工厂审查调查表

产品安全认证Product Safety Certification工厂审查调查表The Questionnaire For Factory Inspection申请人名称:Name of Applicant:制造商名称:Name of Manufacturer:制造厂名称:Name of factory:产品安全认证工厂审查调查表The Questionnaire of Factory Inspection forProduct Safety Certification 1.1 制造厂/商注册名称：Name of the factory / Manufacturer:工厂地址：Address of the factory:电话(含区号):传真：邮政编码： Tel: Fax: Post Code电子邮件： E-mail:抵达工厂的最佳交通路线（最近的火车站、机场；如可能，请附一张当地地图）The Optimal route to factory local Railway station, airport (with the map if possible)1.2 制造厂/商的办公地址：Address of the factory/ Manufacturer Office :电话(含区号):传真：邮政编码： Tel : Fax: Post Code:电子邮件： E-mail:2. 申请人（持证人）注册名称：Name of the applicant (certificate holder):地址：Address:电话(含区号):传真：邮政编码：Tel: Fax: Post Code:电子邮件：E-mail:认证责任人： 部门及职位：电话：Undertaker of certification: Department/position: Tel: 3. 制造厂/商质量保证负责人及认证联络工程师（或联络员）姓名、工作部门及职位、联系电话（请附任命书复印件一份及其个人技术工作简历）。The principal on quality assurance and the contact person for CCC certification in factory/ Manufacturer shall provide the copy of the authorized document and the resume engaged in technical work质量保证负责人姓名：部门及职位：电话：Name of the Principal on quality assurance Department/position: Tel: 认证联络工程师(或联络员)姓名： 部门及职位：电话：Contact person for CCC certification: Department/position: Tel: 4. 制造厂/商员工总数（如申证产品生产仅是其中一部分，请注明申证产品生产部分的员工数）：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 申证产品名称、型号规格、商标Name ,Model and Trade Mark of the certification products:5.2 申请产品认证依据的标准： Pursuant standards of the certification products: 6.1 制造厂/商是否建立文件化质量体系？提供组织机构图或质量手册、程序文件目录或管理文件目录。Has the factory /manufacture established and maintain a documented quality system? Provide the chart of organization structure or the list of quality manual, process/management.6.2 申证产品生产工艺流程（请提供生产流程图、填写关键生产设备清单，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 说明哪些关键零部件和原材料是由分承包方提供的（如已通过CCEE认证或其它同等的产品认证请注明）？Which 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 详细说明为了确保最终产品符合相应标准，企业在进货检验、过程检验和最终检验中所进行的常规检验/检查，并注明检验文件名称及编号（请提供一份检验文件目录清单和填写企业的主要检测仪器设备清单，附表2）。To ensure that the final products conform 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. 说明申请认证产品已获得的其它认证机构颁发的认证证书和认证标志。 Please indicate the Certificates and the Marks been got by the products for which the Certification have being applied:8. 制造厂/商的是否已针对每种申请认证的产品编制相应的质量计划？Whether or not the factory/manufacturer has made the relevant quality plan for each application product9. 制造厂/商的质量体系是否已通过质量体系认证？（如有， 请提供证书复印件）。请说明最近一次审核的日期及结论。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. 工厂质保能力工厂审核前质量体系是否正式运行三个月以上？Has the quality system of the manufacturer been running more than three months before factory inspection? 希望安排审核的时间：The expected factory inspection date: 工厂休息日： 工厂上下班时间：Factory off day Factory work day可否在休息日审核(Whether or not the audit could perform in off day):可以(OK) 可商议(Discussible) 不可以(cannot) 11. 是否同意认证机构的检查员在正常生产时，经与质量保证负责人或认证联络工程师（或联络员）接洽后，可以进入涉及认证产品生产及管理的所有场所？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?制造厂/商代表签章：Representative of the factory/manufacturer:日期：Date:注：本表签字人应核对所填写的信息的准确性。Note: The representative shall check the veracity of the information filled in this questionnaire.附表1Appendix 1关键生产设备明细表Pivotal production facility制造厂名称：共 页第 页Name of factory: of pages序号Serial number设备名称Name of equipment制 造 厂Factory工位Locat