供应商评估调查表

供应商评估调查表SUPPUER EVALUATIONFORM供应商代码Supplier Code公司名称公司地址CompanyAddress网址Website联系方式Contact职务姓名传真邮箱Post NameTelephone FaxEmail责任经理Accountable Manager质量经理Quality Manager客户服务Customer Service雇员人数EMPLOYEES NUMBER管理质量Administration Quality________________________________工程技术Enaineerinq Production_____________________________客户服务Customer Service________________________其他Other_________________________________________________________________________厂房FACILmES_________□自己所有□租赁Own Lease总面积Total Area______仓储区和发运地不在同一地点，请填写详细地址如果办公区、生产区、Ifion,warehouse orshipment pick-up addressis different,please detailaddress.□locality ofoffice,product日s inthe sameplace同一地点□办The fourareIress_______________________________________________________________________________公区^区Main officeadcress_________________________________________________________________________________区Workshop adddressWarehousead□发运地Shipment pick-up address__________________________________________________________________________业务类型TYPE OFBUSINESS□部件制造□部件分销商/代理商Component manufacturerComponent distributor/agency口部件维修典它Component maintenanceOther____________________________如是，供应商代码是多少/□是________________□否OEM,OEM,if yes,what isthe cagecode简要描述公司历史、背景和主要业务可另附文件Brief introductionof yourcompany includinghistory,background andmain businessCouldbe Appendix企业资质Enterprise qualification□维修许可证Maintenance OrganizationCertificate□初次颁发时间有效期CAAC Initial Issue Date Expiry Date□初次颁发时间有效期FAA Initial Issue Date Expiry Date□初次颁发时间有效期EASA Initial Issue Date Expiry Date□其他初次颁发时间有效期/others Initial Issue Date Expiry Date□航材分销商证书（中国民航维修协会）Certificate ofCivil AircraftParts Distributor（CAMAC）初次颁发时间Initial IssueDate有效期Expiry Date□质量系统证书Quality systemcertificate初次颁发时间有效期□ASA-100Initial IssueDate Expiry Date初次颁发时间有效期□FAAAC-0056Initial IssueDate Expiry Date初次颁发时间________________有效期□ISO9001Initial IssueDateExpiry Date__________________________初次颁发时间有效期□AS/EN9100InitialIssueDateExpiryDate初次颁发时间有效期□AS/EN9110InitialIssueDateExpiryDate初次颁发时间有效期□AS/EN9120InitialIssueDateExpiryDate□其他证书Others certificate颁发单位有Issuing Authority书名称初次颁发时间□12Certificate Name InitialIssue效期ExpiryDateDate颁发单位有Issuing Authority书名称初次颁发时间WE CertificateName InitialIssue效期ExpiryDateDate颁发单位有Issuinq Authority书名称初次颁发时间nffi CertificateNameInitialIssue效期ExpiryDateDate请以下最新有效的文件和信息（如适用）/Please includecopies of the followingcurrent documentsand information（if applicable）:1）贵公司简介/Brief introductionof yourcompany2）营业Business license3）维修许可证、维修能力清单/Maintenance OrganizationCertificate andcapability list4）PMA/TSO批准证书、批准项目清单/PMA/TSO ApprovedLicense anditems list5）OEM许可分销授权书/Letters fromOEMs authorizingany distributorships6）根据FAAAC00-56或中国民航维修协会颁发的分销商证书/Distributor AccreditationCertificate issuedaccording toFAA AC（X56or CAMAC7）质量证书/Quality certifications8）维修管理手册和/或质量手册/Applicable MMM,RSM/QCM,MOE,or QM注意请附上你认为对此次评估有用的认证/授权副本或任何你认为有用的资料或数据O主要客户Prime customers请回答以下问题，在相应的空格中打钩Please answerfollowing questionsby markv ineach applicablecolumn.项目问题是否不适用Item QuestionYes NoN/A是否建立了质量手册及相关的管理程序文件，并确保相关工作人员可以有效的获1取及使用？Do youestablish thequality manualand relatedmanagement proceduresand ensure that therelevantpersonnel caneffectively accessand use是否对员工进行培训以及能力评估？2Is yourtraining andcompetency assessmentprovided toemployees whoundertake the work是否有人员资格和授权管理程序，对不同的岗位进行相应授权，确保相关人员严3格按照授权执行工作？Istherea personnelqualification andauthorization managementprocedure toauthorize thedifferentpositions and ensure thatthe relevantpersonnel perform theworkstrictly accordingto theauthorization4是否建立了印章管理程序？Do youhavea stampcontrol procedure是否建立自我质量审核系统，制定年度审核计划，对本单位任一部门或系统的审5核间隔最长不得超过个月？12Are thequality self-audit systemand annualaudit planin placeThe auditinterval withrespect toanydepartment orsystem isno longerthan twelvemonths是否有与贵公司产品/服务有关的供应商、外委单位的批准程序？6Do youhave adocumented systemfor approvingsuppliers,vendors andsubcontractors relatedwithyour products and services7是否有入库检验的程序并对检验工作进行记录？Are thereprogram forincoming inspectionand theinspection isrecorded制8是否有对寿命件的控程序？11Do youhave adocument program to controlshelf-life limitedproducts9是否有对静电放电敏感兀件的控制程序？Do youhave adocumented program to handleelectrostatic sensitivedevices是否有对部件和航材来源的控制程序？10Do youhave adocumented programto identifythe sourcefrom whichcomponents and materialswere received是否有确保存储条件够保护部件或航材不受损害及污染的控制程序？11能program，Do youhave adocument to ensure appropriatestorage conditionsto protectfrom damagecomponentsandmaten1and/or deterioration12是否具有器材存储区域的环境控制程序？Do youhave environmentcontrol procedurefor partsstock13对于不合格航材是否有系统来保证将其隔离处理？Istherea systemfor thesegregation anddisposition ofnonconforming items是否有监测并报告可疑件的控制程序？14Do youhave adocument programto detectand reportof suspectedunapproved components项目问题是否不适用Item QuestionYes NoN/A是否有按照相关法规及标准来处理不可回收部件的程序？15Do youhavea document programtohandle unsalvageablecomponents in accordance withapplicableregulations andstandards是否有对分离并且再发配的产品批次号的相关处理文件的控制程序？16Do youhave adocumentprogram forbatch splittingor redistributionof lotsand handlingoftherelateddocuments是否有程序确保发货的部件和材料可以跟踪和召回？17Do youhave adocumentprogramfor recallcontrol toensure thatcomponents andmaterialsshipped canbe tracedand recalledif necessary18是否有技术资料的控制程序，确保技术资料保持更新有效并监督其修订Do youhave adocumented programfor thecontrol oftechnical dataandensurethat technicaldatais keptup todate andmonitor itsrevision status是否有对工具和测试设:备的计量程序？19Do youhaveadocumenteci programfor themeasuring oftools/test equipmentwhich meetcalibration standards是否有对计量设备适当的存储、使用的控制程序？20Do youhaveadocumenteci programto controlof measuringequipment thatprovide for%andappropriate storage,usage forcalibration whensuch equipmentis required是否有符合局方规范的产品/服务有关的航材部件的追溯和证明文件程序？21Do youhave adocumented programto meet the standardsof traceabilityand certificationofpurchased parts/materials whichconformity torelevant specificationsrequired byauthority是否有程序能确保所有相关的证书、工作记录和其他文件完整并能提22供？Do youhave adocumented programtoensurethat allcertificates,job cardsand otherrelevantdocuments arecompleted,and canbe providedto customer,if applicable是否有程序能确保产品的包装符合要求并能防止在运输中损坏及污染，包23ATA-300括危险品的运输？Do youhave adocumented programfor thepacking of components andmaterials meetthe ATASpec300,and shipping ofcomponentsandmaterialsto protectthem fromdamage anddeterioration,including propershippingofdangerous goods是否有报告程序规定将提供的产品和/或服务流程中发现的偏差和/或可能影响适24航状态的情况书面报告给客户？Istherea documentedprogramtoensurethatcustomer wouldbe announcedin writtennotice whendiscrepanciesand/or anyconditions mayaffect airworthinessin suppliers9productsand/or serviceprocesswas discovered25如果贵单位另外从事非航材贸易或从事非民航维修服务，是否有合适的隔离？If youdeal innon-aviation parts,materials,and/or maintenanceactivities,is therepropersegregation fromaviation activities产品追溯性文件和证书是否保存至少出售之后年？（仅适用于分销商）267项目问题是否不适用Item QuestionYes NoN/AIs traceabilityand certificationdocumentation kept at least for7years aftersale Applicabletodistributor以下由维修单位填写/Only forMRO tocomplete27是否有足够的人员来计划，执行，监督，检验和放行所执行的维修工作？Are thereadequate personnelto plan,perform,supervise,inspect andrelease themaintenancework tobe performed是否有必要的技术资料、设备、工具和材料来执行批准的维修工作？28Is therethe necessarytechnical data,equipment,tools andmaterial toperformtheapprovedmaintenance work是否所有工作包括检验、试验、修理和改装都按照适航当局或厂家批准的技术数29据进行的？Are allworks includinginspections,tests,repair andaKerations performedinaccordancewithtechnical dataapproved byAirworthiness agenciesor Manufactory30是否使用了工作单卡来记录生产、检验和试验过程？Are worksheets usedfor documentingproduction,inspection,and testingoperation31是否有一套报告流程，将在维修中发生的缺陷、不适航故障及失效等情况及时报告给客户？Is therea processto immediatelyreport anydefects,un-airworthy conditions,failures ormalfunctions,etc.to thecustomer是否建立体系，所有人员经过培训并且执行职责32SMS SMSSMSWhether toestablish SMSsystem or not,all personnelare trainedin SMSand perfbmiSMSduties33是否建立了培训大纲，确保所有员工获得岗位所需的初始培训和复训？Is thereanestablished trainingprogram thatassures allstaffs receiveinitial andcontinuation trainingthat isappropriateto individuallyassigned tasksand responsibilities维修记录是否至少保存至产品放行后年？343Is themaintenance documentationkeptatleastfor3years afterthe productreturn toservice对选择了“否”或“不适用”选项的说明/A statementthat NoorN/Ais selected供应商声明Supplier Statement:我在此保证问卷填写完整、信息真实可靠I herebycertify thatthe informationthat isprovided inthis questionnaireis completeand accurateto thebest ofmy knowledge.签名职务Signature Title姓名日期Name Date以下内容由航润完成/Only forHangrun tocomplete:评估合格，符合供应商资质要求评估不合格，原/Qualified,meettherequirement ofsupplier qualification.Unqualified,rn:因内审员评估结论Conclusion ofInternal Auditor内审员签名Signature ofInternal Auditor签署日期Signature Date□评估合格，批准纳入合格供应商/Qualified,approve tobe thequalified supplier.□评估不合格，不批准原因Unqualified,reason fordisapproval:质量经理意见Conclusion ofQualityManager质量经理签名Signature ofQuality Manager签署日期Signature Date表单编号/Form No.FM-CG-08-D/0。