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2014 Purchasing WOCO Grup f Cmpanies Cmpany (General Infrmatin) Name: Address: Hmepage: Subsidiary f: This frm sheet shuld give us a first verview f yur cmpany. It includes imprtant elements f a ptential future cllabratin. Please nte that returning a cmpleted self assessment frm is a mandatry cnditin t becme a released ptential supplier t the WOCO Grup f Cmpanies. Thank yu very much in advance fr yur c-peratin. 1. Partner Cmpany specific data Department Name Phne Fax e-mail President / Managing Directr Quality Manager Respnsible f Envirnment Respnsible f Reach Engineering Directr Cmmercial Directr Sales Cntact at plant (Wrking hurs) Custmer Manager Design Manager Lgistics Manager Research & Develpment Manager 2. Number f emplyees Prductin Quality Set up and Maintenance thers Design Tl Shp Ttal

3. Cmpany s turnver (EUR) 2011: 2012: 2013: 2014 s expectatin: 4. Certificatin level f Quality Management System. Please mark the apprpriate certificate and enclse it DIN ISO 9000ff VDA 6.1 QS 9000 ISO/TS 16949 Other D yu cnduct any prduct-prcess-release incl. initial sample test reprt accrding t custmer requirements, VDA r QS 9000? Capability f design an prcess FMEA? Which Advance Quality Planning System is utilized? Further certificatins planned? (by when, by whm?) Which utging materials checks allw Wc a limited incming gds inspectin (identificatin test, quantity, damages)? 5. Auditing Which audits have been cnducted during the past tw years in yur cmpany by autmtive industry manufacturers r subcntractrs (in accrdance with VDA 6.1/QS 9000/TS16949 nrms)? Were any ther audits been cnducted e. g. prcess audit, prduct audit, custmer audit? What are the results? 6. Envirnment management Please fill in the VDA questinnaire entitled Envirnment management 7. Insurance / Warranty D yu have a prduct- / third-party liability insurance including: extended liability insurance fr prducts and third-party damages? cverage f cst f recalls? Amunt f the current cverage fr: Damages t persns: Damages t prperty: Financial lsses: Recalls: A franchise f: fr each damage is agreed n. Are yu insured against the US risk? Yes N What is the maximum warranty perid yu can agree n with yur clients? Mnths

8. Clients Wh are the clients yu supply t in the autmtive industry? a) Prducts b) Share in cmpany s turnver c) Wh are yur ther majr clients? Wh are the clients yu supply t in the autmtive industry? a) b) c) 9. Describe yur glbal presence. 10. Which currencies can yu qute / invice? 11. Prductin s prgramme Available prductin prcesses: Available materials: Available machines/equipment: Which prcess steps are utsurced? 12. Prductin capacities Describe yur prductin capacities (i.e. number f machines) 13. Measuring and testing equipment Describe yur measuring and testing equipment 14. CAD-Data What are the means yu use t send yur CAD-Data (except frm paper)? What are the CAD-Sftware and Data frmats yu use? Can yu cnvert 3D Data in 2D? Yes N Supplier Supplier Envirnmental Management Status

Supplier: Persn handling rders: Psitin Lcatin: Phne: Fax 1. Des yur cmpany have an envirnmental management system? EMAS II (EG 761/2001) ISO 14001 internal system? - If yes, please enclse a cpy f the certificate. D nt answer any further questins. - Nt yet set up, but planned fr 2009 EMAS II (EG 761/2001) ISO 14001 internal EMS Yes N Cmment 2. Did yur cmpany set up anther management system, which includes envirnmental prtectin? If yes, which?... 3. Are envirnmental prtectin measures in yur cmpany already inspected? If yes, by whm? Internal auditr External auditr 4. Are the envirnmental effects in yur cmpany checked in respect f: Manufacturing prcesses Supply and waste dispsal prcesses Prducts 5. Are envirnmental prtectin measures in yur cmpany already inspected? 6. Is yur cmpany able t wrk with IMDS? If yes, please give yur ID 7. Des yur cmpany fllw envirnmental prtectin guidelines established in writing, e. g. Reach? 8. Are envirnmental prtectin measures and results dcumented in yur cmpany? 9. Are the targets fr the imprvement f envirnmental prtectin defined in yur cmpany and d yu dcument their implementatin? 10. Is yur staff infrmed and trained n a regular basis regarding envirnmental prtectin? 11. D yu wrk twards the imprvement f envirnmental prtectin with yur suppliers and cntractual partners?

T be filled in by WOCO - Purchases Applicant fr apprval (readable name): Grup f prducts / materials cncerned: Article cncerned: WOCO s prductin s place cncerned: WOCO s clients cncerned: T be filled in by respnsible department (if necessary) Apprval f supplier Yes N Registratin n List f qualified suppliers Yes N Further measures needed? Yes N If s, which nes? T be filled in by WOCO Quality Manager Apprval f supplier Yes N Registratin n List f qualified suppliers Yes N Further measures needed? Yes N If s, which nes?