Vendor Approval Questionnaire - Matrix Tooling, Inc.

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Matrix Tooling, Inc. Matrix Plastic Products Quality Management System	VENDOR QUALITY ASSURANCE QUESTIONNAIRE Form FPR-03	REV: 11/27/2007	Page 1 of 1

Company Name: *	Quality Contact: * (Name & Title)
Company Address: *	Products/Services Supplied: *
Phone: *	Fax:
E-mail: *	Website: *

1. Are you able to supply certificates of conformance upon request?	Yes No
2. Would you be prepared to allow a Matrix representative to conduct a Vendor Assessment on your premises, if required?	Yes No
3. Does your company currently hold ISO 9000 or ISO/TS 16949 registration? If yes, please attach a copy of your certificate.	Yes No
4. Are you prepared to send a copy of your Quality Manual if requested?	Yes No

If you answered "Yes" to all questions #1 – 4, you may skip questions #5 - 16 and proceed to the end.

5. Does your company have a Quality Manager?	Yes No
6. Does your company have a Quality Manual?	Yes No
7. Are operating procedures available for all functions of the company?	Yes No
8. Do you assess new suppliers before placing orders with them?	Yes No
9. Is there a procedure governing incoming goods and are records kept?	Yes No
10. Are handling, storage and delivery procedures defined?	Yes No
11. Is there a nonconformance/corrective action procedure in place?	Yes No
12. Is full traceability of your products maintained?	Yes No
13. Do you carry out calibration of inspection/test/measuring equipment?	Yes No
14. Are systematic, documented audits of your systems carried out?	Yes No
15. Does your company provide organized training for its employees?	Yes No
16. Are customer complaints recorded, investigated and reported upon?	Yes No

Thank you for your help in completing this questionnaire. If possible, please attach a copy of your company’s current organization chart and ISO certification below (up to 3 files).

Signature: *

Position:

Date Completed: *