工廠審查調(diào)查表

1、產(chǎn)品安全認(rèn)證Product Safety Certification工廠審查調(diào)查表The Questionnaire For Factory Inspection申請人名稱:Name of Applicant:制造商名稱:Name of Manufacturer:制造廠名稱:Name of factory:產(chǎn)品安全認(rèn)證工廠審查調(diào)查表The Questionnaire of Factory Inspection forProduct Safety Certification 1.1 制造廠/商注冊名稱：Name of the factory / Manufacturer:工廠地址：Address

2、 of the factory:電話(含區(qū)號):傳真：郵政編碼： Tel: Fax: Post Code電子郵件： E-mail:抵達(dá)工廠的最佳交通路線（最近的火車站、機場；如可能，請附一張當(dāng)?shù)氐貓D）The Optimal route to factory local Railway station, airport (with the map if possible)1.2 制造廠/商的辦公地址：Address of the factory/ Manufacturer Office :電話(含區(qū)號):傳真：郵政編碼： Tel : Fax: Post Code:電子郵件： E-mail:2.

3、申請人（持證人）注冊名稱：Name of the applicant (certificate holder):地址：Address:電話(含區(qū)號):傳真：郵政編碼：Tel: Fax: Post Code:電子郵件：E-mail:認(rèn)證責(zé)任人： 部門及職位：電話：Undertaker of certification: Department/position: Tel: 3. 制造廠/商質(zhì)量保證負(fù)責(zé)人及認(rèn)證聯(lián)絡(luò)工程師（或聯(lián)絡(luò)員）姓名、工作部門及職位、聯(lián)系電話（請附任命書復(fù)印件一份及其個人技術(shù)工作簡歷）。The principal on quality assurance and the cont

4、act person for CCC certification in factory/ Manufacturer shall provide the copy of the authorized document and the resume engaged in technical work質(zhì)量保證負(fù)責(zé)人姓名：部門及職位：電話：Name of the Principal on quality assurance Department/position: Tel: 認(rèn)證聯(lián)絡(luò)工程師(或聯(lián)絡(luò)員)姓名： 部門及職位：電話：Contact person for CCC certification:

5、Department/position: Tel: 4. 制造廠/商員工總數(shù)（如申證產(chǎn)品生產(chǎn)僅是其中一部分，請注明申證產(chǎn)品生產(chǎn)部分的員工數(shù)）：Total amount of employees in the factory/ Manufacturer (If the certification product is a part of the whole products, please give clear indication of the amount of employees in the certification product) 5.1 申證產(chǎn)品名稱、型號規(guī)格、商標(biāo)Name ,M

6、odel and Trade Mark of the certification products:5.2 申請產(chǎn)品認(rèn)證依據(jù)的標(biāo)準(zhǔn)： Pursuant standards of the certification products: 6.1 制造廠/商是否建立文件化質(zhì)量體系？提供組織機構(gòu)圖或質(zhì)量手冊、程序文件目錄或管理文件目錄。Has the factory /manufacture established and maintain a documented quality system? Provide the chart of organization structure or the l

7、ist of quality manual, process/management.6.2 申證產(chǎn)品生產(chǎn)工藝流程（請?zhí)峁┥a(chǎn)流程圖、填寫關(guān)鍵生產(chǎn)設(shè)備清單，附表1）。Production process for the certification products.(Please provide the production flow chart and fill in the list of critical production equipments. See Appendix 1)6.3 說明哪些關(guān)鍵零部件和原材料是由分承包方提供的（如已通過CCEE認(rèn)證或其它同等的產(chǎn)品認(rèn)證請注明）？Whi

8、ch critical parts and material are provided by the subcontractors? (Please indicate if the parts have passed the CCEE or other equivalent product certification.)6.4 詳細(xì)說明為了確保最終產(chǎn)品符合相應(yīng)標(biāo)準(zhǔn)，企業(yè)在進貨檢驗、過程檢驗和最終檢驗中所進行的常規(guī)檢驗/檢查，并注明檢驗文件名稱及編號（請?zhí)峁┮环輽z驗文件目錄清單和填寫企業(yè)的主要檢測儀器設(shè)備清單，附表2）。To ensure that the final products conf

9、orm to the relative standards, please specify the routine inspection in product in-coming inspection, process inspection and final inspection. Please indicate the inspection standard names and number (Please provide a list of inspection documents and the list of main inspection or test facilities)7.

10、 說明申請認(rèn)證產(chǎn)品已獲得的其它認(rèn)證機構(gòu)頒發(fā)的認(rèn)證證書和認(rèn)證標(biāo)志。 Please indicate the Certificates and the Marks been got by the products for which the Certification have being applied:8. 制造廠/商的是否已針對每種申請認(rèn)證的產(chǎn)品編制相應(yīng)的質(zhì)量計劃？Whether or not the factory/manufacturer has made the relevant quality plan for each application product9. 制造廠/商的質(zhì)量體

11、系是否已通過質(zhì)量體系認(rèn)證？（如有， 請?zhí)峁┳C書復(fù)印件）。請說明最近一次審核的日期及結(jié)論。Whether or not the factory/manufacturer has obtained the certificates of quality system certification (please provide the copy of the certificates and the date of last audit). 10. 工廠質(zhì)保能力工廠審核前質(zhì)量體系是否正式運行三個月以上？Has the quality system of the manufacturer been r

12、unning more than three months before factory inspection? 希望安排審核的時間：The expected factory inspection date: 工廠休息日： 工廠上下班時間：Factory off day Factory work day可否在休息日審核(Whether or not the audit could perform in off day):可以(OK) 可商議(Discussible) 不可以(cannot) 11. 是否同意認(rèn)證機構(gòu)的檢查員在正常生產(chǎn)時，經(jīng)與質(zhì)量保證負(fù)責(zé)人或認(rèn)證聯(lián)絡(luò)工程師（或聯(lián)絡(luò)員）接洽后，可以

13、進入涉及認(rèn)證產(chǎn)品生產(chǎn)及管理的所有場所？Whether or not the factory agrees the delegates from the factory inspection group investigate the production and management sites related with the certification products when in regular production?制造廠/商代表簽章：Representative of the factory/manufacturer:日期：Date:注：本表簽字人應(yīng)核對所填寫的信息的準(zhǔn)確性。Note: The representative shall check the veracity of the information filled in this questionnaire.附表1Appendix 1關(guān)鍵生產(chǎn)設(shè)備明細(xì)表Pivotal production facility制造廠名稱：共 頁第 頁Name of factory: of pages序號Serial number設(shè)備名稱Name of equipment制 造 廠Factory工位Locat