Supplier_QSA_Questionnaire(Chi)

Shop auditCost Model QuestionnairePlease complete the table below:GENERAL QUESTIONS∙What is the installed capacity of the factory?∙What is the current capacity utilization?∙What portion of the current capacity utilization is dedicated to (Customer Name)?DIRECT MA TERIAL∙What is the unit price of the raw material used (please specify unit of measurement)?∙Who is the supplier of the raw material and the country of origin?∙What is the raw material consumption per product manufactured?∙What is the wastage/scrap rate for raw material?DIRECT MA TERIAL - OTHER DIRECT MATERIALS∙Specify the list of other materials used?∙What is the unit price of each of the other materials used (please specify unit of measurement)?∙What is the usage rate of other materials per product manufactured?∙What is the wastage/scrap rate for other materials?OVERALL MA NUFACTURING YIELDS∙What is the overall manufacturing yield?DIRECT LABOUR∙How many people do you employ in the production area dedicated to the manufacture of the products?∙Please provide the job titles and descriptions of the people mentioned above.∙How many shifts does the factory operate and what is the length of each shift?∙Is the operation 24/7/365?MA NUFA CTURING OVERHEA D - EQUIPMENT∙Please provide us with the current list of equipment your plant uses to manufacture the products∙In how many years do you amortize your production equipment?∙What is your plant’s average production rate (cycle time per product)?Real Estate:∙Do you own or lease your plant?∙What is the total square footage of your plant?∙How much of that is dedicated to production of the products?∙How much of that is dedicated to production of other related products your company markets? Other Manufacturing Overhead:∙What is amount of electricity consumed per year?∙What is the rate paid for electricity (per hour)?∙What are the different types of fuels, oil, and lubricants used per year?∙What are the rates paid for each of the above?∙What is the amount spent on tools and other consumables per year?∙How many supervisors do you employ in the production area?∙Please provide the job titles and descriptions of the people mentioned above.∙Other Manufacturing Overheads?OPERATING & OTHER EXPENSES∙How many people do you employ in your sales and administration area?∙Please provide the job titles and descriptions of the people mentioned above.∙How much of the real estate is dedicated to sales & administration offices?。

(Fill in only in English, German or French)Part A1 General presentation of the company:1 Relevant data:a) Corporate name:c) Full address:d) Telephone:Telefax:E-mail:b) Persons contacted :(name, function, dept.)e) Responsible persons in the company:(name, title, phone, fax)- General manager:- Sales manager:- Q. A. manager- Production manager:f) Full list of establishments (head office, subsidiaries, factories of group):2 Legal status / financial information / foundation of the companya) Legal status: Owner:b) Capital: Currency:c) Associated with trust? ☐ YES / ☐ NOName: Shareholders:d) Year of foundation of the company:e) Is KSB already a supplier of your company? ☐ YES / ☐ NOTurnover per year and when:For which factory / location:Which parts / goods:g) Is KSB already a customer of your company? ☐ YES / ☐ NOIf so, amount of sales to KSB p.a. and when:h) Have you taken out a product liability insurance? ☐ YES / ☐ NOInsurance company:Amount of insurance: Currency:3 Number of employees / surface area of worksb) Total surface area of the works in m²:Total: Production: Offices:4 Approvals / qualifications / references of the companya) Qualifications / certificates / approvals:☐ ISO 9001 / 9002 / 9003 valid until: by:☐ AD-W0 / TRD100 valid until:☐ AD-HP0 / TRD200 valid until:☐ ASME-Code Sect. III NCA- valid until:- Please list any further approvals and certificates of your company.b) References / main customers by business lines like pumps, valves and others.(Indicate for each the percentage of turnover and the type of parts.)5 Activities / production(Indicate for each the percentage in comparison with your turnover.)(For example: forgings, castings, machining, assembly, painting, etc.)6 Production quantities broken down acc. to activitiesState the figures for the last 3 years (tons / pieces, etc. per activity)7 Type of parts you are specialised in:Date, signature of the managing director:Date and place of evaluation:Name and function of the KSB visitors:Part A2 General organisation1 Is a document available which describes your organisation?(Quality Assurance Manual; organisation chart)☐ YES (please forward a copy) ☐ NO2 Is there an independent Quality Assurance department?☐ YES ☐ NO3 Production planninga) Is production planned systematically? ☐ YES / ☐ NOb) If so, by which means?☐ Production planning and control system ☐ Work procedures ☐ Index cardsc)Are the delivery times planned and continually monitored? ☐ YES / ☐ NOd)Do you inform the customer of delays?☐ YES / ☐ NOe)Do you effect capacity planning? ☐ YES / ☐ NO4 Instructions:a)Are there written work instructions for the production processes? ☐ YES / ☐ NO- For production: ☐ YES / ☐ NO- For in-process inspection: ☐ YES / ☐ NO- For final inspection: ☐ YES / ☐ NO- For outgoing goods inspection: ☐ YES / ☐ NOb)Are the inspection / work results documented? ☐ YES / ☐ NO5 Information on the business process:a)What is the delivery time for equivalent products than the inquired? weeksb)On-time delivery / delivery compliance in the last per centor current business yearc)How high is your complaints rate (related to quantities)? per centd)Have you implemented a procedure which ensures that ☐ YES / ☐ NOnon-conforming products and/or services will beavoided?Part B6 Questionnaire for manufacturers of electric motors 1 What types of motors do you produce:Standard a.c. motors: ☐ low voltage ☐ high voltageSpecial a.c. motors: ☐ low voltage ☐ high voltageStandard d.c. motors: ☐Special d.c. motors: ☐2 Production programme:Please indicate the annual quantities:3 Additional requirements to be met by DIN/IEC standard motors:Type of enclosure: ☐ IP 55 ☐ IP 54 ☐ others:Thermal class: ☐ F ☐ others:With temperature sensors ☐ Yes ☐ NoSuitable for multirange voltage ☐ Yes ☐ No4 Approvals / qualifications / references of the companya) Qualifications / certificates / approvals:☐ ISO 9001 / 9002 / 9003 valid until: by:☐ VDE valid until☐valid until:☐ ASME-Code Sect. III NCA- valid until:- Please list all further approvals and certificates of your company.b) References / main customers by business lines like pumps, valves and others.(Indicate for each the percentage of turnover and the type of motor.)。

范围：本供应商调查表设计来评定您作为潜在供应商，为Gardner Denver公司和/或其分公司、子公司和/或附属公司（“Gardner Denver”）提供高质量产品和服务的能力。

Gardner Denver的业务系统要求所有供应商完成本供应商调查表，作为供应商资格评定程序的一部分。

1.00 给供应商的说明：1.01完成本供应商调查表后，请将“供应商对购买条款和条件的声明”和“供应商保密协议”分别作为附加条款A和附加条款B，然后将所有材料寄回到以下地址：[插入相应的回邮地址]如果需要，请提供与贵公司能否为Gardner Denver提供高质量产品和服务的能力相关且有益的任何其它信息，用于我们对贵公司进行评估。

注意：提供的所有信息应该在Gardner Denver和贵公司之间严格保密。

2.00 公司详细资料：2.01企业名称：汇款给制造/分发中心地址：2.02是否在美国境外制造产品？如果是，请列出所在国家_______________________________________________________________________联系信息：2.03 是否计划缩短交货时间？是否如果是，请解释：如果否，将计划如何缩短交货时间？2.04是否在以下任何计划中都与客户合作：（选择所有适用项）准时化生产托运装料地面装料无纸贸易保证分摊纠正措施成本控制3.00企业详细资料：3.01请简要说明贵公司业务：原材料供应商（铸件、锻件、其它）制造/组装机械加工电子元件制造服务特殊加工经销商热处理涂漆电镀其它3.02 年营业额（贸易额）： $3.03 请在下面各栏中列出当前员工总人数。

3.04 贵公司已成立多长时间？3.05 请附上当前工厂设备的列表，包括加工、处理和检查/测试的包装限制（如果适用）。

3.06请列出您的前五个客户：4.00 质量管理系统：4.01 是否实行备有证明文件的质量管理系统（QMS）？是否4.02 是否已有独立的鉴定机构验收了QMS？是否4.02a 如果是，请告知所执行的标准。

Supplier Questionnaire供应商调查表1. General基本信息:company name公司名称:............................................................................................ address地址:. ............................................................................................................. Telephone电话: ..........................Fax传真: ................................. Email- address电子信箱地址:.................................................................…....... Website公司网址: ....................................................................................... general manager总经理 :............................................................................................... responsible contact persons负责人:purchasing 采购 ................................................................................................ quality management 质量控制 ............................................................................. environmental management 环境控制..................................................................... technical issues / research + development 技术/研究及发展…………………………………. production生产.................................................................................................Is your quality management system certified?你们的质量系统经过认证了吗？☐ yes ☐ no(If yes, please add a copy of the certificate and skip to nr. 9)（如果是，请将附上证书复印件并直接跳到问题9）Is your environmental management system certified?你们的质量系统经过认证了吗？☐ yes ☐ no(If yes, please add a copy of the certificate and skip to nr. 10)（如果是，请将附上证书复印件并直接跳到问题10）2. Quality Management System质量管理系统Are quality objectives defined and controlled? ☐ yes ☐ no质量目标是否被明确及控制？Is the quality management system reviewed by ☐ yes ☐ no general management?总经理是否对质量管理系统进行了审批？3. Contract review合同Are requests, offers and contracts always checked ☐yes ☐ no regarding feasability ?定单、报价及合同是否都经过了可行性的检查？Do you review your reliability of delivery ☐yes☐no你们是否对交货期的可靠性进行评审4. Document and data control文件及数据控制Is there a documented procedure for review and ☐yes☐no approval of documents?是否有对文件评审及批准的已备案的程序性文件？Are you able to issue all kinds of quality certificates ☐yes☐no according to DIN EN 10252 ?If not, please list possible kinds:你是否能出示所有符合DIN EN 10252的质量证书？如果不能请列出可以的项：…………………………………………………………………………………………………………………………5. Purchasing采购Are quality requirements for raw materials specified ☐yes☐noAnd part of each purchasing contract?原材料的质量要求是否明确，是否在采购合同中体现？Do you maintain a process evaluation of subcontractors ? ☐yes☐no你是否对代理商的过程评估进行维护？6. Process control / inspection and test status过程控制/检验及测试状态Do you process a clear and unambigous identification ☐yes☐no from incoming material to dispatch of product?你是否对原材料进厂及成品发货的整个过程进行明显的区分？7. Testing / control of measuring equipment测量仪器的测试/控制Do you apply in process control and are the ☐yes☐no results documented ?你是否在过程控制中实施（对测量仪器的检验）并将检验结果归档？Do you maintain a procedure for control of☐yes ☐no measuring equipment?你是否对测量仪器的过程控制进行维护？8. Statistics统计Which statistical peocedures / methods do you apply?你具体实施统计工作中的哪些过程/方法？....................................................................................................................................................... .......................................................................................................................................................9. Environmental management环境管理Is the introduction of an environmental management ☐yes ☐no system planned ?if yes, please provide time schedule:对环境管理系统的采用是否已被列入计划？如果是请提供具体时间表：……………………………………………………………………………………………………………………Do you have an emergency plan in case of accident ? ☐yes☐no你们是否有关于如何应对紧急情况的计划？After which period of time are you able to deliverafter a serious accident (worst case) ?当遭遇非常严重的事故（在最坏的情况下）后需要多长的时间你们才可以继续发货？………………………………………………………………………………………………………………….Are environmental objectives defined and controlled? ☐ yes ☐ no环境目标是否被明确及控制？Is the environmental management system reviewed ☐ yes ☐ noby general management?总经理是否对环境管理系统进行了审批？Do you assure, that your customers are provided ☐yes☐ nowith actual material safety data sheets (MSDS) ofyour products without special request ?你是否确定你们给客户提供了正确的原材料安全数据单（MSDS）而不需要再作特别的要求？How do you assure that all relevant relevant lawsand rules are fulfilled ?你们如何保证所有相关法律被遵守及实施？…………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………….10. Audit审核Would you agree to an audit of your quality- or environ ☐yes ☐no-mental management system by our company?你是否同意我公司对你们的质量或环境管理系统的审核？Name and title / function of the person who completed this questionnaire:填表人的姓名及职位/职务：……………………………………………………………………………………………………….......... ............................................ date 日期signature supplier签名。

This SPIQ document aims at collecting brief information about your company and supply capabilities. This information is used by *** to conduct supplier qualification and selection. *** does not intend to seize any confidential information through the SPIQ and requests accurate and complete documentation. Please complete the SPIQ Document and attach relevant documentation.本供应商简明信息调查表目的在于提供反映贵公司供应能力的简明信息。

***将用这些信息进行供应商的选择和认证。

***不会通过SPIQ和要求提供详细的文件来收集任何的保密信息。

请将本SPIQ填写完毕并附上相关文件。

****** 1. Company Background Details 公司背景及细节:2. Organisation 组织机构:3. Commercial Aspects 商业概况:4. References业绩:5. Quality Management System质量管理体系:6 Environment, Health & Safety (EHS) Management Systems环境、健康及安全管理体系:Contact Person for EHS联系人: Position职位: Telephone number电话: Email address电子邮箱:All questions are mandatory – non-answered questions will be treated as a “no” (or “yes” for question 26)所有问题必须回答–未注明的会被默认为选“否”（若第26问未选，默认为“是”）7. Social aspects and policy社会方面与方针8. Production Site and Capabilities 生产场地与产能9. Engineering / Research & Development – Capabilities技术/研发能力。