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Yes
No (If百度文库"No" - Explanation Required)
DECLARATION I affirm that the samples represented by this warrant are representative of our parts which were made by a process which meets all Production Part Approval Process Manual 4th Edition requirements including all Ford-specific requirements. I further affirm that these samples were produced at the production rate of __________ / _______ hours using _________ production streams. I also certify that documented evidence of such compliance is on file and is available for review. I have noted any exceptions from this declaration below.
Ford GPPSS1 October 2010
The original copy of this document shall remain at the supplier's location while the part is active
A4 paper size format
Customer Tracking Number (optional)
Customer Name/Division Buyer/Buyer Code
City
Region
Postal code
Country
MATERIALS REPORTING
Has customer-required Substances of Concern information been reported?
Enter Capacity Analysis Report "Predicted Good Parts per Week" APW, MPW and date
APW
MPW
Date Email
Date Date Date
FOR FORD USE ONLY
PPAP .
a/ Non-PPAP
.
Phased PPAP Warrant Status:
EXPLANATION/COMMENTS
Organization Authorized Signature
Title
Phone No.
Is each Customer Tool properly tagged and numbered?
Print Name
Fax:
Yes
No
n/a
Capacity Requirements Source of the Program Approval requirements Program Approval (<PA>) Requirements
Checking Aid Engineering Change Level
Weight (kg) Dated
ORGANIZATION MANUFACTURING INFORMATION
CUSTOMER SUBMITTAL INFORMATION
Organization Name and Supplier/vendor Code Street Address
Additional Engineering Changes
Safety and/or Government Regulation
Yes
Checking Aid Number
Cust. Part Number
Organization Part Number
Dated
Dated
No
Purchase Order No.
Approved
Rejected
STA Signature
Name .e-mail
Date
P.D. Signature
Name .e-mail
Date
a/ Non-PPAP indicates the part does not satisfy one or more PPAP requirements and is incomplete
Yes
No
n/a
Change to Optional Construction or Material Supplier or Material Source Change Change in Part Processing Parts produced at Additional Location Other - please specify below
SUBMISSION RESULTS
The results for
dimensional measurements,
material and functional tests
appearance criteria
statistical process package
These results meet all design requirements Mold / Cavity / Production Process(es)
Application
Yes
No
Submitted by IMDS or other customer format:
If submitted by IMDS, enter Module ID number, version and date transmitted
Are polymeric parts identified with appropriate ISO marking codes? REASON FOR SUBMISSION (Check at least one)
Phase and submission type
Phase 1
Phase 2
Phase 3
Interim (Non-PPAP)
PPAP Submission Warrant
PART INFORMATION
Part Name
Shown on Drawing Number
Engineering Change Level
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 limited supporting data submitted to customer. Level 3 - Warrant with product samples and complete supporting data submitted to customer. Level 4 - Warrant and other requirements as defined by customer. Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.
Initial submission Engineering Change(s) Tooling: Transfer, Replacement, Refurbishment, or additional Correction of Discrepancy Tooling Inactive > than 1 year
APW
Detail / Date MPW
If the revised requirements after <PA> are not met, indicate date when the requirements will be met Demonstrated Capacity (recorded in Ford Capacity System (GCP or MCPV) as Purchased Part Capacity)
APW
Detail / Date MPW
If Program Approval (<PA>) requirements are not met, indicate date when the requirements will be met
Source of the revised requirements after <PA> Revised requirements after <PA>
Interim Accepted
Interim Status (to be completed by the Organization)
Engineering Authorization Alert or Alert Report
Description: (Incomplete PPAP Requirements)
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