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part submission warrant part namecust part number shown on drawing no.org. part number engineering change leveldated additional engineering changesdated safety and/or government regulation_ yes _ no purchase order no.weight kg checking aid no. checking and engineering change leveldated supplier manufacturing informationcustomer submittal information supplier name transfer, replacement, refurbishment, or additional_ change in part processing _ correction of discrepancy_ parts produced at additional location _ tooling inactive than 1 year_ other - please specify requested submission level (check one) _ level 1 - warrant only (and for designated appearance items, an appearance approval report) submitted to customer. _ level 2 - warrant with product samples and imited supporting data submitted to customer. _ level 3 - warrant with product samples and complete supporting data submitted to customer. _ levei 4 - warrant and other requirements as defined by customer. _ level 5 - warrantwith product samples and complete supporting data reviewed at suppliers manufacturing location. submission results the results for _ dimensional measurements _ material and functional tests _ appearance criteria _ statistical process package these results meet all drawing and specification requirements; _ yes _ no (if “no“ - explanation required) mold / cavity / production process declaration i hereby affirm that the samples represented by this warrant are representative of our parts, which were made by a process that meets all production part approval process manual 4th edition requirements. i further affirm that these samples were produced at thed production rate of _ / _ hours. i also certify that documented evidence of such compliance is on file and available for review. i have noted any deviations from this declaration below. explanation/comments: is each customer tool properly tagged and numbered?_ yes _ no organization authorized signature date print name phone no. fax no. titleemail for customer use only (if applicable) part warrant disposition: _ approved _ rejected _ other customer signature date print namecustomer tracking number (optional) truck industrypart submission warrant part namecust part numberrev. engineering drawing tool po number change leveldated additional engineering changesdated shown on drawing no.org. part number checking aid no. checking and engineering change leveldated organization manufacturing informationsubmission information organization name and codecustomer name/division street addresscustomer contact city region postal code countryapplication note: does this part contain any restricted or reportable substances?yesno are plastic parts indentified with appropriate iso marking codes?yesno reason for submission (check if at least one) _ initial submission_ change to optional construction or material _ engineering change(s)_ sub-supplier or material source change _ tooling; transfer, replacement, refurbishment, or additional_ change in part processing _ correction of discrepancy_ parts produced at additional location _ tooling inactive than 1 year_ other - please specify requested submission level (check one) _ level 1 - warrant only (and for designated appearance items, an appearance approval report) submitted to customer. _ level 2 - warrant with product samples and imited supporting data submitted to customer. _ level 3 - warrant with product samples and complete supporting data submitted to customer. _ levei 4 - warrant and other requirements as defined by customer. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 (check) _ level 5 - warrant with product samples and complete supporting data reviewed at suppliers manufacturing location. declaration i affirm that the samples represented by this warrant are representative of our parts, and have been made to the applicable customer drawings and specifications and are made from specified materials on regular production tooling with no operations other than the regular production process. i also certify that documented evidence of such compliance is on file and available for review. explanation/comments: list molds / cavities / production processes organization authorized signature date print name phone no. fax no. titleemail for customer use only ppap warrant disposition: _ approved _ rejectedcomment: _ interim approval customer signature date _/_/_ print name appearance approval report part drawing application numbernumbervehicles partbuyer e/c leveldate namecode organizationmanufacturing supplier/vendor namelocationcode reason for part submission warrantspecial samplere-submissionother submissionpre texturefirst production shipmentengineering change appearance evaluation authorized customer organization sourcing and texture informationpre-texturerepresentative evaluationsignature and date correct and proceed correct and resubmit approved to etch/tool/edm color evaluation color colortristimulus datamaster master materialmaterialhuevaluechromaglossmetallicshippingpart suffixnumberdatetypesourcebrilliancesuffixdisposition dl*da*db*de* cmcredyel grn blu light dark gray cleanhigh low high low comments organizationphone no.dateauthorized customer date signaturerepresentative signature page 4 of 30 production part approval - dimensional testresultspage _ of _ organizationpart number supplier/vendor code:part name name of inspection facilitydesign record change level: engineering change documents itemdimension/specification specification / limits test date qty. tested organization measurement results (data)ok not ok blanket statements of conformance are unacceptable for any test results. signaturetitledate page 5 of 30 production part approval - material test resultspage _ of _ organizationpart number supplier/vendor code:part name material supplier:design record change level: *customer specified supplier/vendor code:engineering change documents *if source approval is reqd, include the supplier (source) med=2, low=1;none=0; unknown=? bulk material interim approval form organization name: product name: organization code: eng. spec.: manuf. site: part #: eng. change #: formula date: received date: received by: submission level:expiration date: tracking code: resubmission date: status: (nr not required, a approved, i interim) design matrix: _ dfmea: _ special product characteristics: _ engineering approval: _ control plans: _ pfmea: _ special process characteristics: _ process flow diagram: _ test results: _ process studles: _ dimensional results: _master sample: _ measurement systems studies: _appearance approval report: _ specific quantity of material authorized (if applicable): production trial authorization #: reason(s) for interim approval: issues to be resolved, expected completion date (classify as engineering, design, process, or other): actions to be accomplished during interim period, effective date progress review date:date material due to plant: what actions are taking place to ensure that future submissions will conform to bulk material ppap requirements by the sample promise date? supplier (authorized signature) phone (print name)date: customer approvals (as needed):phone date: product eng. (signature) (print name) materials eng.(signature) (print name) quality eng. (signature) (print name) interim approval number: customer handling, application steps and process parameters special char transfer, replacement, refurbishment, or additional_ materials _ correction of discrepancy_ functional design responsibility: customerorganization_ appearance organization change that may affect end item: product changeengineering drawing changenew or revised subcomponent expected ppap completion/submission date: detailed description of product/process change: planned date of implementation declaration i hereby certify that representative samples will be manufactured using the revised product and/or process and verified, where appropriate, for dimensional change, appearance change, physical property change, functionally for performance and durability. i also certify that documented evidence of such compliance is on file and available for customer review explanation/comments: name:title: business phone no:fax no: e-mail:date: note: please submit this notification at least 6 weeks prior to the planned change implementation ! contact your customer to determine if this form is available in an electronic format or if this form should be faxed. appearance approval report part drawing application numbernumbervehicles partbuyer e/c leveldate namecode supplier manufacturing supplier namelocationcode reason for part submission warrantspecial samplere-submissionother submissionpre texturefirst production shipmentengineering change appearance evaluation customer supplier sourcing and texture informationpre-texturerepresentative evaluationsignature and date correct and proceed correct and resubmit approved to texture color evaluation color colortristimulus datamaster master materialmaterialhuevaluechromaglossmetallicshippingpart suffixnumberdatetypesourcebrilliancesuffixdisposition dl*da*db*de* cmcredyel grn blu light dark gray cleanhigh low high low comments supplierphone no.datecustomer date signaturerepresentative signature page 14 of 30 appearance approval report end item number e/c level supplier name manufacturing location date component part number e/c level supplier contact supplier phone application (vehicle) component name supplier code buyer code customer engineer surface and texture evaluation texture idtexture sourcetexture location on partapprovalscustomer representative signature and date design studio pre-texture surface engineering pre-texture concurrence mastering studio texture orientation mastering studio post texture ornamentation and graphicsnot reqd reqd base or raw material spec. # and supplier / supplier# / lot# material, color, and gloss evaluation paint or colorant spec. # and supplier / supplier# / lot# masterref. mastertristimulus and should such changes result in less satisfactory performance than experienced with the originally approved item, seller will fully reimburse the buyer for all expenses incurred to correct the deficiency. _ yes _ no _ yes _ no this approval is granted upon the understanding that it is advisory in nature and in no manner changes the sellers original responsibility for insuring that all characteristics, designated in the applicable engineering specifications and/or inherent in the samples as originally tested and approved, are maintained. seller accepts full responsibility for the changes or types of changes listed above; and should such changes result in less satisfactory performance than experienced with the originally approved item, seller will fully reimburse the buyer for all expenses incurred to correct the deficiency. interim recovery worksheet (gm 1411)section ii - gm specific instructions supplier supplier name:part name: supplier code:part #: resubmission date: interim expire date:ewo#: application:ecl:date: submission level:kg wt: sample #:insp/sqe:add.sample:pkg:interim# customer 18 interim class type interim class or circle for manual entry):abcde 19 status: type or fill in appropriate status (a=approved, i = interim, n = not made), dim:app:lab:process:eng: 20 brief reasons (116 characters max.) 21 issues (list dim, app, lab, process, tooling, capacity, or start-up issues)action plans (provide with date of completion) supplier 22 where applicable, are interim issues addressed on the gp-12 plan? (eg rework, temporary operations) (please explain below) 23 supplier (authorized signature):phone: name transfer, replacement, refurbishment, or additional_ change in part processing _ correction of discrepancy_ parts produced at additional location _ tooling inactive than 1 year_ other - please specify requested submission level (check one) _ level 1 - warrant only (and for designated appearance items, an appearance approval report) submitted to customer. _ level 2 - warrant with product samples and imited supporting data submitted to customer. _ level 3 - warrant with product samples and complete supporting data submitted to customer. (circle) _ levei 4 - warrantandotherrequirementsasdefinedbycustomer.1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 _ level 5 - warrantwith product samples and complete supporting data reviewed at suppliers manufacturing location. submission results the results for _ dimensional measurements _ material and functional tests _ appearance criteria _ statistical process package these results meet all drawing and specification requirements; _ yes _ no (if “no“ - explanation required) mold / cavity / production process declaration i hereby affirm that the samples represented by this certification are representative of our parts, have been made to the applicable customer drawings and specifications, and are made from the specified materials on regular production tooling with no operations other than the regular production process. i also certify that documented evidence of such compliance is on file and available for review. explanation/comments: print name title phone no. fax no. supplier authorized signature date for customer use only (if applicable) part warrant disposition: _ approved _ rejected part functional approval: _ approved _ interim approval _ waived customer name customer signature date dimensional results page 21 production part approval - dimensional resultspage _ of _ supplierpart number name of inspection facilitypart name itemdimension/specificationsupplier measurement resultsok not ok signature titledate material test results page 22 production part approval - material test resultspage _ of _ supplierpart number name of laboratorypart name type of test material spec. no./date/specificationsupplier test resultsok not ok signature titledate performance test results page 23 production part approval - performance test resultspage _ of _ supplierpart number name of laboratorypart name ref no. requirements test freq. qty tested supplier test resultsok not ok signature titledate product code/description xxr-yyyyy basecoat paintproject # 00001 potential causesfunction - desired attributes (potential failure modes) prelim. special characteristics category/ characteristics failure robust threshold range units appearance good gloss / image / peel no telegraphing no pinhollng no mudcracklng dirt / seed free crater free good color match performance good accelerated durabi!ity good florida durability good chip resistance good crack resistance good delamination resistance good repair adhesion good fmvss (windshield adh) processabllity good sag resistance workable visc/atomlzation good shelf stability good circulation stability stable rheology ne edge pull good hiding latitude good overspray compatibility good repair processablllty environmental low/acceptable voc low/acceptable odor haps compliant formula ingredients resina under40% binder solids over50% resinb under50% binder solids over35% crossllnker under20% binder solids over30% sp under1% total solids over25% color dispersionunder100% total solids over2% solvent under5% formula wgt over15% alcohol solvent under2% formula wgt ingredient characteristics resin a viscosityover30% paise #1 50 under40% chrosslinker iminoover1% %molar tcomp under10% product characteristics viscosityover30 sec#4 ford cup under40 sec % nv solidsover57% % n.v. 110 degrees under61% resistivityover0.01 megaohms under0.15 process constraints batch mixing tempover70 under110 conditions for use flash time before clearover1 under3 final bake tempover250 under275 negative impact on customer expectations: high=3; med=2, low=1;none=0; unknown=? bulk material interim approval form supplier name: product name: supplier code: eng. spec.: manuf. site: part #: eng. change #: formula date: received date: received by: submission level:expiration date: tracking code: resubmission date: status: (nr not required, a approved, i interim) design matrix: _ dfmea: _ special product characteristics: _ engineering approval: _ control plans: _ pfmea: _ special process characteristics: _ process flow diagram: _ test results: _ process studles: _ dimensional results: _master sample: _ measurement systems studies: _appearance approval report: _ specific quantity of material authorized (if applicable): production trial authorization #: reason(s) for interim approval: issues to be resolved, expected completion date (classify as engineering, design, process, or other): actions to be accomplished during interim period, effective date progress review date:date material due to plant: what actions are taking place to ensure that future submissions will conform to bulk material ppap requirements by the sample promise date? supplier (authorized signature) phone (print name)date: customer approvals (as needed):phone date: product eng. (signature) (print name) materials eng. (signature) (print name) quality eng. (signature) (print name) interim approval number: product quality planning summary and sign-off date: product name:part number: customer:manufacturing plant 1. preliminary process capability studyquantity requiredacceptablepending* ppk-special characteristics 2. control plan approval (if reqd)approved yes/no*date approved 3. initial production samples characteristic categoryquantity samples characteristics per sample acceptablepending dimensional visual laboratory performance 4. gage and test equipment quantity measurement system analysis requiredacceptablepending* special characteristics 5. process monitoringquantity requiredacceptablepending* process monitoring instructions process sheets visual aids 6. packaging/shippingquantity requiredacceptablepending* packaging approval shipping trials 7. sig

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