7/30/2019 PPAP Part Submission Warrant

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零件名称 顾客零件编号

图纸编号 组织零件编号

工程变更等级 日期

附加工程变更 日期

安全和/或政府法规 采购订单编号 重量

检查辅具编号 检查辅具工程变更等级 日期

组织制造厂信息 提交顾客的信息

组织名称和供方/供货商代码 顾客名称/部门

街道地址 采购人员名称/采购人员代码

城市 地区 国家 适用范围

材料报告

顾客要求的受关注物质信息是否已报告？

通过IMDS报告或用顾客规定的其他表格报告

塑胶件是否已标注相应的ISO标注编码？

提交原因 (至少选一项)

要求的提交等级（选择一项）

提交结果

结果：

这些结果满足所有设计记录的要求 (如果选择"No"应解释)成型模/多腔模/生产过程

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 the 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 the declaration below.

EXPLANATION/COMMENTS:

Is each Customer Tool properly tagged and numbered?

Organization Authorized Signature Date

Print Name Phone No. Fax No.

Title E-mail

Part Warrant Disposition:

Customer Signature Date

Print Name Customer Tracking Number (optional)

March2006 CFG-1001

FOR CUSTOMER USE ONLY (IF APPLICABLE)

零件提交保证书Part Submission Warrant

Kg

邮编

 Yes No

 Yes No n/a

首次提交 

工装:转移、更换、整修或添加 

工装停止使用期超过一年 

改为其他选用的结构或材料 

工程变更 

偏差校正 

供方或材料来源变更 

零件加工过程变更 

其他 - 请说明 

在其他地方生产零件 

等级 1 -只向顾客提交PSW（若指定为外观项目，还应提交 AAR ） 

等级 4 - PSW以及顾客规定的其他要求 

等级 2 -向顾客提交PSW及产品样品以及有限的支持数据 

等级 3 -向顾客提交PSW及产品样品以及全部的支持数据 

等级 5 - PSW，产品样品以及全部的支持数据都保留在组织制造现场，供审查时使用 

 Yes

尺寸测量报告  材料和性能试验  外观准则  统计过程数据 

 Yes No

 Yes No n/a

 Approved Rejected Other

 Yes No n/a

7/30/2019 PPAP Part Submission Warrant

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Part Submission Warrant

Part Name Cust. Part Number  

Shown on Drawing No. Org. Part Number  

Engineering Change Level Dated

 Additional Engineering Changes Dated

Safety and/or Government Regulation Purchase Order No. Weight (kg)

Checking Aid No. Checking Aid Engineering Change Level Dated

ORGANIZATION MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION

Organization Name & Supplier/Vendor Code Customer Name/Division

Street Address Buyer/Buyer Code

City Region Postal Code Country Application

MATERIALS REPORTING

Has customer-required Substances of Concern information been reported?

Submitted by IMDS or other customer format:

 Are polymeric parts identified with appropriate ISO marking codes?

REASON FOR SUBMISSION (Check at least one)

REQUESTED SUBMISSION LEVEL (Check one)

SUBMISSION RESULTS

The results for 

These results meet all drawing and specification requirements: (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 the 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 the declaration below.

EXPLANATION/COMMENTS:

Is each Customer Tool properly tagged and numbered?

Organization Authorized Signature Date

Print Name Phone No. Fax No.

Title E-mail

Part Warrant Disposition:

Customer Signature Date

Print Name Customer Tracking Number (optional)

March

2006 CFG-1001

FOR CUSTOMER USE ONLY (IF APPLICABLE)

 

 Yes No

 Yes No n/a

Initial Submission

Tooling: Transfer, Replacement, Refurbishment, or additional

Tooling Inactive > than 1 year

Change to Optional Construction or Material

Engineering Change(s)

Correction of Discrepancy

Supplier or Material Source Change

Change in Part Processing

Other - please specify below

Parts Produced at Additional Location

Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.

Level 4 - Warrant and other requirements as defined by customer.

Level 2 - Warrant with product samples and limited supporting data submitted to customer.

Level 3 - Warrant with product samples and complete supporting data submitted to customer.

Level 5 - Warrant with product samples and complete supporting data reviewed at organization's manufacturing location.

 Yes

dimensional measurements material and functional tests appearance criteria statistical process package

 Yes No

 Yes No n/a

 Approved Rejected Other

 Yes No n/a