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Contact person

Production and service program, technologies

Customer references, or refernce list as enclosure

General management:

Payment conditions:

Do you have a product liability insurance?If yes, please attach insurance certificate.

Industry/Core Business:

Delivery conditions:

Postal code:

Development, construction:

Minimum order value:

Ownership conditions:

Employees, in total:

Previous year

R&D, construction:

Current year

Administration:

Extension Email

Next year

Production: Quality assurance:

Fax:

Customer number:

Group affilation:

Town:

Sales:

Mode of dispatch:

Phone:

VAT Reg. No.:

Internet:

Production:

Quality assurance:

Minimum quantity surcharge:

Year of foundation:

Employee trend:

Turnover trend:

Is the company a producer or a trader:

Email:

Other subsidiaries:

Production locations:

PROCUREMENTSupplier master data / First assessment

Company data

Company:

Street:

Yes No

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Relevant supply partners

Quality assurance system

If not,

Are following procedures in place for:

Enclosure in case of certification(s): Certificates (ISO 9001 etc.), QM manual

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

Note:

Note:

Note:

Note:

Note:

Note:

Archiving period:

Note:

Note:

Note:

Note:

Note:

Note:

Note:

Note:

Note:

Note:

Note:

Note:

Certification (ISO9001/ISO14001 etc.)

are there plans for a certification?

Contract review (techn./comm.):

Do you agree to an assessment visit at your company site?

Production process:

Revision procedure:

Storage:

Test equipment monitoring:

Identification / traceability:

Training:

Reach conformity:

have responsibilities been assigned?

Procurement / supplier selection:

Are you prepared to enter into a quality agreement?

Supplied products:

Tests (Q-test):

Archiving:

Design:

Document control:

Treatment of defective products:

Effectivity of QM system:

RoHS conformity (2011/65/EU and (EU) 2015/863):

If there are:which one?

If there are:when and according to which standard?

If there are:when and according to which standard?

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Ressources

Strategic business objectives

Facilies (construction year) / equipment (list of machinery) / ERP system

System, products, technologies, resources etc.

Strenghts, weaknesses, resources, system, general impresstion etc.

Data protectionI consent that information and personal information in this document is processed within the Anton Paar group for the purpose of supplier management and supplier evaluation.Controller: Anton Paar GmbH, Anton-Paar-Strasse 20, 8054 Graz, Austria. Contact for questions regarding data protection and data subject rights: gdpr@anton-paar.com.

Ich bin damit einverstanden, dass die in diesem Dokument genannten Angaben und personenbezogenen Daten innerhalb der Unternehmensgruppe der Anton Paar GmbH zum Zweck der Lieferantenverwaltung und -Evaluierung verarbeitet werden. Verantwortliche Stelle: Anton Paar GmbH, Anton-Paar-Straße 20, 8054 Graz, Österreich. Kontaktmöglichkeit für Datenschutzfragen und zur Wahrnehmung von Betroffenenrechten: dsgvo@anton-paar.com

Facilies (construction year) / equipment (list of machinery) / ERP system

Signature:

Function:

Internal assessment (filled out by Anton Paar)

Date:Stamp of supplier:

The supplier meets the requierments

in parts

fully

does not meet requirements

Name:

Date: