This report examines the quality improvement strategy for Engineering Tooling Company, a manufacturer of medical equipment. It delves into three key elements: Total Quality Management (TQM), Quality Assurance (QA), and Quality Control (QC). The TQM section emphasizes consumer focus, employee involvement, process-centered approaches, integrated systems, strategic planning, continuous improvement, fact-based decision-making, effective communication, and quality improvement initiatives. The QA segment details the importance of technical requirements, supplier certification, input compliance, proper documentation, and audits of final equipment, covering technical aspects, reliability, maintenance, and performance standards. The QC section focuses on employee-based standards, competency, organizational elements, and inspection processes. The report aims to provide a comprehensive overview of quality management strategies, offering recommendations for the ETC to enhance product quality and customer satisfaction.