Supplier Quality Audit Questionnaire for Foundry Raw Material (Version B)

SUPPLIER QUALITY AUDIT QUESTIONNAIRE- Fabricated Fittings / Machining or Stamping Components -

Date:

Supplier:

Address:

Phone No:

FAX No.:

Supplier Contact:

Name & Title (Please print or type)

Signature

Date

Victaulic Company (use only)

Initial Quality Audit FORMCHECKBOX

Follow-up Quality Audit FORMCHECKBOX

Quality Assurance

DateProcurement Date

Preface:

This document is used for the evaluation of the capabilities and quality system of potential or current Victaulic supplier. A Quality Audit does not convey source approval or assurance of commercial business.

Please answer all questions. If you cannot answer a question, contact your Victaulic Representative.

Contents of this audit will be kept confidential.Section : Overall Quality Information: 1. Is your company ISO 9000 registered? Yes FORMCHECKBOX No FORMCHECKBOX a) If yes, by what agency or registrar granting certification, to what level, and when is the expiration

date?

Please provide a copy of ISO certificate as attachment of this Questionnaire.

b) If no, are you currently pursuing ISO 9000 registration? Yes FORMCHECKBOX No FORMCHECKBOX

c) If you are currently pursuing your ISO 9000 registration, when is an audit scheduled?

d) If multiple facilities/operations exist in your company, are these also ISO certified? Yes FORMCHECKBOX No FORMCHECKBOX

If not, please list all the facilities/operations without ISO certification as bellows:

2. Please provide the name of your Quality Assurance Manager:

Phone: Email address: 3. Please provide a copy of detailed Quality Assurance Manual for our reference.4. What languages except English are spoken by the management representatives for Manufacturing and Quality Assurance? 5. Do you have a supplier qualification/rating system in place? Yes FORMCHECKBOX No FORMCHECKBOX If yes, please describe:

If not, how do you approve your suppliers and manage their quality issues?

6.How are your management kept informed of quality issues? 7.

Do you have a Quality Improvement Plan? Yes FORMCHECKBOX No FORMCHECKBOX If yes, please describe:

8. Do you have a Quality Cost Measurement Plan? Yes FORMCHECKBOX No FORMCHECKBOX If yes, please describe:

9.Do you have a procedure to periodically calibrate measurement/test equipment?

Yes FORMCHECKBOX No FORMCHECKBOX

10.Do you provide the training associated with quality system to the employees? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, how?

11.Do you have the ability to exchange drawings with your customer electronically? Yes FORMCHECKBOX No FORMCHECKBOX

12.Do you perform internal audit on a regular basis? Yes FORMCHECKBOX No FORMCHECKBOX

13.For non-conforming material, what procedure is in place for corrective/preventative action? Please describe in details and attach a copy of original records showing a recent example: 14.In the event of a field failure of the product you supply to Victaulic, who would be our urgent contact:

Name:

Title: Phone:

Email Address: Fax: 15.Are there material recall procedures in place? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, please describe in details:

16.Do you have a workplace safety program? Yes FORMCHECKBOX No FORMCHECKBOX

17. Do you have a program to control hazardous materials or chemicals used at your facility?

Yes FORMCHECKBOX No FORMCHECKBOX

18.Do you have the proper environment permits for air/water and noise discharges from the local authority? Yes FORMCHECKBOX No FORMCHECKBOX If yes, please attach a copy of the permit.Section II: Incoming/Raw Material Control1.Receiving inspection procedures (use reverse side of form if necessary):

a) Are there any tests performed on raw material to verify:

Material compound/chemistry: Yes FORMCHECKBOX No FORMCHECKBOX

Material strength/integrity: Yes FORMCHECKBOX No FORMCHECKBOX

Other requirements: b) Are raw material tests documented? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, where are test records maintained? c) Are material certifications furnished by suppliers? Yes FORMCHECKBOX No FORMCHECKBOX How often? 2.a) Where is raw material staged? b) How is the material identified/labeled?

c) How is the material tracked through production? d) Is there a dedicated Quarantine area? Yes FORMCHECKBOX No FORMCHECKBOX

e) How is the incoming inventory used? (oldest material used first)? 3.a) Is there a specified shelf life? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, please describe:

b) Are there any storage requirements based on temperature/or other atmospheric conditions?

Yes FORMCHECKBOX No FORMCHECKBOX

If yes, please describe:

c) How is expired material identified?

Section III: In-Process Control 1.Is there a process flow diagram in use? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, please attach a copy for our reference.2.a) How is material released into production? b) How is the material identified (traceable) throughout the manufacturing process? c) Is there a dedicated area for non-conforming material? Yes FORMCHECKBOX No FORMCHECKBOX

d) Describe any quarantine / material hold procedures: 3. What is the procedure for tracking a specific batch/material? 4.a) Who is authorized to perform equipment set-ups? b) Who is authorized to make set-up changes? 5.a) What in-process checks are in place for:Visual inspection: Dimensional inspection: Frequency of inspection/sample sizes: What forms/inspection sheets are used? b) Describe how the following dimensional attributes are controlled for fittings:

Wall thickness: What are the limits of wall thickness variations? Ovality (out-of-roundness): Groove Dimensions A, B, C, OD: Flare diameter: Center-to-end: Angularity: c) Is roll grooving performed at this facility? Yes FORMCHECKBOX No FORMCHECKBOX

Is cut grooving performed at this facility? Yes FORMCHECKBOX No FORMCHECKBOX

Is welding performed at this facility? Yes FORMCHECKBOX No FORMCHECKBOX

If so, are welders code certified? Yes FORMCHECKBOX No FORMCHECKBOX

To what standard? Describe the tests performed to verify weld quality: Is bending (forming) of fittings done on site? Yes FORMCHECKBOX No FORMCHECKBOX

If so, indicate the capabilities available below:

Types or configurations (elbows, tee, etc.): Size ranges: Materials of construction: Wall thickness range: d) What types of external coatings are available?

Paints: Epoxies: Powder: Galvanizing: Plating: Spray / Dip / Electro-deposition: What types of internal coatings / linings are available?

Paints: Epoxies: Powder: Coal Tar: Cement: Glass: Rubber: 6.Is there any in-process tests performed? Yes FORMCHECKBOX No FORMCHECKBOX

How often?

By whom? Please list these tests: 7.Are test procedures validated? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, describe a typical example:

8. Describe inspection and preventive maintenance of manufacturing equipmentPlease provide details or copy of procedure:

9.Types of CNC equipment (lathes, machining center, etc.): 10.Other capabilities - CMM, sandblast, EDM, pickeling, passivating: 11.Is there a dedicated area for non-conforming material? Yes FORMCHECKBOX No FORMCHECKBOX

Describe any quarantine / material hold procedures: 12.Describe the equipment used for inspection. Check all that apply below:

Y NIncomingIn-ProcessFinalPi Tape

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

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Caliper

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Height Gage

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Gauge Blocks

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Micrometers

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Optical Comparitor FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Rockwell Hardness FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Bevel Protractors

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Thickness Gauges FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

13. What is the approximate number of gages used throughout the manufacturing process?

How often are gages calibrated?

By whom? Describe the storage, distribution and maintenance of gages: Section IV: Finished Goods Control

1. Describe final inspection procedure:

2. What final inspection checks are in place for:

Visual Inspection:

Dimensional Inspection:

Frequency of inspection/sample sizes?

Markings/Color Code:

How are markings applied to the finished product?

3. Final testing to verify:

a) Material compound / chemistry:

b) Material strength/integrity:

c) Other requirements, please indicate: 4.Do you indicate the material and specification requirement(s) as well as the inspection standard(s) in the final inspection sheet? Yes FORMCHECKBOX No FORMCHECKBOX

Please attach a copy of the completed final inspection report for our reference.

5.For finished product, please describe the method of:

Storage:

Packaging:

Section V: Statistical Process Control

1.

Do you have an on-going SPC program? Yes FORMCHECKBOX No FORMCHECKBOX

2.

Is SPC utilized for significant product characteristics and process parameters? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, who chooses which items are to be monitored through SPC?

3.

Do your SPC control charts indicate that statistical control has been achieved and process capability demonstrated? Yes FORMCHECKBOX No FORMCHECKBOX

(If yes, please attach a copy of a control chart that is used for a Victaulic product)

4.

Are your sub-suppliers required to use SPC and provide that information?

Yes FORMCHECKBOX No FORMCHECKBOX

If yes, what percentage?

5.

Are all levels of your personnel undergoing any type of SPC training programs? Yes FORMCHECKBOX No FORMCHECKBOX

-- The end Victaulic Company (use only)

Comments/Observations:

Conclusion:

Accept FORMCHECKBOX

Reject FORMCHECKBOX

On-site Audit Required FORMCHECKBOX

Remark: On-site Audit is required for all the Follow-up Audits.Reviewed by: __________________________

Date: __________________________ EMBED Word.Document.8 \s

VICTAULIC

Supplier Quality Audit Questionnaire Version CPage 1 of 4

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