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Supplier Assessment

Please complete all sections of the Supplier Assessment below. After submitting, we will review the assessment. If we feel that there are opportunities for both you and Brooks Automation to work together we will notify you and start the evaluation process.

All fields with a red asterisk (*) are required.

             
SECTION 1: GENERAL
Company Identification:
  Company Name*:
Website:
Billing Address:
Address*:
City*:
State*:
Zip*:
Country*:
Phone, Main*:
Fax, Main*:
Is the shipping address same as your billing address?*
Yes 
No - If "No", please enter the shipping address below:
Shipping Address:
Address:
City:
State:
Zip:
Country:
Is the company publicly held?*
Yes Symbol
No
Key Contacts: Name Phone Fax E-Mail
President*:
Sales*:
Quality*:
Financial*:
Company Information
FID Number*:
State ID #*:
State*:
Number of years in business?*
Number of years in present facility?*
What was last year's annual sales?*
What is this year's projected annual 
sales?*
Do you require return authorizations
for returned material?*		 Yes Contact Name:
No
  Personnel
Current 12 Months Previous 12 Months
1st Shift 2nd Shift 3rd Shift 1st Shift 2nd Shift 3rd Shift
Administration*
Engineering*
Manufacturing*
Quality*
Other*
 
Please describe your Parent Company/Group Structure*
       
SECTION 2: PRODUCTS AND SERVICES
Please indicate the types of products and services you offer*:
Manufacture
Distribute
Service Products
Provide Value Added Assembly
What are the three major technologies your company supports and the percentage of your 
business they represent*:
1.
2.
3.
List Major Products Manufactured or Distributed*:
  List up to 5 Major Customers and percentage of business*
Customer % Business # Years Contact Phone
Number 		 Industry
Type 		 Quality
Rating 		 Delivery
Rating
 
Have you ever been or are you currently a supplier to Brooks Automation, Inc.?*
Yes # of Years Give details 
No
What is your total floor area in square feet?*
What amount is for Manufacturing?* %
What amount is for Storage?* %
How many sites does your company operate?*
What is your current available manufacturing capacity?* %
What processes do you subcontract from your
manufacturing operation?*
How much of your manufacturing orders are outsourced?* %
Number of years in supplying product/service 
being considered by Brooks?*
What amount of your business do you limit to 
a single customer?*		 %
Do you have Job Tracking with inspection 
points?*		 Yes If Yes Manual
No Automated
Type
Do you have an approved supplier list?* Yes
No
If yes, is there a selection 
procedure?		 Yes
No
Are you involved in supplying any companies
that operate a Short Cycle, Just in Time, or TQM Manufacturing System?*		 Yes
No
               
SECTION 3: QUALITY SYSTEMS
Is your company Quality System certified?* Yes
No
If Yes Certification Type
Certification Number
Expiration Date
If No Are there plans to become certified? Yes When
No,
If No Please describe your Quality System
Do you have Drawing Control?* Yes If Yes Manual
No Automated
Type
Do you have a documented calibration system in place
for all inspection / test equipment?*		 Yes
No
Do you use documented workmanship practices 
(i.e. ESD)?*		 Yes
No
If Yes Please specify
Do you communicate with your customers
electronically?*		 Yes
No
If Yes System
Are you involved in any dock-to-stock or certification 
programs?*		 Yes
No
If Yes please give company names
       
SECTION 4: IMPORTED PRODUCTS (exclude all countries in North America)
Do you purchase product overseas?* Yes
No
If yes, are these products a component of an 
upper assembly purchased by Brooks Automation?		 Yes
No
Do you keep and manage import records on file?* Yes
No
Could you provide duty cost of purchased product on 
a quarterly basis.*		 Yes
No
Are you currently providing this type of information to 
other customers?*		 Yes
No
If yes, please list customer names, contacts,
and telephone numbers.
If product is imported could you provide the following documents:
Certificate of Delivery (customs form #7552) Yes
No
Data spreadsheet of imported information Yes
No
Waiver letter (waiving rights to collect duty drawback) Yes
No
         
SECTION 5: FINANCIAL OVERVIEW
Have you been notified of, or are you now the 
subject of, pending litigation?*		 Yes
No
If "Yes", please provide details 
Do you have business interruption insurance?* Yes maximum limit amount $
No
Do you have business personal property insurance?* Yes coverage value $
No
Are any of your employees at your company 
related to a Brooks Automation, Inc. employee?*		 Yes
No
If "Yes", please list Employee Name,
Position, Relationship, Brooks Employee
Do you have a Disaster Recovery Plan?*
(i.e. Data information backup procedure)		 Yes
No
     
PERSONAL IDENTIFICATION:
Name (First)*:
Name (Last)*:
Title*:
Phone*:
E-mail*: