Supplier self‐assessment

The questionnaire is intended to support the process of preselecting and evaluating suppliers and to facilitate preparation or
a potential business collaboration. The data entered is treated as confidential and is not passed on to third parties.
Please answer all questions and provide the required verifications with the answer.

1. General information

1.1. Company data

Supplier name:
Street: House no.:
Postal code: City:
Country: State:
Phone/fax:
E-mail:
Website (www):
Further locations: 1.
2.
3.
Production programme:
Manufactured products

Competency for safety‐relevant

products / safety‐relevant parts
in the production programme:

Collaborations:
Legal structure:

1.2 Contact data

Language
Contact person Name Phone E-mail address DE / EN
Technical manager
Commercial manager
Sales
Technical customer service
Product development
Production planning
Production
Logistics
Quality assurance
Environmental protection
Workplace safety
Quality planning
Initial sampling
Production monitoring
Material test / laboratory

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1.3 Staff
White‐collar employees Blue‐collar employees Total
Number of employees (total) 0
Development 0
Production 0
Quality assurance 0
Environmental protection 0
Logistics 0
Workplace safety 0

1.4 Turnover development

Last Current Next
Turnover (thousand €) fiscal year 20.. fiscal year 20.. fiscal year 20..

1.5 Insurances Yes No If yes, Coverage level (€) Exclusions

Product liability insurance
Recall insurance
Insurance cover for loss of production
…..

1.6 Competencies Yes No

Experience with automotive customers
Own product development
In‐house tool design/construction
Special features (safety‐relevant)
…..

1.7 Language for correspondence Yes

German
English
….. (e.g. Hungarian, Polish, Spanish, Portuguese, etc.)
…..
…..

1.8 Customer references

Automotive Non-automotive

1.9 Corporate strategy Yes No

Corporate policy
Code of conduct
Quality policy
Environmental/energy policy

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2. Development (only if the supplier develops its own products or processes))
Do you carry out development, test or Yes
production simulations? No
No. Process Software
1.
2.
(Please provide examples and name the respective software used) 3.
4.

Yes No Supplier remarks

In‐house tool construction
In‐house maintenance

3. Production
3.1 Machinery
Machinery Number of production machines

Property
Leased Average machinery age
Both years

Main production machines Main production process

Supplier remarks

3.2. Shift model

Shifts Hours per shift Hours per week Shifts per week *1
a) current shifts
1 2 3 h h Number

b) max. possible shifts

1 2 3 h h Number
*1 - Approval issued.
Are there emergency plans for machine and system failures?

Yes No Remark:

3.3 Information on product/process quality (KPI)

Yes No Supplier remarks
Internal ppm rate
Internal scrap rate (€)
Number of external complaints
External ppm rate OEM
Delivery reliability (%)
Adherence to delivery dates (%)

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3.4 Inspection strategy
Incoming goods inspection No
Yes, according to sampling schemes
Yes, as 100% inspections
Yes, with recording of results

Outgoing goods inspection No

Yes, according to sampling schemes
Yes, as 100% inspections
Yes, with recording of results

Production inspections No
(e.g. production release, first/last parts inspection, Yes, according to sampling schemes
after production downtime, etc.) Yes, as 100% inspections
Yes, with automated testing devices
Yes, with recording of results

Marking of production lots No

Yes, with editing status
Yes, with inspection and release status

Monitoring of testing equipment No

Yes, at regular intervals
Yes, ongoing calibration during production
using reference samples

SPC quality control with No

quality control charts (e.g. x/R charts)? Yes, …
e.g. for:
(Please provide an example)

4. Management systems
4.1 Certifications / accreditation
Certification Certification
Certificate available Planned / date Valid until
date body
ISO/TS 16949
IATF 16949
DIN EN ISO 9001
DIN EN ISO 14001
DIN EN ISO 50001
DIN EN ISO 45001
OHSAS 18000
DIN EN ISO 17020
…

4.2 Customer or official audits Yes No If yes: Audit type, result, customer, date
Audit by an automotive OEM
Audit by an official authority (e.g. KBA)

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4.3 Subcontractor management Yes No Remarks
Inspection certificates
Certificates
Accreditation (e.g. in accordance w. DIN EN ISO 17020)
Quality assurance agreements
IMDS entries
Initial sampling (e.g. in accordance with VDA Vol. 2)

4.4 Initial sampling

Are the following items available or prepared by you? Yes No Supplier remarks
IMDS entries
Sampling in compliance with PPAP
Sampling in compliance with VDA 2
Measurement system analyses
Process capability analyses

4.5 Quality assurance

Inspections/equipment Yes No Supplier remarks
In‐house laboratory / material testing
3D measuring machine available in‐house Number / type
- Measuring range of the 3D measuring machine (mm)
‐ Precision of the 3D measuring machine (μm)
Is the measuring machine available for incoming goods
and in‐process inspections?
Is there a possibility of crack detection
(ultrasonic or magnetic particle inspection)?
Further special measuring devices
(Please list here)
Have measurement system analyses been performed
on the measuring devices?
(e.g. MSA, VDA Volume 5, etc.) (Please provide an example)

4.6 Information on ERP and CAQ systems Yes No If no: Introduction planned for
SAP(or other ERP-System) (which modules/version)
FMEA (design, process, system) (which modules/version)
Production control plan
Production flow diagram
Inspection planning
Incoming goods inspection
Production monitoring
Final inspection
Quality costs
RDT / EDI
…..

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4.7 Quality assurance agreements Yes No
With customers
With suppliers
With laboratories
With service providers (calibration, sorting, etc.)

4.8 Methods and tools Yes No

MLA (maturity level assurance for new parts)
FMEA (failure mode and effects analysis)
MSA (measurement system analysis)
SPC (statistical process control)
PCP (production control plan)
PPAP/PPF (production part approval process)
8Ds Method
Poka-Yoke systems
Cause‐effect diagram
Pareto analyses
…..

5. Environmental management Yes No

Have environmental goals been defined?
Does an environmental organisation exist?
Have roles and responsibilities been clearly
defined?
Is compliance with statutory requirements checked at
regular intervals?
Have environmental aspects of company activities
been determined and evaluated based on their
effects?
Have energy, water and material consumption,
and exhaust air, waste and waste water volumes
been assessed and evaluated?
Are there emergency plans and measures for dealing
with failures of environmental relevance?
Are employees trained in environmentally relevant
activities?
Are internal environmental audits being carried out?
Are environmental requirements passed on to the
respective suppliers?
Are the products supplied to JOST free from
prohibited substances?
Is your production process free from prohibited
substances?
Is packaging systematically avoided and
its environmental sustainability ensured?

Can you confirm that compliance with REACH is

ensured?
Can you confirm that no conflict minerals in
accordance with the Dodd-Frank-Act are used?

…..

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6. Logistics
6.1. General
Is there a FMEA? Yes
No
Is the traceability incl. FIFO of products ensured? If yes, how?

No
Are the required capacities ensured? If yes, how?

No

6.2. IT
Data exchange via EDI / RDT Yes
No
If yes, which data formats? VDA
EDIFACT
ODETTE
Others:
Goods labels in accordance with… VDA (4902)
ODETTE
Others:

6.3 Empty containers

Empty container management If yes, how is this ensured?

No
No empty containers from JOST are used for internal If yes, how is this ensured?
processes/transports
No

6.4 Transport
Collection with standard lorry (40 tons) possible? Yes
No
How is loading done? From the rear
From the side
Supplier remarks

7. Data protection

We agree that the data provided here may be saved internally on JOST storage media. JOST guarantees that data entered into
the supplier information is not passed on to third parties.

The information indicated in the annex is to be attached to the completed questionnaire.

Company Name Date / Signature

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8. Annexes and evaluation

The following documents are to be attached (or included as objects in PDF format)
(Please include verification as objects)
Company report

Company brochure, company presentation

Certificates

Confirmation of insurance

Example: Measurement system analysis

Example: Process capability analysis

List of testing equipment

Corporate policy

Code of conduct

Quality policy

Environmental/energy

Evaluation of the supplier self‐assessment by JOST

Yes No Remark
Are the information in this supplier self‐assessment
sufficient?
Has the JOST QA guideline been signed?
Has the feasibility study been signed?
Has the JOST logistics guideline been signed?
Potential analysis according to VDA 6.3 required?
Process audit according to VDA 6.3 required?

Yes No to a limited extent

Is the supplier suitable for collaboration?

Comment:

Supplier Quality Assurance Procurement

Date / Signature Date / Signature

Logistics Product development (if reqiured)

Date / Signature Date / Signature

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