D&R Sales & Services, Inc----Products

D&R Sales and Services, Inc. is required to periodically review our Materials Vendors and Repair and Overhaul Vendors by means of an audit. The purpose of this audit is to assure the parts and services we are using are of the highest standards, to our customers and to us. In order to remain on, or be added to our approved vendor list, please complete the following attached questionnaire.

Material Vendors:

FAA:		JAA:
CASE:		ASA:

Repair / Overhaul Vendors:

Capabilities Listing:
Capabilities Rating:

FAA anti-drug program (AMPP)#:
Company anti-drug program #:

No anti-drug program

Please provide by fax or mail any additional information and literature that you may consider helpful.

Submit all required documentation to:

Rick Dickson

Quality Control Inspector

D&R Sales and Services, Inc.

13630-52nd St East

Suite 100

Sumner WA 98390

Company Information

Company Name:
Address:
City:
State:
Zip Code:

Type of Business:

Manufacturer	Repair Station
Distributor	Manufacturer Maintenance Facility (MMF)
Surplus Parts Dealer	Air Carrier
Other: (Please Describe)

Personnel:

	Number of employees		Number of production personnel
	Number of inspectors		Number of supervisors

Key Management Personnel


Name:		Position Held:
Name:		Position Held:
Name:		Position Held:
Name:		Position Held:
Name:		Position Held:


Mgr. Quality/Chief Insp. #1		Mgr. Quality/Chief Insp. #2
Qualifications		Experience
Reports To: (Name)		(Position Held)

Material Vendor Questionnaire

**Note: For this section, please provide explanation for questions that are answered, "Yes"**

Major Customers served?   Yes   No

Details of product line:

Do you manufacture any product lines?   Yes   No

Are parts manufactured under any Airworthiness Regulatory Authority Approval?
(FAA, CAA, etc.)   Yes   No

Are parts manufactured to any military or industry specs?   Yes   No

Are parts manufactured under license agreements for any prime
aviation companies or accessory manufactures?   Yes   No

Is the company an OEM approved vendor?   Yes   No

Is the company an authorized distributor for
product line manufacturer?   Yes   No

Is the company an approved supplier for
product line manufacturer?   Yes   No

**Note: For this section, please provide explanation for any "No" answers**

Is there a Quality Control program?   Yes   No

Is there a system to maintain the program?   Yes   No

Are new employees enrolled for formal training?   Yes   No

Are records kept for training personnel?   Yes   No

Are records complete, orderly and legible?   Yes   No

Does the supplier have an established system of
receiving and inspection?   Yes   No

Do the receiving records indicate acceptance
or rejection of material?   Yes   No

Does the supplier obtain certification on
all material received?   Yes   No

Does the supplier maintain traceability
as it pertains to FAA / CAA?   Yes   No

Are the records complete, orderly and legible?   Yes   No

Does the supplier have adequate space
and appropriate racks to preclude damage to parts?   Yes   No

Is there a system to segregate and identify
serviceable from unserviceable units?   Yes   No

Does the supplier have shelf life requirements?   Yes   No

Does the supplier properly tag / identify all parts?   Yes   No

How long are part certification and maintenance records maintained?
Years:

Can you provide a certificate of conformance or an
FAA 8130-3 for all parts supplied, showing the approved
source and origin of the parts?   Yes   No

Are all test and inspection records in the work package?   Yes   No

Can you supply an ATA 106 Material Certification form?   Yes   No

Is there a checklist to verify shipping requirements
and documents to enclose in the packing slips?   Yes   No

Does the supplier verify parts against
paperwork prior to shipment?   Yes   No

Are packages properly addressed and identified?   Yes   No

Does the supplier have a training program?   Yes   No

Does the supplier maintain training records
for its inspectors and supervisors?   Yes   No

Repair / Overhaul Vendor Questionnaire

**Please list all regulatory agency certificates**


Certificate	Certificate Number	Exp. Date

Number of employees	Number of production personnel
Number of Rel	Number of inspectors
Number of engineers	Number of salespersons
Number of QC personnel	Number of additional personnel

Are the individuals who certify airworthiness of components properly certified, i.e. - A&P mechanic or repairman?
Yes   No   N/A

Does this facility have a formal quality control system?
Yes   No   N/A

Is there a system and a procedure for maintaining identification of materials and products though all operations?
Yes   No   N/A

Are there written work instructions / procedures used for all specific tasks and shop travelers / work orders?
Yes   No   N/A

Does the company maintain records for two or more years?
Yes   No   N/A

We require purchase / repair order vendors to provide shop findings / teardown reports attached to components repaired / overhauled / modified by our vendors. Will you provide these reports?
Yes   No   N/A

Does your company have a procedure for non-conforming material and products?
Yes   No   N/A

Is there a documented and enforced policy to control shelf life items?
Yes   No   N/A

Is there a procedure for control of scrapped material?
Yes   No   N/A

Are scrap records for rotables maintained for two or more years?
Yes   No   N/A

Is there a system for identification and handling of rejected parts by means of tags, forms and segregation?
Yes   No   N/A

Does the company have a procedure to review rejected parts and to return them to the owner, or to mutilate them to the extent that they cannot be restored and returned to service?
Yes   No   N/A

Does the company have FAA SFAR 36 authorization?
Yes   No   N/A

Are adequately trained workers accomplishing the repair / overhaul actions and are training records maintained?
Yes   No   N/A

Is an inspection program, such as quality control functions, being utilized to ensure work is accomplished in accordance with FAA requirements?
Yes   No   N/A

Does the company issue serviceable tags or forms (FAA 8130-3, JAA form one, or other national approval_________(delete as required)) containing a maintenance / airworthiness release?
Yes No   N/A

Is there a written procedure and system for corrective actions?
Yes No   N/A

Do controls exist to ensure compliance with specs / procedures?
Yes No   N/A

Does the company have a procedure to ensure that current OEM technical data is used for all pertinent operations?
Yes No   N/A

Are the applicable manufacturer's repair / overhaul manuals and service bulletins available at the agency's facility?
Yes No   N/A

Are the manuals listed in the previous question kept up to current revision status?
Yes No   N/A

Are repairs / overhauls being accomplished in accordance with the manufacturer's current specifications?
Yes No   N/A

Is tooling and special equipment required to accomplish the component repair / overhaul available and maintained in serviceable condition?
Yes No   N/A

Does special tool and test equipment requiring calibration receive calibration on a scheduled basis and are calibration records maintained?
Yes No   N/A

Are the agency facilities maintained in an orderly manner that fosters quality workmanship?
Yes No   N/A

Please explain any N/A or No responses above: