en 30 - PSW
en 30 - PSW
en 30 - PSW
1
ANPQP - PART SUBMISSION WARRANT (PSW)
R / N Project: Safety Nissan Impt A Impt B Impt C OBD Doc. Ref. No./Ver.
Doc Rev. Date:
Regulation Renault 1 2
Doc. Origin Date:
Supplier Name: Supplier Code: E-mail:
Supplier Plant: Author: Tel:
Part Name: Control Plan Reference / Version:
Part No. & Issue Level: Control Plan Revision Date:
Design Note No. / DEVO: Average Weight:
Drawing No: R / N Plant:
First Part Delivery Date:
For each supporting document, indicate the issue level and date on an attached list.
Submission Acceptability Y
N
Dimensional Requirements OK The results meet all drawing and specification requirements: ● E
Appearance Requirements OK S
If NO, explanation required:
Material Requirements OK
Functional Requirements OK
Statistical Process Data OK
Component Marking OK
Full Volume Confirmation Audit Result OK
Declaration
I confirm that the samples covered by this documentation are representative of production parts and have been manufactured to the relevant
drawings and specifications with no off-standard operations in the production process. Any deviations from this declaration are as follows:
Name: Position:
Signature: Date:
Name: Name:
Position: Position:
Signature: Signature:
Date: Date:
Note: Approval by Renault and / or Nissan shall not relieve the supplier in any way from its responsibilities