Scope of Application: This document applies within Freudenberg Performance Materials (FPM) and Freudenberg Filtration Technologies (FFT).

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1 Scope of Application: This document applies within Freudenberg Performance Materials (FPM) and Freudenberg Filtration Technologies (FFT). Purpose: Self-disclosure concerning the management systems of the supplier as well as legal and ethical standards. Company Data: Company: Address: Telephone / Fax: Website: Person responsible for the management system: Person responsible for Quality Environmental protection Occupational safety Name: Position: Telephone: Which products do you deliver to Freudenberg Performance Materials and/or Freudenberg Filtration Technologies? Layout Ersteller : FVSE-EK/ gez. M. Heberger Freigabe : FVSE-EK-Ltg gez. P. Nyiondi D03MW034 Fragebogen Beurteilung der Management-Systeme von Lieferanten_2017_neu Seite 1 von 5

2 Is your company certified? Please check below and attach any relevant copies EN ISO 9001 EN ISO OHSAS EN ISO ISO / TS EMAS ISO Do you principally agree that we may, after consultation, perform an audit of your company? If you are certified according to EN ISO 9001 or ISO / TS 16949, please skip to item 21. If no, do you plan to get a certification? If yes, according to which demonstration model and when? M-system / standard Date M-system / standard Date M-system / standard Date 1.1 Do you have a documented management system? 1.2 Does your organization control the documents & records required by the management systems (revision, issue, distribution)? 1.3 Are management system evaluations conducted by the management and appropriate measures introduced? 1.4 Is quality assurance under the direct authority of the management? (please attach organizational chart) 2.1 Is your management system binding for all departments/fields? 2.2 Is there a procedure for routine recording and evaluation of the quality costs, and is this procedure used? 3.1 Is it assured that orders are reviewed concerning their completeness and feasibility before being confirmed? 3.2 Is information regarding customer satisfaction gathered? (e.g. survey, benchmark studies, service figures) 4.1 Are project plans prepared for the development of new products that detail all of the necessary activities and designate a time limit? 4.2 Is a quality evaluation conducted for new developments in order to ensure accordance with product requirements? 4.3 Are development experiences systematically documented, so as to have something to fall back on later (e.g. FMEA)? 5.1 Do you evaluate your suppliers routinely (e.g. audits)? 5.2 Do you evaluate the services rendered by your suppliers at regular intervals (e.g. quality, timeliness, and proper quantities)? 5.3 Do you coordinate specifications with your suppliers and are these components of each order? t applicable D03MW034 Fragebogen Beurteilung der Management-Systeme von Lieferanten_2017_neu Seite 2 von 5

3 6 Are the products produced by your company subject to an incoming goods inspection? 7 Is there clear product identification from arrival to the dispatch of goods (traceability)? 8.1 Are there written instructions for individual production processes and are these available to the employees? 8.2 Is it assured that your customers are informed about changes in the production process that are relevant to quality? 9.2 Are tests of the production process conducted? 9.3 Is it assured that only products which meet their specifications are approved (final testing)? 9.4 Are records of all test results retained? t applicable 10 Is the monitoring of testing equipment specified in writing as a procedure and is this procedure followed? 11 Is the testing status of your products clearly recognizable from the production phase until dispatch? 12.1 Is it specified in writing how defective parts/ products are to be handled and is this procedure used? 12.2 Is it assured that your customers will be notified immediately if it might be suspected that delivered material is defective? 13.1 Do you conduct defect analysis and introduce corrective measures as a result? 13.2 Is the effectiveness of introduced corrective/preventative measures reviewed? 13.3 Are corrective measures documented in writing in order to avoid repeat errors? 14 Are there instructions for storage, packaging, shipment and transport? 15 Is it specified in writing where, how and how long quality documents and records are to be preserved? 16 Are internal audits (product/shipment/process audits) conducted routinely? 17 Is there a training and education program at your company that takes employees from all levels and fields into account? 18 Do you routinely analyze your complaints and are necessary measures introduced regarding these complaints? 19 Do you evaluate your test results statistically, and do you introduce measures for process optimization? 20 Are you prepared to send an inspection certificate / specific test reports for each delivery (e.g. according to EN )? 21 If you are certified according to EN ISO or EMAS*, please skip to item Do you evaluate your company location(s) annually concerning relevant environmental aspects? 22.2 Do you plan product/location-related measures to improve environmental protection ( environmental program ) annually? 22.3 Do you have a procedure available to determine and fulfill legally established obligations and other requirements (legal certainty)? D03MW034 Fragebogen Beurteilung der Management-Systeme von Lieferanten_2017_neu Seite 3 von 5

4 23.1 Are the delivered products free from hazardous substances? t applicable 23.2 Which hazardous material (hazard classification, e.g. WGK (German Water Hazard), CMR (Carcinogenic, Mutagenic, Reprotoxic))? 23.3 Which materials do you plan to replace? 24.1 Do you take your packaging back? 24.2 Do you use return systems (euro pallets, reusable packaging, loaned containers, etc.)? What measures do you have concerning compliance with legal and ethical requirements? Are you committed to compliance with international standards, such as Global Compact (CG), International Labour Standards (ILO) and other local/international provisions? 27 Do you respect intellectual property and do you handle all provided information confidentially? 28 Are you familiar with your entire delivery chain? 29 Do you survey/review your suppliers and subcontractors concerning legal and ethical requirements? 30 If you are certified according to OHSAS 18001, please skip to item Is there a committee for occupational safety at your company? 32 Are the necessary representatives appointed for your company and do they have the necessary qualifications? 33.1 Do you develop an occupational safety program annually? Are measures planned for occupational safety pursued and reviewed concerning effectiveness? Are there routine occupational safety instructions for the employees? D03MW034 Fragebogen Beurteilung der Management-Systeme von Lieferanten_2017_neu Seite 4 von 5

5 t applicable 35 Finally, we would like to ask you for the following information. Thank you! Date /Name/ Signature Position in the company Evaluation only to be completed by Freudenberg: Supplier classification: (For classification, see D 03-MW-05) Preferred Suitable Unsuitable Recorded as key/critical supplier in the evaluation Remarks: Date, Signature D03MW034 Fragebogen Beurteilung der Management-Systeme von Lieferanten_2017_neu Seite 5 von 5

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