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    Fr-006 - Part Submission Warrant (PSW)

    Uploaded by

    Fery
    This document is a part submission warrant that provides key information for submitting a part or component for approval. It includes the part name and numbers, engineering changes, materials reporting, reason for submission, requested submission level, submission results, and declarations signed by the submitting organization. The warrant allows the customer to track the part submission and provides a summary of test and inspection results for approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Fr-006 - Part Submission Warrant (PSW)

    Uploaded by

    Fery
    2K views1 page
    This document is a part submission warrant that provides key information for submitting a part or component for approval. It includes the part name and numbers, engineering changes, materials reporting, reason for submission, requested submission level, submission results, and declarations signed by the submitting organization. The warrant allows the customer to track the part submission and provides a summary of test and inspection results for approval.

    Original Description:

    PSW

    Original Title

    Fr-006 - Part Submission Warrant (Psw)

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    This document is a part submission warrant that provides key information for submitting a part or component for approval. It includes the part name and numbers, engineering changes, materials reporting, reason for submission, requested submission level, submission results, and declarations signed by the submitting organization. The warrant allows the customer to track the part submission and provides a summary of test and inspection results for approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    2K views1 page

    Fr-006 - Part Submission Warrant (PSW)

    Uploaded by

    Fery
    This document is a part submission warrant that provides key information for submitting a part or component for approval. It includes the part name and numbers, engineering changes, materials reporting, reason for submission, requested submission level, submission results, and declarations signed by the submitting organization. The warrant allows the customer to track the part submission and provides a summary of test and inspection results for approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    CUSTOMER OR SUPPLIER 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 Yes No Purchase Order No. - Weight (kg)

    Checking Aid No. - Checking Aid Engineering Change Leve - 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? Yes No n/a

    Submitted by Certificate or other customer format:

    Are polymeric parts identified with appropriate ISO marking codes? Yes No n/a

    REASON FOR SUBMISSION (Check at least one)

    Initial Submission Change to Optional Construction or Material

    Engineering Change(s) Supplier or Material Source Change

    Tooliing: 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 below

    REQUESTED SUBMISSION LEVEL (Chcek 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 completed supporting data submitted to customer.

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

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

    SUBMISSION RESULTS

    The results for dimensional measurements material and functional tests appearance criteria statistical process package

    These results meet all design record requirements: Yes NO (if "NO" - Explanation Required)

    Mold / Cavity / Production Process

    DECLARATION

    I 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.

    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 n/a

    Organization Authorized Signature Date

    Print Name Phone No. Fax No.

    Title E-mail

    FOR CUSTOMER USE ONLY (IF APPLICABLE)

    PPAP Warrant Disposition: Approved Rejected Other

    Customer Signature Date

    Print Name Customer Tracking Number (optional)

    KFI/QA/FR-006/00

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