Supplier Self Assessment template
Document Sample


2.4. Processes for purchase
Quality Assurance Supplier Self Assessment(SSA)
Document no 2006-051, rev. 3
1. Does your company have a documented quality system in accordance with:
a. ISO 9000
Yes No
b. QS 9000
Yes No
c. TS 16949
Yes No
d. Other simular third part certification?
Yes No
If yes, name of certification:_____________________________
If no on a-d, does your company have quality objectives and quality procedures
(a manual)?
Yes No
2. Is there an organization chart showing the quality function?
Yes No
If yes, please enclose organization chart to this document
3. Who is in charge of the quality department:________________________
4. Who is our contact person in quality matters:_______________________
5. Is there a procedure for quality assurance during the production:
Control of first units at production starts Yes No
Process control Yes No
Inspection by test sample (value in percentage)_____%
6. Is final control made:
100% final control Yes No
inspection by test sample (value in percentage) _____%
7. Does your company have a procedure for handling of complaint?
Yes No
If yes, please enclose procedure to this document
8. Do you have demands on your suppliers regarding how to handle nonconformities detected at your
Yes No
If yes, please attach a description of your process/demands.
9. Does your company have a procedure for corrective handling according to
deviant products?
Yes No
10. Do you work with preventive actions and continues improvements?
Yes No
If yes, please attach a description of the process.
11. Are incoming goods from subsuppliers inspected?
Yes No
12. Is there an implemented FIFO-system?
Yes No
13. Does your company perform internal quality audits?
Yes No
14. Are measuring results documented, and can they on request be handed
over to Electrolux Laundry Systems ?
Yes No
15. Are necessary measuring devices and test facilities available?
Yes No
16. Does your company have calibration routines for measuring devices?
Yes No
17. Is Electrolux Laundry Systems guranteed access to perform audits with
prior notice (one week)?
Yes No
18. Is there continous training for all personel?
Yes No
If yes, is there a routine to follow up that all personel keeps the skills needed?
Yes No
19. Is all personel informed about the customers demands?
a. The costomers demands?
Yes No
b. About the present status?
Yes No
20. Does your company follow a process during R&D development projects (Only valid for companies
Yes No
If yes, please attach a description of the process.
Date Signature & title
______ ________________________
Processes for purchase
Assessment(SSA)
ent no 2006-051, rev. 3
andle nonconformities detected at your factory?
ment projects (Only valid for companies with an R&D department)?
2.4. Processes for purchase
GSQA EL29001 Supplier Self Assessment(SSA)
Document no 2006-051, rev. 3
SUPPLIER PROFILE
Profile Number: Completion Date:
Person Responsible for Profile:
Company Name Job Function Tel no. Fax no Internet Addr.
Holding or Parent Company Only if Parent company answering
1. Name of Company:
2. Date company established: (YYMM)
3. Address
BUILDING NAME/STREET NAME/BOX NO
INDUSTRIAL ESTATE/TOWN
MAJOR TOWN/CITY
ZIP/POSTAL CODE
Telephone Number:
Facsimile Number.
Production and Sales
4. Select Commodities produced, if not currently purchased by AB Electrolux
To be selected from our Commodity table see sheet 3 Quote IDCO
5. What % of the Gross Sales is Local,National, Global
Local % National % Global %
(within 100 miles) (within country) (exported)
(150 km) Above must total 100%
Primary Business Contact Person (Ordering product etc)
6. Name Job Function Tel no. Fax no Internet Addr.
Credit References:
7. Bank name
Address
BUILDING NAME/STREET NAME/BOX NO
INDUSTRIAL ESTATE/TOWN
MAJOR TOWN/CITY
ZIP/POSTAL CODE
Telephone Number:
Facsimile Number.
Ownership
8. Company Legal Status
(choose from) Sole Proprieter Partnership: Wholly owned Subsidiary:
Publicly owned: Private Ltd. Liability: Joint Venture:
Cooperative: State owned: Corporation:
It is recommended that an Organisational chart be submitted with this profile Other:
Organisational chart submitted? Yes No Describe Other
General factory information
9. How many factory locations supply AB Electrolux?
Quote the most important Affiliated companies and their location
Company Name Town Country
1
2
3
If there is only one facility is the Holding company and facility in the same location?
Is Holding Company and Factory same location? Yes No
2.4. Processes for purchase
GSQA EL29001 Supplier Self Assessment(SSA)
Document no 2006-051, rev. 3
SUPPLIER PROFILE
Profile Number: Completion Date:
Person Responsible for Profile:
Company Name Job Function Tel no. Fax no Internet Addr.
Prime facility/Specific Factory
The following should be answered for each of the factory locations
create additional sheets for each factory location
General
1. Name of Company:
2. Date company established: (YYMM)
3. Address
BUILDING NAME/STREET NAME/BOX NO
INDUSTRIAL ESTATE/TOWN
MAJOR TOWN/CITY
ZIP/POSTAL CODE
Telephone Number:
Facsimile Number.
Primary Business Contact Person (Ordering product etc)
4. Name Job Function Tel no. Fax no Internet Addr.
Key Personnel
5. Plant Mgr
Sales Mgr
Purchase Mgr
Materials Mgr
Engineering Mgr
Quality Mgr
Product Mgr
Dispatch Mgr
Environment Mgr
Health & Safety Mgr
6. Ownership
Company Legal Status
(choose from) Sole Proprieter Partnership: Wholly owned Subsidiary:
Publicly owned: Private Ltd. Liability: Joint Venture:
Cooperative: State owned: Corporation:
It is recommended that an Organisational chart be sumitted with this profile Other:
Organisational chart submitted? Yes No Describe Other
Production and Sales ( Facility
7. State Commodities produced, currently of interest to AB Electrolux
To be selected from our Commodity table see sheet 3 Quote IDCO
8. What % of the Gross Sales is Local,National, Global
Local % National % Global %
(within 100 miles) (within country) (exported)
(150 km) Above must total 100% and be whole numbers only
9. Name all AB Electrolux facilities supported from this site, and the commodities supplied
To be selected from our Facility table see sheet 3 Quote Code
All commodities for each facility should be quoted
To be selected from our Commodity table see sheet 3 Quote IDCO
Facility Commodity (IDCO)
Stability - Facility Credit reference
1. Bank name
Address
BUILDING NAME/STREET NAME/BOX NO
INDUSTRIAL ESTATE/TOWN
MAJOR TOWN/CITY
ZIP/POSTAL CODE
Telephone Number:
Facsimile Number.
2. Do Trade Union Agreements exist? Yes No
Union Name Contract Expiration Date (YYMM)
3. Are Industial relations satisfactory? Yes No
4. Does company have Product Liability Insurance? Yes No
If Yes, quote
Name of Insurer Policy Number
It is recommended that a copy of the Policy be submitted with this profile
Insurance policy submitted? Yes No
Manufacturing General Information
1. Facility Type Classification: Distribution: Import:
Manufacturing : Export;
Manufacturing & Design: Home:
Service:
Agent:
Stockist:
2. Manufacturing classification - Quote predominant class
Manual:
Semi-automatic:
Automatic:
3. List Major Processes
Moulding: Assembly:
Machining: Fabrication:
Forming: Surface Treatment:
4. Manufacturing Area: Sq. M % of area utilised %
5. Major Production Equipment List
It is recommended that a copy of the Equipment List be submitted with this profile
Equipment List submitted? Yes No
6. If Non Manufacturing (Distribution, Agent, Stockist,Testing, Service) Select major processes
Receiving: Sorting: Packaging:
Inspection: Assembling: Dispatch:
Design Capability
1. Does facility do product design and development for Customers? Yes No
If Yes
2. Is Design On or Off site? On Off Both None
3. Address of design site (if offsite)
Name
Address
BUILDING NAME/STREET NAME/BOX NO
INDUSTRIAL ESTATE/TOWN
MAJOR TOWN/CITY
ZIP/POSTAL CODE
Telephone Number:
Telefax Number:
4. Design site Contact person
Name Job Function Tel no. Fax no Internet Addr.
Management System Accreditation
1. Is Management System accredited to one of the following modules?
Planned Date
If not yet accredited what is planned date QS 9000 Yes No
ISO 9001 Yes No
ISO 9002 Yes No
ISO 9003 Yes No
If so quote module: Module:
Accreditation Certificate number: Accred. Body:
It is recommended that a copy of the Certificate be submitted with this profile
Certificate submitted? Yes No
2. Other Customer Management Systems Approvals obtained Yes No
If so quote:
Company System Name / no.
Computerisation
1. Computerisation Type
Do you use CAD in design? Yes No
Do you use CAM in manufacturing? Yes No
Are Cad /CAM interlinked? Yes No
Do you have a CD Rom capability? Yes No
How many PCs on site? 0 1-5 5-10 >10
2. Do you use Invetory control systems? Yes No
Mark all functions that apply
Invoice payment: Receipts:
Material Scheduling: Sales orders:
Purchase ordering: Stock transactions:
3. Person responsible for Computerisation
Name Job Function Tel no. Fax no Internet Addr.
Purchase Orders
1. State by which means you are able to accept Purchase Orders (Mark all that apply)
EDI Postal Telephone Telefax Telesales Other Elect
2. Transportation
What kind of transportation is used? Own Transportation:
Customer Transportation:
Others:
Major Customers and Subcontractors AB Electrolux
Ranked Position
1 2 3
1. Top 3 Customer Detail
Name:
Type of industry;
% of Business by Sales value
2. Top 3 Supplier Detail
Name:
Major Material or Process:
% of Total Buy
3. Top 3 Competitor Detail
Name:
Business Philosophy Aspects
If program is planned show start up date in YYMM
a) Programme Participation Are you already doing this? Is it Planned ? Are you willing
When to participate?
1. Electronic communications
(e.g. EDI) Yes No
2. Advanced Inventory Systems
(e.g. MRP II) Yes No
( Kanban) Yes No
3. Bar Coding Yes No
4. Cost Transparency
(Open Book approach) Yes No
5. Part No.Identification On Part Yes No
6. Factory of origin identified on Part Yes No
7. Provision of Certificates of Test
or Analysis with deliveries? Yes No
b) Continuous Improvement Is it Planned ? Are you willing
Are you already doing this? Date to participate?
1. Cost Improvement programme Yes No
2. Quality Improvement
(e.g. TQM; SPC) Yes No
3. Energy Conservation Yes No
4. Vendor Rating Scheme Yes No
If answer is Yes to above, name person responsible
1
2
3
4
Last Year Performance
Calender Year (Jan - Dec) information Last Year
1. Employee Details
Total Number Employed:
Number of Indirects
Sales & Administration
Engineering & Development
Quality
Supply management
Total Employee Turnover (% of total number employed) %
Absenteeism (% of total number employed) %
2. Financial & Investment
Quote Dun and Bradstreet Number
If Dun and Bradstreet Number quoted there is no need to answer
the following Financial or Logistic questions
Quote Currency used: see table quote figures in Millions
Turnover (Gross Sales) Mil.
Net Income after Tax: Mil.
Design & Development spend: ] %
Material spend: ] % of Gross %
Quality spend: ] Sales %
Capital spend: ] %
3. Capital Spend (Top 5)
Quote value in Millions in Currency used above; for Top 5
Value Item Desc Value Item Desc Value Item Desc
1 3 5
2 4
Last years Costs
1. Scrap cost: ] % of Gross %
2. Re-work cost: ] Sales %
Last years Logistics
5 Inventory Turns overall (average Year results)
Signature: Supplier:
AB Electrolux:
2.4. Processes for purchase
Supplier Self Assessment(SSA)
Document no 2006-051, rev.3
Supplier name:
Actual according to
Criteria criteria explanation Committed Goal Comments
Quality and process system assurance
Quality Performance
Capacity Flexibility
Delivery Performance, in time
Lead Time
Financial Position
Environmental systems and efforts
Strategic confidence
Supplier commitment
R & D Capabilities
Price level
Price risk/trend
Supplier fire prevention commitment
Date and responsible person
For further information about each criteria enter http://www.laundrysystems.electrolux.com/
Fire Prevention 2.4. Processes for purchase
Supplier Self Assessment(SSA)
Document no 2006-051, rev.3
All suppliers to Electrolux Laundry Systems (ELS) are forced to have a fire prevention system activated in
order to avoid hazardous events which can give interference for delivery of parts and other ordered items to
ELS.
ELS will submit every Supplier with a questionnaire where the Supplier shall fill in its own judgment
according to 27 different items with a point system from 3, 5, 7 and 9
The items are separated in 6 different summaries
First one concerns organization, planning, inspection and education and will be critical when checking
questionnaire
Second is about maintenance of all process equipments, as a good scheduled maintenance is important for
running a safe and secure environment wherever it is situated
Third chapter takes care of routines for employees, inspections and use of inflammables
Forth part handles security and use of fire protection equipments, building safety and protection by external
fire alarms, i.e. to fire brigade
Fifth part is about technical matters, such as equipment for fire fighting, manual and automatic, i.e.
sprinklers
Sixth chapter concerns storing of inflammable liquids and electrical lightning risks
Seventh chapter concerns backup of critical software, drawings and routines
Every question can be answered in four different points,
3 = cannot answer the question due to not in use at all
5 = items are in an introduction phase
7 = running in a good state
9 = has been in operation since 3 years
Note
If the Suppliers judgment is 3 or 5 on any item then ELS expect to have an answer explaining what the
Suppliers intention is.
3 5 7 9
1 Catastrophic plan in case of fire or other hazards
3 Organisation for fire preventing actions, fire prevention group etc.
4 Frequent inspection by own staff, min. once a year
5 Education and training of employees in fire preventing actions
6 Maintenance of machines and equipment, according to plan
7 Maintenance of electrical installations, according to plan
8 Maintenance of fire prevention equipment, according to plan
10 Smoking regulations for employees
11 Checks on ”Hot works”, routines, internal own or/and hired personal
12 Checks on movable units, e.g. forklifts, cranes
13 Checks on use of inflammable liquids and gases
14 Checks on external exposure – material location
15 Security and safety, i.e external security company regular checkpoints
16 Personal protection and escaping plans available for all employees
17 Use of/access to fire fighting equipment
18 Fire walls/fire restrictions in production areas
19 System for fire alarm directly to fire brigade (internal/external)
20 Evacuation facilities of smoke in case of fire
21 Supply of water for fire-fighting
22 Manual equipments for fire-fighting, i.e. fire-extinguisher
23 Automatic fire-fighting equipment (sprinkler/gas)
24 Special fire fighting equipment (i.e. in computer room)
25 Safe places for battery-charging
26 Storing and handling of inflammable chemicals
27 Lighting, elimination of risk (i.e. security lightning for fluorescent tubes)
28 A completely separate fireprotected serverroom used for all backup
29 Daily backup of all measured parameters in production
30 Backup of drawings, specifications, checklists, SW running productionequipment
Total sum
Made by/sign: Date
(Name in print): Phone
SPT-VALUE:_________
(to be filled in by purchasing/quality dept)
Processes for purchase
Assessment(SSA)
ment no 2006-051, rev.3
Sum
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2.4. Processes for purchase
Quality Assurance Plan Enclosed Supplier Self Assessment(SSA)
Are the following available if requested by Electrolux Document no 2006-051, rev.3
Process flow chart
Yes No
Risk assessment (e.g. FMEA)
Yes No
Control Plan
Yes No
Measuring protocol
Yes No
Agreement 2.4. Processes for purchase
Supplier Self Assessment(SSA)
Document no 2006-051, rev. 3
Agreement and exhibits can be found on http://www.electrolux.com/laundrysystems/node252aspx
The Standard Version Supply Agreement, including all exhibits, has been read ?
Yes No
The Standard Version Supply Agreement, including all exhibits, has been accepted ?
Yes No
If NO, please specify which section and what cannot be accepted or shall be changed
Contingecy planning
Is there an contingency plan as required by ELS?
Yes No
See http://www.laundrysystems.electrolux.com/, document 'ELS Contingency Planning' for requirements
Process description
Please describe below in a flowshart the processen in Your Company:
ESD
(this section is only valid for companies that handle ESD-sensitive components)
According to which ESD-standard is your company certified? ______________________
How often is this certificat renewed and by whom? ______________________
Language
What are the languages spoken at Supplier?
What languages does keyroles speak that interface to customer?
E-mails
How big e-mail can the Supplier receive in mB?
RoHS
Does the Supplier fulfill the RoHS directive?
Yes No If No, from when? ______________________
WEEE
Does the Supplier fulfill the WEEE directive?
Yes No If No, from when? ______________________
REACH
Does the Supplier fulfill the REACH directive?
Yes No If No, from when? ______________________
Processes for purchase
Assessment(SSA)
ent no 2006-051, rev. 3
nning' for requirements
Supplier Evaluation Questionnaire - Environmental Performance 2.4. Processes for purchase
Supplier Self Assessment(SSA)
Name of company: Document no 2006-051, rev.3
Address:
Country:
Telephone number:
Main product(s), specify by IDCO code(s):
Questionnaire was completed by (name):
Questionnaire was completed (date):
Actions have to be followed up before (date):
Click 'Yes' or 'No' to answer. Please answer all questions, unless grayed out. 0 0
Please answer all questions Yes No
1. Does your company comply with all applicable environmental local laws and regulations? 1. Yes No
2. Does your company have access to and an understanding of all environmental Yes
2. No
legislation relevant to your company?
3. Does your company have all necessary operating permits? 3. Yes No
4. Does your company comply with the following requirements?
a/ Do you have a copy of the Electrolux Environmental Policy? (see homepage) 4a. Yes No
b/ Do you have a copy of the Electrolux Restricted Material List (RML)? (see homepage) 4b. Yes No
c/ Are the components/products you supply to Electrolux in compliance with the RML and
4c. Yes No
RoHS?
5. Does your company have, or are implementing, an Environmental management
5. Yes No
system?
If Yes a/ Is it implemented and certified (ISO14001 or EMAS)? 5y. Yes No
If No a/ Do you have an environmental policy? 5a. Yes No
b/ Are significant environmental aspects defined? 5b. Yes No
c/ Do you have environmental targets? 5c. Yes No
d/ Do you have environmental measurements? 5d. Yes No
e/ Are operators that perform work with significant aspects properly trained? 5e. Yes No
f/ Do the management review the environmental performance? 5f. Yes No
g/ Do you perform environmental audits at least annually? 5g. Yes No
h/ Do you have routines for handling non-conformances? 5h. Yes No
i/ Do you have a contingency plan in case of accidents or emergencies? 5i. Yes No
6. Does your company's environmental measurements show improvement? 6. Yes No
7. Does your company have environmental targets on its products 7. Yes No
8. Does your company evaluate its suppliers environmental performance? 8. Yes No
Please note that you may be requested to provide further information or
evidence in support of the statements you have made above.
2.4. Processes for purchase
Supplier Self Assessment(SSA)
Supplier Evaluation Questionnaire - Electrolux Workplace Code of Conduct Document no 2006-051, rev. 3
Name of company:
Address:
Country:
Telephone number:
Main product(s), specify by IDCO code(s):
Questionnaire was completed by (name):
Questionnaire was completed (date):
Actions have to be followed up before (date):
Click 'Yes' or 'No' to answer. All questions have to be answered! 0 0
Note: All questions have to be answered! Yes No
1. Does your company comply with all applicable local laws and regulations? 1. Yes No
2. Does your company have access to and an understanding of all legislation 2. Yes No
relevant to your company?
3. Does your company comply with the following provisions of
the Electrolux Workplace Code of Conduct?
a/ Child labor 3a. Yes No
b/ Forced labor 3b. Yes No
c/ Health & Safety 3c. Yes No
d/ Non-discrimination 3d. Yes No
e/ Harassment and abuse 3e. Yes No
f/ Working hours 3f. Yes No
g/ Compensation 3g. Yes No
h/ Freedom of association & Collective bargaining 3h. Yes No
i/ Environmental compliance 3j. Yes No
4. Does your company's management systems include written procedures that
ensure effective implementation of local laws and the requirements of
the Electrolux Workplace Code of Conduct in the following areas?
a/ Child labor 4a. Yes No
b/ Forced labor 4b. Yes No
c/ Health & Safety 4c. Yes No
d/ Non-discrimination 4d. Yes No
e/ Harassment and abuse 4e. Yes No
f/ Working hours 4f. Yes No
g/ Compensation 4g. Yes No
h/ Freedom of association & Collective bargaining 4h. Yes No
i/ Environmental compliance 4j. Yes No
5. Does your company maintain documentation in the areas covered by the
5. Yes No
Electrolux Workplace Code of Conduct?
6. Would the company be prepared to develop a management system and document
6. Yes No
handling of the areas covered by the Electrolux Workplace Code of Conduct?
7. Does your company have a Code of Conduct or policy covering the same aspects as
7. Yes No
the Electrolux Workplace Code of Conduct? If yes, please attach.
8. Do you have a formalized procedure for employees to report on observations
8. Yes No
or dissatisfaction with conditions or problems in the workplace, i.e. whistle blowers?
9. Does the company’s Code of Conduct, policies and management systems extend
9. Yes No
beyond local legal requirements and the Electrolux Workplace Code of Conduct?
10. Does your company monitor your suppliers on social issues? 10. Yes No
11. Has your company been monitored on social issues and passed or corrected
11. Yes No
identified problems?
12. Has your company been certified on social issues by external certification
12. Yes No
organization such as e.g. SA8000 or similar?
Please note that you may be requested to provide further information or
evidence in support of the statements you have made above.
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