Quality Assurance Vendor Survey
Company Name:
Address:
City:
State:
Zip:
Head of Quality Organization:
Name:
Title:
Phone:
Fax:
Email:
Head of Quality Reports to:
Name:
Title:
Organization Information:
Company Classification:
Large Small
Disadvantaged Woman Owned
Other:

Number of Locations:
Total Square Footage
(this facility):
Product or Service Provided:
Number of Employees
(this facility):
Quality:
Production:
Quality System Approvals:
Certified:
AS9000/AS9100 ISO 9000
MIL-45208 MIL-Q-9858
Other(specify):

Compliant:
AS9000/AS9100 ISO 9000
MIL-45208 MIL-Q-9858
Other(specify):

NADCAP (type):
FAA Repair Station#:
Survey Completed by:
(I certify the information supplied in this survey is true and complete.)
Name:
Title:
Date:
A. GENERAL
1. Is there a Quality manual?
2. Is the Quality manual revision controlled?
3. Is there a current organization chart of the company and the Quality Department (attach copy)?
4. Does Quality management have direct access to the highest level of company management?
5. Is there a system in place to perform internal audits to assure an effective quality system?
6. Is there a copy of Skurka Aerospace Inc Form P235 on file?
7. If yes, what revision?
B. PROCUREMENT CONTROL
1. Are there written procedures for the control of purchased materials?
2. Are certifications/test reports required from subcontractors?
3. Are subcontractor surveys performed?
4. Does the system provide for effective corrective actions with a subcontractor when required?
5. Is there a flow down of customer requirements to the subcontractor?
6. Are subcontractors used for special processes NADCAP certified?
C. RECEIPT OF MATERIALS AND SERVICES
1. Are materials inspected to verify conformance with the purchase order requirements including receipt of certifications and/or test reports?
2. Are receiving materials properly handled and protected during the receiving process and controlled to preclude removal prior to inspection?
3. Is material controlled to prevent commingling and to ensure traceability throughout production/processing?
4. Is periodic verification testing of raw materials performed by an accredited laboratory?
D. SAMPLING INSPECTION
1. Is a statistical sampling plan utilized?, if not, attach a brief description of the sampling procedure used.
2. Is the sampling inspection based on ANSI Z1.4 Mil-STD 105, or other generally accepted sampling plan?
3. Is Acc0” plan utilized at Final Inspection?
4. Are sampling plans available for review and/or approval by Skurka Aerospace Inc. and its customers?
5. What are the AQL’s for:
6. Is Statistical Process Control (SPC) utilized during manufacturing?
E. MEASUREMENT & TEST EQUIPMENT CALIBRATION CONTROLS
1. Is inspection and test equipment periodically inspected and calibrated?
2. Are calibration standards traceable to N.I.S.T.?
3. Is equipment identified as to calibration status?
4. Is there a documented system for uniquely identifying the items to be calibrated?
5. Is there an effective recall system in place with established calibration frequencies for measuring and test equipment?
6. Does the calibration system conform to the requirements of MIL-STD-45662 or 1S010012?
7. Are employee owned inspection and test equipment included in the calibration recall system?
F. STOCK & STORAGE CONTROLS
1. Are there written procedures for the control of stores and issuance of materials?
2. Are materials received and maintained in the stock area properly identified as to inspection status?
3. Is there a system to insure traceability both to receiving records and usage records?
4. Is material stored in a manner so as to preclude damage or corrosion?
5. Is there a system in place for the control and recall of age-controlled material?
6. Does the calibration system conform to the requirements of MIL-STD-45662 or 1S010012?
7. Are employee owned inspection and test equipment included in the calibration recall system?
G. DOCUMENT CONTROL
1. Is there a formal document control procedure?
2. Does the document control procedure include provisions for the control of customer documentation?
3. Does the system provide for documented change control which will ensure that required drawing and specification change level is available at the point of manufacturing and inspection?
4. Does the system provide for the control of software used in design, production, inspection, and/or test?
H. IN-PROCESS CONTROLS
1. Are there adequate written work and/or inspection procedures at work stations and are they being utilized?
2. Is there a "traveler" or similar document used for the sequence and control of operations and inspection points?
3. Do in-process documents reflect drawing and/or specification requirements including change levels and are drawings and specifications available?
4. Are in-process materials properly identified as to inspection status?
I. INDICATION OF INSPECTION STATUS
1. Are stamps used to indicate status of material?
2. Where stamps, signatures or initials are used, is a record maintained identifying the individual with the type of stamp and date of issuance, or a sample of the initials and/or signatures?
3. Do Quality records include training and qualification of inspection personnel?
4. Are records available for vision testing on personnel who perform visual inspection?
J. PACKAGING AND SHIPPING
1. Are adequate controls provided to assure that all applicable inspection and test operations have been satisfactorily completed prior to shipment?
2. Are materials designed for shipment properly identified and protected from damage during shipment?
3. Is adequate control provided to assure chat all required documentation such as material certifications and test reports are forwarded with each shipment as required by contract?
K. NONCONFORMING MATERIAL CONTROL AND CORRECTIVE ACTION
1. Are defective materials properly identified and segregated from acceptable material and held in a controlled area pending disposition?
2. Is appropriate corrective action taken on non-conforming materials in accordance with the applicable standard?
3. Is non-conforming customer furnished material identified as such and returned to the customer unless otherwise directed by the customer?
4. Is customer promptly notified when it is discovered that discrepant product is already delivered?
5. Does the system ensure that replies to customer requests for corrective action are made within the time specified by the customer?
6. Is Quality sign-off required for discrepant material disposition?




  
• • • Contacts • • •
Tom Sievers, PE
President
Sean Hoskins
Director of
Sales & Marketing
• • • Location • • •
Camarillo, California
60 miles North-West
of Los Angeles
• • • Information • • •
Type: Corporation, Incorporated in the State of Delaware
NIAC: 335312
DUNS#: 00-823-8768
 FAA Repair Station #S7GR035N
 

4600 Calle Bolero, P.O. Box 2869, Camarillo, California 93011-2869
Telephone: 805-484-8884 • Fax: 805-482-7771 • E-Mail: sales@skurka-aero.com
Website: www.skurka-aero.com
  
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