Supplier Questionnaire

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1 F KSM 1 Supplier Data Supplier Name / Address Business: DUNS-No. Tax-ID: Sales Tax-ID: www: Phone: for Purchase: Responsible Person (Name/Function): Date: Signature: Number of Employees Number of Employees in QM / QA: Contacts Name: Phone: Senior Management Sales Engineering Production Logistics Quality Management Fax: Main Products Main Customers Important Technologies Financial Account Financial Institution: SWIFT-Code: IBAN No.: Conditions of Purchase Conditions of Payment: Conditions of Delivery: Supplier provides Construction: ja nein If yes, exemption Certificate Exists: (attached) If yes, Address of Local Tax Office: Revision: 10 Approved: Kuhr Matthias This form has been produced electronically and is valid without a signature.

2 2 Finance Data 2.1 Turnover last 3 Years [T ] 2.2 Invest last 3 Years [T ] Current Year (Plan) Current Year (Plan) 2.3 Insurances available not available Coverage [T ] Business Interuption Product Liability Product Recall 3 General 3.1 Do you have Internet Access (Web-Address / Account)? 3.2 Do you provide a training program for your employees? 3.3 Do you provide an efficient continuous improvement process? 3.4 What is the percentage of hired staff in your serial production? 3.5 Which language are you able to use for daily business communication? German English Revision: 10 Page: 2 of 6

3 4 Certification and Customer Evaluation (not necessary for construction service and craft business) 4.1 Do you have a certified Quality Management System? If yes, chapter 5 6 is not applicable If yes, according to which standard? acc. to ISO 9001* acc. to ISO / TS 16949* acc. to VDA 6* acc. to QS 9000* If yes, who is your registrar? If no, When do you plan to certificate your system (date)? Has your system been evaluated by customers? If yes, by which customer, what were the result? 4.2 Do you have a certified Environmental or Energy Management System? If yes, chapter 7 is not applicable If yes, according to which standard? acc. to standard 761/2001/EC (EMAS II)* 14001* 50001* If yes, who is your registrar? If no, when do you plan to certificate your system (date)? 4.3 Do you have a Safety Management System? Do you provide a Safety Management System? If yes, chapter 8 is not applicable If yes, according to which standard? acc. to OHSAS 18001* acc. to other standard* If yes, who is your registrar? If no, when do you plan to implement / to certify a Safety Management System (date)? * Please submit a copy of the current certificate Revision: 10 Page: 3 of 6

4 5 Quality Management System (not necessary for construction service and craft business) (If answer is NO, fill in section 4.1) 5.1 Do you have a Quality Management System? 5.2 Have you defined an authorized person for your system? 5.3 Do you identify special characteristics for products and processes? 5.4 Are you working with Quality Control Plans? 5.5 How do you identify and evaluate process risks, for instance by using FMEA or other methods? Please describe! 5.6 Are you familiar with automotive methods for the initial sampling process (such as PPAP or PPF)? 5.7 Do you use Statistical Process Control (SPC)? 5.8 Do you have incoming inspection in place? 5.9 Do you have serial product inspections in place? 5.10 Do you have a final inspection in place? 5.11 Do you systematically identify scrap and rework parts? 5.12 Do you regularly measure and evaluate scrap and rework? 5.13 Do you systematically define and evaluate failure costs? 5.14 Do you manage product quality by controlled targets? 5.15 Do you have a gauge calibration system in place? Are gauges labeled and controlled? 6 Management of Customer Quality Claims 6.1 Do you systematically record customer quality claims? 6.2 Are you familiar with 8D problem solving method and do you use it? 6.3 Do you involve external services for immediate problem solving actions? 7 Internal Quality Audits 7.1 Do you regularly perform internal quality management audits? 7.2 Do you regularly perform internal process audits? 7.3 Do you regularly perform internal product audits? 7.4 Do you review corrective actions from audit results and evaluate the effectiveness of these actions? Revision: 10 Page: 4 of 6

5 8 Environmental and Energy Management 8.1 Do you provide an Environmental or Energy Management System? If yes, according to which standard? Continue with section 7.2 acc. to Standard 761/2001/EC (EMAS II)* 14001* acc. to EfbV* 50001* If no, do you plan to implement / certify an Occupational safety, Health protection, Environmental or Energy Management System (to the date of)? If yes, according to which standard? acc. to Standard 761/2001/EC (EMAS II)* 14001* acc. to EfbV* 50001* 8.2 For disposal service suppliers only: Is your company certified in accordance with specialized waste disposal company regulations?* 8.3 Have you defined an authorized person for your system? 8.4 Do you perform regularly Environmental or Energy instructions to the employees? 8.5 Do you regularly perform Environmental or Energy Audits? 8.6 Do you review corrective actions from audit results and evaluate the efficiency of these actions? 9 Safety Management 9.1 Do you provide a Safety and Health Management System? If yes, please continue with section If no, do you plan to implement and certify a Safety Management System? Date of implementation: 9.2 Has your company defined a Health and Safety Officer? 9.3 Do you perform regularly safety instructions to the employee? 9.4 Do you regularly perform safety audits? * Please submit a current copy of your certificate Revision: 10 Page: 5 of 6

6 10 Logistics 10.1 Are you able to receive orders via EDI? 10.2 Do you use a PPS System? 10.3 Which kind of shipping do you use? Delivery Ex Works Home Delivery Store House 10.4 Do you have shipping services available? 10.5 Do you purchase your own packaging materials? 10.6 Do you regularly keep shipping box accounts? 10.7 Do you work using First In First Out principle? 10.8 Do you regularly determine and evaluate your delivery reliability? 10.9 Which size of safety stock can you hold on your site? Please describe! Which methods do you use to ensure traceability of your products (regarding used material charges, process stops and shipping note)? Please describe! 11 Export Controls 10.1 Has the required form Request Form for Export Data [download: KSM Web Site/Purchasing/Supplier Questionaire/Request Form for Export Data] been returned to KSM? KSM Approval for Export Controls: Name (in Capital Letters): Date: Signature: Revision: 10 Page: 6 of 6

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