36570 Briggs Road, 14192 Chambers Rd.
, 6716 Industrial Ave, 2710 Commerce Way
Murrieta, CA 92563-2347 Tustin, CA 92780 Port Richey, FL 34668 Philadelphia, PA 19154
Tele: (951) 926-2994 Tele: (714) 247-7100 Tele: (727) 247-3728 Tele: (215) 842-3675
SUPPLIER EVALUATION QUESTIONNAIRE
GENERAL INFORMATION
Company Name: Contact Name: Title:
Email: Phone #: Fax #: DUN #:
Address: City: State: Zip Code:
Are there other locations? Yes No If yes, please lists them on a separate sheet.
Is there any intention to provide products or services to II-VI If yes, please indicate which location.
from an off shore location? Yes No
KEY PERSONNEL
President: General Manager: Purchasing: Sales Contact:
QA Manager: QA Manager’s email address: QA Manager Reports
to:
Tech support available References (customers II-VI A&D can contact):
Yes No
REASON FOR SURVEY
(Please check appropriate box):
New Supplier: New Product: Certification: Re-evaluation: Other:
FACILITIES
Total Number of Employees: Manufacturing: Quality: Engineering: Administrative:
Year Established: TYPE OF MANUFACTURING/SERVICES PROVIDED to II-VI:
COMPANY QUALITY SYSTEM IS MAINTAINED IN ACCORDANCE WITH
(Please check appropriate box):
MIL-I-45208A ISO 9001 AS9100 ISO 13485 Other: ITAR Registered?
Yes No
FORM QF741.2 REV H1
BUSINESS CLASSIFICATION (please check appropriate box):
Small Business HubZone Women Owned Veteran Owned Business Small Disadvantaged Business Large Business
IF YOUR COMPANY IS CERTIFIED TO ANY THE QMS STANDARD (ISO 9001, AS9100 or ISO 13485), STOP HERE AND
PROVIDE A COPY OF YOUR CERTIFICATE.
IF NO, CONTINUE, AND COMPLETE QMS REQUIREMENTS LISTED BELOW.
Signature of Person that Completed this Survey: Title: Date:
QMS Requirements Yes No N/A Comments
II Quality Management System
a Do you have a quality management system, establish,
document, implement, and maintain in accordance
with quality standards?
b Do you have a Quality Assurance Manual?
c Do the employees have access to quality management
system documentation and are aware of relevant
procedures?
III Management Responsibility
a Do you have documented statements of quality policy
and quality objectives?
b Does the management regularly review quality
performance data?
c Is the management review output documented and
maintained?
IV Control of Documents
a Is there a procedure describing control of documents?
b Are the obsolete drawings, specifications, and
procedures removed from the locations where they
might be mistakenly used?
c Do you have a system of controlling incoming
documentation changes?
d Are the latest drawings, specifications and procedures
available at point of use?
V Control of Records
FORM QF741-2 REV H1 2 OF 4
QMS Requirements Yes No N/A Comments
a Is there a procedure describing control of records of
quality management system such as work order
router, receiving inspection data, process inspection
data, test results, calibration records, audit reports,
training records, etc.?
b Are the records of quality activities maintained per
procedure?
VI Identification and Traceability
a Is identification and traceability maintained
throughout manufacturing processing?
VII Purchasing
a Do you have a procedure for supplier selection?
b Do your purchasing documents describe all
requirements, inspection, testing, and packaging?
c Does the quality assurance review the purchase
orders for the inclusion of applicable requirements?
d Do you periodically review and evaluate your
subcontractors?
VIII Customer Property
a Do you have a system to ensure proper identification,
storage, and segregation of customer supplied
product?
IX Control of Monitoring and Measuring Devices
a Do you have a calibration procedure?
b Are calibration records maintained for measuring and
test equipment?
c Are measuring and test equipment not calibrated
identified and stored to preclude their use pending
calibration?
X Internal Quality Audit
a Do you have internal audit procedures?
b Do you maintain the results of internal audits?
c Is corrective action taken on nonconformance?
XI Process Control
a Do manufacturing process sheets exist, identifying
operations, tests, and inspections?
b Is suitable equipment maintenance being performed
to ensure continuing process capability?
c What are the requirements of the company to
prevent Foreign Object Damage (FOD)?
XII Control of Nonconforming Product
FORM QF741-2 REV H1 3 OF 4
QMS Requirements Yes No N/A Comments
a Is there any procedure for control of nonconforming
material?
b Are the records of nonconforming material kept?
c Are all nonconforming material identified and
segregated in assigned holding areas?
XIII Corrective Action
a Is there any corrective action procedure?
b Is corrective action system documented?
c Is follow-up taken and documented concerning
effectiveness of corrective action?
XIV Handling, Storage, and Shipping
a Are there written procedures for handling, storage,
and packaging?
b Do you verify final packaging and marking prior to
shipping?
c Do you have the methods of proper handling to
prevent damage or deterioration in stores?
d Do all materials stored have evidence of inspection?
APPROVAL STATUS (to be filled out by II-VI A&D)
Approved? Yes No (May require two signatures by II-VI A&D at the discretion of QMS Manager)
Signature: Title: Date:
Signature: Title: Date:
Comments:
FORM QF741-2 REV H1 4 OF 4
