validuntil

QuestionnaireforSuppliers,PartA1

CM,BDHPage1of3Rev.0/17.07.15

(FillinonlyinEnglish,GermanorFrench)

PartA1Generalprentationofthecompany:

1Relevantdata:

a)Corporatename:

c)Fulladdress:

d)Telephone:

Telefax:

E-mail:

b)Personscontacted:

(name,function,dept.)

e)Responsiblepersonsinthecompany:

(name,title,phone,fax)

-Generalmanager:

-Salesmanager:

-r

-Productionmanager:

f)Fulllistofestablishments(headoffice,subsidiaries,factoriesofgroup):

2Legalstatus/financialinformation/foundationofthecompany

a)Legalstatus:Owner:

b)Capital:Currency:

c)Associatedwithtrust?YES/NO

Name:Shareholders:

d)Yearoffoundationofthecompany:

QuestionnaireforSuppliers,PartA1

CM,BDHPage2of3Rev.0/17.07.15

e)IsKSBalreadyasupplierofyourcompany?YES/NO

Turnoverperyearandwhen:

Forwhichfactory/location:

Whichparts/goods:

f)Financialstatementresultsofthelast3years(pleaindicatethecurrency):

Year20..20..20..Forecast

Turnover

Results(profits/loss)

%ofexports

Investment

g)IsKSBalreadyacustomerofyourcompany?YES/NO

Ifso,n:

h)Haveyoutakenoutaproductliabilityinsurance?YES/NO

Insurancecompany:

Amountofinsurance:Currency:

3Numberofemployees/surfaceareaofworks

a)Totalnumberofemployeesofthecompanyinthelast3years:

Year20..20..20..

Forecast

Administration/sales

Engineering/design

Production

Qualityassurance/inspection

b)Totalsurfaceareaoftheworksinm²:

Total:Production:Offices:

4Approvals/qualifications/referencesofthecompany

a)Qualifications/certificates/approvals:

ISO9001/9002/9003validuntil:by:

AD-W0/TRD100validuntil:

AD-HP0/TRD200validuntil:

-validuntil:

-Plealistanyfurtherapprovalsandcertificatesofyourcompany.

QuestionnaireforSuppliers,PartA1

CM,BDHPage3of3Rev.0/17.07.15

b)References/maincustomersbybusinesslineslikepumps,valvesandothers.

(Indicateforeachthepercentageofturnoverandthetypeofparts.)

Customer'snameCountryBusinesslineTurnover

in%

Typeofparts

5Activities/production

(Indicateforeachthepercentageincomparisonwithyourturnover.)

(Forexample:forgings,castings,machining,asmbly,painting,etc.)

Activity/production

%

Activity/production

%

vities

Statethefiguresforthelast3years(tons/pieces,ivity)

PeryearActivity:20..20..20..

Forecast

Tons/year

Pieces/year

7Typeofpartsyouarespecialidin:

Date,signatureofthemanagingdirector:

Dateandplaceofevaluation:

NameandfunctionoftheKSBvisitors:

QuestionnaireforSuppliers,PartA2

CM,BDHPage1of117.07.15

PartA2Generalorganisation

1Isadocumentavailablewhichdescribesyourorganisation?

(QualityAssuranceManual;organisationchart)

YES(pleaforwardacopy)NO

2IsthereanindependentQualityAssurancedepartment?

YESNO

3Productionplanning

a)Isproductionplannedsystematically?YES/NO

b)Ifso,bywhichmeans?

ProductionplanningandcontrolsystemWorkproceduresIndexcards

c)Arethedeliverytimesplannedandcontinuallymonitored?YES/NO

d)Doyouinformthecustomerofdelays?YES/NO

e)Doyoueffectcapacityplanning?YES/NO

4Instructions:

a)Aretherewrittenworkinstructionsfortheproductionprocess?YES/NO

-Forproduction:YES/NO

-Forin-processinspection:YES/NO

-Forfinalinspection:YES/NO

-Foroutgoinggoodsinspection:YES/NO

b)Aretheinspection/workresultsdocumented?YES/NO

5Informationonthebusinessprocess:

a)Whatisthedeliverytimeforequivalentproductsthantheinquired?weeks

b)On-timedelivery/deliverycomplianceinthelastpercent

orcurrentbusinessyear

c)Howhighisyourcomplaintsrate(relatedtoquantities)?percent

d)HaveyouimplementedaprocedurewhichensuresthatYES/NO

non-conformingproductsand/orrviceswillbe

avoided?

QuestionnaireforSuppliers,PartB6

CM,BDHPage1of2Rev.0/17.07.15

PartB6Questionnaireformanufacturersofelectricmotors

1Whattypesofmotorsdoyouproduce:

:lowvoltagehighvoltage

:lowvoltagehighvoltage

:

:

2Productionprogramme:

Pleaindicatetheannualquantities:

Range:B3B5/V1B35/V15Others

Lowvoltage0-1.5kW

(220/400V,1.5-4kW

M5.5-15kW

50Hz)15-45kW

45-160kW

Highvoltage250-500kW

(6000V)>500kW

Motordesign

3AdditionalrequirementstobemetbyDIN/IECstandardmotors:

Typeofenclosure:IP55IP54others:

Thermalclass:Fothers:

WithtemperaturensorsYesNo

SuitableformultirangevoltageYesNo

4Approvals/qualifications/referencesofthecompany

a)Qualifications/certificates/approvals:

ISO9001/9002/9003validuntil:by:

VDEvaliduntil

validuntil:

-validuntil:

-Plealistallfurtherapprovalsandcertificatesofyourcompany.

QuestionnaireforSuppliers,PartB6

CM,BDHPage1of2Rev.0/17.07.15

b)References/maincustomersbybusinesslineslikepumps,valvesandothers.

(Indicateforeachthepercentageofturnoverandthetypeofmotor.)

Customer'snameCountryBusinesslineTurnover

in%

Typeofmotor