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["Graco Supplier Information Survey"]
["Graco Requestor:",null,null,null,null,null,"FCD-0289   Rev. 10"]
["Date:"]
["Survey Type:"]
["Supplier Information"]
["Company (Supplier) Name:",null,null,null,"Survey Date(s):"]
["DUNS #:",null,null,null,"Main Contact Name:"]
["Company Website URL:",null,null,null,"Title or Position:"]
["Graco Supplier ID (if any):",null,null,null,"Department:"]
["Supplier Address:",null,null,null,"Supplier E-Mail:"]
["City / Zip Code:",null,null,null,"Supplier Phone Number:"]
["Country:",null,null,null,"Supplier Fax Number:"]
["Nearest Large City:",null,null,null,"Language Capabilities:"]
["Nearest Export Shipping Port:"]
["Electronic System Capabilities:"]
[]
["Legal Form / Ownership:"]
[null,"(check all that apply)"]
[]
["Facilities (with location, space,",null,"Plant Location (City/State/Country)","Year Est.","# of Employees","Mfg Square Feet","Capacity / Current Utilization"]
["employment, capacity):"]
[]
[]
["Company Profile:"]
[]
[]
["Code of Ethics"]
[1,"Supplier has reviewed and agrees to comply with Graco's \"Supplier Code of Conduct\".  If answer is No, Terminate survey."]
[null,"Graco's Code of Ethics and Business Conduct"]
["Delivery"]
[2,"Do/will you participate in acknowledging orders, promise dates, and other transactional information  on customers' supplier web-portals?"]
[3,"Do you have arrangements with other customers to hold buffer stocks?"]
[4,"If yes, please elaborate how your buffer stock works for other customers"]
["Quality Systems"]
[5,"Quality System Certification(s)"]
[6,"If yes, please provide accreditation body / bodies and expiration date(s) of certification"]
[7,"Do you have a program to measure supplier performance and risks?"]
[8,"If yes, please elaborate."]
[9,"Are Process Capability Study Indices (Cpk) available for critical tolerances?"]
[10,"If yes, please elaborate."]
[11,"Please provide key Quality, Delivery, Cost and Cash metrics for your company",null,null,null,"Goal","Current Year","CY-1","CY-2"]
[null,null,null,null,"Quality"]
[null,null,null,null,"Defect ppm"]
[null,null,null,null,"First pass yield %"]
[null,null,null,null,"Scrap (% of spend)"]
[]
[null,null,null,null,"Delivery"]
[null,null,null,null,"On-time delivery"]
[null,null,null,null,"Average Lead-times"]
[null,null,null,null,"% PO Commits"]
[null,null,null,null,"% sales invested in capital"]
[]
[null,null,null,null,"Cost"]
[null,null,null,null,"% Labor Productivity"]
[null,null,null,null,"% Matl Productivity"]
[]
[null,null,null,null,"Cash"]
[null,null,null,null,"Inventory Turns"]
[]
[null,null,null,null,"Innovation"]
[null,null,null,null,"% sales invested in R&D"]
["Personnel"]
[12,"Key Personnel And Executives:",null,"Name",null,"Email",null,"Direct Phone #"]
[null,null,"CEO or Owner:"]
[null,null,"President:"]
[null,null,"Vice President:"]
[null,null,"Product Manager:"]
[null,null,"Quality Manager:"]
[null,null,"Engineering Manager:"]
[null,null,"Sales Manager:"]
[null,null,"Purchasing Manager:"]
[null,null,"Customer Service Rep:"]
[13,"What is your employee turnover rate over the last 12 months?"]
[14,"Please describe area labor availability, (i.e., unemployment rate, availability of skilled and unskilled labor) and the company's relative standing in size and stability."]
[15,"Number of employees (direct, indirect, salaried):",null,null,"Employees","First Shift","Second Shift","Third Shift"]
[null,null,null,null,"Direct"]
[null,null,null,null,"Indirect"]
[null,null,null,null,"Salaried"]
[16,"Do you have a union affiliation?"]
[17,"If yes, please provide union affiliation(s), contract expiration date(s), history and length of any strikes."]
["Commercial Situation "]
[18,"Is your company a manufacturing facility?"]
[19,"If yes, what are your major manufacturing processes? (please indicate details on the following sheets if needed)"]
[20,"Are there joint ventures, business agreements, cooperative associations, or significant sales agreements pending?  \n"]
[21,"If yes, please elaborate."]
[22,"Who are your main customers?",null,null,"Name","% of Sales","Major\nProduct","Volume in Units","PPM"]
[]
[]
[]
[]
[]
[23,"Please provide financial, export, and employee data listed for the last four years.  You may also submit annual reports",null,"Z-SCORE","Year","Current Yr","CY-1","CY-2","CY-3"]
[null,null,null,null,"Period \n(quarter or year)"]
[null,null,null,null,"Current Assets"]
[null,null,null,null,"Total Assets"]
[null,null,null,null,"Current Liabilities"]
[null,null,null,null,"Total Liabilities"]
[null,null,null,null,"Retained Earnings"]
[null,null,null,null,"Total Equity (RE+Stock+Other)"]
[null,null,null,null,"Sales"]
[null,null,null,null,"Interest Expense"]
[null,null,null,null,"Pre-Tax Income"]
[null,null,null,null,"Cash & Securities"]
[null,null,null,null,"Inventories"]
[null,null,null,null,"Accounts Receivable"]
[null,null,null,null,"Accounts Payable"]
[null,null,null,null,"Long Term Debt"]
[null,null,null,null,"EBITDA"]
[null,null,null,null,"Net Income \n(After Tax)"]
[null,null,null,null,"Export \n(% of Sales)"]
[null,null,null,null,"Export to Europe (% of Sales)"]
[null,null,null,null,"Export to USA \n(% of Sales)"]
[null,null,null,null,"Retained Earnings\n(% of Sales)"]
["Continuous Cost Improvement Programs"]
[24,"Do you have a Continuous Cost Improvement Program which covers both internal and external costs?"]
[25,"Yearly average cost reduction (%) achieved?"]
[26,"Please elaborate on your cost reduction process with customers."]
["Environmental Information"]
[27,"Environmental and/or Health & Safety System Certifications"]
[28,"If yes, please provide accreditation body / bodies and expiration date(s) of certification"]
[29,"Does the organization have resources allocated to ensure compliance with environmental obligations and continual improvement of environmental performance?  Please submit evidence.",null,null,null,null,"Evidence:"]
[30,"Does the organization have plans, personnel, and supplies in place to respond to a chemical spill? If Yes, please explain.",null,null,null,null,"Evidence:"]
[31,"Does the organization provide \"Right-To-Know\" Information on chemical safety to employees? If yes, explain how.",null,null,null,null,"Evidence:"]
["Disaster Recovery Information"]
[32,"Does the organization have a documented plan for Recovery and Return to Production following a major disaster that damages facilities and equipment? If yes, please provide as evidence."]
[33,"What is the primary risk(s) on which the plan is based?"]
[34,"Where are the backup copies of the following critical items maintained?",null,null,"Tooling Drawings:"]
[null,null,null,null,"Manufacturing Procedures:"]
[null,null,null,null,"ERP System Backup Files:"]
["Supplier Code of Conduct (SA 8000 Standards)"]
["Does the organization have policies and procedures in place to assure SA 8000 standards are met, as defined below?  If the answer is \"No\" to any of the below statements, please explain in the field to the right."]
[35,"Child Labor: No workers under the age of 15 are employed.  Lowered to 14 for countries operating under ILO Convention 138 developing country exception: remediation of any child found to be working."]
[36,"Forced Labor: There is no forced labor, including prison or debt bondage labor, no lodging of deposits or identity papers by employers or outside recruiters."]
[37,"Health and Safety: A safe and healthy work environment is provided and steps are taken to prevent."]
[37,"Working Hours: Working hours comply with applicable laws."]
[39,"Discipline: Guidelines are in place to insure that corporal punishment, mental or physical coercion or verbal abuse are dealt with."]
[40,"Compensation: Wages paid for a standard work week meet legal and industry standards."]
["Documentation"]
[41,"Please provide an electronic copy of the following:",null,null,"Equipment List"]
[null,null,null,null,"Capabilities list"]
[null,null,null,null,"Quality Manual"]
[null,null,null,null,"Quality Accreditation Certification(s) (if applicable)"]
[null,null,null,null,"Blanket Compliance Statement"]
[null,null,null,null,"Disaster Recovery Plan"]
["Supplier Signature"]
["The above information is accurate to the best of my knowledge."]
[null,null,null,null,null,"Please answer all questions above and provide all requested documentation. The Graco requestor may return for additional information if not completed"]
[null,"Print Name and Title"]
[]
[null,"Sign and Date (electronic signature is ok)"]
[]
["Graco Use Only"]
["The above information has been reviewed by:"]
[null,null,null,null,null,"Graco signature indicates the above document has been reviewed per the Supplier Survey Checklist and all required actions have been completed"]
[null,"Print Name and Title"]
[]
[null,"Date"]

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