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Yes No
b. adequate security from unauthorized access? Yes No
c. segregation of aircraft from non-aircraft hardware? Yes No
d. segregation of serviceable from non-serviceable parts? Yes No
27. Do procedures exist for the control, verification, and storage of customer supplied products?
Yes No
28. If a customer supplied product is damaged or lost, is the customer notified?
Yes No
29. Do you maintain a system for taking corrective action to prevent repeat mistakes and/or
errors? Yes No
30. Is the corrective action system in place to ensure prompt action and response?
Yes No
31. Are non-conformance reports regularly prepared for and reviewed by management?
Yes No
32. Do procedures exist to ensure that identification of product is maintained throughout all
stages of processing? Yes No
33. When traceability is required by contract, does the product contain a unique identifier?
Yes No
34. If traceability of product is lost, is the product processed as nonconforming?
Yes No
35. Do procedures exist for the control of parts throughout processing?
Yes No
36. Does the supplier maintain a suitable working environment to maintain product quality?
Yes No
37. Is suitable equipment provided and maintained to ensure product quality?
Yes No
38. Are parts accompanied with the correct documentation throughout processing, indicating the
current operation sequence and acceptance criteria? Yes No
4 of 7
Self Evaluation Questionnaire
39. When special processing requires customer approval, do procedures exist to ensure that parts
are processed according to the requirements of the customer? Yes No
40. Do procedures exist to cover incoming, in process and final inspections?
Yes No
41. Is incoming product verified prior to release for processing? Yes No
42. Is in process inspection carried out at designated operation and completed prior to further
processing? Yes No
43. Does final inspection confirm that all the requirements are met? Yes No
44. Does the following occur prior to shipping:
a. A check for any obvious physical damage? Yes No
b. Verification of part numbers, including dashes and letters, model numbers, serial
numbers, etc. to ensure items being shipped match the accompanying
documentation? Yes No
c. Verification of packing slips to ensure it contains all the information required by the
customer? Yes No
d. Verification that shipping containers and the packaging used are appropriate for the
items being shipped? Yes No
e. Verification that all appropriate documentation (maintenance release, material
certification, traceability documents, etc.) are at hand, properly completed and
signed? Yes No
45. If sampling inspection is preformed, is it to an approval plan? Yes No
46. Do procedures exist for the control of I.M.T.E.? Yes No
47. Does the processor maintain, as a minimum, a calibration system in accordance with
MIL-STD-45662, ISO 10012, or equivalent? Yes No
48. Does the processor maintain working standards of required accuracy that are periodically
calibrated to primary standards traceable to N.I.S.T.? Yes No
49. Does the procedure state the frequency of re-calibration of all inspection tooling, including
employee owned tools? Yes No
50. Are all measuring devices uniquely identified to allow calibration record traceability?
Yes No
5 of 7
Self Evaluation Questionnaire
51. Are records of calibration maintained including the make, type, serial number, and calibration
certificates? Yes No
52. Does a positive recall system exist when measuring equipment used is found to be
considerably out of calibration? Yes No
53. Does a written procedure exist covering inspection and test status? Yes No
54. Is the identification and inspection status maintained throughout receiving, processing,
storage, and delivery? Yes No
55. Are inspection stamps used to identify the processor and the individual inspecting the
product? Yes No
56. Do written procedures exist for the control of processing of non-conforming material?
Yes No
57. Is a non-conforming product identified and segregated to prevent use?
Yes No
58. Is a non-conforming product properly secured in a bonded area with limited access?
Yes No
59. Is a reworked or repaired product re-inspected? Yes No
60. Are all non-conforming characteristics documented and dispositioned as either scrap, rework,
or refer to customer? Yes No
61. Do procedures exist to ensure effective corrective and preventative action?
Yes No
62. Does the processor maintain a system that prevents repetitive non-conformance?
Yes No
63. Is corrective action verified and assessed for effectiveness? Yes No
　
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