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Aerospace Quality Systems Assessments SAE AS9121 Revision A ASSESSMENT SCORING Organization : Date: Audit Team: SCORING CHART NO CAR RESULT Multiple Single Multiple Single findings finding findings finding 4 Quality management system (Max. 80) (80) 0 4.1 General requirements 0 5 20 30 40 4.2 Documentation requirements 0 5 20 30 40 5 Management responsibility (Max. 80) (80) 0 5.1 Management commitment 0 5 10 15 20 5.2 Customer focus 5.3 Quality policy 5.4 Planning 0 5 10 15 20 5.5 Responsibility, authority and communication 0 5 15 15 20 5.6 Management review 0 5 10 15 20 6 Resource Management (Max. 80) (80) 0 6.1 Provision of resources 0 5 10 20 30 6.2 Human resources 6.3 Infrastructure 0 10 25 40 50 6.4 Work environment 7 Product realization (Max. 480) (480) 0 7.1 Planning of product realization Not Required 7.2 Customer related processes 0 10 20 40 60 7.3 Design and development Not Required 7.4 Purchasing 0 5 30 40 100 7.5 Product and service provision 7.5.1 Control of production and service provision 0 5 30 60 80 7.5.2 Validation of processes for production and service provision Not Required 7.5.3 Identification and traceability 0 5 40 50 100 7.5.4 Customer property 0 5 10 15 20 7.5.5 Preservation of Product 0 5 20 40 100 7.6 Control of monitoring and measuring device 0 5 10 15 20 8 Measurement analysis and improvement (Max. 280) (280) 0 8.1 General 0 5 10 15 20 8.2 Monitoring and measurement 8.2.1 Customer satisfaction 0 5 10 15 20 8.2.2 Internal audit 0 5 10 15 20 8.2.3 Monitoring and measurement of processes 0 5 20 25 30 8.2.4 Monitoring and measurement of product 0 5 15 15 20 8.2.5 Evidence of conformance - Certificate of conformity 0 5 N/A N/A 100 8.3 Control of nonconforming product 0 5 20 25 30 8.4 Analysis of Data 0 5 10 15 20 8.5 Improvement 0 5 10 15 20 TOTAL (1000) 30 SCORE = 3% The assessed Organization agrees on the Quality System scoring and Corrective Action req Organization Representative (Printed): Signature: Date: Client Account #: CRS-02-02T-R1 7/12/2005 Major CAR or Minor CAR on Key Requirement Minor CAR on NON Key Requirement Note: If Design and Development is excluded fill in the 7.3.1 through 7.3.7 NO CAR and RESULT rows with zeros (0) .

CRS-02-02T AS9121 Aerospace Assessments Scoring Card

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Scoring CardAerospace Quality Systems AssessmentsSAE AS9121 Revision AASSESSMENT SCORINGOrganization :Date:Audit Team:SCORING CHARTMajor CAR or Minor CAR on Key RequirementMinor CAR on NON Key RequirementNO CARRESULTMultipleSingleMultipleSinglefindingsfindingfindingsfinding4Quality management system (Max. 80)(80)04.1General requirements052030404.2Documentation requirements052030405Management responsibility (Max. 80)(80)05.1Management commitment051015205.2Customer focus5.3Quality policy5.4Planning051015205.5Responsibility, authority and communication051515205.6Management review051015206Resource Management (Max. 80)(80)06.1Provision of resources051020306.2Human resources6.3Infrastructure0102540506.4Work environment7Product realization (Max. 480)(480)07.1Planning of product realizationNot Required7.2Customer related processes0102040607.3Design and developmentNot Required7.4Purchasing0530401007.5Product and service provision7.5.1Control of production and service provision053060807.5.2Validation of processes for production and service provisionNot Required7.5.3Identification and traceability0540501007.5.4Customer property051015207.5.5Preservation of Product0520401007.6Control of monitoring and measuring device051015208Measurement analysis and improvement (Max. 280)(280)08.1General051015208.2Monitoring and measurement8.2.1Customer satisfaction051015208.2.2Internal audit051015208.2.3Monitoring and measurement of processes052025308.2.4Monitoring and measurement of product051515208.2.5Evidence of conformance - Certificate of conformity05N/AN/A1008.3Control of nonconforming product052025308.4Analysis of Data051015208.5Improvement05101520TOTAL(1000)30SCORE=3%The assessed Organization agrees on the Quality System scoring and Corrective Action requestsOrganization Representative (Printed):Signature:Date:Client Account #:Note: If Design and Development is excluded fill in the 7.3.1 through 7.3.7 NO CAR and RESULT rows with zeros (0).CRS-02-02T-R17/12/05