SUPPLIER EVALUATION QUESTIONNAIRE

A. ORGANIZATION DETAILS:

ORGANIZATION NAME: Staff No.:

ADDRESS: Approval No.:

B. CONTACT DETAILS OF REPRESENTATIVE(S):

DESIGNATION NAME TELEPHONE NO. EMAIL ADDRESS

C. CERTIFICATION APPROVAL DETAILS:

DOCUMENTS INCLUDED IN APPLICATION (TO BE USED AS JUSTIFICATION FOR APPROVAL)

ISSUING CERTIFICATE EXPIRY
CATERGORY REMARKS
AUTHORITY NUMBER DATE
(FAR/PART/CAR) 145 Certificate
(FAR/PART/CAR) 21 POA
Certificate
(FAR/PART/CAR) 21 DOA
Certificate
TSO/ETSO/FAA ODA Approval

CAR MOA Certificate

ISO/AS/EN/ASA Certificate

Trade License

Other (to support application)

FOR APPROVED MAINTENANCE ORGANIZATION ONLY (MARK ANY)

YES NO N/A REMARKS

CAPABILITY LIST

D. ORGANIZATION SCOPE:
SELECT
DEFINE YOUR ORGANIZATION
ATLEAST ONE
(FAR/PART/CAR) 21 Production Organization

(FAR/PART/CAR) 21 Design Organization

(FAR/PART/CAR) 145 Approved Maintenance Organization

Supplier / Distributor

Calibration Facility

Other (specify): ______________________________________________________________

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 SUPPLIER EVALUATION QUESTIONNAIRE

Note 1: Please define the status (Applicable (APPL) / Not Applicable (N/A)) of following audit questions and add the
manual reference(s).

Note 2: Please refer to Annex I for required documentations.

Note 3: Section E is not applicable to Commercial Suppliers.

E. TECHNICAL SUPPLIER QUESTIONS

No. AUDIT QUESTIONS STATUS MANUAL REFERENCE

1. ORGANIZATION / MANAGEMENT
Does the Organization have an established Quality and
1.1
Safety Policy?
1.2 Does the organizational chart identify Accountable?
Does the organization conduct management reviews to
1.3
identify and manage changes in customer requirements?
2. QUALITY SYSTEM

2.1 Does Organization established Quality System?

a) Nomination of Quality Manager.

b) Reporting line directly to Accountable Manager.

c) Quality Manual that adequately describes the Quality
System and approved by company management and
relevant authority.
d) Implementation of Quality Assurance Program
including internal audit.
Does the Quality Manual and/or other documentation
2.2
includes a detailed description of:
a) Record keeping system? Control of documents,
technical data and records?
b) Control of incoming discrepant parts and supplies?

c) Receiving inspection procedures?

d) Test and inspection equipment calibration program?

e) Storage facilities and specifications?

f) Internal audit/ evaluation process?

g) A process for corrective action and identifying the root
cause?
3. DOCUMENTATIONS AND RECORDS
Is the document control system periodically audited to
3.1
ensure continued compliance?
Are receiving inspection records including traceability are
3.2
maintained?
3.3 How long the retention period for records? ______________

4. TRAINING
Are personnel who perform inspection, shipping and
4.1
receiving functions properly trained?

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 SUPPLIER EVALUATION QUESTIONNAIRE

No. AUDIT QUESTIONS STATUS MANUAL REFERENCE

4.2 Is inspection personnel properly authorized?

Is inspection personnel trained to identify unapproved and
4.4
bogus parts?
Is a roster of personnel authorized to perform inspection
4.5
functions maintained?
5. PURCHASING
Does the system assure that parts conform to the
5.1
customer’s purchase request?
Are purchases performed only from Approved manufacturer
5.2
as applicable?
Do the components, standard parts or materials purchase
5.3
from sources other than original manufacturer?
Is there a system in place for selecting and approving new
5.4
suppliers?
Does the Organization maintained a list of Approved
5.5
Supplier list?
Components/ Standard Parts / Materials are certified
5.6
traceable to:
5.7 a) OEM Approved Supplier/ Distributor

5.8 b) Accepted Industry Standards (Standard Parts Only)

6. INSPECTION
Is all incoming materials held in a separate area or shelf
6.1
until accepted by receiving inspection?
6.2 Is there segregated shelf for rejected items?

6.3 Does the inspection program include:

6.4 Inspection if the package for transportation damage?

6.5 Inspection of the material for transportation damage?

Check of the compliance with the purchase order in regards
6.6
to quality and quantity?
Verification of part number, model number, etc. to match the
6.7
documentation?
6.8 Visual inspection for surface treatment, correction etc.?

6.9 Check of appropriate marking in the product?

Check of material certification, other applicable certificates,
6.10
certificate of origin as may be required?
7. CONTROL OF NON-CONFORMING PRODUCT AND CORRECTIVE ACTION
Is non-conforming material properly identified, segregated
7.1
and records of disposition maintained?
Are reworked or repaired product re-inspected to original
7.2
criteria?
8. MATERIAL HANDLING AND STORAGE
Are parts and materials correctly identified and properly
8.1
stored?
Are parts and material properly protected from damage and
8.2
deterioration, loss and unauthorized release?

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 SUPPLIER EVALUATION QUESTIONNAIRE

No. AUDIT QUESTIONS STATUS MANUAL REFERENCE

Are flammable, toxic, and/or hazardous materials stored in
8.3
appropriate, properly identified storage area?
Are sensitive parts and equipment (oxygen parts, O-rings,
electrostatic sensitive devices, temperature/ humidity
8.4
controlled items, etc.) properly packed, identified and stored
to protect from damage and contamination?
Are high pressure bottles correctly labelled, properly stored
8.5
and secured?
Does the company have a quarantine area for rejected parts
8.6
and materials awaiting disposition?
9. SHELF LIFE PROGRAM

9.1 Does the company have a documented shelf life program?

Does the program list parts and materials that have shelf life
9.2
limits?
Does each shelf life item have the shelf life expiration limit
9.3
displayed?
Is there an adequate system to assure that no item will be
9.4
issued or used past its expiration date?
10. EQUIPMENT/ TOOLS CALIBRATION PROGRAM

10.1 Does the company have a documented calibration program?

Are all calibrated tools calibrated to the National Institute of
10.2
Standards and Technology (NIST), or equivalent?
Is each item requiring calibration identified and on the
10.3
calibration list?
Is there a system to identify each item in the program, its
10.4
calibration frequency, and its calibration due date?
Does the company have a procedure for identifying,
controlling and/or preventing out-of-service, limited
10.5
calibration, and due-for-calibration tools and equipment from
being used?
Does the company have a procedure to control the calibration
10.6
of personal tools?
Are the tools and test equipment in a serviceable condition
10.7
and environmentally protected (as applicable)?
11. SHIPPING
Are components returned in a appropriate shipping
11.1
container or as specified by the customer?
Does the company verify that the identifying data (P/N, S/N,
11.2 nomenclature, mod no.) on the documentation and the data
plate match?
12. SCRAP PROGRAM
Does the company have a documented procedure to assure
12.1 that scrapped parts are either returned to the customer or
mutilated beyond repair?
Does the company maintain a record of scrapped life limited
12.2
parts for a minimum of three (3) years?
Does the record include the P/N, S/N, and date of the
12.3
scrapped part?
Is the company's scrap program adequate to avoid mixing of
12.4
materials?

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 SUPPLIER EVALUATION QUESTIONNAIRE

ADDITIONAL INFORMATION:

DECLARATION

The information transmitted in this questionnaire is hereby certified to be completed and accurate in accordance with
company policy, process and procedures.

NAME DESIGNATION SIGNATURE DATE

FOR TECHNICAL PROCUREMENT DEPARTMENT ONLY

REASON FOR APPLICATION
Initial Approval Renewal Approval Other: …………….
SCOPE REQUESTED FOR SUPPLIER APPROVAL:

ORDER TYPE
Purchase Order Loan Order Warranty Order
Repair Order Pool Request Order Exchange Order
NAME DESIGNATION SIGNATURE DATE

FOR QUALITY ASSURANCE DEPARTMENT USE ONLY

RESULTS OF EVALUATION: Approved Not Approved

APPROVAL NUMBER (Q-PULSE): EXPIRY DATE:

COMMENTS:

Quality Assurance Engineer - Application Acceptance:

NAME SIGNATURE DATE

Manager Quality Assurance - Approval Granted:

NAME SIGNATURE DATE

ANNEX I

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 SUPPLIER EVALUATION QUESTIONNAIRE

1.1.1 DEFINITION

Supplier – Any source providing components, standard parts, tools & equipment or materials to be used
for maintenance. Possible sources could be: PART/FAR/CAR 145 organizations,
PART/FAR/CAR 21 DOA & POA organizations, operators, distributors, brokers, calibration
facility, aircraft owners, etc.

2.1.1 QUALITY REQUIREMENTS

Suppliers are required to provide the following documentation as part of the approval and recertification
process to be considered an Approved Supplier of Air Arabia (ABY).

All Suppliers shall submit a completed Supplier Evaluation Questionnaire form (ABY/QAM/077).

The following documents are to be provided along the above, dependent upon type of Organization
approval sought.

2.1 Approved Maintenance Organization or Calibration Facility

2.1.1 Approved Maintenance Organization

– PART/FAR/CAR 145 Approval Certificate(s);
– Capability List / Operations Specifications covering parts being supplied;
– Maintenance Organization Exposition (MOE) Manual;
– Relevant procedures specified in 2.2 of evaluation questionnaire (if applicable).

2.1.2 Calibration or Testing Facility

– ISO/IEC 17025 is mandatory;
– Accreditation Certificate covering accreditation scopes;
– Relevant procedures specified in 2.2 of evaluation questionnaire (if applicable).

3.1 Design/ Distributors / Supplier of Parts or Materials

3.1.1 Design Organization

– Design Organization Approval (DOA) EASA Part 21 Subpart J or equivalent;
– Qualifying process of Compliance Verification Engineers (CVE);
– List of CVEs;
– DOA Handbook.

3.1.2 Product Organization

– Product Organization Approval (POA) EASA Part 21 Subpart G or equivalent;
Note: Sub-assemblies with no production approval are acceptable only if procured from
a Production Approval Holder or its licensee with direct ship authority
– Production Organization Exposition Manual;
– Relevant procedures specified in 2.2 of evaluation questionnaire (if applicable).

3.1.3 Distributors / Suppliers

– Approval Certificate covering Distributor / Supplier activity (ISO/AS/EN/ASA Certificate)

4.1 Commercial Suppliers

– Commercial Trade License
– ISO Approval Certificate (if applicable)

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