Lifesaving Systems Supplier Audit Supplier Assessment & Evaluation Supplier Assessment & Evaluation SUMMARY: As part of our supplier quality assurance program, and in accordance with the requirements of our ISO 9001: AS9100D registration, new and periodic assessments are conducted of our suppliers and sub-contractors. To this end, would you please complete and return the attached vendor questionnaire. Information from this questionnaire will be used to update our records and enable us to maintain our approved supplier list. Analysis of this information may result in the need for an assessment or audit by one of our Quality staff. In this event, we would contact you to arrange a convenient date based on the scope of the audit, and if an on-site evaluation is necessary. Please be assured that any information provided will be treated in complete confidence. Contents: Scope / Reason for conducting the survey Part 1 – Supplier Information Part 2 – Quality System Certification(s) Part 3 -  Quality Management System Part 4 - Approval Please select the scope of the audit. If you are a new supplier to Lifesaving Systems, please select "New Supplier Approval Survey." If you have been doing business with Lifesaving Systems since before 2022, please select "Systems Survey Audit." Thanks. Scope/Reason: * New Supplier Approval Survey Systems Survey Audit Part 1: Supplier Information (to be filled out by Supplier) Supplier Company Name Manufacturing Address Manufacturing Address Manufacturing Address Manufacturing Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Website/URL Phone Key Personnel President/CEO: Phone Email Operation Manager: Phone Email Quality Manager: Phone Email Sales Contact Phone Email Does your company Maintain an Organizational Chart? Yes (If yes, please provide copy with this survey) No File Upload Drop a file here or click to upload Choose File Maximum upload size: 52.43MB Facilities Information Year Established Total Employees Manufacturing: Quality Admin Engineering Type of Manufacturing/Services Provided: Business Classification (Please check all that apply) Small Business Large Business Woman Owned Veteran Owned Part 2: Quality System Certification(s) Company Quality System is Maintained in Accordance With (check all that apply): ISO 9001:2015 AS9100D ISO 13485:2016 None OtherOther If your organization is certified to any of the above QMS standards, you may stop here and provide a copy of your certificate(s), complete the signature lines below. If your organization is not certified to any of the above standards, please continue to part 3 of this form and complete all the appropriate information. Once complete, sign & date below. Please upload Certifications, if necessary Drop a file here or click to upload Choose File Maximum upload size: 52.43MB Survey Completed by: Survey Completed by: First Last First Last Title Title Date Signature Clear Part 3: Quality Management System The questions below are QMS requirements. Please fill out as they apply to the company. 1. Quality Management System 1a. Do you establish, document, implement, and maintain a quality management system in accordance with quality standards? Yes No N/A OtherOther CommentsComments 1b. Has a quality manual been generated which documents the quality system, and references all quality flow down procedures? Yes No N/A OtherOther CommentsComments 1c. Do the employees have access to the quality manual, and do they have awareness and understanding of the relevant procedures? Yes No N/A OtherOther CommentsComments 2. Management Responsibility 2a. Does management define and document statements of quality policy and quality objectives? Yes No N/A OtherOther CommentsComments 2b. Does management regularly review quality performance data and trends? Yes No N/A OtherOther CommentsComments 2c. Are management reviews conducted with outputs documented and maintained? Yes No N/A OtherOther CommentsComments 3. Control of Documents 3a. Is there an established procedure describing control of documents? Yes No N/A OtherOther CommentsComments 3b. Do you have a system of document change control? Yes No N/A OtherOther CommentsComments 3c. Is there a system to control obsolete drawings, specifications, forms, and procedures to ensure they are not mistakenly used? Yes No N/A OtherOther CommentsComments 4. Control of Records 4a. Is there an established procedure describing the control of records affecting the quality management system, such as work order routers, receiving/in-process/final inspection data, test results, calibration records, audit reports, training records, etc? Yes No N/A OtherOther CommentsComments 4b. Are the records of quality activities maintained per a procedure? Yes No N/A OtherOther CommentsComments 5. Identification and Traceability 5a. Is there a procedure for identification and traceability of product throughout all stages of the manufacturing process? Yes No N/A OtherOther CommentsComments 6. Purchasing 6a. Are there documented procedures to ensure that the product being purchased meets specified requirements? Yes No N/A OtherOther CommentsComments 6b. Are purchased products verified upon receipt or at the sub-tier supplier’s facility prior to shipment? Yes No N/A OtherOther CommentsComments 6c. Is there a process for evaluating, approving, and maintaining a list of approved sub-tier suppliers? Yes No N/A OtherOther CommentsComments 6d. Do you periodically review and evaluate the performance of your sub-tier suppliers? Yes No N/A OtherOther CommentsComments 7. Customer Property 7a. Do you have a system to ensure proper identification, storage, and segregation of customer supplied product? Yes No N/A OtherOther CommentsComments 8. Design & Development Planning 8a. Are there procedures in place to maintain and control the design verification of the product to ensure that specified requirements are met? Yes No N/A OtherOther CommentsComments 8b. Are design requirements clearly & accurately defined and documented? Yes No N/A OtherOther CommentsComments 8c. Does management ensure that members from all relevant departments (i.e. Quality, Production, Engineering etc.) are involved in product development prior to the incorporation of new designs? Yes No N/A OtherOther CommentsComments 8d. Are the design requirements clearly and accurately defined and documented? Yes No N/A OtherOther CommentsComments 8e. As applicable, are critical / key characteristics identified in accordance with design or contract requirements? Yes No N/A OtherOther CommentsComments 8f. Are design reviews conducted at appropriate stages to evaluate results, identify issues, and plan next steps? Yes No N/A OtherOther CommentsComments 8g. Do new designs go through a documented verification & validation process to ensure that the design and end products meet all customer requirements? Yes No N/A OtherOther CommentsComments 8h. Do required verification & validation tests identify the product being tested, equipment/parameters to be used, objectives, acceptance criteria and results to be recorded? Yes No N/A OtherOther CommentsComments 8i. Are procedures in place to ensure any design/development changes are reviewed, documented, and implemented by appropriate personnel with consideration given to product already delivered to customers? Yes No N/A OtherOther CommentsComments 9. Process Control 9a. Are there documented procedures defining how manufacturing processes and supporting documentation (i.e. router, manufacturing plans, customer controlled planning etc.) are controlled? Yes No N/A OtherOther CommentsComments 9b. Are controls in place which assure traceability and physical protection from damage for all manufactured parts and associated tooling throughout the manufacturing process? Yes No N/A OtherOther CommentsComments 10. Training 10a. Are training records for personnel performing work affecting product quality documented maintained? Yes No N/A OtherOther CommentsComments 10b. Do personnel performing work affecting product quality receive continual competency training at designated intervals? Yes No N/A OtherOther CommentsComments 11. Control of Inspection, Measuring & Test Equipment 11a. Are there documented procedures defining how all inspection, measuring and test equipment within the facility are controlled and maintained? Yes No N/A OtherOther CommentsComments 11b. Is all equipment and tooling used for product acceptance calibrated and traceable to a nationally recognized standard? Yes No N/A OtherOther CommentsComments 11c. Is all calibrated equipment physically identified & traceable as to calibration status and re-certification dates? Yes No N/A OtherOther CommentsComments 11d. When equipment is found to be faulty, damaged, or out of calibration, are procedures in place to perform an assessment of the previous inspection results, including the possible re-call of product for re-inspection? Yes No N/A OtherOther CommentsComments 12. Inspection & Testing 12a. Is there a documented procedure defining inspection & test activities including inspection status (uniquely traceable to inspection personnel) and sample inspection requirements where applicable? Yes No N/A OtherOther CommentsComments 12b. Are there both in-process & final inspection activities in place to verify that all purchase order, drawing, and contractual requirements are met prior to shipments to customers? Yes No N/A OtherOther CommentsComments 12c. Is the statistical quality control (sampling) plan derived from ANSI/ASQ Z1.4? Yes No N/A OtherOther CommentsComments 12d. Is there a procedure defining the inspection, verification, and documentation, of First Article Inspection Reports? (FAIs) Yes No N/A OtherOther CommentsComments 13. Control of Non-Conforming Product 13a. Are there procedures in place regarding the identification, segregation, evaluation, disposition, and customer notification of non-conforming product? Yes No N/A OtherOther CommentsComments 13b. Are records of non-conforming product retained? Yes No N/A OtherOther CommentsComments 13c. Are procedures in place requiring notification to customers when non-conforming material has escaped the supplier’s facility? Yes No N/A OtherOther CommentsComments 14. Corrective & Preventative Action 14a. Are there procedures in place for issuing corrective & preventive action to sub-tier suppliers, and responding to corrective action requested by customers? Yes No N/A OtherOther CommentsComments 14b. Are there activities in place regarding complaint handling? Yes No N/A OtherOther CommentsComments 14c. Is follow-up conducted and documented concerning the effectiveness of corrective action? Yes No N/A OtherOther CommentsComments 15. Handling, Storage, Packaging & Shipping 15a. Are there procedures in place for the handling, storage, and packaging of customer product? Yes No N/A OtherOther CommentsComments 15b. Do you verify final packaging & marking prior to shipping? Yes No N/A OtherOther CommentsComments 15c. Do all materials stored have evidence of inspection? Yes No N/A OtherOther CommentsComments 16. Internal Audit 16a. Is there a documented internal audit procedure? Yes No N/A OtherOther CommentsComments 16b. Are internal audits scheduled, performed, and documented? Yes No N/A OtherOther CommentsComments 16c. Is corrective action taken on non-conformances? Yes No N/A OtherOther CommentsComments Approval Status (to be completed by LSC Representative) Approved? Yes No Name Name First Last First Last Title Title Date Signature Clear Comments: If you are human, leave this field blank. Submit Δ