Supplier Quality Coordinator

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5	1.0 Company Data
6	1.1 General Company Details			Answers/Remarks
7	1.1.1	Enter your Full Company Name.
8	1.1.2	Previous Company Name - (if applicable).
9	1.1.3	Parent Company Name - (if applicable).
10	1.1.4	Country of Registration.
11	1.1.5	Company Registration No.
12	1.1.6	Year Established.
13	1.1.7	VAT Registration No.
14	1.1.8	NACE Code.
15	1.1.9	Customs Authorisation No.
16	1.1.10	Nature of Business.
17	1.2 Address (Sales & Supply)			Answers/Remarks
18	1.2.1	Please give full postal address (Inc. Post/Zip/Area Code)
19	1.3 Address (Finance, Invoicing & Accounts)			Answers/Remarks
20	1.3.1	Please give full postal address (Inc. Post/Zip/Area Code)
21	1.4 Contact Details			Title	Name	Telephone	Email
22	1.4.1	Name of CEO.
23	1.4.2	Head of Quality Assurance.
24	1.4.3	Head of HSE Department.
25	1.4.4	Head of Sales (Office).
26	1.4.5	Principle Contact for Sales.
27	1.4.6	Head of Finance.
28	1.4.7	Principle Contact for Finance (Accounts).
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30	2.0 Financial & Legal
31	*2.1 Bank Details: (Must be Supplied on Your Own Letter Headed Paper and include, where applicable, the following):***
32	2.1.1	Bank Name, Bank Account No, Full Address (Inc. Post/Zip/Area Code),Telephone No, SWIFT, IBAN, Sort Code (Blz/ABA).		PLEASE PROVIDE ON LETTER HEADED PAPER
33	2.1.2	Preferred Currency for transactions.
34	2.2 Payment/Trading Terms:
35	2.2.1	2.2.1Payment Terms will be 60 Days unless an alternative arrangement has been authorised by the James Walker Strategic Purchasing Manager. If you would like us to consider alternative Payment Terms please state your preference, followed by a brief explanation for the change request.
36	2.2.2	Do you have a Minimum Order Charge, Line Charge or similar in place. If so, please advise the type of charge(s) and the current cost for each?
37	2.3 Financial Statements			Year 1	Year 2	Year 3	Remarks
38	2.3.1	Annual Turnover in the past 3 years.
39	2.4 Product Liability Insurance		Yes/No?	Answers/Remarks
40	2.4.1	Does your Company have Product Liability Insurance?
41	2.4.2	If "YES" to Q2.4.1. How much cover does your company currently have?
42	2.3.3	Please enclose a copy of your Current Product Liability Insurance Certification.
43	3.0 Quality Management
44	3.1 General Quality System Details		Yes/No?	Answers/Remarks
45	3.1.1	Since the date of the last audit/questionairre completion, has there been any significant changes which would impact on product supplied to James Walker? i.e, process, material, equipment, location. (If "YES" please advise of the significant change. (If no previous audit/questionairre has been complete, please base answer on the last 5 years)
46	3.1.2	Are you registered by an Accredited Third Party Assessment Body to ISO 9001 or similar? (If "YES" please advise the applicable standard and enclose a copy of your current Accreditation Certiificate. (If "NO" please proceed to Section 3.3).
47	3.1.3	Do you have Periodic Management Reviews with regard to the Quality System's ongoing efficiency? (if "YES" please state the frequency).
48	3.1.4	Do you have a Procedure/Policy for the detection and prevention of Counterfeit, Fraudulent or Suspect Items into the Supply Chain? (If "YES" please provide a copy of the Procedure/Policy/Statement). (If "NO" please complete and return the attached Process Document, Ref: F508 and return).
49	3.1.5	Do you have a system in place for notifying customers when Obsolete Materials/Products/Supplies and Services are to be withdrawn?
50	3.1.6	Do you have a system of measuring and monitoring Key Performance Indicators as regards the effectiveness of Quality Systems?
51	3.1.7	On occasion, it may be necessary for goods to be supplied with Certification that conforms to BS EN ISO 10204: 2004. Is this something that your company can comply with?
52	3.1.8	If required, would you allow James Walker to conduct an "Onsite Audit" of your Quality System?


53	3.2 Other 3rd Party & Customer Approvals		Yes/No?	Answers/Remarks
54	3.2.1	Does your company or specific products hold any other Third Party/Customer Approvals, (If "YES" please give details and enclose copies of any Certification/Approvals you currently hold.
55	3.2.3	Remarks: (You may provide additional information here which might not have been covered above)
56	3.3 Quality System Plans *(Complete this section if you answered "No" to Question 3.1.1)*		Yes/No?	Answers/Remarks
57	3.3.1	Do you intend to obtain Registration to ISO 9001 or similar? (If "YES" please state the date you expect to be registered).
58	3.3.2	Does your company operate a Documented Quality System?
59	3.3.3	Is a formal Quality Planning Process in use?
60	3.3.4	Are there written procedures for the Contract Review Process?
61	3.3.5	Are there written procedures for the Drawing & Document Control?
62	3.3.6	Are Internal Audits of the Quality System carried out?
63	3.3.7	Is there a formal system for Corrective Action Process in use?
64	3.3.8	Are there written procedures for Indication of Inspection Status
65	3.3.9	Are there written procedures for Manufacturing & Operating Control?
66	3.3.10	Do you carry out Supplier Quality Audit/Surveillance visits?
67	3.3.11	Do you have a formal procedure for qualifying Suppliers?
68	3.3.12	Do you have a defined system for Supplier development?
69	3.3.13	How is the Supplier's quality and timely delivery monitored & Controlled?
70	3.3.14	Are there written procedures for Procurement Control?
71	3.3.15	Are there written procedures for In-Process & Final inspection?
72	3.3.16	Is there a process for Identifcation & Maintenance 0f Traceability of Product?
73	3.3.17	Is there a process for the Control of Non-Conforming Material?
74	3.3.18	Are gauges for the Measurement of Critical to Quality Features calibrated?
75	3.3.19	Are the Written Procedures for Storage, Cleaning & Packing of Product?
76	3.3.20	Remarks: (You may provide additional information here which might not have been covered above).
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78	4.0 Health, Safety & Environmental & Ethical Procurement
79	4.1 Health & Safety.		Yes/No?	Answers/Remarks
80	4.1.1	Are you registered by an Accredited Third Party Assessment Body to ISO 45001 or similar? (If "YES" please advise the applicable standard and enclose a copy of your current Accreditation Certificate. (f "NO" please detail how Health & Safety Issues are managed).
81	4.1.2	Do you have a documented Drugs/Alchohol abuse policy?
82	4.1.3	Do you have a formal Risk Assessment Process that identifies hazards, risks and ensures the implementation of the associated control measures?
83	4.1.4	Do you have a structured system to provide appropriate Health & Safety training for all employees?
84	4.1.5	How often is Health & Safety Performance communicated to all employees?
85	4.1.6	Do you conduct monitoring/internal audits of your Health & Safety arrangements to demonstrate the effectiveness of the system?
86	4.1.7	Do you have an annual Health & Safety plan that reflects objectives, targets and actions to improve Health & Safety Performance?
87	4.1.8	Do you assess the competence of your Suppliers/Sub-contractors with respect to Health & Safety matters?
88	4.1.9	Has any part of your organisation or employees been convicted or fined for a Health & Safety offence or been served with any prohibition or improvement notice by the relevant authorities? (If "YES"? Please give details).
89		Statistical Data for last calendar year		Answers/Remarks
90	4.1.10	Calendar Year.
91	4.1.11	Total man-hours worked.
92	4.1.12	Number of fatalities.
93	4.1.13	Medical treatment injuries.
94	4.1.14	Lost-Time Accidents.
95	4.1.15	Number of Near-Miss reports and HSE observations.
96	4.1.16	Remarks: (You may provide additional information here which might not have been covered above).
97	4.2 Environmental		Yes/No?	Answers/Remarks
98	4.2.1	Are you registered by an Accredited Third Party Assessment Body to ISO 14001 or similar? (If "YES" please advise the applicable standard and enclose a copy of your current Accreditation Certificate}. (f "NO" please detail how Environmental Issues are managed).
99	4.2.2	Has any part of your organisation or employees been convicted or fined for an Environmental offence or been served with any prohibition or improvement notice by the relevant authorities? (If "YES"? Please give details).
100	4.2.3	Do you conduct monitoring/internal audits of your Environmental arrangements to demonstrate the effectiveness of the system?
101	4.2.4	Do you have an annual Environmental plan that reflects objectives, targets and actions to improve Environmental Performance?
102	4.2.5	Do you assess the competence of your Suppliers/Sub-contractors with respect to Environmental matters?


103	4.2.6	Remarks: (You may provide additional information here which might not have been covered above).
104	4.3 Ethical Procurement & Supply		Yes/No?	Answers/Remarks
105	4.3.1	Does your company have a Company Code of Conduct Policy for its employees and Suppliers? (please give details or attach a copy of the Policy/Statement)
106	4.3.2	Are materials supplied obtained, so far as possible, from Sustainable Sources?
107	4.3.3	Does your company have a Policy/Statement regarding the implementation of The Bribary Act 2010 (please give details or attach a copy of the Policy/Statement)
108	4.3.4	Does your company have a Policy/Statement regarding the implementation of the Modern Slavery Act 2015. (Please attach a copy of your Policy/Statement or complete the attached questionnaire).
109	4.3.5	Does you company have an Ethical Policy relating to marketing and sales?
110	4.3.6	James Walker appreciates that is not always possible or practical to avoid a Conflict of Interest. However, when faced with this situation and in order to protect the integrity and reputation of James Walker and you the supplier, the required action for the Supplier is to Disclose it. Please take this opportunity to disclose of any potential or current Conflicts of Interest that you or your company may be aware of.
111	5.0 Operational Results
112			Yes/No?	Answers/Remarks
113	5.1	What is your companies On-Time delivery performance to customers during the last two years (based on the customers required date for deliverables)?
114	5.2	What is the trend in cost of rejections and rework over the last three (3) years?
115	5.3	Does your company have a Business Continuity Plan?
116	5.4	When was the Business Continuity Plan last updated?
117	5.5	Remarks: (You may provide additional information here which might not have been covered above).
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119	6.0 Pre-Submission Checks
120	N.B. Before submitting your Application, please take a moment to ensure sure that, where applicable, all copies of the requested supporting documentation/certification have been attached.
121	Clause	Document	Clause	Document
122	2.1.1	Bank Details - on your Letter Headed Paper (Mandatory).	4.1.1	Health & Safety Management System Certification.
123	2.3.3	Current Product Liability Insurance Certification.	4.2.1	Environmental Management System Certification.
124	3.1.1	ISO 9001, AS9100, Registration Certificate.	4.3.1	Company Code of Conduct.
125	3.1.3	Counterfeit Policy/Procedure or Copy of JW Counterfeit Complaince Statement (F508), (whichever is applicable).	4.3.3	The Bribary Act 2010 Compliance Statement.
126	3.2.1	Other Third Party/Customer Approval/Specific Product Certification.	4.3.4	Modern Slavery Act 2015 Compliance Statement.
127	7.0 Declaration
128		I certify that the information provided is accurate and complete to the best of my knowledge. I understand that the provision of misleading information may lead to the Company being removed from the James Walker Approved Supplier List.
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130					Name:
131					Signature (Paper Version only):
132					Full Name:
133					Position:
134					Date:

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3	This Questionnaire asks for general details about your organisation, its people, products, services & procedures. Please complete each section as fully as possible and attach any additional material that is requested or that you may think is relevant.
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5	All information given will be treated in strict confidence by James Walker.
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7	Placement on the James Walker Approved Suppliers List means that while your organsiation will be considered as a possible supplier of the products or services you offer, it does not imply that you be asked to quote or tender on every occasion.