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Supplier-Questionnaire

 if already LEYBOLD-Supplier please fill in the LEYBOLD-Supplier No. __________ here

Preface
 All information given by this questionnaire are for internal use at LEYBOLD only and will be treated
confidentially
 This questionnaire will be an important evaluation criterion for the internal assessment of suppliers.
 You have the occasion of representing your efforts in quality management
 Please fill out this questionnaire completely. If a question does not apply to your enterprise please mark by n.a.
 Additional information can be enclosed

1. Name and Address of Supplier

1.1 Name

1.2 Address

1.3 Telephone

1.4 Telefax

1.5 Email

1.6 WEB

2. Responsibilities (Name / Tel. -Extention)

Version: G Datum: 14.09.2006 Seite: 1 von 8 Supplier Quastionnaire Owner: Beate Boos
2.1 Managing Director

2.2 Technical Manager

2.3 Commercial Leader

2.4 Production Manager

2.5 Quality Manager

2.6 Development Leader

2.7 Partner Sellings

2.8 Partner Field Service

2.9 Partner Service

3. Special Data

3.1 Year of the foundation

3.2 Company form

3.3 Company affiliation

3.4 Ownership structures


(managing directors/shareholders)

3.5 Addresses/branch in Germany

3.6 Addresses/branch in other countries

3.7 Main products

3.8 Are you insured for case of:


- product liability  yes  no
- production downtimes  yes  no
- indirect claims  yes  no
- direct claims  yes  no
- product recalls  yes  no
Insurance company
_______________
insurance sum
_______________EUR

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4. Your market

4.1 Who are your 5 most important


customers with turnover?

4.2 Are there exclusive contracts with  yes  no


customers?

4.3 Do you supply still other customers  yes  no


in the vacuum market?

4.4 If yes, which?

4.5 Who are your 5 most important


suppliers with turnover?

5. Concepts

5.1 How is your selling structured?


(e.g. product-oriented, customer-oriented)

5.2 Do you already practice

KANBAN  yes  no

Consignation  yes  no

Other logistic systems  yes  no which?

5.3 Do you practice electronic data  yes  no


exchange?

5.4 If yes, to which extent ?

5.5 Do you use a PPS system?  yes  no

5.6 If yes, which one?

5.7 Which capacity reserves are


available?
(e.g. shift operation, borrowing forces, etc..)

5.8 What can impair your flexibility?


(e.G. material, bottleneck machines)

6. Turnover in financial year last year current year next year planing

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6.1 total:

6.2 with LEYBOLD:

6.3 volume of purchase:

7. Investments in % of the turnover last year current year next year planning

7.1 total:

7.2 research and development

8. Number of employees last year current year next year planning

8.1 total:

8.2 sales:

8.3 research and development:

8.4 purchasing:

8.5 production:

8.6 quality management:

8.7 service/field service:

9. Machine equipment type of machine tolerance class capacity


separate listing enclose if necessary

e.g. drilling and milling MAHO, Typ ***** IT 6 one-shift

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10. Measuring Equipment
separate listing enclose if necessary please fill in (supplement missing equipment)

gauge tolerance class  IT 7  IT 6  IT ..........

coordinate measuring machine  yes  no which?

utility- and comparison model  yes  no which?

optical measuring instruments  yes  no which?

temperature-stabilized measuring  yes  no


room

roughness depth testing sets  yes  no which?

in-circuit tester  yes  no

electronic measuring instruments  yes  no which?

11. Quality Management

11.1 Do you have a QM-system?  yes  no

11.2 If yes, on which standard basis?  DIN EN ISO 9001:2000


(DIN EN ISO)
 other

11.3 Is your QM-system certified?  yes  no


Attach please a copy of the certificate

11.4 Further QM-rules are relevant?  yes  no


e.g. ISO TS 16949 , ISO 14001, VDA 6.1, KTA
1401, etc.

11.5 If yes, which?

11.6 Which of the following quality tools  QFD  FMEA  DOE/Taguchi


are demonstrably used.
 SPC  andere

11.7 Do you make internal audits?  yes  no to which extent?

11.8 In which time are you able to answer  24h  48h  ____h
our notice of defects (F2-reports) ?

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12. Quality Planning / Documentation

12.1 Do you have a described contract  yes  no


examination?
planned until:

12.2 Do you have described testing  yes  no


instructions for all products?
planned until:

12.3 Contain these testing instructions all substantial data for:

Test sequence?  yes  no

Test frequency?  yes  no

Test characteristics?  yes  no

Used test equipment?  yes  no

12.4 Are these test equipment regularly  yes  no


supervised?
planned until:

12.5 Are these examinations  yes  no


documented?
planned until:

12.6 Are these documents archived?  yes  no


planned until:

12.7 Is it possible to obtain traceability to  yes  no


the order?
planned until:

13. Personal / Training

13.1 Are there written definitions for the  yes  no


qualification, training and further
training of the personnel, who planned until:
implement activities, which have
influence on the quality of the
products?

13.2 Does your enterprise have  yes  no


personnel with special tasks ?
E.G. electrical specialist, welding specialist,
etc.

13.3 If yes, please list!


(attach certificate, please)

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14. Procurement / Logistics

14.1 Purchase checks are accomplished?  yes  no to which extent?

14.2 How do you place incorrect parts to


be sure that mixing with good parts
is impossible?

14.3 Are your employees trusted with the  yes  no


procedure of initial samples?
(handling and documentation)

14.4 Do you have own forms for initial  yes  no


samples?
Attach a copy of it please

14.5 Do you use documented delivery  yes  no


examination?

14.6 Are there written instructions  yes  no


concerning the packing of products
regarding customer's requests?

15. Environment Management

15.1 Do you have an environment mangement system such as:

DIN 14000  yes  no

EURO ECO audit regulation  yes  no

Or other system  yes  no which?

15.2 Are your products subject to the guidelines

76/769/EWG (Restrictions of the  yes  no


placing on market /usage of
certain dangerous materials and
preparation)

2002/95/EG (Restriction of the  yes  no


use of certain dangerous
materials in electrical and
electronics devices, "ROHS")

15.3 If yes, which products are


concerned (please list them) and
how do you convert these
regulations

15.4 Do legal disposal possibilities exist  yes  no


for the products manufactured by
you?

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Place / Date: ________________________________________

Name / Department: ________________________________________

Signature: ________________________________________
Please send the filled in questionnaire to: Oerlikon Leybold Vacuum GmbH
Beate Boos OP11
Bonner Str. 498
50968 Köln
or beate.boos@oerlikon.com

will be filled by LEYBOLD:

suitable for LEYBOLD as  Key Supplier (please mark appropriate)

 Serial supplier

 special demand

 not fitted

Commentary:

Desided by: _______________________________ (Purchaser / Date + Signature)

Version: G Datum: 14.09.2006 Seite: 8 von 8 Supplier Quastionnaire Owner: Beate Boos

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