Cobham Sensor Systems
Cobham Electronic Systems Inc.
1001 Pawtucket Boulevard
Lowell, MA 01854
Supplier Questionnaire
Date:
Company:
Primary Contact:
Address:
Phone:
Fax:
eMail:
Web Site:
General Company Information
Is this address Corporate Headquarters?
Local Sales Office/Distributor (if any)
Yes
Contact:
Address:
If no, name of parent company:
Product or Service
Year Company Established:
Sales for past two years:
Publicly Held
Year:
Amount:
$
Year:
Amount:
$
Privately Held
Facility Statistics
# of Buildings:
Sq Ft:
Shifts:
% Capacity:
%
Personnel (Names)
President/CEO:
Sales Manager:
MFG Manager:
ENG Manager:
QA Manager:
Other:
Employees (Qty)
Admin:
MFG:
ENG:
Quality Systems (Check all that Apply)
ISO 9001:2000 Certificate No.
AS 9100
Certificate No.
ISO 14001
Certificate No.
ITAR
Certificate No.
NADCAP
Certificate No.
MIL-I-45208
Approved By:
Certificate No.
Certificate No.
QA/Insp:
Exp.
Exp.
Exp.
Exp.
Exp.
Date
Date
Date
Date
Date
Exp. Date
Exp. Date
Please attach a copy of your Certifications or provide a Web link:
Company Classifications (Check all that Apply)
Small
Small Disadvantaged
Woman Owned
HUB Zoned Small Business Concern
% of Business
Military/Aerospace
%
Commercial
Veteran Owned Small Business
Service Disabled Veteran Owned Small Business
Native American Owned
%
Medical
%
Nuclear
%
No further questionnaire completion is required for third party certified ISO-900x/AS-9100 suppliers.
For Cobham Use Only:
Reviewed By:
Date:
Approved
Conditional
Disapproved
General remarks:
Ref. PUR-257
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FRM-SQA-001_A
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Cobham Sensor Systems
Cobham Electronic Systems Inc.
1001 Pawtucket Boulevard
Lowell, MA 01854
Supplier Questionnaire
General Quality Assurance Information
If you are not third party registered ISO compliant Supplier, please answer the following questions;
Yes
No
N/A
Comments:
Do you have a Quality Assurance Manual?
Do you use Workmanship Procedures?
Do you use Inspection Instructions?
Do you have a Receiving Inspection Dept.?
Do
Do
for
Do
you have a Final Inspection Dept.?
you maintain calibration of measuring equipment used
final acceptance per ANSI/NCSL Z540.3-2006?
you maintain Electrical Test Data?
Does QA Approve of Drawings?
Do you have a Drawing Change Procedure/Notification?
Are Customer Drawings Re-drawn?
Failure Analysis; Corrective/Preventive Action?
Do you have an Approved Supplier List?
Does QA Approve Purchase Orders?
Do you maintain Lot/Date Code traceability?
Are Work Instructions in Use?
Do you have a Controlled Stockroom?
Do you have Shelf Life Control?
Are Travelers/Route Sheets Used?
Is SPC used in your Facility?
Do you have Electronic Discharge (ESD) Controls?
Do you meet Environmental (EPA) Compliance?
Is your facility O.S.H.A. Compliant?
Specialty Metals Compliant? DFARS 252.225-7014
Dear Valued Supplier,
Cobham is a recognized manufacturer around the World. At all times the perfect condition and reliability of purchased
components, materials and services as well as the verified process and quality capability of our suppliers contributes
significantly to this goal. Hence, the quality of our suppliers is an integral part of Cobham’s product quality. This
requires process capability and continual improvement of all processes and flows within the Supply Chain.
This Questionnaire is the first step in establishing a partnership between our companies. As we move forward, we may
require additional information, surveys and site visits to fully develop the necessary controls and processes to provide
the highest quality product. We are looking forward to this partnership and thank you for taking this initial step
towards that goal.
Ref. PUR-257
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FRM-SQA-001_A
20094170