Supplier Quality, Development and Continuous ImprovementIntroductionSupplier quality is the ability of a supplier to consistently deliver products, services, information and support that conform to agreed requirements and create value for the buying organisation and its customers. In modern purchasing, quality is not limited to inspection of finished goods. It includes the supplier’s processes, controls, people, technology, delivery reliability, responsiveness, regulatory compliance and capacity to improve. A purchasing organisation therefore has two responsibilities. First, it must protect operations and customers from nonconforming supply. Second, it must develop suppliers so that quality becomes designed into the process rather than detected after failure. These responsibilities require cooperation between purchasing, engineering, operations, quality assurance, finance and suppliers. Supplier quality management is especially important where purchased materials or services affect safety, regulatory compliance, product performance, production continuity or brand reputation. A low purchase price can be outweighed by inspection, rework, warranty, disruption and failure costs. Effective supplier development converts the supplier relationship from a transactional arrangement into a controlled programme of capability improvement. Learning ObjectivesAfter completing this chapter, the learner should be able to: - Explain supplier quality assurance and distinguish prevention from detection.
- Design appropriate supplier audits, acceptance controls and quality agreements.
- Apply root-cause analysis, corrective and preventive action (CAPA), and structured problem solving.
- Use PDCA, Lean and Six Sigma methods in supplier improvement.
- Select and interpret supplier-quality performance indicators.
- Develop collaborative programmes that improve capability, productivity, innovation and value.
- Evaluate the ethical, contractual, technological and governance issues associated with supplier quality.
1. The Meaning and Scope of Supplier QualitySupplier quality comprises three connected dimensions: - Conformance quality: whether the supplied item or service meets specifications, drawings, standards and contractual requirements.
- Process quality: whether the supplier’s processes are stable, capable and controlled.
- Relationship quality: whether the supplier communicates accurately, responds promptly, manages risk and participates in improvement.
A supplier may occasionally deliver conforming products while operating an unstable process. Such a supplier remains a risk because future output may vary. Conversely, a supplier with a capable process may still fail because of poor change control, inaccurate documentation or inadequate logistics. Quality management must therefore examine both results and the system that produces them. Quality as a total-cost issueThe cost of quality is commonly analysed through four categories: | Category | Meaning | Examples |
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| Prevention costs | Costs incurred to avoid failure | Supplier qualification, training, process design | | Appraisal costs | Costs incurred to evaluate conformity | Inspection, testing, audits | | Internal failure costs | Failures detected before customer delivery | Scrap, rework, sorting, line stoppage | | External failure costs | Failures detected after delivery | Returns, warranty, recalls, reputation loss |
A sound supplier strategy does not attempt to eliminate every appraisal activity immediately. Controls should be reduced only when evidence demonstrates stable capability and effective risk control. The objective is an economically rational balance between prevention, appraisal and failure costs. 2. Supplier Quality Assurance ArchitectureSupplier quality assurance (SQA) is the planned set of activities used to ensure that purchased inputs meet requirements throughout their life cycle. It begins before sourcing and continues through design changes, production, delivery, use and supplier exit. 2.1 Quality requirements before contractingRequirements should be clear, measurable and traceable. They may include: - technical specifications, drawings and revision status;
- critical-to-quality characteristics and acceptance limits;
- material, safety and regulatory requirements;
- test methods, sampling rules and records;
- packaging, labelling, traceability and preservation;
- process-change notification requirements;
- quality-system and audit rights;
- nonconformance, warranty and corrective-action procedures.
Ambiguous requirements create avoidable disputes. For example, “high-quality packaging” is weaker than a requirement specifying dimensions, material, compression strength, environmental conditions, labelling and inspection method. 2.2 Supplier qualification and segmentationQualification should consider technical capability, process maturity, financial resilience, capacity, location, cyber and information-security risk, ethical performance and continuity arrangements. Supplier segmentation helps allocate effort according to risk rather than spend alone. A practical segmentation may classify suppliers as: - Critical: failure could threaten safety, legal compliance, core production or customers.
- Strategic: supplier capability and innovation significantly affect competitive performance.
- Leverage: alternatives exist and commercial negotiation is important.
- Routine: low-risk items with limited operational impact.
Critical and strategic suppliers normally require deeper audits, formal development plans and executive review. Routine suppliers may be managed through specifications, receiving checks and periodic performance monitoring. 2.3 Quality agreementsA quality agreement clarifies responsibilities that may otherwise be hidden in a commercial contract. It should define ownership of specifications, validation, inspection records, calibration, traceability, deviations, changes, subcontracting, complaints, recalls, audits, retention of records and corrective action. It should also identify the communication route and response times for serious defects. A quality agreement does not transfer the buying organisation’s ultimate responsibility to the supplier. Each party remains accountable for activities under its control, and the buyer must exercise appropriate oversight. 3. Auditing Supplier CapabilityA supplier audit is a systematic, evidence-based evaluation of whether a supplier’s processes conform to specified requirements and are effective. It is not merely an inspection tour or a search for blame. Audit types- System audit: evaluates the supplier’s management system, such as document control, training, internal audit and corrective action.
- Process audit: evaluates how a particular process is performed and controlled.
- Product audit: examines whether a product conforms to specified requirements.
- Remote or virtual audit: uses digital records, interviews and live video where physical access is limited.
- Layered process audit: uses brief, repeated checks by different levels of management to confirm critical controls.
Audit planning and executionAn effective audit follows these stages: - Define scope, criteria, risk and objectives.
- Review previous performance, complaints, changes and corrective actions.
- Prepare a question-based checklist without treating it as a substitute for judgement.
- Conduct an opening meeting and explain evidence requirements.
- Observe work, interview personnel and sample records.
- Record objective evidence, not unsupported opinions.
- Classify findings according to risk and requirement.
- Agree corrective-action expectations and due dates.
- Issue a report and verify closure.
Auditors should distinguish a nonconformity, where a requirement is not met, from an observation, where a weakness or emerging risk exists but a requirement has not clearly been violated. Findings should be risk-based. A missing control over a safety-critical characteristic is more serious than a minor formatting error in a noncritical record. Audit effectiveness is demonstrated not by the number of findings but by sustained improvement, reduced recurrence and better process control. 4. Acceptance Control and Incoming QualityAcceptance control determines whether supplied goods or services should be accepted, conditionally accepted, rejected or held for investigation. It should be designed from risk, not habit. Inspection strategies- 100% inspection: every unit is examined. It may be appropriate for safety-critical defects, but it is costly and cannot reliably detect every hidden or measurement-related problem.
- Sampling inspection: a defined sample is examined to make an acceptance decision. The sampling plan must specify sample size, acceptance number, defect classification and confidence assumptions.
- Supplier certification: the supplier provides evidence of conformity, supported by audits, records and periodic verification.
- Source inspection: the buyer verifies critical characteristics at the supplier before dispatch.
- Skip-lot or reduced inspection: inspection is reduced after demonstrated stability, subject to reversion rules when performance deteriorates.
Inspection should include identification of lot, quantity, specification revision, sampling method, equipment status, inspector, results and disposition. Measuring equipment must be suitable, calibrated and traceable where required. Acceptance and process capabilityWhen a characteristic is approximately normally distributed and specification limits are meaningful, process capability may be summarised by: Cp = (USL − LSL) ÷ (6σ) Cpk = min[(USL − μ) ÷ (3σ), (μ − LSL) ÷ (3σ)] Here, USL is the upper specification limit, LSL is the lower specification limit, μ is the process mean and σ is the within-process standard deviation. The units of USL, LSL, μ and σ must be identical, so capability indices are dimensionless. Cp measures potential capability assuming the process is centred; Cpk also reflects displacement of the mean from the specification centre. These indices are meaningful only when the measurement system is adequate, the process is reasonably stable, the data represent the process and the distributional assumptions are defensible. A high index calculated from an unstable process can be misleading. Capability is not the same as conformance: a process can currently produce conforming output while lacking evidence of stability. Worked example: capabilityA shaft diameter has LSL = 19.90 mm and USL = 20.10 mm. The estimated process mean is μ = 20.02 mm and within-process standard deviation is σ = 0.025 mm. Cp = (20.10 − 19.90) ÷ (6 × 0.025) = 0.20 ÷ 0.15 = 1.33 Cpk = min[(20.10 − 20.02) ÷ (3 × 0.025), (20.02 − 19.90) ÷ (3 × 0.025)] = min[0.08 ÷ 0.075, 0.12 ÷ 0.075] = min[1.07, 1.60] = 1.07 The process has potential capability of approximately 1.33, but its actual capability on the observed centring is approximately 1.07. The smaller value is governed by the upper specification limit. Management should investigate centring and stability before reducing inspection. Capability thresholds must be defined by the organisation and applicable industry requirements; no universal threshold should be assumed. 5. Nonconformance, Root-Cause Analysis and CAPAA nonconformance is a failure to meet a specified requirement. Effective response separates immediate containment from permanent correction. The response sequence- Detect and describe: identify what happened, where, when, quantity affected and requirement violated.
- Contain: stop shipment, quarantine material, protect production and identify potentially affected lots.
- Assess risk: determine customer, safety, regulatory and continuity consequences.
- Find causes: investigate physical, human, process, system and management contributors.
- Correct: remove the cause of the detected problem.
- Prevent recurrence: improve the system so the same or related failure is less likely.
- Verify effectiveness: use evidence over time, not merely a completed action form.
CAPA means corrective and preventive action. In contemporary quality practice, preventive thinking should be embedded in risk management and process design rather than treated only as a response to an existing failure. Root-cause tools- Five Whys: repeatedly asks why a condition occurred. It is useful for simple causal chains but can become superficial if the team stops at an individual’s error.
- Fishbone diagram: categorises possible causes under headings such as people, methods, machines, materials, measurement and environment.
- Fault-tree analysis: begins with an undesired top event and works logically toward combinations of causes. It is valuable for safety and reliability analysis.
- Pareto analysis: ranks problems so effort can focus on the most significant contributors. A Pareto chart displays frequency, cost or risk, but the common “80/20” pattern is not guaranteed.
- Failure mode and effects analysis (FMEA): identifies potential failure modes, effects, causes and controls. Risk priority calculations, where used, should not replace expert judgement or direct attention to high-severity hazards.
A root cause should be specific, evidence-supported and actionable. “Operator did not pay attention” is usually a symptom. A stronger analysis may reveal inadequate work instructions, poor fixture design, unclear acceptance criteria, insufficient training or an incentive system that rewards speed over control. Corrective actions should follow the hierarchy of control: redesign the process or product where possible, add physical or technical error-proofing, strengthen detection and only then rely on warnings or retraining. Training alone is often weak because it leaves the underlying process vulnerable. 6. Continuous Improvement FrameworksPDCAThe Plan–Do–Check–Act cycle provides a disciplined structure for learning: - Plan: define the problem, baseline, target, causes, resources and measures.
- Do: test the change on a controlled scale.
- Check: compare results with the baseline and examine unintended effects.
- Act: standardise successful changes or revise the hypothesis and repeat the cycle.
PDCA is iterative. The “Act” stage does not mean that every experiment is permanently adopted; it means that learning is incorporated into the next standard or cycle. Lean supplier improvementLean focuses on customer value and the removal of waste. In supplier management, relevant wastes include defects, waiting, unnecessary transport, excess inventory, overprocessing, motion, overproduction and unused employee capability. Typical methods include value-stream mapping, standard work, visual management, 5S, setup reduction, pull systems and error-proofing. Lean must not be interpreted as indiscriminate cost cutting. Removing resources that are necessary for maintenance, training or quality can increase total cost and risk. Lean improvement should improve flow and value while protecting people, product integrity and process resilience. Six Sigma and DMAICSix Sigma provides a data-oriented approach to reducing variation and defects. DMAIC means Define, Measure, Analyse, Improve and Control. - Define: establish the customer requirement, problem, scope and team.
- Measure: validate the measurement system and quantify baseline performance.
- Analyse: identify statistically and practically important causes.
- Improve: develop, test and implement solutions.
- Control: maintain gains using standard work, monitoring and response plans.
Six Sigma is powerful when reliable data exist and variation is measurable. It may be excessive for a simple, low-risk problem; conversely, informal problem solving may be inadequate for complex, high-impact variation. Defect and performance measuresA defect rate can be calculated as: Defect rate = Number of defective units ÷ Total units inspected If expressed as a percentage, multiply the result by 100. A defective unit may contain one or more defects, so defect rate and defects-per-unit are not interchangeable. For process improvement, first-pass yield is: FPY = Units accepted without rework ÷ Total units entering the process The numerator and denominator must use the same defined population and period. These measures should be supplemented with severity, cost, delivery impact and customer consequences. 7. Supplier Development and Collaborative ImprovementSupplier development is a deliberate buyer-supported effort to improve supplier capability and performance. It may involve technical assistance, training, joint process mapping, investment in tooling, shared forecasting, quality-engineering support, technology transfer or co-funded innovation. A practical development programme contains: - a documented performance gap and business case;
- a jointly agreed target and baseline;
- named responsibilities and resources;
- milestones and evidence requirements;
- escalation and decision rules;
- knowledge-transfer arrangements;
- benefits measurement and sustainment controls.
The buyer should avoid imposing improvements without understanding the supplier’s constraints. Collaborative diagnosis is more effective than unilateral demands, particularly where the supplier possesses specialised process knowledge. However, collaboration does not remove the need for contractual clarity or independent verification. Supplier scorecardsA scorecard can combine quality, delivery, cost, responsiveness, innovation, sustainability and risk. A weighted score may be represented as: S = ∑(wi × pi), where ∑wi = 1 Here, S is the overall score, wi is the weight assigned to criterion i, and pi is the normalised performance value for criterion i. Each performance value must be defined on a consistent scale, such as 0 to 100, and higher values must have the same interpretation. Weights should reflect organisational priorities and risk; they should not hide a critical failure behind strong performance in less important categories. Useful indicators include supplier defect rate, incoming acceptance rate, customer complaints, corrective-action closure time, on-time delivery, premium freight, responsiveness, audit findings, change-notification compliance and verified savings. Metrics should be reviewed for unintended behaviour. For example, measuring only delivery percentage may encourage premature shipment, partial shipments or quality compromise. 8. Illustrative Case: Developing a Precision-Machining SupplierThe following is a fictional illustrative case. BackgroundA manufacturer of industrial pumps purchased machined stainless-steel housings from Supplier A. The supplier offered competitive prices and had adequate capacity, but incoming defects increased from 1.8% to 5.6% over three months. Defects included dimensional variation and occasional surface damage. Production experienced sorting, schedule disruption and two customer complaints. Problem and analysisPurchasing initially requested 100% inspection. This reduced escapes but increased receiving cost and delayed production. A joint team from purchasing, quality, engineering, production and the supplier mapped the process. The investigation found that: - a machine fixture had worn beyond its intended service interval;
- the measurement method varied between operators;
- a drawing revision had not been incorporated into one work instruction;
- surface protection was added manually after machining, causing inconsistent handling;
- the supplier’s corrective-action process closed actions without effectiveness evidence.
A capability study on a critical diameter produced an estimated Cpk of 0.82, indicating inadequate actual capability under the organisation’s internal target. The measurement system was reviewed before interpreting the result. Approach and solutionContainment included lot identification, temporary source inspection and segregation of suspect stock. The team then used PDCA: - Plan: target a sustained defect rate below 1.0%, restore drawing control and improve the critical-diameter process.
- Do: replace and standardise the fixture, revise work instructions, introduce a controlled gauge method, and add a simple protective tray.
- Check: monitor capability, defects, rework and delivery for eight weeks.
- Act: incorporate fixture-life checks into preventive maintenance, audit document revision control and update the control plan.
The buyer provided measurement training and helped the supplier establish a weekly review. The supplier funded the fixture redesign, while both parties shared the cost of the gauge study. Contract terms were updated to require notification before changes to tooling, process parameters or subcontractors. OutcomeAfter implementation, the defect rate fell to 0.7%, sorting was discontinued after three consecutive stable review periods, and delivery performance recovered. The supplier’s process capability improved, although the parties retained periodic verification because capability evidence covered only the observed production conditions. The most important result was not the temporary reduction in defects but the creation of controls that made recurrence less likely. Learning points- Increased inspection can contain risk but does not correct its cause.
- Measurement-system adequacy should be considered before trusting capability results.
- Document control and change management are supplier-quality controls, not administrative details.
- Joint improvement works best when responsibilities, investment and evidence are explicit.
- Inspection reduction should follow demonstrated stability, not optimism.
9. Governance, Ethics and Contemporary TechnologySupplier quality decisions may affect safety, employment, data protection and fair commercial treatment. Buyers should not pressure suppliers to conceal defects, falsify records, accept unsafe deviations or meet unrealistic prices through harmful practices. Audit confidentiality should be managed carefully, and supplier data should be accessed only for legitimate purposes. Governance controls include segregation of duties, approval of deviations, traceable records, conflict-of-interest declarations, protection for whistle-blowers and escalation of safety or regulatory concerns. A supplier should not be penalised for reporting a genuine problem; transparent reporting is a condition of improvement. Digital technologies can support supplier quality through electronic certificates, shared dashboards, statistical process monitoring, digital audit trails, automated alerts, sensor data and supplier portals. Artificial intelligence may assist in classifying complaints, identifying patterns in defects or predicting risk from large datasets. Nevertheless, AI outputs require validated data, human review, explainability appropriate to the decision, cybersecurity protection and controls against biased or incomplete records. AI should support professional judgement rather than silently determine acceptance of safety-critical products. Contemporary supplier-management programmes increasingly address resilience, climate-related disruption, responsible sourcing, modern slavery, emissions, circularity, cybersecurity and geopolitical exposure. These issues should be integrated into supplier qualification and development rather than treated as unrelated compliance exercises. 10. Challenges and LimitationsSupplier improvement commonly encounters the following difficulties: - Conflicting objectives: purchasing may seek price reduction while quality requires investment.
- Weak data: inconsistent definitions and unreliable measurement undermine decisions.
- Fear of transparency: suppliers may hide problems if disclosure automatically triggers punishment.
- Capability gaps: a supplier may lack engineering, statistical or financial resources.
- Power imbalance: collaboration can become coercion when the buyer imposes unfunded demands.
- Over-auditing: repeated audits may create paperwork without improving process control.
- Metric gaming: narrow indicators may encourage behaviour that damages total value.
- Change fatigue: too many initiatives can overwhelm supplier personnel.
- Short-termism: pressure for immediate savings may damage resilience and innovation.
Managers should prioritise high-risk problems, define common data standards, invest in supplier capability and evaluate total cost and long-term performance. Not every supplier should receive the same development effort. Risk, strategic importance, replaceability and improvement potential should guide resource allocation. Best-Practice ChecklistA mature supplier-quality system generally: - defines measurable requirements before purchase;
- segments suppliers by risk and strategic importance;
- verifies process capability rather than relying only on final inspection;
- uses risk-based audits and objective evidence;
- maintains controlled specifications and change notification;
- separates containment from root-cause correction;
- verifies measurement systems and data quality;
- uses PDCA, Lean or Six Sigma according to problem complexity;
- measures quality, delivery, cost, risk and improvement together;
- develops suppliers collaboratively while preserving accountability;
- protects safety, ethics, confidentiality and regulatory compliance;
- sustains gains through standardisation, monitoring and periodic review.
Chapter SummarySupplier quality management is a life-cycle discipline covering requirements, qualification, process control, acceptance, nonconformance management, supplier development and continuous improvement. Prevention and process capability are generally more valuable than dependence on final inspection, although inspection remains appropriate when risk and evidence require it. Audits should be systematic, risk-based and evidence-driven. Acceptance controls must specify reliable measurement, sampling or certification arrangements. Root-cause analysis distinguishes symptoms from controllable causes, while CAPA combines containment, correction, prevention and effectiveness verification. PDCA supports iterative learning; Lean reduces waste and improves flow; Six Sigma and DMAIC provide structured, data-based reduction of variation. Scorecards and capability measures are useful only when definitions, assumptions and incentives are sound. Supplier development is most effective when buyers and suppliers jointly diagnose problems, invest in capability and sustain improvements through standard work and monitoring. Ethical governance, cybersecurity, responsible sourcing and resilience are increasingly part of supplier quality. The central managerial principle is to create a stable, capable and transparent supply process that delivers value to the organisation and its customers. Key TermsSupplier quality assurance: Planned activities that ensure purchased inputs meet requirements. Conformance quality: Degree to which output meets specified requirements. Process capability: Ability of a stable process to produce output within specification limits. Supplier audit: Systematic evaluation of supplier conformity and process effectiveness. Acceptance control: Rules and activities used to decide whether supplied output is accepted. Nonconformance: Failure to meet a specified requirement. Containment: Immediate action to prevent an identified problem from spreading. Root cause: An evidence-supported underlying cause whose removal reduces recurrence. CAPA: Corrective and preventive action for controlling and preventing quality problems. PDCA: Plan–Do–Check–Act cycle for structured improvement. Lean: Approach focused on customer value, flow and waste reduction. Six Sigma: Data-oriented approach to reducing process variation and defects. DMAIC: Define, Measure, Analyse, Improve and Control methodology. FMEA: Structured analysis of potential failure modes, effects, causes and controls. First-pass yield: Proportion of units accepted without rework at a process stage. Critical-to-quality characteristic: Product or process characteristic important to customer or performance requirements. Change control: Formal management of modifications to specifications, processes, materials or equipment. Supplier development: Buyer-supported activity designed to improve supplier capability and performance. Process capability index: Dimensionless indicator comparing process variation and centring with specification limits. Review QuestionsShort Answer Questions- Distinguish conformance quality, process quality and relationship quality.
- What is the purpose of a supplier quality agreement?
- Explain the difference between containment and corrective action.
- State the four stages of the PDCA cycle.
- Why should supplier scorecards use more than one performance measure?
Long Answer Questions- Explain how a risk-based supplier quality assurance system should operate from pre-contract qualification through supplier development.
- Discuss the planning, evidence collection, reporting and follow-up requirements of an effective supplier audit.
- Explain how acceptance inspection, process capability and measurement-system adequacy are related.
- Compare Lean, Six Sigma DMAIC and PDCA as approaches to supplier improvement.
- Discuss the ethical, governance and technology-related issues that arise in contemporary supplier quality management.
Analytical / Application Questions- A supplier’s delivery performance is 98%, but incoming defects, rework and customer complaints are increasing. Analyse why delivery percentage alone is inadequate and propose a revised scorecard.
- A process has LSL = 49.80 mm, USL = 50.20 mm, μ = 50.12 mm and σ = 0.04 mm. Calculate Cp and Cpk, interpret the difference, and recommend management action. Assume the process is stable and the measurement system is adequate.
- Design a collaborative CAPA and supplier-development plan for a recurring packaging defect. Identify containment, likely evidence, root-cause tools, corrective actions, effectiveness measures and governance safeguards.
Multiple Choice Questions with AnswersQuestion 1Which activity is primarily preventive rather than detective in supplier quality management? A. 100% inspection of finished deliveries B. Supplier process design review before production C. Sorting defective items at receiving D. Rejecting a nonconforming shipment Correct Answer: B. Supplier process design review before production Question 2What is the main purpose of supplier segmentation? A. To give every supplier identical audit treatment B. To allocate management effort according to risk and importance C. To eliminate the need for quality agreements D. To rank suppliers only by purchase price Correct Answer: B. To allocate management effort according to risk and importance Question 3Which audit evaluates how a particular manufacturing activity is performed and controlled? A. Process audit B. Financial audit C. Product-market audit D. Exit interview Correct Answer: A. Process audit Question 4In CAPA, what is the immediate purpose of containment? A. To redesign the entire product B. To prevent the identified problem from spreading C. To calculate the supplier’s profit margin D. To replace every supplier Correct Answer: B. To prevent the identified problem from spreading Question 5If USL = 10.10, LSL = 9.90 and σ = 0.025, what is Cp? A. 0.67 B. 1.00 C. 1.33 D. 2.00 Correct Answer: C. 1.33 Question 6Which statement about Cpk is correct? A. It ignores the process mean B. It reflects both variation and mean displacement C. It is always larger than Cp D. It can be calculated without specification limits Correct Answer: B. It reflects both variation and mean displacement Question 7In DMAIC, which stage focuses on identifying important causes of variation? A. Define B. Measure C. Analyse D. Control Correct Answer: C. Analyse Question 8Which response is generally strongest for preventing recurrence of a human error? A. Send a warning email only B. Blame the operator C. Add process design or error-proofing controls D. Increase the purchase price Correct Answer: C. Add process design or error-proofing controls Question 9What does first-pass yield measure? A. Units accepted without rework divided by units entering the process B. Total defects divided by supplier revenue C. On-time deliveries divided by purchase orders D. Inspection hours divided by production hours Correct Answer: A. Units accepted without rework divided by units entering the process Question 10Why should inspection reduction follow demonstrated process stability? A. Because inspection is never useful B. Because stable evidence supports lower control intensity without relying on optimism C. Because suppliers must always set acceptance criteria D. Because capability indices apply only to services Correct Answer: B. Because stable evidence supports lower control intensity without relying on optimism
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