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,,00-MT80-1000-006,,Revision
,,,,H
,,SupplierSelfAssessmentForm,,DocumentationCategory
,,,,Mandatory
Approvals,,,Designation,
ErickPrause,,,SRDIRECTORSUPPLYCHAINMANAGEMENT,
Revision,,,,
Revision,ChangeDetails,,Originators,DateofRelease
A,InitialRelease-removedfrom04-MT80-2000-001,,ErickPrause,2010/6/22
B,"Addedchecklistforselectingrequiredelements,addedreview/approvalelements,updatedinstructions,movedfinancialelementstoseparateworksheet,incorporatedselfassessmentapprovalstep.",,ErickPrause,2011/1/26
C,CorrectiontoprotectedfieldsintheSystemsSelfAssessmentworksheet,,ErickPrause,2011/4/14
D,"Added15.8and15.9toSection15ofSystemsSelfAssessmenttorequestSupplierContactInformation,requestinformationonC-TPAT/AEOcerttificationandupdatedthee-mailaddressforsubmittingcompletedSAQ'sforreview.",,ErickPrause,DEC/01/11
E,Correctedpermissionssothatattachmentscanbeaddedinappropriatesections,,ErickPrause,DEC/20/11
F,"Addquestionsregardingoutsourcingtosection13.3oftheSystemsSelfAssessment
Revisedallquestionsinsection15ofSystemsSelfAssessment
AddedJabilLogisticsApprovalFormandinstructionsforcompletion
Updatedthetemplate",,ErickPrause,SEP/17/13
G,Unlockdataentryfieldsinsection15oftheSystemsSelfAssessment,,ErickPrause,NOV/05/13
H,"Addacolumn""DateofRelease""intheRevisionsection.
Updatedtheapprover",,RoneyAbraham,MAR/26/14
1.0Purpose,,,,
ToprovideatemplateforJabilSupplierstousetocompleteaselfassessment,,,,
2.0Scope,,,,
AppliestorequestsmadetoJabilSupplierstocompleteaselfassessment,,,,
3.0References,,,,
Thisdocumentistobeusedinconjunctionwiththefollowingprocedures:,,,,
DocumentNumber,,DocumentTitle,,
00-MT20-1000-006,,"SupplierSelection,ClassificationandDevelopmentProcess",,
4.0Instructions,,,,
"Whenitisdeterminedthatasupplierneedstocompleteaselfassessment,thefollowingstepsarefollowed:
1.JabilrequestorentersthefollowinginformationontheSelectionandReviewSheet:
-SupplierName
-SupplierLocation(Address)
-Commoditiesthatapplyfortheselfassessment
-Checktheappropriateboxforsupplierstatus(PotentialSupplier,ExistingApprovedSupplier)
-IfthestatusisPotentialSupplierandthesupplierisbeingconsideredforPCB's,checktheboxforPCBSelfAssessmentbelow
thePotentialSupplierheading
-IfanExistingApprovedSupplier,checktheapplicableboxesbelowExistingApprovedSupplierheadingforanysections/
elementsinadditiontotheSystemsSelfAssessment,thatyouarerequestingthesuppliertocomplete.
-TheJabilRequestorenterstheircontactinformationandrequestedcompletiondateinthespacesprovided
Note:TheSupplierInstructionssheetisautomaticallycompleted.Noinformationneedstobeenteredintoit.
2.TheJabilRequestorsendsthefollowingtothesupplier:
-ForaPotentialSupplier-thisform,SupplierRequirementsManual00-MT60-1000-00605andSupplierAcknowledgementForm
00-MT80-1000-001
-ForanExistingApprovedSupplier-thisform,SupplierRequirementsManual00-MT60-1000-00605andifitisrequestedthat
thesuppliercompleteaSupplierAcknowledgementForm,SupplierAcknowledgementForm00-MT80-1000-001.
3.JabilReview
-Uponreceiptofacompletedselfassessment,theJabilrequestorcoordinatesthecompletionofthereviewoftheinformation
provided.
-TherequestorsendsthecompletedselfassessmenttoJabilLogisticsforreviewandapprovalofSection15(C-TPAT)inthe
SystemsSelfAssessment
-FromthereviewidentifyanyconcernsorgapsanddocumenttheminthespacesprovidedontheSelectionandReviewSheet
-Followupwiththesuppliertoseektoaddressandcloseanyconcernsorgapsidentified
-ToacceptaselfassessmentforaPotentialSupplier,thefollowingelementsmustbefulfilled:
1.SignedNDA(NonDisclosureAgreement)inplace
2.Allinformationprovided-nogapsormissinginformation
3.Allrequestedattachmentsprovided
4.Allconcernsorgapsidentifiedhavebeenclosed
5.Section15(C-TPAT)inSystemsSelfAssessmentapprovalbyJabilLogistics-attachcopyofapprovaltoforminthespace
provided
6.SupplierAcknowledgementFormsignedandreturned
-ToacceptaselfassessmentforanExistingApprovedSupplier,thefollowingelementsmustbefulfilled:
1.Allinformationprovided-nogapsormissinginformation
2.Allrequestedattachmentsprovided
3.Allconcernsorgapsidentifiedhavebeenclosed
4.Section15(C-TPAT)inSystemsSelfAssessmentapprovalbyJabilLogistics-attachacopyofapprovaltoform
5.SupplierAcknowledgementFormsignedandreturned,ifrequested
4.Closure-FinalResult
-Fortheapplicablesuppliertype,checktheappropriateboxforthefinalresultoftheselfassessmentintheFinalResultAreaof
theSelectionandReviewSheet
-ForJabilsiterequestedselfassessments,thesiteSQELead/Managerand/orSitePurchasingManagerreviewsandprovides
finalapprovaloftheresultsfortheselfassessmentsrequiredtobecompleted
-ForRegionalorGlobalSCrequestedselfassessments,theRegionalCommodityManagerorGlobalCommodityManager
reviewsandprovidesapprovalfortheGeneral-Financialsection(whenthissectionisrequired
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