or willful misrepresentation of facts specified herein constitutes a material breach of contract and, among other rights of Hollywood Manufacturing, Inc. shall result in disapproval as a Hollywood Manufacturing, Inc. source. Survey Completed By (Print Name): Signature: Title: Date: FORM# QC012 REV. A Page 5 of 5