Supplier form

Supplier Qualification Questionnaire

At Powerhouse Engines we are committed to delivering the highest quality aircraft components while maintaining the highest standards of safety, compliance, and customer satisfaction. All fields marked with an asterisk (*) are required.

Instructions

As part of Powerhouse Engines's supplier qualification and ongoing vendor management process, all prospective and existing vendors must complete and return this questionnaire. An updated questionnaire must also be submitted whenever there is a significant change to your organization's information, including changes to company name, ownership, certifications, address, or operational status.

If your company is an approved FAA Part 145 Repair Station, please attach: Air Agency Certificate, Operations Specifications, Capabilities, current FAA Anti-Drug / AMPP (A449-1, 2) program, EASA Certificate (if applicable), CAAC Certificate (if applicable), ISO 9001 / AS9100-series, ASA-100 / FAA AC 00-56 certificate.

If your company is a distributor, supplier, or broker, please attach: Quality System Certification (ISO 9001, AS91XX, ASA-100, or other). If not certified, please provide a copy of your Quality Manual.

Return the questionnaire within 15 days of receipt to maintain your status as an approved Powerhouse Engines supplier.

Company information

Company name

CAGE code (if applicable)

Legal trading name

Street address

City / State / Zip

Company website

Main phone number

Main fax number

Quality phone number

Quality fax number

Organization

Head of Quality

Title

Email

Quality contact

Title

Email

Head of Operations

Title

Email

Business profile

Type of business (check all that apply)

Category (check all that apply)

Airframe Engine Component Standard Hardware

Principal service / product

Processes (heat treat, NDT, metallurgy, plating, etc.)

Quality system registered to (check all that apply)

Certification and signature

I certify that the information contained within this document is true and correct.

Survey completed by (please print)

Title

Email

Date

Signature

Third-party certified suppliers: If your organization is currently certified by an accredited third-party registrar to a recognized Quality Management System (QMS) standard (such as AS9100, ISO 9001, or an equivalent standard), you do not need to complete the audit section below. Please attach a copy of your current, valid certification with your submission. Otherwise, please complete the entire audit questionnaire and return it with any applicable supporting documentation.

Quality-system audit

Answer each item Yes, No, or N/A. Only required if your organization is not third-party QMS certified.

1. Quality system and manual

Item	Yes	No	N/A
A. Is there an established quality system and a quality manual?
B. Is the quality manual available to appropriate personnel?
C. Is the quality system documentation kept current and readily available to employees, customers, auditors, or designees?
D. Does the quality control manual include a detailed description of:
1) The organization and relationship of QC to the rest of the organization?
2) Assignment of personnel by title for specific functions within the quality system?
3) The revision control system for quality system documentation?
4) Record-keeping system?
5) Training requirements and records?
6) Shelf-life control system?
7) Control of incoming discrepant parts and supplies?
8) Receiving inspection procedures?
9) Test and inspection equipment calibration program?
10) Storage facilities and specifications?
11) Part identification system?
12) Environmental controls?
13) Inspection stamp control?
14) Self-audit / evaluation program?
15) Corrective action process?

2. Self-audit / evaluation program

Item	Yes	No	N/A
A. Is there an established documented self-audit/evaluation program identifying responsibility, frequency of audits, audit documentation, and corrective action?

3. Facilities

Item	Yes	No	N/A
A. Do the storage areas provide:
1. Adequate space and appropriate racks to prevent damage or mishandling?
2. Adequate security from unauthorized access?
3. Segregation of aircraft from non-aircraft functions?
4. Segregation of serviceable from non-serviceable parts?

4. Training and authorized personnel

Item	Yes	No	N/A
A. Are personnel who perform inspection, shipping, and receiving functions properly trained?
B. Are inspection personnel properly authorized?
C. Are both formal classroom and on-the-job training documented and maintained?
D. Is a roster of personnel authorized to perform inspection functions maintained?
E. Does the training program address unapproved and counterfeit parts?

5. Procurement

Item	Yes	No	N/A
A. Does the system assure that parts procured conform to the customer's documentation requirements?
B. Does the quality system assure that parts conform to the customer's purchase request and that deviations are disclosed and approved by the customer?
C. Does the system require the distributor/dealer to maintain a list of approved suppliers and a quality history for each source?
D. Does the quality system assure that parts procured for sale:
1) Which are known to have been subjected to conditions of extreme stress, heat, or environment are identified?
2) That all represented Airworthiness Directives (ADs) which have been accomplished are documented?
3) That are identified as overhauled, repaired, or modified have all appropriate signed and dated documentation?

6. Receiving inspection

Item	Yes	No	N/A
A. Does the quality system provide for a visual inspection of all items received and accompanying documentation?
B. Is there a procedure for reporting unapproved parts in accordance with FAA Advisory Circular 21-29?
C. Is there an accountability system in place to control stamp issuance, usage, and replacement?

7. Measuring and test equipment

Item	Yes	No	N/A
A. Is there an effective calibration program for test equipment?

8. Material control

Item	Yes	No	N/A
A. Is material handled in an appropriate manner and protected from damage and deterioration?
B. Is batch/lot control maintained for parts so identified by the manufacturer?
C. Is there a system in place for recall control ensuring parts shipped can be traced and recalled?
D. Whenever practical, is material stored and delivered in the manufacturer's original packaging?
E. Does the system specify material control requirements for material subject to damage by electrostatic discharge?
F. Does the system assure that serviceable parts/components are adequately protected against the environment?
G. Does the system assure that no part-number ambiguity exists?
H. Does a closed-loop system exist to implement corrective action following detection of substandard or nonconforming parts?
1) Are aircraft parts being segregated from non-aircraft parts?
I. Is there a documented procedure to mutilate scrapped parts to prevent their being restored and returned to service?
J. Are suspected unapproved parts reported to the FAA according to AC 21-29 or to the appropriate CAA?

9. Shelf-life control

Item	Yes	No	N/A
A. Does the distributor have a system for identifying and controlling shelf-life-limited parts?

10. Certification and release of materials

Item	Yes	No	N/A
A. Does the system call for providing the customer with appropriate documentation?
B. Does the system provide for a certified statement disclosing whether material or parts were:
1) Subjected to conditions of extreme stress, heat, or environment?
2) Previously installed in a public aircraft (government or military)?

11. Shipping

Item	Yes	No	N/A
A. Does the quality system require shipments in ATA-300 containers or equivalent as appropriate?
B. Does the quality system provide for a visual inspection of all items and accompanying documentation prior to shipping?

12. Records

Item	Yes	No	N/A
A. Does the record system require record retention for at least 7 years from the date of sale to the customer?
B. Does the system require all life-limited parts have records confirming current life-limited status?
C. Are records protected against damage, alteration, deterioration, and loss?

13. Technical data control

Item	Yes	No	N/A
A. Does the quality system provide for maintaining technical data such that it is up-to-date and accessible?

14. Corrective action process

Item	Yes	No	N/A
A. Does the quality system include a process for addressing corrective actions?

15. Hazmat control and transport

Item	Yes	No	N/A
A. Is there a system in place governing the control and transport of hazardous material that meets Title 49 of the Code of Federal Regulations (49 CFR)?

Attachments

Attach any certifications and supporting documentation.

Quality system / regulatory certifications

e.g. AS9100, ISO 9001, ASA-100, FAA Air Agency Certificate, EASA, CAAC.

Quality manual (if not third-party certified)

Additional supporting documents

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