D-J Engineering

Self-Audit Supplier Survey

DJEF-SA-SS Rev N · Effective February 25, 2026

Controlled supplier self-audit

Complete the applicable sections

Complete the supplier information below and the applicable survey sections. Fields marked * are required. Select N/A when a question does not apply and explain where requested.

If your company is ISO 9001, AS9100, ISO/IEC 17025 or NADCAP certified, complete Section 5 and attach your certificates. Bell Helicopter Textron approved processors must also complete Section 12.

This form is submitted as one survey. Keep this page open until you receive a confirmation reference. Attachments must be selected again if validation fails.

Supplier information

Supplier Name * Subsidiary of Address * City/State/Zip * Phone Number * Years in Aerospace business Total Plant Area Total No. of Employees Person Completing form for self audit (Name and Title) * Survey Date * Product/Processes for which survey is filled out * No. of QA Employees Q/A Manager E-Mail * FAX Number Website List Prime Customers you are approved for In-house Special Process Capabilities for which NADCAP accredited — Process / Specification (or attach list)

Quality standards

ISO 9001 Revision / standard name Expiration date

AS9100 Revision / standard name Expiration date

ISO/IEC 17025 Revision / standard name Expiration date

Other, List Revision / standard name Expiration date

Is your company ISO 9001, AS9100, ISO/IEC 17025 or NADCAP certified? * Are you a Bell Helicopter Textron approved processor? * Certificates, NADCAP process list and supporting documents (PDF)

Up to five PDFs, 5 MB each and 10 MB combined. Certificates are required when you select Yes above. Uploaded documents are accessible to authorized administrators.

Survey progress Only questions in the applicable sections are counted.

Section 4 Quality Systems

1 Does the Supplier publish and maintain a current Quality Manual? *

Comments / explanation (if applicable)

1. Is it reviewed on a regular basis by Supplier top management? *

Comments / explanation (if applicable)

2. Is the review documented? *

Comments / explanation (if applicable)

3. Record current revision of Manual: _________________________________

Comments / explanation (if applicable)

4. Record date of last revision: _________________________________

Comments / explanation (if applicable)

5. Is organizational chart available? *

Comments / explanation (if applicable)

2 Is the Quality Manual in its current revision available to all personnel? *

Comments / explanation (if applicable)

3 Do all departments have documented procedures / work instructions that are readily available to personnel responsible for ensuring compliance? *

Comments / explanation (if applicable)

4 Are copies of forms and records used to document the product quality maintained as required in the Quality Manual or in an addendum? *

Comments / explanation (if applicable)

Section 4.2.3 Document and Data Control

1 Are pertinent drawings, documents, process specifications readily available to operating personnel? *

Comments / explanation (if applicable)

2 Does Supplier have a written procedure for controlling drawings, drawing changes and specifications? *

Comments / explanation (if applicable)

1. Does the procedure provide for the issue and return of drawings? *

Comments / explanation (if applicable)

2. Does the procedure prevent use of marked up or obsolete drawings? *

Comments / explanation (if applicable)

3. Does the procedure contain a recall of issued drawings for update? *

Comments / explanation (if applicable)

4. Does the procedure provide for a master list showing the current revision level of all drawings, documents, and procedures? *

Comments / explanation (if applicable)

3 Does the Supplier have a system in place to implement revised drawings, process specifications within the specified time limits? *

Comments / explanation (if applicable)

Section 4.2.4 Control of Quality Records

1 Are inspection records maintained, which display: Identification of item, Date of inspection, Number of units inspected, Number of units rejected, Description, Cause of discrepancy, Disposition of material and Identification of the inspector? *

Comments / explanation (if applicable)

2 How long are inspection records retained on file?

Comments / explanation (if applicable)

3 Are copies of inspection records available for examination and/or furnished upon request by Customer? *

Comments / explanation (if applicable)

Section 5.0 Management Responsibility

1 Has the Supplier defined a company quality policy? *

Comments / explanation (if applicable)

If yes, reference your internal procedure numbers in comments.

If no, make comments as to why or when you plan to develop and implement a policy.

2 Does the Supplier's organizational chart reflect an individual as being responsible for quality? *

Comments / explanation (if applicable)

1. Is that person functionally independent from the operating departments? *

Comments / explanation (if applicable)

3 Does the Quality organization have the authority and functional freedom to identify and evaluate quality problems, and to initiate, recommend or provide solutions? *

Comments / explanation (if applicable)

4 Does Supplier’s management system provide for management action to be taken to insure effective corrective action to deficiencies and follow up reviews? *

Comments / explanation (if applicable)

5 Are any quality control activities (e.g., inspection) delegated to an individual process owner? *

Comments / explanation (if applicable)

1. Are procedures available defining delegation? *

Comments / explanation (if applicable)

6 Is the quality system reviewed by management to ensure its continuing suitability and effectiveness? *

Comments / explanation (if applicable)

Section 5.1 Supplier Cybersecurity Representation

1 Are your company information systems compliant with the requirements of FAR 52.204-21 “Basic Safeguarding of Covered Contractor Information Systems”? Note: To be compliant, the FAR controls must be fully implemented. The requirements cannot be met with a Plan of Action and Milestone (POAM). *

Comments / explanation (if applicable)

2 Are these systems compliant with the requirements of DFARS 252.204-7012 “Safeguarding Covered Defense Information and Cyber Incident Reporting,” including use of external cloud service providers that meet the security requirements equivalent to those established by the Government for Federal Risk and Authorization Management Program (FedRAMP) moderate baseline? *

Comments / explanation (if applicable)

3 Have all 110 controls of the National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171 Rev 2 been implemented on the information systems? *

Comments / explanation (if applicable)

4 If 3 is answered “No,” is your information system operating under a Plan of Action and Milestones (POAM)? *

Comments / explanation (if applicable)

(i) Provide the POAM closure date:

Comments / explanation (if applicable)

(ii) Have all 31 Basic Security Requirement controls of the National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171 (Revision 2) been implemented into the information system? *

Comments / explanation (if applicable)

(iii) Have 100 or more controls of the National Institute of Standards and Technology (NIST) Special Publication (SP) 800-171 (revision 2) been implemented into the information System? *

Comments / explanation (if applicable)

5 Does your company currently hold a Medium Level of Assurance (MLOA) Certificate to access DoD Cyber Crime Center (DC3) portal for cyber incident reporting as required by 252.204-7012(c)(3)? *

Comments / explanation (if applicable)

See https://www.dc3.mil/missions/dib-cybersecurity/dib-cybersecurity-dcise/ for details on cyber incident reporting.

6 Is your company compliant with the requirements of DFARS 252.204-7019 and DFARS 252.204-7020 “NIST SP 800-171 DoD Assessment Requirements”? Compliance requires the usage of the DoD Assessment Methodology, with submitted resulting scores to the Department of Defense website “Supplier Performance Rating System (SPRS). *

Comments / explanation (if applicable)

If “Yes” to question 6, please provide:

(i) Self-assessment or Defense Industrial Base Cyber Security Assessment Center (DIBCAC):

Comments / explanation (if applicable)

Self DIBCAC

(ii) If self-assessed, provide the date of the submission to SPRS:

Comments / explanation (if applicable)

(iii) If “DIBCAC”, what level assessment? Medium High

Comments / explanation (if applicable)

(iv) DIBCAC assessment date:

Comments / explanation (if applicable)

Section 5.2 Compliance to CMMC, DFARS 252.204-7021

CMMC Level 3 (DIBCAC):

Does your Company comply with CMMC Level 3 Certification requirements? *

Comments / explanation (if applicable)

If “Yes”,

Conditional: Date: , OR Final Date:

Comments / explanation (if applicable)

Date of Affirmation submitted to SPRS:

Comments / explanation (if applicable)

Note: If “Conditional Assessment”, POAM must be completed within 180 days.

If “No”, proceed to CMMC Level 2.

CMMC Level 2:

Does your Company comply with CMMC Level 2 Assessment/Certification requirements? *

Comments / explanation (if applicable)

If “Yes”,

Conditional (C3PAO): (C3PAO Name ) Date:

Comments / explanation (if applicable)

Date of Affirmation submitted to SPRS:

Comments / explanation (if applicable)

Final (C3PAO): (C3PAO Name ) Date:

Comments / explanation (if applicable)

Date of Affirmation submitted to SPRS:

Comments / explanation (if applicable)

Final (Self): Date: ,

Comments / explanation (if applicable)

Date of Affirmation submitted to SPRS:

Comments / explanation (if applicable)

Note: If a Conditional Assessment, POAM must be completed within 180 days

If “No”, proceed to CMMC Level 1.

CMMC Level 1 (Self):

Does your Company comply with CMMC Level 1 Assessment Requirements? *

Comments / explanation (if applicable)

If “Yes”, date of Assessment submitted to SPRS:

Comments / explanation (if applicable)

Date of Affirmation submitted to SPRS:

Comments / explanation (if applicable)

Section 6.2.2 Training

1 Is there an on-going training program encompassing? *

Comments / explanation (if applicable)

1. Individual employee improvement *

Comments / explanation (if applicable)

2.Company-wide CQI (Continuous Quality Improvement) training *

Comments / explanation (if applicable)

3.SPC (Statistical Process Control) training *

Comments / explanation (if applicable)

Section 6.4 Work Environment

Are shops and inspection areas kept clean and orderly? *

Comments / explanation (if applicable)

Section 7.2 Contract Review

1 Is there a system for ensuring that contract requirements can be met prior to acceptance of the contract? *

Comments / explanation (if applicable)

2 Is there a system to identify how a contract amendment is made and information transferred to the appropriate functions? *

Comments / explanation (if applicable)

Section 7.4 Purchase Order Control

1 Does the Supplier have a system for the control of purchase orders, which assures and clearly defines the inclusion of drawing and specification requirements on purchase orders? *

Comments / explanation (if applicable)

2 Does Quality Assurance Review Purchase Requisitions/Purchase Orders for quality control requirements? *

Comments / explanation (if applicable)

3 Does the Supplier have a system for approval and disapproval of their Suppliers? *

Comments / explanation (if applicable)

1.Is a list of Approved Suppliers maintained and periodically reviewed? *

Comments / explanation (if applicable)

4 Is a performance rating system used for selection of sources and monitored to ensure continued Quality? *

Comments / explanation (if applicable)

5 Are periodic tests conducted to verify accuracy of lower-tier certificates and test reports? *

Comments / explanation (if applicable)

6 Are all special processors periodically reviewed and approved? *

Comments / explanation (if applicable)

7 Does the Supplier have a corrective action system for their Suppliers? *

Comments / explanation (if applicable)

Section 7.5 Process Control

1 Do work orders or process cards providing detailed instructions accompany materials through the manufacturing process? *

Comments / explanation (if applicable)

2 Are work orders or process cards controlled to prevent unauthorized changes? *

Comments / explanation (if applicable)

3 Are inspection points called out on work orders? *

Comments / explanation (if applicable)

4 Is the inspection department responsible for inspection planning on the orders to assure compliance to all quality requirements? *

Comments / explanation (if applicable)

Section 7.5.1 Tooling Control

5 Is special tooling such as Jigs, Fixtures, Checking Fixtures (ST) properly stored and controlled to prevent misuse and damage? *

Comments / explanation (if applicable)

6 Are tools that are used for inspection purposes periodically inspected with results documented? *

Comments / explanation (if applicable)

7 Does the Supplier have a system, which will maintain accurate records of accountability, identification, and maintenance of tooling? *

Comments / explanation (if applicable)

8 Does the Supplier have a documented procedure to perform “Each Use Condition Check” of ST prior to use and include verification of the following (records not required)? *

Comments / explanation (if applicable)

A. Legible and proper Identification of ST; B. Evidence of acceptance of the ST;

C. Availability of Usage Instructions (if applicable); D. Availability of all ST parts in good condition? *

Comments / explanation (if applicable)

Section 7.5.3 Product Identification and Traceability

1 Is product identified from receipt of raw materials through all stages of production and delivery? *

Comments / explanation (if applicable)

2 Does the Supplier maintain a positive system for identifying the inspection status of products in process? *

Comments / explanation (if applicable)

Section 7.5.3 Inspection Stamp Control

1 Is an inspection stamp system used? *

Comments / explanation (if applicable)

Are the stamps identifiable to the person to whom they are issued? *

Comments / explanation (if applicable)

Is issuance of stamps controlled? *

Comments / explanation (if applicable)

2 Does the Supplier use stamps during verification, to indicate final acceptance, rejection, scrap, functional test, etc.? *

Comments / explanation (if applicable)

Section 7.5.4 Customer Supplied Product

1 Is the Customer notified promptly of any loss, damage or deterioration of customer supplied products? *

Comments / explanation (if applicable)

Section 7.5.5 Handling, Storage, Packaging, Preservation and Delivery

1 Does the Supplier make periodic stockroom or line inspections to verify? *

Comments / explanation (if applicable)

Material storage *

Comments / explanation (if applicable)

Handling techniques *

Comments / explanation (if applicable)

3. age sensitive material *

Comments / explanation (if applicable)

4. proper identification *

Comments / explanation (if applicable)

2 Are procedures issued relating to the control of preservation, packaging, and shipping processes to assure conformance to contractual requirements? *

Comments / explanation (if applicable)

3 Are materials stored to prevent withdrawal by unauthorized personnel? *

Comments / explanation (if applicable)

4 Are materials stored so as to facilitate first-in, first-out issuance? *

Comments / explanation (if applicable)

5 Does the Supplier's shipping document list? *

Comments / explanation (if applicable)

Supplier name, date of shipment, part number and nomenclature of the item *

Comments / explanation (if applicable)

Applicable engineering drawing number and revision *

Comments / explanation (if applicable)

Serial number or batch number when applicable *

Comments / explanation (if applicable)

Report of applicable material review action(s) *

Comments / explanation (if applicable)

6 Are all materials given final inspection for markings, packing documents? *

Comments / explanation (if applicable)

Section 7.6 Control of Inspection, Measuring, and Test Equipment

1 Does Supplier have a written procedure for the control and scheduled frequency of equipment calibration? *

Comments / explanation (if applicable)

2 Does the system include documented calibration control procedures? *

Comments / explanation (if applicable)

3 Is new and reworked equipment calibrated before use? *

Comments / explanation (if applicable)

4 Is measuring and test equipment labeled on the device or container with the date of calibration, any limitations, date of next calibration, and stamp of the individual performing the calibration? *

Comments / explanation (if applicable)

5 Are serial numbers of master gauges and standards traceable to the National institute of Standards and Technology? *

Comments / explanation (if applicable)

6 Are the services of an outside lab used for the certifications? *

Comments / explanation (if applicable)

If "YES", list the company or companies: _________________________________

Comments / explanation (if applicable)

7 Are employees' personal equipment controlled to the same degree as company-owned equipment? *

Comments / explanation (if applicable)

8 Is an effective recall system in place to prevent tools from being used after their calibration due date? *

Comments / explanation (if applicable)

9 Is equipment stored to prevent damage and misuse? *

Comments / explanation (if applicable)

10 Does the record system reflect date of last calibration and due date for next calibration? *

Comments / explanation (if applicable)

11 Does the record system reflect actual numerical results of the calibration? *

Comments / explanation (if applicable)

12 Are instruments controlled with an identification number to allow calibration record traceability? *

Comments / explanation (if applicable)

13 Are accuracy requirements for selection and use of measurement and test equipment defined? *

Comments / explanation (if applicable)

14 Are temperature, humidity, vibration, and cleanliness controlled to the extent necessary to ensure calibration accuracy? *

Comments / explanation (if applicable)

15 Is there a system in place to remove a measuring device found to be out of tolerance, and to evaluate products where the out of tolerance measuring device was used? *

Comments / explanation (if applicable)

1. Does the system include product recall? *

Comments / explanation (if applicable)

16 Is the technique used to calibrate each measuring device including visual, dimensional, and operational inspection documented? *

Comments / explanation (if applicable)

Section 8.2 Inspection and Testing

1 Does system provide documented procedures for the inspection of all materials and supplies? *

Comments / explanation (if applicable)

2 Does Supplier conduct First Article Inspections prior to production runs by sub-tiers? *

Comments / explanation (if applicable)

3 Does the Supplier have in-plant testing facilities to conduct necessary testing of raw materials, hardware, subassemblies and equipment? *

Comments / explanation (if applicable)

If "NO", list the outside labs used:

Comments / explanation (if applicable)

4 Are all incoming articles inspected by means of an approved sampling plan or 100% inspection before release to stock? *

Comments / explanation (if applicable)

4 When materials are accepted on material test reports, are records kept on file for the stipulated period of time? *

Comments / explanation (if applicable)

5 Are Supplier's purchase orders available for Receiving Inspection use? *

Comments / explanation (if applicable)

6 Are materials controlled to prevent withdrawal before inspection? *

Comments / explanation (if applicable)

7 Does Manufacturing inspection conduct First Article Inspections prior to the production runs? *

Comments / explanation (if applicable)

8 Are in-process inspections conducted during all phases of manufacturing and production assembly? *

Comments / explanation (if applicable)

9 Are parts and assemblies identified as required per drawing and applicable specifications? *

Comments / explanation (if applicable)

10 Are statistical quality control procedures employed for characteristics not 100 percent inspected during in-process inspection? *

Comments / explanation (if applicable)

11 Is final inspection conducted on all characteristics not previously inspected and accepted? *

Comments / explanation (if applicable)

12 Is functional and pressure testing, when performed by other than inspection personnel, witnessed by Quality Control representatives? *

Comments / explanation (if applicable)

13 Is inspection acceptance designated by a stamp impression on the assembly or article? *

Comments / explanation (if applicable)

14 Are completed assemblies or articles properly identified and are records maintained allowing for traceability back to raw material certification or certificates of conformances? *

Comments / explanation (if applicable)

15 Is material subject to deterioration periodically re-inspected? *

Comments / explanation (if applicable)

16 Are personnel and equipment for special processes approved and/or certified? *

Comments / explanation (if applicable)

Section 8.2.2 Internal Audit Program

1 Does the Supplier conduct internal audits to monitor and report to management on compliance to customer requirements and to the quality system? *

Comments / explanation (if applicable)

2 Does the Supplier utilize a checklist while performing audits? *

Comments / explanation (if applicable)

3 Is an internal audit schedule maintained? *

Comments / explanation (if applicable)

Section 8.3 Control of Nonconforming Material

1 Does Supplier documentation provide methods for properly identifying, segregating, and recording disposition of nonconforming material? *

Comments / explanation (if applicable)

2 Does Supplier have a documented system for nonconforming resolution, and when contractual, will obtain the customer's approval/disposition? *

Comments / explanation (if applicable)

3 Are parts that are reworked or repaired to an approved disposition inspected to determine compliance with the disposition? *

Comments / explanation (if applicable)

4 Does the Supplier have Material Review Board procedure in use? *

Comments / explanation (if applicable)

Is this procedure available for review by D-J Engineering? *

Comments / explanation (if applicable)

5 Does a Material Review Board approve minor variations? *

Comments / explanation (if applicable)

6 Are rejected parts removed to a withholding area or removed from the main flow of material? *

Comments / explanation (if applicable)

7 Are customer’s returns treated the same as internal rejects? *

Comments / explanation (if applicable)

Section 8.4 Statistical Techniques

1 Is statistical process control implemented? *

Comments / explanation (if applicable)

If "YES", list area(s) where SPC is implemented:

Comments / explanation (if applicable)

Section 8.5.2 Corrective Action

1 Is a documented Corrective Action system in operation? *

Comments / explanation (if applicable)

2 Does Corrective Action report show description of cause, action taken and date when corrective action will be completed? *

Comments / explanation (if applicable)

3 Is corrective action follow-up performed to assure compliance? *

Comments / explanation (if applicable)

4 Are periodic status summaries of corrective action reports distributed to management and supervision for their review and action? *

Comments / explanation (if applicable)

5 Are there procedures for issuing corrective action requests to sub-tier suppliers when a quality problem exists? *

Comments / explanation (if applicable)

Section 9 Equal Employment Opportunity / Affirmative Action Program (EEO/AAP)

1 Does the Supplier have an EEO/AA Program meeting the Equal Opportunity Clause required under Executive Order No. 11246, as amended, the Affirmative Action commitment for disabled veterans, Armed Forces service medal veterans, or other protected veterans, set forth in 41 CFR 60-250.5(a), the Affirmative Action Clause for handicapped workers, set forth in 41 CFR 60-741.5(a), the related regulations of the Secretary of Labor, 41 CFR Chapter 60, and amendments thereto for each and every one of them? *

Comments / explanation (if applicable)

Section 10 Counterfeit Goods

Supplier shall not furnish to DJE, any goods that are “Counterfeit Goods”, defined as

Goods or separately-identifiable items or components that: (i) are an unauthorized copy or substitute of an Original Manufacturer or Original Component manufacturer (collectively, “OEM”) item; (ii) are not traceable to an OEM sufficient to ensure authenticity in OEM design and manufacture.

The supplier shall have a counterfeit detection process that meets the intent of SAE

standard AS5553, Counterfeit Electronic Parts, Avoidance, Detection, Mitigation, and

Disposition, if applicable.

Does the Supplier documented procedure to ensure this and also flow it down to their sub-tier? *

Comments / explanation (if applicable)

Section 11 Calibration Services

Certified test reports attesting traceability to NIST standards must contain the following as a minimum:

Name of Standard or number and Procedure used, Serial Number of Standard used,

Environmental Conditions, Accuracy of Standard, Deviation of correction, Report serial number, NIST Registry Number, Date Calibrated, Certified Statement by the Lab Personnel Conformance to ISO 10012, ISO 17025, or ANSI/NCSL Z540-3.

Does the Supplier have a documented procedure to ensure this? *

Comments / explanation (if applicable)

Section 12 Controlled Items – Bell Helicopter

1 Are you currently approved for processing of Bell Helicopter Controlled Items, and listed in their QPS 101, “Approved Process Sources”? (Refer to DJP-2120). *

Comments / explanation (if applicable)

If so, list the processes you are approved for.

Comments / explanation (if applicable)

2 If processing Bell Helicopter Controlled Items, Process Planning and/or Technique Documentation needs to be submitted to Bell Helicopter through us for each Part Number, which will be FROZEN, and require customer’s approval for revising them. Are you agreeing to this requirement? (Refer to DJP-2120) *

Comments / explanation (if applicable)