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1 supplies; compass
2 inverter; pole
3 electronic; flight
4 static; distance
5 measures; flows
5 Complete the table
1 cut
2 broke
3 found
4 put
5 taken
6 fly
7 blew
8 caught
9 kept
10 became
6 Add the missing words
flow chart (4); steps (7); path (10); follow (5);
results (9); perform (3); following (1);
system (8); remove (6); necessary (2)
Self Evaluation Questionnaire
General Company Information:
Plasma Coating Corp.
13309 S. Western Ave.
Gardena, CA 90248
Phone: (310) 532-3064
Fax: (310) 532-0429
Website: www.plasmacoatingcorp.com
FAA Repair Station #: PC6R0810J
Year Business Established: 1972
Type of Business: Job shop metal finishing of aerospace detail parts.
(See website for complete list of processes performed.)
Key Personnel: Name Title E-Mail
Jim Emery President jemery@plasmacoatingcorp.com
Derek Needham General Manager dneedham@plasmacoatingcorp.com
Robert Jones Quality Assurance Manager rjones@plasmacoatingcorp.com
Type of Building(s): Brick
Area (sq. ft.)/Number of Buildings: Approximately 19,000 sq. ft. with 2 buildings.
Number of Shifts: 2
Number of Employees: Total: 27 Quality Assurance: 4 (Inspection/Lab: 3 Planning: 1)
Major Customers: Airbus
Boeing
General Electric
Goodrich Aerostructures
Goodrich Landing Gear
H.R. Textron
Lockeed
Messier-Dowty
Parker
Pratt & Whitney
Sargent Controls
Sonic Industries
Government Inspection Available:
Itinerant Resident
1. Is your company agreeable to an on-site survey, to confirm or elaborate on this survey?
Yes No
2. Is your company receptive to source inspection? Yes No
1 of 7
Self Evaluation Questionnaire
3. Is your company subject to government source inspection? Yes No
4. Does the company have a quality manual? Yes No
5. Is the manual reviewed periodically? Yes No
6. Can your company send a copy of your quality manual if requested?
Yes No
7. From what standard is your company’s quality system derived? AS7004 (NADCAP),
AS9000, FAA Part 145, CASE 1A
8. Are the responsibility, authority, and interrelation of personnel defined, particularly those
affecting quality? Yes No
9. Is there a delegated management representative responsible for the quality system?
Yes No
10. Does management periodically review the quality system to ensure continuing suitability and
effectiveness? Yes No
11. Does the quality system cover the following elements:
a. Management Responsibility Yes No
b. Quality System Yes No
c. Contract Review Yes No
d. Document and Data Control Yes No
e. Purchasing Yes No
f. Control of Customer Supplied Products Yes No
g. Product Identification and Traceability Yes No
h. Process Control Yes No
i. Inspection and Testing Yes No
j. Control of Non-Conforming Products Yes No
k. Inspection and Test Status Yes No
l. Control of Inspection, Measuring and Testing Equipment Yes No
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Self Evaluation Questionnaire
m. Corrective and Preventive Action Yes No
n. Handling, Storage, Packing, Preservation, and Delivery Yes No
o. Control of Quality Records Yes No
p. Internal Quality Records Yes No
q. Training Yes No
r. Statistical Process Control Yes No
12. Does a written procedure exist for contract review? Yes No
13. Does quality assurance review contract requirements? Yes No
14. Does the system ensure that all contract requirements are clearly understood prior to the
commencement of work? Yes No
15. Are records of contract review maintained? Yes No
16. Does a written procedure exist to control all elements and data related to the quality system?
Yes No
17. Are documents reviewed and controlled by authorized personnel? Yes No
18. Are documents available to personnel? Yes No
19. Are obsolete documents removed or marked in such a way so as to prevent further use?
Yes No
20. Does a written procedure exist for writing and review of purchase orders?
Yes No
21. Do purchase orders contain all the necessary product information, including specifications?
Yes No
22. Are purchasing documents reviewed prior to release? Yes No
23. Is an approved supplier list maintained? Yes No
24. Is there a system for evaluating the performance of suppliers? Yes No
25. Is there a system in place to ensure that incoming products conform to the requirements of the
purchase order? Yes No
3 of 7
Self Evaluation Questionnaire
26. Do the storage areas provide:
a. adequate space and appropriate racks to prevent damage or mishandling?
　
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