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Questionnaire for Supplier Self-Assessment

Questions over the Company:

1 Name/Legal form of the Company?

Company formation (Datum)

Address?

Capital? [€]

2 Total number of staff? persons

3 of which employees in production persons

4 Employees in various departments? Development: Quality management:

Manufacturing/Production: Trade/Marketing:

Logistics: Project management:

5 Branch?

6 Main products? (max 4 groups) 1 2

3 4

7 Technologies? (max 4 items) 1 2

3 4

8 Main customers (max 6 customers) 1 2

3 4

5 6

10 Corporation (Is your company member of a group of companies?) yes: no:

if yes: name:

11 Contact person in various departments? (Name + phone nr.) Management:

Development:

Quality management:

Manufacturing / Production:

Trade/Marketing:

Logistics:

Project management:

12 Product liability insurance? yes coverage [€]

Datei: 563831068.xlsx Erstellt: jwa/AWT Revision:201305

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Questionnaire for Supplier Self-Assessment

Questions over the Quality Management System:
13 Do you maintain a QM-System? yes: X no: starting date:

Is this QM-System audited? yes: no: by whom:

14 According to which Standard? DIN EN ISO 9001? VDA 6.1?

QS 9000? (other)

15 Next /scheduled certification?

16 Was your system verified by your customers? yes: no:

if yes: name

17 Person responsible for quality management (Name, phone Nr.)

18 Have you any experience with sampling? yes: no:

(for ex.: PPF, VDA-EMPB, PPAP...) if yes:

19 Do you operate a quality planning process? yes: no:

20 Do you identify special / critical characteristics (FMEA)? yes: no:

21 Do you operate a Continuous Improvement Process ( CIP)? yes: no:

22 Do you operate Statistical Process Control (SPC)? yes: no: (at serial production)

23 Do you practise worker self-assessment? yes: no:

24 Do you perform product audits? yes: no:

25 Do you perform process audits? yes: no:

26 Do you perform system audits? yes: no:

27 Do you perform supplier audits? yes: no:

28 Do you proceed to incoming goods controls? yes: no:

29 Do you systematically assess your suppliers? yes: no:

30 Do you use 8D-Report to handling customer claims? yes: no:

31 Do you systematically evaluate customer claims? yes: no:

32 Do you identify internal reject? / Rework? yes: no:

33 Do you practise endcontrol random basis for the delivery? yes: no: less than 100%: %

34 Are you able to perform 3D measurements? yes: no:

35 Do you perform laboratory analyses? (for ex.: viscosities, combustion analyses ...) yes: no:

if yes, which ones:

36 Do you have an ISTR process according to VDA? yes: no:

37 Is your company ready, to make Quality Assurance Agreement? yes: no:

Datei: 563831068.xlsx Erstellt: jwa/AWT Revision:201305

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Questionnaire for Supplier Self-Assessment

Questions over Logistics:
38 Do you supply your customers with charge carriers? yes: no:

39 Do you operate an account over charge carriers? yes: no:

40 Do you systematically evaluate your own supplier's reliability? (Quota of in-term deliveries) yes: no:

41 Do you develop special empties / packing on own expenses? yes: no:

42 Do you systematically rate your suppliers? (logistical parameters) yes: no:

43 Do you receive customer calls via Remote Data Transfer (RDT)? yes: no: (other)

44 Do you operate a PPS-System? yes: no:

if yes: name:

Questions over Project Management :

45 Do you perform project management? yes: no:

46 Do your project managers operate with deadline / project plans? yes: no:
47 Is project progress systematically supervised? yes: no:

48 Have you set up project teams? (for new projects or products) yes: no:

49 Do you have any experience with automotive industry projects? yes: no:

Questions over Environment Management:

50 Is your environment management system audited? yes: no:

according to ISO 1 other:

Other questions:
51 Do you practise systematic work protection instruction? yes: no:

52 Do you practise scheduled employee instruction? yes: no:

53 Have you organized "preventive equipment maintenance" in your company? yes: no:

54 Do you operate workshops for maintenance and tool construction? yes: no:
Comments:

Solvaro GmbH

Solvaro Kft

True responses to this Questionnaire constitute the basis of business relations between SOLVARO and its member companies,
to the general purchasing and payment terms, in their actual versions they are considered guidelines
for quality management to suppliers , as well as for the final Agreements on Quality Assurance (AQA).

...................................................., .... . .... . .......... ...................................... ......................................

signature signature

Signatories in capitals: ...................................... ......................................

Datei: 563831068.xlsx Erstellt: jwa/AWT Revision:201305

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Questionnaire for Supplier Self-Assessment

Appendix: General Purchasing Terms in web-site SOLVARO

Datei: 563831068.xlsx Erstellt: jwa/AWT Revision:201305