TG-SX00-Q016-A3 供应商评鉴办法 in English

Supplier Survey Report＊This report is for：□Self –survey by supplier ▓Supplier survey for potential supplier by USI□Re-survey for approved supplier by USI＊Category of Supplier (Tick by USI/Supplier QA )：□within the Approved Vendor List of USI;▓an ISO-9000 certified vendor, approved by TUV No.: 018661(pls attach certificate copy) ;□ a QS-9000 certified vendor, approved by(pls attach certificate copy) ;□ a TL-9000 certified vendor, approved by(pls attach certificate copy) ;□an ISO-14000 certified vendor, approved by(pls attach certificate copy) ;□certified by other quality assurance system :(pls attach certificate copy)- ; ＊T he result of checklist (Tick by USI / Supplier QA )：□Qualified □Conditional Qualified □Non-QualifiedApproved By: Checked By:C.C：□MP □RDTT-CX00-Q066-F2 REV.A1I〃Questionnaires : (Non-scored)1.How many people does your Quality Department? Pls attach the organization chart.There are 80 people in QA Department.And Who is the Management Representative of Quality Management System?Roger Lee is the management representative of quality management system.2.How many people does your Environmental management Department? Pls attach the organization chart.We are not establish environmental management system at present.And Who is the Management Representative of Environmental Management System?N/A3.How many people does your safety department? Pls attach the organization chart.N/A4.Do you agree USI perform on site audit in the future?Yes, we are agreement USI perform on site audit in the future.5.Do you agree USI conduct source inspection equipped with adequate resources from you?Yes, we are agreement provide the adequate inspection equipped to USI6.Do you agree USI’s customers request below requirements, if needed?(a)To perform on-site audit , if USI accompany.(b)To conduct source inspection(c)To visit your companyWe are acceptance USI’s customer’s request as above requireme nt if needed.7.Do you agree providing the corrective/preventive actions for below situation per USI’s requirements to USI?(a). There are nonconforming materials found in USI, and the finding of their extension on quality control(b). There is finding from On-site Audit.(c). There is finding from Source Inspection .(d). The supplier performance evaluation result doesn’t comply with USI’s requirement.(e). There is finding from the extension of material evaluation(f). The othe rs that don’t comply with related agreement.We are agreement provide the corrective / preventive actions report as above item to USI on time .8.Do you agree to take the responsibility to sign purchase contract or quality agreement , if necessary?Yes, we are agree to take the responsibility to sign purchase contract or quality agreement.9.If your processes are not in compliance with QS 9000 quality standards yet,Do you schedule QS 9000 certificate? When scheduled ?We are not schedule QS9000 certificate at present.10.Others :Representative of Company :：34567DMF8S910DMF 10I.DMF 1-1 DMF 1-21-34-1 DMF 10-1S Does the organization carry out internal audit system for safety part control?DMF* Questions marked with a D are applicable to a Designer* Questions marked with a M are applicable to a Manufacturer* Questions marked with a F are applicable to the supplier for the quality assurance in final inspection and test. * Questions marked with a S are additional requirements for safety .121III. Environmental Management System：(Non-scored）1.Does the supplier has certificate ISO 14001？□Yes, Please provide one copy of approval certificate。

(answer from item 2)□No, but is planning to apply in (when?)。

(answer from item 3)▓No。

(answer from item 3)2.Please describe the result of more recent third parties audit. How do the supplier corrective if finding been issued?3.Does the below material be used on manufacturing/processing product？A.Ozone depleting substances, ODSB.CFC SCFC-11,113,111,112,114,115,12,13,211,212,213,214,215,216,217C.Halonhalon-1211,1301,2402D.Carbon tetrachloride□1,1,1-trichloroethaneE.Bioaccumulative substances□PBB S□PBBE S□PBBO,PBDO,PBDPO,PBDE,PBDPE,DBDE,OBDE,TBDEF.Asbestos□ 5.5FeO, 1.5MgO, 8SiO2, H2OG.Polychlorinated biphenyls, PCB□C10H10-xClx（1≦x≦10）If have, please list2214、Does the supplier has established procedure to identify potential for and respondto accidents and emergency situations ?5、Please describe what effort the supplier has done in environmental protection。

2。