AUTEC POWER SYSTEMS

685 E. COCHRAN ST.

SUPPLIER SELF-ASSESSMENT SIMI VALLEY, CA 93065
TEL: 805-522-0888 / FAX: 805-522-8777

ORGANIZATION INFORMATION:

COMPANY NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: DATE:

TYPE OF MANUFACTURING SERVICE OR PRODUCT:

ASSESSMENT COMPLETED BY:

NAME
TITLE:
PHONE:

The purpose of this self-evaluation is to provide our company with first level
information about capabilities of your company as a potential Supplier to
consistently produce products/services which meet our requirements. It will clarify
status, extent and level of sophistication of suppliers Quality System, Management
philosophy and continuous improvement capabilities.

INSTRUCTIONS:

This Self-Assessment should be based on the system that is currently in place and working. Any
plans for future systems may be listed as comments. It is important that we understand your
current capabilities and operations, objetive evidence must be available for when it is required.
Check the Score table below.

81 - 85 Excellent
76 - 80 Good
71 - 75 Satisfactory
66 - 70 Marginal
Below 66 Requires Corrective Action Plan

It is imperative that all questions be answered Yes or NO.

 AUTEC POWER SYSTEMS
685 E. COCHRAN ST.
SUPPLIER SELF-ASSESSMENT SIMI VALLEY, CA 93065
TEL: 805-522-0888 / FAX: 805-522-8777

YES NO
Is your organization ISO certified? Please send copy of the Certificate 8
ASSESS-
QUALITY

Is there a documented Quality Policy? 1

MENT

Is there a documented Quality Manual? 4

Is management involved with the quality process at all levels of the company? 2
SYSTEMS

Do Company wide training programs exist? 2

QUALITY

Are Quality objectives and responsibilities clearly defined? 2

Do periodic internal process audits occur? 2
Does the supplier use a rating system for their sub-contractors, and carry out surveys, audits
CONTRACTOR

or some form of assessment? 2

CONTROL CONTROL

Is there evidence of a relationship with sub-contractors? 2

Are there documented specifications, which define purchased material requirements? 2
MANUFACTU- INCOMING SUB-

Is sub-contractor performance monitored? 2

Is there a system verifying incoming material either by inspection or accepting certificates of
compliance or test reports? 2
MATERIAL CONTROL RING QUALITY QUALITY

Is the inspection and test status of incoming material clearly identified? 2

Is there a documented First Article procedure? 2
Is there documentation that demonstrates product is manufactured to Specifications? 2
Is the inspection and test status of final product clearly visible? 2
CONTROL

Are documented work instructions readily available at the appropriate workplace? 2

Are the criteria for workmanship clearly defined? 2
Are inspection and test records maintained and available? 2
Are procedures available defining safe and adequate handling, storage and packing of
material throughout all stages of manufacturing and delivery? 2

Are all working areas clearly identified with regard to safety issues and material handling? 2
Is non-conforming material clearly identified, segregated and secured? 2
Is material properly identified at current revision levels and in accordance with customer
requirements? 2
Are corrective action procedures regularly and consistently utilized? 2
PLANNING AND

Does detailed analysis occur on all non-conforming material? 2

CORRECTIVE

Are statistical techniques utilized throughout the Manufacturing Process and are they visible
(if applicable)? 2
QUALITY

ACTION

Does the system ensure documented customer approval prior to shipment of any non-
conforming product? 2
Are there Product Engineering capabilities available to assist in product improvement? 2
TECHNICAL

TIONS AND
SUPPORT
APPLICA-

Are there Test Engineering Capabilities? 2

Do ongoing Quality/Manufacturing Engineering functions occur? 2
Do tooling design capabilities exist in house (if applicable)? 2
Does the Supplier offer or have access to advanced technology that would be beneficial to
STRUCTURE

their customer? 2
FINANCIAL,

Does the Supplier communicate pricing trends and market increases timely? 2
Will the Supplier provide a cost basis for pricing? 2
COST

Does the supplier demonstrate shared cost reduction opportunities? 2

MENT,WORK

Does the Supplier have a stable work force? 2

STRUCTURE

Has the Supplier suffered work force shortages/interruptions? 2

MANAGE-

FORCE

Is there labor or union unrest that presents a risk to Autec? 2

Does Management participate in work force growth opportunities? 2

TOTAL SCORE 85
 AUTEC POWER SYSTEMS
685 E. COCHRAN ST.
SUPPLIER SELF-ASSESSMENT SIMI VALLEY, CA 93065
TEL: 805-522-0888 / FAX: 805-522-8777

SUPPLIER COMMENTS
 AUTEC POWER SYSTEMS
685 E. COCHRAN ST.
SUPPLIER SELF-ASSESSMENT SIMI VALLEY, CA 93065
TEL: 805-522-0888 / FAX: 805-522-8777

FOR [ company ] USE ONLY

Date:

To:

Attn.:

Subj.: Self-Assessment / Supplier Survey Results

Dear

Below, please find the results of the Self-Assessment / Supplier Survey. Should you have any further
questions regarding the details of the survey, please contact the Quality Assurance Manager.

Score Totals: 85

Pass / Fail (check one):

Approved
Approved, but requires a Corrective Action Plan
Will not be approved

Sincerely,

( company REPRESENTATIVE/S)