FLEXFAB SUPPLIER ASSESSMENT QUESTIONNAIRE COMPANY DATA

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FLEXFAB SUPPLIER ASSESSMENT QUESTIONNAIRE COMPANY DATA Supplier Name: Name and Title of the person completing the assessment: Date: COMPANY DATA Business phone number: Business Fax number: Business Email: Company President: Head of Quality: Head of Manufacturing: Head of Sales: Square Feet of Manufacturing area: Total number of employees: Number of production personnel: Number of Engineering personnel: Number of Quality personnel: Primary service(s)/product(s) manufactured and supply to Flexfab: Part numbers you supply to Flexfab (Attach a list, if needed) Industry(s) you supply to: Lab testing capabilities: Have you been surveyed and approved by other customers? If yes, who is the customer and what were you approved to? Flexfab Supplier Assessment Survey Page 1 of 5

Supplier Name: Assessor Name: FLEXFAB SUPPLIER ASSESSMENT QUESTIONAIRE (Minimum Requirements) Date: Evaluation Key: Y = Yes meets the requirements. N = No not in effect (requires an explanation under comments and a plan to meet the requirement) N/A = Not applicable (requires an explanation under comments ) QS 1 4.1 Management Responsibility Is there a Quality Organization with authorities and responsibilities that are clearly defined? 2 4.2 Quality Systems 3 4.3 Contract Review 4 4.4 Design 5 4.5 Document and Data Is there a company wide system for: The product approval process Continuous Improvement Tooling? Are contracts (purchase orders) reviewed and records kept on the reviews? Is there a system in place for design control? Are drawings, specifications, procedures and work instructions maintained in such a way that only the latest is used in manufacturing, inspections and training? 6 4.6 Purchasing Is there a purchasing system in place to make sure that the required products and services are purchased and suppliers are controlled? 7 4.7 of Flexfab Supplied Materials 8 4.8 Product Identification and Traceability Is there a system in place to ensukre that materials and/or tooling provided by Flexfab are controlled in such a way as to prevent damage? Are materials and products properly identified and status clearly identified? Flexfab Supplier Assessment Survey Page 2 of 5

QS 9 4.9 Process Are there documented work instructions (date or revision sensitive) that define methods to be used for: Manufacturing Inspection? 9A 4.9 Process 10 4.10 Inspection and Testing 10A 4.10 Inspection and Testing 11 4.11 of Inspection, Measuring and Test Equipment 12 4.12 Inspection and Test Status 13 4.13 Nonconforming Material 14 4.14.Corrective and Preventive Action 15 4.15 Handling, Storage, Packaging, Preservation and Delivery (HSPPD) Are certified test reports and/or CofC s included with all shipments when subcontractors (ie, anodizers & platers) are used? Are purchased materials inspected and tested to the extent necessary before use? Is product subject to inspection through all stages of the manufacturing process? (describe) Receiving In-process Final Is there a calibration system in place that ensures that inspection, measuring and test equipment is accurate and traceable to NIST? Are the inspection and test status of product identified by suitable means so that the inspection and test status is recognizable and understood? Is nonconforming product segregated and handled in such a way that it is prevented from use, reviewed and dispositioned by qualified personnel? Is there a corrective action system in place that ensures internal, external, and customer requested Corrective Actions are answered adequately and in a timely manner? Are the Corrective Action Responses verified for effectiveness? Is on time delivery taken into consideration when orders are received? Flexfab Supplier Assessment Survey Page 3 of 5

QS 15A 4.15 HSPPD Is product handled, stored and packed in such a way as to prevent damage? Ensure only correct shipments? 16 4.16 of Quality Records Are inspection and test records maintained and kept for an adequate amount of time? 17 4.17 Internal Quality Audits Are internal quality audits performed? 18 4.18 Training Are personnel performing work and inspections adequately trained? Are records kept on the training? 19 4.19 Servicing Is service performed on materials delivered, when required? 20 4.29 Statistical Process Is SPC performed when required by Flexfab? SUPPLIER REPRESENTATIVE SIGNATURE: DATE: Flexfab Supplier Assessment Survey Page 4 of 5

RESULTS OF THE AUDIT FLEXFAB AUDITOR SIGNATURE: DATE: POSITIVES: OPPORTUNITIES FOR IMPROVEMENT: For Flexfab Use Only DATE RECEIVED: QUALITY APPROVAL: DATE: PURCHASING APPROVAL: DATE: SCORE: Flexfab Supplier Assessment Survey Page 5 of 5