VENTREX Automotive GmbH

Johann-Sebastian-Bach-Gasse 1
8010 Graz
AUSTRIA
Internet: www.ventrex.com

send Form

SUPPLIER SELF-ASSESSMENT

We kindly request that you fill out the Supplier Self-Assessment completely and send it to the VENTREX Purchasing Department.

In this way, we will receive an initial assessment about your company, your products and your performance. If your application
should be of interest to us, we shall immediately establish contact with you.

GENERAL INFORMATION

Company name

Telephone Telefax

Legal form

Internet E-mail

Street

Postal code Town

Tax ID No.

DUNS number

Founding year

Corporate group
affiliation

Subsidiaries

Is the company a
producer or a trader

Production locations

Annual sales

Your largest reference

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Main production
emphases
(Products, industries, methods)

The main work

Number of machines/
systems
(Attach list)

Measurement and
testing facilities (e.g. 3D
measuring machine – attach list)

CAD/CAM systems and

IMDS – capable?
If yes, please provide ID

One-two-three-shift
operation

Production space (m2) Storage pace (m2)

Are ordered products also possibly manufactured by sub-contractors? Yes No

If yes, name your sub

BANK ACCOUNT

Financial institution

Account No. Sort code

Swift Code IBAN

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NUMBER OF EMPLOYEES

Production Sales

Quality Management Field manager

Development Total

CONTACT PERSONS

Contact person Telephone E-mail

Management Board

Sales

Production

Shipping

Quality Management

Development

Company organigram is to be attached.

QUALITY MANAGEMENT SYSTEM / ENVIRONMENTAL MANAGEMENT SYSTEM

Does your company have a certified quality management system? Yes No

Certification according to DIN EN ISO 9001 valid until

Certification planned DIN EN ISO 9001 by when

Certification according to ISO/TS 16949 valid until

Certification planned ISO/TS 16949 by when

Are you familiar with the requirements of ISO/TS16949? Yes No

Other

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Does your company have a certified environmental management system? Yes No

Certification according to DIN EN ISO 14001 valid until

Certification planned DIN EN ISO 14001 by when

Other

Please attach copies of your valid certificates with your reply.

Classification of the quality capability by third parties/results of self-audits:

Parts/product groups Date Carried out by Audit basis Degree of fulfilment% Level

If your quality management system is not certified, we kindly request that you answer the questions on pages 4 until 6
(Self-assessment of the quality management system).

If your environmental management system is not certified, we kindly request that you answer the questions on page 6 (Self-
assessment of the environmental management system).

SELF-ASSESSMENT OF THE QUALITY MANAGEMENT SYSTEM

Yes No

1. Have quality targets and quality policy been formulated by the company management and is
this known to all employees?

2. Is there an independent quality control in the company and has a responsible person been
named by company management for quality management

3. Is a quality management system described in a manual?

4. Are internal audits carried out to support the continuous improvement of the processes?

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 Yes No

5. Are statistical methods used to measure the process capability?

6. Are contract, ordering and amendment details checked for completeness and feasibility prior to
submitting the offer?

7. Is it ensured that the distribution of documents (drawings, delivery specifications) can be correctly
controlled, in order to prevent the unintentional use of obsolete documents?

8. Is there a system with which the identification and traceability of the materials and the products is
ensured in all phases of the production process?

9. Are the workflows in production planned and documented in a job ticket per product?
Production status checked for adherence to delivery dates?

10. Are inspection and work instructions available for employees, as well as visualisations,
if applicable?

11. Are the employees trained for their respective work processes and suitably qualified – are training
courses planned, carried out and documented?

12. Is it ensured that products that do not conform are removed from the production flow or warehouse
and cannot reach the customer?

13. Is a goods issuing inspection carried out?

14. Is a process used for the analysis of causes of errors in order to avoid repeated errors and initiate
targeted corrective and preventative measures?

15. Are production and testing facilities regularly maintained after documented planning?

16. Is all measurement and inspection equipment calibrated according to defined intervals and the
results documented?

17. Is the calibration status identifiable for the employees who use the measurement and inspection
equipment?

18. Is software used for the administration of inspection equipment?

19. Are possible sub-contractors that deliver materials or services qualified with respect to fulfilling
the customer requirements?

20. Is there a list of approved suppliers, whose quality data are assessed at least 1x per year?

21. Are goods receiving inspections carried out on delivered products?

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 Yes No

22. Is the returns processing organised (8D Report)?

23. Are customers immediately informed about delivery date delays or other non-conformities?

24. Are recyclable packaging materials or reusable packaging used?

25. Is the customer satisfaction documented?

SELF-ASSESSMENT OF THE ENVIRONMENTAL MANAGEMENT SYSTEM

Yes No

1. Are environmental protection measures audited on a regular basis?

2. Are production processes, supply and disposal processes, as well as products regularly investigated
with respect to their environmental effects?

3. Are environmental protection aspects a fixed component of your product planning?

4. Does your company adhere to defined, written environmental protection guidelines?

5. Are environmental protection measures and results documented?

6. Are targets defined for improving environmental protection and is their fulfilment documented?

7. Are employees regularly informed and trained on the topic of environmental protection?

8. Are you aiming at improving environmental protection with your suppliers and contractual partners?

9. Are recyclable packaging materials or reusable packaging used?

CORRECTNESS CONFIRMED BY

Name Function

Place, date Signature

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