Start

Start

Share link

by email
Facebook
LinkedIn
WhatsApp

Supplier self-assessment

1. Company

Company name

Street

Postcode/location

Phone

Fax

Internet site

2. Status

Relationship

already in business

new

reactivating

since

Type of Company

Manufacturer

Distributor

Retailer

Other

3. Personal contact

Personal contact in executive team

Surname, first name

Phone extension

Fax

Personal contact in sales

Surname, first name

Phone extension

Fax

Personal contact in logistics

Surname, first name

Phone extension

Fax

Personal contact in accounting

Surname, first name

Phone extension

Fax

Personal contact in quality management

Surname, first name

Phone extension

Fax

Personal contact in environmental protection

Surname, first name

Phone extension

Fax

Personal contact in waste disposal

Surname, first name

Phone extension

Fax

Personal contact in REACH

Surname, first name

Phone extension

Fax

4. Production locations/number of employees

Number of production locations

Number of employees

5. Bank details

Name of bank

Location of bank

Sort code

Account number

Swift code

IBAN

6. VAT ID no. / tax no.

VAT ID no.

Tax no.

7. Delivery conditions/payment conditions

Delivery conditions (subject to another agreement with EGO)

Payment conditions (subject to another agreement with EGO)

How high was your most recent price increase and when did it occur?

8. Questions on insurance

Is business and production liability insurance coverage available?

yes

Company

Level of coverage

Is the production liability insurance valid worldwide?

Are the extended product liability risk as well as the costs of inspection and sorting insured?

yes

Company

Level of coverage

Is the production liability insurance valid worldwide?

Is transportation insurance coverage available?

yes

Company

Level of coverage

9. Questions on procurement

Is the supplier prepared to stock parts on request?

yes

Does the average delivery time amount to more than two weeks?

yes

How long is the delivery time with parts that are not held in stock?

How long is the throughput time with parts that are not held in stock?

How high is your current delivery reliability with other customers?

Are the precursor products and/or products subject to an expiry date?

yes

How is a supply guaranteed in the event of e.g. fire, machine failure, etc.? Are there emergency plans?

yes

If so, what are they like?

How secure is the logistics in the event of natural disasters?

10. Questions on REACH

Does your company work according to the REACH legislation?

yes

If yes, please enclose confirmation of the self-disclosure

11. Questions on quality management

Is the QM system certified?

yes

According to which standard was the system certified?

If yes, please provide link to quality management certificate

or enclose a copy of the QM certificate

11.1. General questions

Is the internal flow of information guaranteed?

yes

Is order documentation analysed in precise detail?

yes

Are changes to orders taken into account?

yes

Are customers notified in writing if something is unclear as regards the quality?

yes

Do you have an in-house quality department?

yes

Are the persons responsible for this independent of the production?

yes

Are inspection instructions available?

yes

Is the regular monitoring of the measurement and inspection material documented?

yes

Does technical support and instruction need to be provided in order to achieve a certain level of quality?

yes

Can you name the risks of failure and estimate their probability?

yes

Do you have strategies if the telecommunications fail either in whole or part?

yes

12. Production

Are products inspected during the production process?

yes

Are these procedures related to the statistical quality control?

yes

Are the results of the inspections documented in writing?

yes

Can the records be inspected?

yes

Are the records managed properly?

yes

Is the production batch assorted upon the discovery of errors?

yes

Are defective parts blocked and stored separately?

yes

Are neighbouring parts inspected again?

yes

Does a final inspection of the order documentation take place?

yes

How high is your quality-related performance with other customers?

Are your production facilities subjected to regular verification and maintenance?

yes

Is the monitoring documented?

yes

Do you lose competencies by purchasing the core services?

yes

Are you aware of the technical quality risks that can arise at the supplier?

yes

Can you compensate for supply risks with other sources?

yes

Can sudden accidents disrupt the production chain?

yes

11.3 Goods receipt

Are incoming materials inspected for compliance with the delivery instructions?

yes

Are inspection certificates requested from materials manufacturers?

yes

Are the results of the inspections documented in writing?

yes

Can inspection certificates and the results of inspections be viewed?

yes

Other comments and information

12. Questions on environmental management

Is the EM system certified?

yes

According to which standard was the system certified?

If yes, please provide link to environmental management certificate

or enclose a copy of the EM certificate

Does your company have an environmental policy (or environmental guidelines) and environmental goals which have been documented in writing?

yes

Are the production processes, supply and waste disposal processes and the products in your company regularly examined for their environmental impact?

yes

Does your staff team receive training on environmentally-relevant topics?

yes

Has an EM Officer been designated?

yes

Is a regulation specified for cases of environmental damage?

yes

Other comments and information

13. Risks

Do you have a supplier management?

yes

Are the interfaces between the client and supplier clear?

yes

Is the market position of the supplier secure?

yes

Is there a risk that the supplier will use its know-how for products of other customers?

yes

Can the supplier itself offer your products with your know-how?

yes

Have you been informed about political instabilities so that you can take prompt action in emergency situations?

yes

Have you previously been audited by other well-known customers?

yes

14. Non-Dual-Use Statement

We confirm that for

all our products

the following products

Products

no export permissions for dual-use items are required.

The goods are not listed on any of the following export lists:
EU: Annex I of the Regulation (EU) 2021/821
DE: Export List Part I Section B, Annex 1 of the Foreign Trade and Payments Ordinance

Other comments and information

Place

Date

Name

Department

Download
PDF Lieferantenselbstauskunft
PDF Lieferantenselbstauskunft Qualitätsmanagement
PDF Lieferantenselbstauskunft Umweltmanagement
PDF Supplier-Self-Assessment
PDF Supplier-Quality-Management
PDF Supplier-Enviroment-Management
PDF Code of Conduct (Lieferantenselbstauskunft)
PDF Code of Conduct

Contact us
Tools
Info centre
Feedback

+49 (0)8821 9569 0

Contact
Callback service
Contact form
Send us an e-mail

Info & Download Center

Catalog
Prospects & tips
Data Sheets
Newsletter
IVD Data Sheets

Tools

Application Assistant
Surface Assistant
Attributes Assistant
Sealant Calculator
Tender Assistant
BIM