Waiver of Liability Form Template

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					                                            Supplier On-Site Assessment Instructions


Instructions   1. Obtain On-Site Assessment file from the Strategic Sourcing sharepoint site, under the Template section located at:
               http://cipt0283:83/sites/FuncComm/Sourc_Comm/Shared%20Documents/Supplier_Onsite_Assessment.aspx

               2. Send Audit Form form to selected supplier and ask to complete the self assessment and record the findings in the "Supplier"
               column. All sections must be filled-out, regardless of applicability. Sections and questions that do not apply will be identified with
               the "N/A" label.

               3. Upon return of the completed assessment, the Commodity Manger reviews the data, requests any clarifications, and then
               prepares for the Copper-led on-site evaluation.

               4. The Commodity Leader assembles an appropriate audit team, ideally consisting of representatives from Quality, Engineering,
               Materials, and Purchasing, and schedules the on-site assessment.

               5. The team evaluates the supplier by asking the questions in the On-Site Assessment (tab Audit Form) and scores each question
               based on the evidence observed. Scoring is recorded in the "Cooper" column of the audit sheet in accordance with the Audit
               Scoring Definitions shown below.

               6. At the completion of the assessment, scores are compiled for both the individual sections of the audit and an overall result.
               These results are shown in the tab Scoring Summary.

               7. A corective action sheet is included in the audit materials to address any deficiencies identified in the audit. The sheet can also
               be used at the team's discrection to catalogue any other further reqired actions related to sourcing decisions.

               8. Complete the Recommendation section and save the file as, vendor name_assessment_MM_YYYY

               9. Upload the completed assessment to the Strategic Sourcing sharepoint site using the "Upload the On-Site Assessment" feature.

               10. Add comments in the sharepoint site indicating the final thoughts and recommendations.


                                                          Audit Scoring Definitions


     Score      Segmentation           Documentation                Implementation                                    Results

                                   Full documentation with      Full execution. No non-            Evidence to support full understanding and
       3           Strategic
                                   no missing requirements           conformances                               implementation
                                         Substantial
                                                            Execution evident with           Evidence supports understanding of requirement with
       2          Preferred       documentation with some
                                                          limited non-conformances                             partial execution
                                    missing requirements
                                                                Limited execution with
       1           Maintain        Limited documentation
                                                               major non-conformances
                                                                                                        Limited evidence of requirement

                                                                    No evidence of              Element required but no evidence of execution or
       0        Unacceptable          No documentation
                                                                   implementation                               understanding
      N/A             N/A               Not Required                 Not Required                             Element not required




                                                                                                                                   Coper Industries
                                                                                                                                Document #3.0004
                                                                                                                            Issue Date: 11/06/2010
                                                                                                                                      Revision: 003
                                                                                      Supplier On-Site Assessment
                                                                                                                                                    Supplier Score                   #DIV/0!
                                                                                                                                                     Cooper Score                    #DIV/0!


                                                                                               Supplier Information
Supplier Name:                                                                                                                       Vendor ID #:
Plant Location:                                                                                                                         Phone #:

Supplier Contact:                                                                                                              Supplier E-Mail:

                                                                                                Audit Information
Division :                                                                                                                      Auditor Name:
Commodity Family:                                                                                                               Auditor E-Mail:
Product Type:                                                                                                                   Auditor Phone:
Audit Date:                                                                                                                    Cooper Division:

1. Customer Satisfaction                                                                                                   Supplier     Cooper                       Observations / Evidence

       There is a documented process for determining customer satisfaction, including frequency of determination,
 1.1
       delivered part quality, customer disruptions, field returns, delivery performance, and customer notifications?

       Metrics monitoring customer satisfaction that are related to supplier manufacturing are understood and
 1.2
       tracked.
       There are projects and programs in place to improve customer satisfaction, with corrective actions addressed,
 1.3
       and a closed-loop review system progress

 1.4 Customer dedicated service group with multifunctional team has been established for key accounts

                                                                                  Customer Satisfaction Section Score:     #DIV/0!      #DIV/0!
2. Quality System                                                                                                          Supplier     Cooper                       Observations / Evidence

 2.1 Do you have a quality system registered to a recognized standard, like IS09000/TS16949?


 2.2 There are quarterly Management Reviews to verify the effectiveness of the quality system.



       Each department has goals that are defined and measured and focus on the use quality policy, objectives,
 2.3
       audit results, analysis of data, corrective / preventive actions


     Management regularly reviews the status of the Preventive Maintenence completion to plan. Management
 2.4 reviews corrective action plans to ensure any backlog (past due) maintenance has a plan to become current to
     the PM schedule.

 2.5 Internal audit frequency is modified based on non-conformance trends.


 2.6 Internal audits are available to verify that the quality system is being followed.


 2.7 A formal business/manufacturing system is in place ( Capacity Planning, Shop Floor Control, ERP, etc.)


 2.8 Proactive notification of issues which could affect delivery or quality are documented and performed

 2.9 Does the Supplier have a process for final product identification, including bar code, if required.
     Does the supplier obtain customer waiver (concession/deviation) prior to further processing when the
2.10 product/process is different from what is approved? And are shipping containers properly identified when this
     occurs?
                                                                                           Quality System Section Score:   #DIV/0!      #DIV/0!
3. Business System                                                                                                                                                   Observations / Evidence

 3.1 A Customer-focused strategy has been developed and deployed to ensure business portfolio diversity

       Is there evidence and use of tools like Electronic Data Interface (EDI), Request For Quote (RFQ), Advanced
 3.2
       Planning and Scheduling (APS) ?
       Have contingency plans been prepared to satisfy customer requirements in the event of an emergency such as
 3.3
       utility interruptions, labor shortages, key equipment failures, and field returns?

 3.4 Is there a process to address product liability / recall issues?

       Does the supplier have a long-term plan for sustainability, including a system in place to identify key business
 3.5
       and product risks and opportunities?
     Are the Purchase Orders reviewed for commitment to qty, price, delivery date, delivery method, and any
 3.6 additional special requirements or instructions? If any differences arises the differences are resolved prior to
     acceptance of the order.
       Personnel performing specific tasks shall be qualified on the basis of appropriate education, training, and/or
 3.7
       experience.
                                                                                          Business System Section Score:   #DIV/0!      #DIV/0!




                                                                                                                                                                                                     Cooper Industries
                                                                                                                                                                                                    Document #3.0004
                                                                                                                                                                                               Issue Date: 11/06/2010
                                                                                                             2of 7                                                                                       Revision: 003
4. EHS and Risk Management                                                                                                                                                                                     Observations / Evidence
                 An effective process for EHS is formally defined, well documented and understood with systematic root cause
             4.1
                 investigation and tracked corrective actions for all EHS defects
                                                                       A well documented and understood effective process is in place, that requires formal risk assessment upon
             4.2
                                                                       change or initial set-up of equipment.
                                                                       Knowledge of each waste stream, final location, regulatory permit states of the disposal site, and quantity
             4.3
                                                                       involved.
                                                                       Does the company comply with OSHA or other applicable safety and health regulations, specifically in the use
             4.4
                                                                       of Personal Protection Equipment?

             4.5 Procedures in place for hazardous substance control


             4.6 Emergency Action and Disaster Recovery Plans established and in place

                                                                       All governing requirements are effectively in place (i.e. RoHS, EU REACH, WEEE) and all materials are approved
             4.7
                                                                       under applicable requirements, per Division, for the US.
                                                                                                                                             EHS and Risk Management Section Score:     #DIV/0!    #DIV/0!
5. New Product Development                                                                                                                                                              Supplier   Cooper      Observations / Evidence
                                                                       A formalized New Product Introduction process has been established for new product development projects:          N/A        N/A      Do Not Assess- Roll-up Score
                                                                       - Process identifies key milestones and tollgates
New Product Development Questions




                                                                       - Includes evidence of training on the process
                                                                       - Documented inputs/outputs for each critical phase
                                        DESIGN RESPONSIBLE SUPPLIERS




                                                                       -Process shows evidence of Advanced Product Quality Planning techniques (APQP)
                                                                       There is a process in place to ensure key elements of the Product Design and Development are performed:           N/A        N/A      Do Not Assess- Roll-up Score
                                                                       - Engineering drawings & spec.
                                                                       - Design for Manufacturability and Assembly
                                                                       - DFMEA
                                                                       -Development of Prototypes
                                                                       - Design review and verification
                                                                       - Material spec.
                                                                       - Drawing & spec changes
                                                                       - Evidence of design validation testing and confirmation
                                                                       Process in place to ensure key elements of the process design, development and validation are performed:          N/A        N/A      Do Not Assess- Roll-up Score
                                                                       - Product / Process quality review
                                                                       - Floor Plan Layout
                                                                       - Packaging standards and spec
                                                                       - Preventive Maintenance Planning
                                                                       - Process Capability Study
                                                                       - Testing and Measurement
                                                                       - Production validation testing
                 New Product related questions




                                                                       Capability with the Production Part Approval Process (PPAP)                                                       N/A        N/A      Do Not Assess- Roll-up Score
                                                                       Element #1: Part Submission Warrant (PSW)
                                                                       Element #2: Design Records & Bubbled part print(s).
                                                                       Element #6: Process Flow Diagrams
                                                                       Element #7: Process FMEA
                                                                       Element #8: Control Plan
                                                                       Element #9: Measurement System Analysis Studies
                                                                       Element #10: Dimensional Results
                                                                       Element #11: Material, Performance Test Results
                                                                       Element #12: Initial Process Study (Cpk) Capability Studies
                                                                       Element #13: Qualified Laboratory Documentation
                                                                       Element #14: Appearance Approval Report
                                                                       Element #17: Checking Aids Capability with the Production Part Approval Process
                                                                       Element #18: Customer Specific Requirements
                                                                                                                                            New Product Development Section Score:      #DIV/0!    #DIV/0!
6. Purchasing and Sub-Supplier Management                                                                                                                                               Supplier   Cooper      Observations / Evidence
                 Purchase Order's are used to communicate product quality requirements to sub-suppliers to ensure the
             6.1 requirements are understood and can be met. If any differences arises the differences are resolved prior to
                 acceptance of the order.

             6.2 Other quality requirements are communicated to the sub-suppliers like social responsibility


             6.3 Product and capacity requirements are understood throughout the facility and value chain

                                                                       An official sub-supplier management process has been established, in which the suppliers' performance are
             6.4
                                                                       monitored and evaluated regularly.
                                                                       Is there a formal Sub-suppliers selection process with adequate review of the performance metrics, business
             6.5
                                                                       practices, and social responsibility
                                                                       Sub-suppliers are required to follow a formal product qualification process and submit warrants prior to final
             6.6
                                                                       approval of the part.

             6.7 Material Compliance (Internal and External Verification) is in place and utilized

                                                                                                                             Purchasing and Sub-Supplier Management Section Score:      #DIV/0!    #DIV/0!


                                                                                                                                                                                                                                               Cooper Industries
                                                                                                                                                                                                                                              Document #3.0004
                                                                                                                                                                                                                                         Issue Date: 11/06/2010
                                                                                                                                                                            3of 7                                                                  Revision: 003
7. Production Control and Planning                                                                                         Supplier   Cooper    Observations / Evidence
 7.1 Is evidence of Statistical Process Control being used to evaluate the production processes, where applicable.


 7.2 Utilization of product control plans with inspection requirements and identification of key product/process
     characteristics
 7.3 Process set up verification is used and documented
 7.4 The supplier has and maintains a system for traceability on individual product or batches as
     required.
 7.5 Inspections based on appropriate sampling plans and are sufficient to detect product nonconformance. Do the
     inspection items on the inspection plan meet Customer requirement?

 7.6
        Supplier has a strategy for receiving inspection. If incoming quality inspections are made, there is evidence of
        the specification and compliance to the specification. If no incoming inspections are made, there is a rationale
        for qualifying sub-suppliers.

 7.7 Is there evidence of in-process checks, including final inspection, to validate the manufacturing process and
     the packaging requirements?
                                                                         Production Control and Planning Section Score:    #DIV/0!    #DIV/0!
8. Change Management                                                                                                       Supplier   Cooper    Observations / Evidence
 8.1 An effective change control process is formally defined, well documented and understood. Strict advance
     customer notification process is followed, prior to executing the change.
 8.2 A formal drawing and change control system exists and manufacturing and inspection have access to adequate
     and up-to-date drawings.
 8.3 Does the supplier have a process to assure the timely review, distribution and implementation of all customer
     engineering standards/specifications and changes including a record of the date on which each change is
     implemented in production
 8.4 Is there a process to ensure parts, product, and materials comply with environment and regulatory
     requirements
                                                                                    Change Management Section Score:       #DIV/0!    #DIV/0!
9. Inventory Control and Housekeeping                                                                                      Supplier   Cooper    Observations / Evidence
     Is there a warehouse management system in place that uses formal inventory control systems like First in First
 9.1
     Out (FIFO) and 5S?

 9.2 Is the warehouse temperature and humidity conditions appropriately controlled?

        The supplier has continuous improvement plans for plant cleanliness, housekeeping, ergonomics, and working
 9.3
        conditions. There is evidence that the supplier management team is following continuous improvement plans.


 9.4 Finished and released product/containers are properly labeled and identified to signify acceptance status

        Supplier takes measures to minimize foreign material, chips, debris, contamination, excessive oil, etc. where
 9.5
        part quality can be negatively affected.
                                                                     Inventory Control and Housekeeping Section Score:     #DIV/0!    #DIV/0!
10. Corrective Action and Control of Non-Conforming Product                                                                Supplier   Cooper    Observations / Evidence
10.1 A corrective action procedure exists and is followed for internal, in-process quality issues


10.2 A corrective action procedure exists and is followed for supplier incoming quality problems


10.3 A corrective action procedure exists and is followed for customer complaints.


10.4 Problem solving is done in cross-functional teams, using a disciplined problem solving process (e.g. 8D or 7D)
     with the appropriate problem solving tools to eliminate root cause and prevent recurrence?
10.5 Root Cause analysis and corrective action response are completed within agreed upon time frame.


10.6 Nonconforming material is identified and controlled to prevent its use or shipment to customers in receiving, in-
     process, outgoing and customer returns
10.7
        Returned material is analyzed for determination of cause for rejection and initiation of corrective action

10.8
        Are the issues identified down to the product/process root cause

10.9 Incoming Quality Operator follows a reaction plan if raw material or purchased part is found to be out of
     specification.
10.10
        Reworked material is re-qualified prior to use or shipment

                                              Corrective Action and Control of Non-Conforming Product Section Score:       #DIV/0!    #DIV/0!
11. Continuous Improvement                                                                                                 Supplier   Cooper    Observations / Evidence
11.1 Does the supplier use management reviews to guide and track continuous improvement projects.
11.2 The supplier maintains a prioritized action plan for continuous improvement as it relates to product and
     process characteristic variation.
11.3 The supplier maintains a prioritized action plan for continuous improvement as it relates to cost reduction and
     productivity enhancement initiatives, including lead time reduction.
11.4 The supplier maintains a prioritized action plan for continuous improvement as it relates to the evaluation of
     the effectiveness of the quality systems.
                                                                               Continuous Improvement Section Score:       #DIV/0!    #DIV/0!



                                                                                                                                                                                Cooper Industries
                                                                                                                                                                               Document #3.0004
                                                                                                                                                                          Issue Date: 11/06/2010
                                                                                                              4of 7                                                                 Revision: 003
12. Measurement and Test                                                                                                     Supplier   Cooper     Observations / Evidence
12.1 Does the supplier have a formal Measurement Systems Analysis program in place that includes calibration
     standards for all gages and test equipment?

12.2 Does the supplier evaluate the impact on the product when an out-of calibration issue is identified? Reaction
     plans are identified and followed.

12.3 Adequate calibration intervals have been established, which are determined by the type
     of equipment, frequency of use and the occurrence of deviation. The calibration records are maintained.


12.4 If the measuring devices are calibrated internally, a qualified internal calibrator is a must. The calibrating
     methods and instructions for internally-calibrated devices shall be documented.
12.5 Master gages / standards are traceable to a recognized national / international standard.
     (for example: NIST)
12.6 Calibration status readily available to operators. The expiration date of the calibration is shown.

12.7 The appropriate precision of the gage based upon print tolerances is determined.

                                                                                  Measurement and Test Section Score:        #DIV/0!    #DIV/0!
13. Process Walk                                                                                                             Supplier   Cooper     Observations / Evidence
13.1 Process work instructions are documented, up-to-date, available to operators, and are being followed.

13.2 Setup and operating parameters are documented and utilized as specified.

13.3 Required tools and inspection equipment are identified for each operation and are utilized as specified.

13.4 Each setup is qualified prior to the start of production as required and critical parameters are identified,
     reviewed and approved.
13.5 Repaired production tooling is qualified prior to production use and results documented.

13.6 Are 6S (Safety, Sort, Set in order, Shine, Standardize and Sustain) activities evident through the facility including
     ongoing activities to sustain the accomplishments.
13.7 Material identification, acceptance status, and control of non-conforming material is maintained throughout
     the manufacturing process and while product is in storage.
13.8 There are control plans that exist for each part number/process, that include the following:                             N/A        N/A      Do Not Assess- Roll-up Score
      - Standard for approval and rejection
      - Signature and date
      - Reaction plans for out of control conditions
      - Characteristics to be inspected and/or tested
      - Engineering revision level
      - Sample size and frequency of observations
      - Methodology and tools to be used for inspection and/or test
      All inspections are completed, per the control plan, before inventory (stores) or shipping and include records of
      appropriate product characteristics.
      Are the basic statistical methods widely used to measure the process / product, such as checklist, histogram,
      trends chart and etc., where applicable.
      Where statistical methods are utilized for control of key characteristics and process parameters
      - Evaluate how they are chosen
      - Define what are the statistical methods used
      - Determine if the appropriate level of control is established
13.9 Where the Process Control Plan calls for SPC,                                                                            N/A        N/A      Do Not Assess- Roll-up Score
      - Is the data properly recorded?
      - Does the data make sense and are reasonable control limits shown?
      - Are out of control points noted with the corrective action taken?
      - Does the manufacturing process demonstrate the required capability or performance?
                                                                                            Process Walk Section Score:      #DIV/0!    #DIV/0!




                                                                                                                                                                                   Cooper Industries
                                                                                                                                                                                  Document #3.0004
                                                                                                                                                                             Issue Date: 11/06/2010
                                                                                                               5of 7                                                                   Revision: 003
                                       Supplier On-Site Assessment
                                         Corrective Action Form

                                             Supplier Information
Supplier Name:             0                                              Vendor ID #:                      0
Plant Location:            0                                                 Phone #:                       0

Supplier Contact:          0                                           Supplier E-Mail:                     0


                                               Audit Information
Division :                 0                                           Auditor Name:                        0
Commodity Family:          0                                           Auditor E-Mail:                      0
Product Type:              0                                           Auditor Phone:                       0
Audit Date:                0                                          Cooper Division:                      0




No.       Item      Non-Conformance   Corrective Action             Responsibility        Due Date   Verification Date and Comments

  1


  2


  3


  4


  5


  6


  7


  8


  9


 10


 11


 12


 13




                                                                                                                            Cooper Industries
                                                                                                                           Document #3.0004
                                                                                                                      Issue Date: 11/06/2010
                                                          6of 7                                                                 Revision: 003
                                                                  Supplier On-Site Assessment Summary
                                                                                                                                                   Supplier Score        #DIV/0!
                                                                                                                                                    Cooper Score         #DIV/0!

                                                                                  Supplier Information
Supplier Name:                                     0                                                                              Vendor ID #:                      0

Plant Location:                                    0                                                                                 Phone #:                       0


Supplier Contact:                                  0                                                                          Supplier E-Mail:                      0


                                                                                    Audit Information
Division :                                         0                                                                          Auditor Name:                         0
Commodity Family:                                  0                                                                          Auditor E-Mail:                       0
Product Type:                                      0                                                                          Auditor Phone:                        0
Audit Date:                                        0                                                                          Cooper Division:                      0




                                                                          Initial (Self) Assessment Summary

                                   Customer                                                                                                Points
                                                                                                   Section                                                                 Score
                                  Satisfaction                                                                                 Total Possible    Percentage
                                 100%
                  Process Walk                   Quality System               Customer Satisfaction                              0      0          #DIV/0!               #DIV/0!
                                 80%                                                                                                    0          #DIV/0!               #DIV/0!
                                                                              Quality System                                     0
      Measure and Test           60%                   Business System        Business System                                    0      0          #DIV/0!               #DIV/0!
                                 40%                                          EHS and Risk Management                            0      0          #DIV/0!               #DIV/0!
       Continuous                20%                      EHS and Risk        New Product Development                            0      0          #DIV/0!               #DIV/0!
      Improvement                                         Management                                                                    0          #DIV/0!               #DIV/0!
                                  0%                                          Purchasing and Sub-Suplier Management              0
                                                                              Production Control and Planning                    0      0          #DIV/0!               #DIV/0!
    Corrective Action                                    New Product
       and Non-…                                         Development          Change Management                                  0      0          #DIV/0!               #DIV/0!
                                                                              Inventory Control and Housekeeping                 0      0          #DIV/0!               #DIV/0!
        Inventory Control                           Purchasing and
                                                                              Corrective Action and Non-Conforming Prod.         0      0          #DIV/0!               #DIV/0!
        and Housekeeping                             Sub-Suplier…
                       Change                Production                       Continuous Improvement                             0      0          #DIV/0!               #DIV/0!
                    Management              Control and…                                                                                0          #DIV/0!               #DIV/0!
                                                                              Measure and Test                                   0
                                                                              Process Walk                                       0      0          #DIV/0!               #DIV/0!



                                                                         Final (Cooper) Assessment Summary

                                                                                                                                           Points
                                  Customer                                                         Section                                                                 Score
                                 Satisfaction                                                                                  Total Possible    Percentage
               Process Walk
                            100%                 Quality System               Customer Satisfaction                              0      0          #DIV/0!               #DIV/0!
                             80%                                              Quality System                                     0      0          #DIV/0!               #DIV/0!
     Measure and Test        60%                       Business System        Business System                                    0      0          #DIV/0!               #DIV/0!
                             40%                                              EHS and Risk Management                            0      0          #DIV/0!               #DIV/0!
      Continuous             20%                          EHS and Risk        New Product Development                            0      0          #DIV/0!               #DIV/0!
     Improvement              0%                          Management          Purchasing and Sub-Supplier Management             0      0          #DIV/0!               #DIV/0!
                                                                              Production Control and Planning                    0      0          #DIV/0!               #DIV/0!
    Corrective Action                                    New Product
       and Non-…                                         Development          Change Management                                  0      0          #DIV/0!               #DIV/0!
                                                                              Inventory Control and Housekeeping                 0      0          #DIV/0!               #DIV/0!
        Inventory Control                           Purchasing and
        and Housekeeping                             Sub-Supplier…            Corrective Action and Non-Conforming Prod.         0      0          #DIV/0!               #DIV/0!
                       Change                Production                       Continuous Improvement                             0      0          #DIV/0!               #DIV/0!
                    Management              Control and…
                                                                              Measure and Test                                   0      0          #DIV/0!               #DIV/0!
                                                                              Process Walk                                       0      0          #DIV/0!               #DIV/0!



                                                                              On-Site Assessment Scoring

    Overall Score                Segmentation                                                                       Description

     All Green                                              Current Supplier: Supplier is currently performing at a Level 1 - Recommend strongly
                             Level 1- Strategic
       >79%                                                 New Supplier: Performance is consistent with Level 1 performance - Recommend strongly

                                                            Current Supplier: Not currently performing at a Level 1 but has the potential with minimal improvements. Existing business
                                                            can continue and the supplier can be considered for new business - Recommend with Corrective Actions
      60-79%                Level 2 - Preferred
                                                            New Supplier: Has the potential to perform at a Level 1 with minimal improvements required - Recommend with Corrective
                                                            Actions
                                                            Current Supplier: Corrective actions are needed for the supplier to improve performance. During this time, business can
                                                            continue upon review of corrective actions - Not Recommended - Source with Risk
      40-59%                 Level 3 - Maintain
                                                            New Supplier: Significant corrective actions needed to bring the performance to an acceptable level - Not Recommended -
                                                            Source with Risk

                                                            Current Supplier: Performance not consistent with minimum Cooper standards. Not Recommended for New Business. A
       < 39%             Level 4 - Non-Performing corrective action plan must be provided and implemented within 60 days. Failure wil result in alternative site sourcing
                                                            New Supplier: No new business will be awarded. Not Recommended - Do Not Source


                                                                                                                                                                                Cooper Industries
                                                                                                                                                                              Document # 3.0004
                                                                                                                                                                          Issue Date: 11/06/2010
                                                                                       On-Site Assessment                                                                           Revision: 003

				
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Description: Waiver of Liability Form Template document sample