Process Assurance Checklist General

QMS-0000-PUR-FRM-CHV-000-00003-07
Quality Management System

Rev. 0

Company Name

Date of Audit
Web Address

Manufacturing Facility
Address

Telephone
Fax

Supplier Contacts (name

and e-mail address)

Chevron Assessors
(name and e-mail
address)

Project

Requested by

Commodity Evaluated

Supplier Qualification
Request #
Reference Documents

Associated check list #s

Associated I & T Plan #s

[Add references to other checklists here]

Additional documents

[Add other document references here, e.g.

Supplier Mandatory Quality Requirements QMS0000-QAC-SPC-CHV-000-00002-00 or QMS0000-QAC-SPC-CHV-000-00003-00]

Questionnaire Response
Reference #

2008 Chevron Corporation. All rights reserved.

Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

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Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

1.0 SAFETY / SECURITY / ENVIRONMENT

1.1 Is there indication that the site has a safety-focused culture (safety
meetings, general signage, attention to housekeeping)
1.2 Is the site prepared for emergency situations?
Emergency phone numbers posted
Exits and mustering area clearly marked
Procedures communicated to employees
Safe walkways on floor
First aid & fire extinguishers readily available and serviced
When was the last emergency evacuation drill conducted?
1.3 Are workers adequately protected?
PPE available and used
Full face shields used when grinding
Hearing protection where applicable
1.4 Are workers protected from falls?
Fall protection used properly (harness / tie off)
Ladders used properly
Scaffolding subject to an inspection and tagging system
Pits and loading docks safe guarded or barricaded
Loads secured safely and material stacked safely
1.5 Is equipment adequately stored?
Chains and slings tagged with weight limits
Chains and slings subject to regular inspection and test and tagged
as such
Safety latches in place on all hooks
Welding leads and extension chords in good condition and stored /
laid out in such a fashion not to create a tripping hazard
Gas cylinders tied off correctly
Are flammable products stored safely and clearly marked?

2008 Chevron Corporation. All rights reserved.

Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

2 of 9

Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

1.6 Are tools and equipment well maintained?

Are guards available on all rotating equipment and in use?
Are hand tools adequately maintained?
1.7 Are vehicles maintained and properly used?
Are shop used vehicles rigged with adequate safety equipment?
Are drivers and operators certified to operate the vehicles?
1.8 Are overhead cranes maintained?
equipped with audible signals and strobe lights
Hooks subject to regular NDE examination (typically on an annual
basis)
1.9 Are lock out tag out procedures practiced?
1.10 Are overhead cranes properly used?
Equipped with audible signals and strobe lights
Hooks subject to regular NDE examination (typically on an annual
basis)
1.11 Test equipment maintained?
Isolated area available for hydrostatic and pneumatic testing
Qualified individuals available for conducting hydrostatic /and
pneumatic testing
1.12 Are visitors given a safety orientation prior to entering the shop?
1.13 Are the following documented and published:
near misses
lost time incidents
root cause analysis
corrective action to be taken?
1.14 Are housekeeping practices encouraged? Are the restrooms and
lunch rooms sanitary?
1.15 Is the lighting in the shop adequate?
2008 Chevron Corporation. All rights reserved.
Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

3 of 9

Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

1.16 Are hazardous materials disposed of properly? MSDS available?

1.17 Is plant access controlled both during and out of hours and are there
controls over vehicles entering the production area?
1.18 Environmental:
visible emissions, permits available for inspection, storm water
controls, leaks, drips, spills, containment, waste storage and
segregation
2.0 Engineering
2.1 Engineering Processes
Is there evidence of the following:
checking and approval of deliverables
inter / intra discipline checking
formal design review
controlled design change process
client review and incorporation of comments
criticality rating
3.0 Documentation Requirements
3.1 Document Submission
Compliance with SDRL (supplier document requirements list) for submittal
of deliverables and including incorporation of comments and expediting
approval documents in a timely manner (see Section 7.0 of the Supplier
Mandatory Quality Requirements)
3.2 Licenses and Certification
Review Licenses and certification the supplier has available and record the
scope and expiry dates

2008 Chevron Corporation. All rights reserved.

Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

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Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

4.0 Purchasing
4.1 Specification
Verify system that assures that both engineering technical and quality
requirements are transmitted to procurement personnel and onwards in
POs to suppliers of materials, equipment and subcontracted services (both
COMPANY and statutory requirements ABS, USCG, NRTL)
4.2 Purchase Order Review
Are purchase orders reviewed and QC Checked by engineering / quality
personnel to ensure adequate definition of requirement.
4.3 Sub-supplier / subcontractor Qualification
Do the qualification procedures address the following:
criticality of material / service
information gathering e.g. questionnaire
need for a site visit
qualification of suppliers assessors (site visit and review of
information e.g. questionnaire)
use of third parties for qualification
reliability of past experience
qualification of sub suppliers
basis of recommendations and conclusions
4.4 Inspection
Verify inspection levels at sub-suppliers / sub-contractors and determine
criticality levels e.g. in process (resident / visiting inspector), receipt
inspection, audit, and third party inspectors
4.5 Sub-supplier Documentation Requirements
Verify sub supplier / sub-contractor documentation requirements and
determine how the supplier ensures accuracy, completion and adequacy
2008 Chevron Corporation. All rights reserved.
Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

5 of 9

Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

4.6 Sub-supplier Expediting

Verify supplier process to ensure timely delivery of material on order with
supporting quality records
4.7 Qualification of Supplier personnel
Verify qualification of personnel within each discipline including QA/QC and
Inspection personnel (i.e. those individuals conducting inspection of the
sub-suppliers / subcontractor product)?
5.0 Material Control
5.1 Procedure
Are the procedures sufficiently adequate to control:
receipt inspection
inventory
storage / protection
quarantine
segregation / protection from contamination
issue
traceability (to MTRs or material specs) with material origin and
material manufacturer, not stockist material certificates
compliance of MTRs to material specs (including PMI)
customer furnished material
5.2 Source of Supply of Material
Do recent purchase orders confirm the source of supply of major materials
as detailed in the suppliers response to the questionnaire?
5.3 Positive Material Identification (PMI)
Alloy materials: If the component in question requires PMI, does the
supplier have the facilities, equipment and qualified personnel to conduct
such testing?
2008 Chevron Corporation. All rights reserved.
Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

6 of 9

Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

6.0 Manufacturing Control

6.1 Control of Work in Progress
Verify Travellers, QC / Inspection & Test Plans (project approved), work
instructions etc
6.2 Control of Special Processes
Approved procedures covering the following, as applicable:
welding
casting
forging
heat treatment
NDT
plating
blast and coating
pressure testing
loop testing
6.3 In Process Inspection
Verify:
Qualified Inspectors for the acceptance and sign off of quality records
Approved Work instructions and ITPs for Inspectors
Language capabilities for international or local content
6.4 Customer Requirements
Verify CVX quality requirements and any amendments are conveyed to the
relevant personnel in Engineering, Procurement, and Fabrication and Test
areas.
Where applicable, verify COMPANY free issue documents and material
6.5 Traceability
Does the suppliers working practice cover traceability of the following:
material
consumables
trades
inspection
test
preservation
2008 Chevron Corporation. All rights reserved.
Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

7 of 9

Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

7.0 Inspection and Test

7.1 Stage Inspection
Are staged inspection points determined, monitored and recorded?
7.2 CVX Inspection and Test Plan
Can the supplier demonstrate an ability to conform to the applicable CVX
approved inspection and test plan (ITP)?
7.3 CVX Inspector
Does the supplier have adequate facilities to accommodate a CVX technical
and quality personnel?
7.4 Test Facilities
Are in-house facilities and resources for conducting required testing
adequate, in accordance with approved ITPs and CVX specification if not,
detail the extent of testing is subcontracted, noting if it is conducted on the
premises or remotely.
7.5 Independent Witnessing
Are all test results witnessed by qualified personnel independent of the work
including those tests conducted remotely?
7.6 Control of Non Conformance
Are the working practices adequate for controlling deficiencies identified
during manufacture (ref Section 9.0 of the Supplier Mandatory Quality
Requirements)?
7.7 Suppliers Inspection and Test Plan
Can the supplier develop and adhere to their own quality control / inspection
and test plan (ref Section 3.0 of the Supplier Mandatory Quality
Requirements)
8.0 Inspection, Measuring and Test Equipment
8.1 Availability of Inspection and Test Equipment
Does the supplier regularly use all inspection, measuring and test
equipment required by the applicable inspection and test plan /
specification?
2008 Chevron Corporation. All rights reserved.
Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

8 of 9

Process Assurance Checklist (General)

QUALITY MANAGEMENT SYSTEM

QMS-0000-PUR-FRM-CHV-000-00003-07
Rev 0

Requirements/Questions/Subject

Acceptance
YNN/A

Risk
H/M/L

Evidence/comments

8.2 Reference Datum

Does the supplier have a reference datum or instrument self check method
for determining the validity of calibration and accuracy checking?
8.3 FAT Measuring Equipment
Does the supplier have facilities for measuring weight, noise, vibration,
bearing temperature etc during FAT?
9.0 Storage, Preservation and Protection
9.1 Preservation
Preservation procedures approved
Handling and Storage procedures approved
Preparation for Shipping and Packaging procedures approved
10.0 Data Book Compilation
10.1 Supplier Experience
Can the supplier demonstrate a history of satisfactory data compilation
gathered progressively during manufacture (see Section 11.0 of the
Supplier Mandatory Quality Requirements)
11.0 Personnel
11.1 Turnover of Personnel
Turnover ratio
Availability of personnel locally
Average length of service with company

2008 Chevron Corporation. All rights reserved.

Paper copies of this document are uncontrolled. Please refer to the Chevron Quality Management System Intranet site for the current version.

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