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Core Tools Forms Disc V5

Copyright 2008 March Quality Services

Part Name
Part Number
Engineering Change Level
Engineering Change Level Date

NAME
NUMBER
ECL
ECL DATE

Organization Name
Organization Code
Street Address
City
State
Zip
Phone Number

ORGANIZATION
CODE
ADDRESS
CITY
STATE
ZIP
555-555-5555

Customer Name
Division
Application

CUSTOMER
DIVISION
APPLICATION

File Name

FILE.XLS

For sales and technical support contact AIAG at 1-248-358-3570

THE FOLLOWING LEVELS OF DOCUMENTS WERE USED TO PREPARE THIS WORKBOOK.

DOCUMENT
ADVANCED PRODUCT QUALITY PLANNING AND CONTROL PLAN
REFERENCE MANUAL
MEASUREMENT SYSTEM ANALYSIS
POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS
PRODUCTION PART APPROVAL

EDITION
Second

PRINTING
Jul-08

Third
Fourth
Fourth

Mar-02
Jun-08
Mar-06

A-1 DESIGN FMEA CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Was the DFMEA prepared using the Chrysler,


Ford, and General Motors Potential Failure Mode
and Effects Analysis (FMEA) reference manual,
and applicable customer specific requirements?
2 Have historical campaign and warranty data been
reviewed?
3 Have best practices and lessons learned from
similar part DFMEAs been considered?
4 Does the DFMEA identify Special Characteristics?
5 Have pass-through characteristics (glossary) been
identified and reviewed with affected suppliers for
FMEA alignment and appropriate controls in the
supply base?
6 Have special characteristics designated by the
customer or organization been reviewed with
affected suppliers to assure FMEA alignment?
7 Have design characteristics that affect high risk
priority failure modes been identified?
8 Have appropriate corrective actions been
assigned to high risk priority numbers?
9 Have appropriate corrective actions been
assigned to high severity numbers?
10 Have risk priorities been revised when corrective
actions have been completed and verified?

Revision Date:

Page 3 of 181

A-1 DESIGN FMEA CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

Prepared By:

Page 4 of 181

DESIGN FMEA CHECKLIST

Due Date

Page 5 of 181

DESIGN FMEA CHECKLIST

Due Date

Page 6 of 181

A-2 DESIGN INFORMATION CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

A. General
1 Does the design require:
a l New materials?
b

Special tooling?

New technology or process?

2 Has assembly build variation analysis been


considered?
3 Has Design of Experiments been considered?
4 Is there a plan for prototypes in place?
5 Has a DFMEA been completed?
6 Has a DFMA (Design For Manufacturability and
Assembly) been completed?
7 Have service and maintenance issues been
considered?
8 Has the Design Verification Plan been
considered?
9 If yes, was it completed by a cross functional
team?
10 Are all specified tests, methods, equipment and
acceptance criteria clearly defined and
understood?

Page 7 of 181

A-2 DESIGN INFORMATION CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

11 Have Special Characteristics been selected?


/
12 Is bill of material complete?
/
13 Are Special Characteristics properly documented?
B. Engineering Drawings
14 Are reference dimensions identified to minimize
inspection layout time?
15 Are sufficient control points and datum surfaces
identified to design functional gages?
16 Are tolerances compatible with accepted
manufacturing standards?
17 Can existing and available inspection technology
measure all design requirements?
18 Is the customer designated engineering change
management process used to manage
engineering changes?
C. Engineering Performance Specifications
19 Have special characteristics been identified?
20 Are test parameters sufficient to address required
use conditions, i.e., production validation and end
use?

Page 8 of 181

A-2 DESIGN INFORMATION CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

21 Have parts manufactured at minimum and


maximum specifications been tested as required?
22 Will all product testing be done in-house?
/
23 If not, is it done by an approved supplier?
/
24 Is the specified in-process performance test
sampling size and/or frequency consistent with
manufacturing volumes?
25 Has customer approval been obtained, e.g., for
testing and documentation, as required?
D. Material Specification
26 Are special material characteristics identified?
/
27 Where the organization is design responsible, are
specified materials, heat treat and surface
treatments compatible with the durability
requirements in the identified environment?
28 Where required, are the material suppliers on the
customer approved list?
29 Has the organization developed and implemented
a process to control incoming material quality?

Page 9 of 181

A-2 DESIGN INFORMATION CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

30 Have material characteristics requiring inspection


been identified?
If so,
a

Will characteristics be checked in-house?


/
b l If checked in house, is test equipment
available?
c l If checked in house, are competent people
available to assure accurate testing?
31 Will outside laboratories be used?
/
a

l Does the organization have a process in place


to assure laboratory competency such as
accreditation? NOTE: Competency needs to be
assured, regardless of the organization's
relationship with the laboratory.

32 Have the following material requirements been


considered:
a l Handling, including environmental aspects?
b l Storage, including environmental aspects?
/
c l Have the materials/substance composition
been reported in accordance with customer
requirements e.g., IMDS?
d

l Have polymeric parts been identified/marked


per customer requirements?

Page 10 of 181

A-2 DESIGN INFORMATION CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

Revision Date

Prepared By:

Page 11 of 181

SIGN INFORMATION CHECKLIST

Due Date

Page 12 of 181

SIGN INFORMATION CHECKLIST

Due Date

Page 13 of 181

SIGN INFORMATION CHECKLIST

Due Date

Page 14 of 181

SIGN INFORMATION CHECKLIST

Due Date

Page 15 of 181

SIGN INFORMATION CHECKLIST

Due Date

Page 16 of 181

A-3 NEW EQUIPMENT, TOOLING, AND TEST EQUIPMENT CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Does the design require:


a l New materials?
/
b l Quick
change?
/
c l Volume fluctuations?
/
d l Mistake proofing?
/
2 Have lists been prepared identifying (include all
suppliers)?:
a l New equipment?
/
b l New
tooling?
/
c l New test equipment (including checking aids)?
3 Has acceptance criteria been agreed upon for
(include all suppliers):
a l New equipment?
/
b l New
tooling?
/
c l New test equipment (including checking aids)?
4 Will a preliminary capability study be conducted at
the tooling and/or equipment manufacturer?

Page 17 of 181

A-3 NEW EQUIPMENT, TOOLING, AND TEST EQUIPMENT CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

5 Has test equipment feasibility and accuracy been


established?
6 Is a preventive maintenance plan complete for
equipment and tooling?
7 Are setup instructions for new equipment and
tooling complete and understandable?
8 Will capable gages be available to run preliminary
process capability studies at the equipment
supplier's facility?
9 Will preliminary process capability studies be run
at the processing plant?
10 Have process characteristics that affect special
product characteristics been identified?
11 Were special product characteristics used in
determining acceptance criteria?
12 Does the manufacturing equipment have sufficient
capacity to handle forecasted production and
service volumes?
13 Is testing capacity sufficient to provide adequate
testing?
14 Has the measurement equipment been verified
and documented showing qualification for the
required scope of measurement and testing?

Revision Date

Prepared By:

Page 18 of 181

TOOLING, AND TEST EQUIPMENT CHECKLIST

Due Date

Page 19 of 181

TOOLING, AND TEST EQUIPMENT CHECKLIST

Due Date

Page 20 of 181

A-4 PRODUCT/PROCESS QUALITY CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Is customer assistance or approval required for


the development of the control plan?
2 Has the organization identified who will be the
quality liaison with the customer?
3 Has the organization identified who will be the
quality liaison with its suppliers?
4 Has the quality management system been
reviewed and approved per customer specific
requirements?
5

Are there sufficient personnel identified to cover:


a

Control plan requirements?

/
b

Layout inspection?

/
c

Engineering performance testing?

/
d

Problem reaction and resolution analysis?


/

6 Is there a documented training program that:


a l Includes all employees?
/
b l Lists whose been trained?
/
c l Provides a training schedule?
/
7 Has training been completed for:
a

Statistical process control?

Capability studies?

/
b

/
Page 21 of 181

A-4 PRODUCT/PROCESS QUALITY CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question
c

Yes No N/A

Comment / Action Required

Person
Responsible

Problem solving?

/
d

Mistake proofing?

/
e

Reaction plans?

Other topics as identified?


/
8 Is each operation provided with process
instructions that are keyed to the control plan?
9 Are standard operator instructions accessible at
each work station?
10 Do operator instructions include pictures ad
diagrams?
11 Were operator/team leaders involved in
developing standard operator instructions?
12 Do inspection instructions include:
a l Easily understood engineering performance
specifications?
b l Test frequencies?
/
c l Sample sizes?
/
d l Reaction plans?
/
e l Documentation requirements?
13 Are visual aids:
a l Appropriate, easily understood and legible?
b l Available?
/
Page 22 of 181

A-4 PRODUCT/PROCESS QUALITY CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question
c
d

Accessible?

Approved?

Yes No N/A

Comment / Action Required

Person
Responsible

/
e

Dated and current?


/
14 Is there a procedure to implement, maintain, and
establish reaction plans for issues such as out of
control conditions based on statistical process
control?
l

15 Is there an identified problem solving process that


includes root cause analysis?
16 Are the latest drawings and specifications
available for the operator, in particular at the
points of the inspection?
a

l Have engineering tests (dimensional, material,


appearance, and performance) been completed
and documented as required in accordance with
customer requirements?

17 Are the current forms/logs available for


appropriate personnel to record inspection
results?
18 Are the following available and placed at the
appropriate points of the operation?
a l Monitoring and measurement devices?
b

Gage instructions?

/
c

Reference samples?

Page 23 of 181

A-4 PRODUCT/PROCESS QUALITY CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question
d

Yes No N/A

Inspection logs?

Comment / Action Required

Person
Responsible

19 Have provisions been made to certify and


calibrate gages and test equipment at a defined
frequency that is appropriate?
20 Have required measurement system capability
studies been:
a l Completed?
/
b l Accepted?
21 Have initial process capability studies been
conducted per customer requirements?
22 Are layout inspection equipment and facilities
adequate to provide initial and ongoing layout of
all details and components in accordance with
customer requirements?
23 Is there a documented procedure for controlling
incoming material that may include, for example,
the following items:
a

Characteristics to be inspected?

/
b

Frequency of inspection?

Sample size?

Designated location for approved product?

/
/

/
e

Disposition of nonconforming products?


/

Page 24 of 181

A-4 PRODUCT/PROCESS QUALITY CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

24 Have sample production parts been provided per


customer requirements?
25 Is there a procedure to identify, segregate, and
control nonconforming products to prevent
shipment?
26 Are rework/repair procedures available to assure
conforming product?
27 Is there a procedure to requalify
repaired/reworked material?
28 Has a master sample, if required, been retained
as part of the part approval process?
29 Is there an appropriate lot traceability procedure?
30 Are periodic audits of outgoing products planned
and implemented?
31 Are periodic assessments of the quality system
planned and implemented?
32 Has the customer approved the packaging and
the packaging specification?

Revision Date

Prepared By:

Page 25 of 181

CT/PROCESS QUALITY CHECKLIST

Due Date

Page 26 of 181

CT/PROCESS QUALITY CHECKLIST

Due Date

Page 27 of 181

CT/PROCESS QUALITY CHECKLIST

Due Date

Page 28 of 181

CT/PROCESS QUALITY CHECKLIST

Due Date

Page 29 of 181

CT/PROCESS QUALITY CHECKLIST

Due Date

Page 30 of 181

A-5 FLOOR PLAN CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Have lean concepts been applied in considering


material flow?
2 Does the floor plan identify all required process
and inspection points?
3 Have clearly marked areas for all material, tools,
and equipment at each operation been
considered?
4 Has sufficient space been allocated for all
equipment?
5 Are process and inspection areas:
a l Of adequate size?

l Properly
lighted?
/
6 Do inspection areas contain necessary equipment
and record storage?

7 Are there adequate:


a l Staging areas?
b

Impound areas?

/
/

8 Are inspection points located to prevent shipment


of nonconforming products?
9 Are there controls for each process to eliminate
contamination or inappropriate mixing of product?

Page 31 of 181

A-5 FLOOR PLAN CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

10 Is material protected from overhead or air


handling systems contamination?
11 Have facilities been provided for final product
audit?
12 Are facilities adequate to control movement of
nonconforming incoming material?

Revision Date

Prepared By:

Page 32 of 181

5 FLOOR PLAN CHECKLIST

Due Date

Page 33 of 181

5 FLOOR PLAN CHECKLIST

Due Date

Page 34 of 181

A-6 PROCESS FLOW CHART CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Does the flow chart illustrate the entire process


from receiving through shipping, including outside
processes and services?
2 In the development of the process flow chart, was
the DFMEA used, if available, to identify specific
characteristics that may be critical?
3 Is the flow chart keyed to product and process
checks in the control plan and PFMEA?
4 Does the flow chart describe how the product will
move, i.e., roller conveyor, slide containers, etc.?
5 Has the pull system/optimization been considered
for this process?
6 Have provisions been made to identify and
inspect reworked product before being used?
7 Are material controls for movement and staging of
product including appropriate identification
properly defined and implemented? The controls
should address incoming supplier product as well
as subcontracted processes.

Revision Date

Prepared By:

Page 35 of 181

CESS FLOW CHART CHECKLIST

Due Date

Page 36 of 181

A-7 PROCESS FMEA CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Was the Process FMEA prepared by a cross


functional team? Has the team taken into account
all customer specific requirements, including
FMEA methodologies as shown in the current
edition of the FMEA?
2 Have all operations including subcontracted, or
outsourced processes and services been
considered?
3 Have all operations affecting customer
requirements including fit, function, durability,
governmental regulations and safety been
identified and listed sequentially?
4 Were similar part/process FMEA's considered?
5 Have historical campaign and warranty data been
reviewed and used in the analysis?
6 Have you applied the appropriate controls to
address all of the identified failure modes?
7 Were severity, detection and occurrence revised
when corrective action was completed?
8 Do the effects consider the customer in terms of
the subsequent operation, assembly, and
product?
9 Were customer plant problems used as an aid in
developing the Process FMEA?
10 Have the causes been described in terms of
something that can be corrected or controlled?
11 Have provisions been made to control the cause
of the failure mode prior to subsequent or the next
operation?

Revision Date

Page 37 of 181

A-7 PROCESS FMEA CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

Prepared By:

Page 38 of 181

PROCESS FMEA CHECKLIST

Due Date

Page 39 of 181

PROCESS FMEA CHECKLIST

Due Date

Page 40 of 181

A-8 CONTROL PLAN CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

1 Was the control plan developed according to the


methodology described in Chapter 6 of this APQP
manual?
2 Have all the controls identified in the PFMEA been
included in the control plan?
3 Are all special product/process characteristics
included in the control plan?
4 Were DFMEA and PFMEA used to prepare the
control plan?
5 Are material specifications requiring inspection
identified?
6 Does the control plan address incoming
(material/components) through
processing/assembly including packaging?
7 Are engineering performance testing and
dimensional requirements identified?
8 Are gages and test equipment available as
required by the control plan?
9 If required, has the customer approved the control
plan?
10 Are the gage methodology and compatibility
appropriate to meet customer requirements?
10 Have measurement systems analysis been
completed in accordance with customer
requirements?
12 Are sample sizes based upon industry standards,
statistical sampling plan tables, or other statistical
process control methods or techniques?

Revision Date

Page 41 of 181

A-8 CONTROL PLAN CHECKLIST


Revision Level

Customer or Internal Part No. NUMBER

Question

Yes No N/A

Comment / Action Required

Person
Responsible

Prepared By:

Page 42 of 181

CONTROL PLAN CHECKLIST

Due Date

Page 43 of 181

CONTROL PLAN CHECKLIST

Due Date

Page 44 of 181

TEAM FEASIBILITY COMMITMENT


Customer:

CUSTOMER

Part Number:

NUMBER

Revision Level

ECL

Date:
Part Name:

NAME

Feasibility Considerations
Our product quality planning team has considered the following questions.
The drawings and/or specifications provided have been used as a basis for analyzing the ability to meet all
specified requirements. All "no" answers are supported with attached comments identifying the organization's
concerns and/or proposed changes to enable the organization to meet the specified requirements.
YES

NO

CONSIDERATION
Is product adequately defined (application requirements, etc. to enable
feasibility evaluation?
Can Engineering Performance Specifications be met as written?
Can product be manufactured to tolerances specified on drawing?
Can product be manufactured with process capability that meet requirements?
Is there adequate capacity to produce product?
Does the design allow the use of efficient material handling techniques?
Can the product be manufactured within normal cost parameters? Abnormal cost
considerations may include:
- Costs for capital equipment?
- Costs for tooling?
- Alternative manufacturing methods?
Is statistical process control required on the product?
Is statistical process control presently used on similar products?
Where statistical process control is used on similar products:
- Are the processes in control and stable?
- Does process capability meet customer requirements?

Conclusion
Feasible
Feasible
Not Feasible

Product can be produced as specified with no revisions.


Changes recommended (see attached).
Design revision required to produce product within the specified requirements.

Approval

Team Member/Title/Date

Team Member/Title/Date

Team Member/Title/Date

Team Member/Title/Date

Team Member/Title/Date

Team Member/Title/Date

PRODUCT QUALITY PLANNING SUMMARY AND APPROVALS


DATE:

NAME

PRODUCT NAME:
CUSTOMER:

PART NUMBER / REV:

CUSTOMER

NUMBER
CITY

MANUFACTURING PLANT:

1. PRELIMINARY PROCESS CAPABILITY STUDY

ECL

QUANTITY
REQUIRED

ACCEPTABLE

PENDING*

Ppk - SPECIAL CHARACTERISTICS


2. CONTROL PLAN APPROVAL (If Required)

APPROVED: YES / NO*

DATE APPROVED

3. INITIAL PRODUCTION SAMPLES


CHARACTERISTIC CATEGORY

QUANTITY
CHARACTERISTICS
SAMPLES

PER SAMPLE

REQUIRED

ACCEPTABLE

REQUIRED

ACCEPTABLE

REQUIRED

ACCEPTABLE

ACCEPTABLE

DIMENSIONAL
VISUAL
LABORATORY
PERFORMANCE
4. GAGE AND TEST EQUIPMENT
MEASUREMENT SYSTEM ANALYSIS

QUANTITY
PENDING*

SPECIAL CHARACTERISTIC
5. PROCESS MONITORING
QUANTITY
PROCESS MONITORING INSTRUCTIONS

PENDING*

PROCESS SHEETS
VISUAL AIDS
6. PACKAGING/SHIPPING

QUANTITY
PACKAGING APPROVAL
SHIPPING TRIALS

7. Approvals

TEAM MEMBER/TITLE/DATE

TEAM MEMBER/TITLE/DATE

TEAM MEMBER/TITLE/DATE

TEAM MEMBER/TITLE/DATE

TEAM MEMBER/TITLE/DATE

TEAM MEMBER/TITLE/DATE

* REQUIRES PREPARATION OF AN ACTION PLAN TO TRACK PROGRESS.

PENDING*

PENDING*

PART HISTORY
Part Number

Part Name

NUMBER
Date

NAME
Remarks

Page 47 of 181

Page 48 of 181

PROCESS / INSPECTION FLOWCHART


Product Program
Supplier Name
Supplier Location

ORGANIZATION
CITY

STATE

Issue Date

ECL

Part Name

NAME

Part Number

ECL

NUMBER

Legend:

STEP

Operation

Transportation

Operation or Event

Inspection
Description of
Operation or Event

Page 49 of 181

Delay

Storage
Evaluation
and Analysis Methods

PROCESS / INSPECTION FLOWCHART


Product Program
Supplier Name
Supplier Location

ORGANIZATION
CITY

STATE

Issue Date

ECL

Part Name

NAME

Part Number

ECL

NUMBER

Legend:

STEP

Operation

Transportation

Operation or Event

Inspection
Description of
Operation or Event

Page 50 of 181

Delay

Storage
Evaluation
and Analysis Methods

PROCESS FLOW DIAGRAM


NUMBER

DATE:
ECL:
PREPARED BY:

INSPECT

STORE

MOVE

OPERATION
DESCRIPTION

ITEM #

STEP

FABRICATION

NAME

PRODUCT AND
PROCESS
CHARACTERISTICS

Page 51 of 181

ECL

ITEM #

PART NUMBER:
PART DESCRIPTION:

CONTROL
METHODS

PROCESS FLOW DIAGRAM


NUMBER

DATE:
ECL:
PREPARED BY:

INSPECT

STORE

MOVE

OPERATION
DESCRIPTION

ITEM #

STEP

FABRICATION

NAME

PRODUCT AND
PROCESS
CHARACTERISTICS

Page 52 of 181

ECL

ITEM #

PART NUMBER:
PART DESCRIPTION:

CONTROL
METHODS

Process Flow Diagram


Department
Prod/Serv

NAME

Sources of Variation
(Experience-Based)

Operation
or Activity

100%
Inspection

ID Number

Date

Sources of Variation

Storage
Page 53 of 181

Delay

Sources of Variation
(Results of this Step)

Operator
(Full time)

Operation/Activity with Inspection

Transportation

Page 54 of 181

(Part time)

CHARACTERISTIC MATRIX
Part Number

Engineering Change Level

NUMBER

Part Name

ECL

NAME
C = Characteristic at an operation used for clamping
L = Characteristic at an operation used for locating
X = Characteristic created or changed by this operation should
match the process flow diagram form

DIMENSION
NUMBER

OPERATION NUMBER
DESCRIPTION

TOLERANCE

Page 55 of 181

CHARACTERISTIC MATRIX
Part Number

Engineering Change Level

NUMBER

Part Name

ECL

NAME
C = Characteristic at an operation used for clamping
L = Characteristic at an operation used for locating
X = Characteristic created or changed by this operation should
match the process flow diagram form

DIMENSION
NUMBER

OPERATION NUMBER
DESCRIPTION

TOLERANCE

Page 56 of 181

DESIGN MATRIX Product Code / Description:

Project #:

NEGATIVE IMPACT ON CUSTOMER EXPECTATIONS: HIGH = 3; MED = 2; LOW = 1; NONE = 0; UNKNOWN = ?

ENVIRONMENTAL

PROCESS ABILITY

PERFORMANCE

APPEARANCE

UNITS

FUNCTION - DESIRED ATTRIBUTES (POTENTIAL FAILURE MODES)


ROBUST THRESHOLD RANGE

CATEGORY /
CHARACTERISTICS

FAILURE

Prelim. Special Characteristics

POTENTIAL CAUSES

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 58 of 181

Current
Design
Controls

Current
Design
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item /
Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 59 of 181

Current
Design
Controls

Current
Design
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item /
Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

FILE.XLS

Page 60 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

FILE.XLS

Page 61 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 62 of 181

Current
Design
Controls

Current
Design
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

Recommended
Action(s)

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 63 of 181

Current
Design
Controls

Current
Design
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

Recommended
Action(s)

Responsibility
& Target
Completion
Date

FILE.XLS

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

FILE.XLS

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 66 of 181

Current
Design
Controls
Prevention

Current
Design
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item /
Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

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Current
Design
Controls
Prevention

Current
Design
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item /
Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

FILE.XLS

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

FILE.XLS

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

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Current
Design
Controls
Prevention

Current
Design
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

Recommended
Action(s)

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 71 of 181

Current
Design
Controls
Prevention

Current
Design
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

Recommended
Action(s)

Responsibility
& Target
Completion
Date

FILE.XLS

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

FILE.XLS

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Occurrence

Actions Taken
& Effective Date

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Page 74 of 181

Controls
Prevention

Current Detection
Design Controls
Cause

Failure Mode

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

Recommended
Action(s)

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Page 75 of 181

Controls
Prevention

Current Detection
Design Controls
Cause

Failure Mode

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

Recommended
Action(s)

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 76 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 78 of 181

Current
Design
Controls

Prevention

Detection

Recommended
Action(s)

Responsibility

Current
Design
Controls

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

System
Subsystem
Component;
Model Year(s)/Program(s)

Design Responsibility
APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 79 of 181

Current
Design
Controls

Prevention

Detection

Recommended
Action(s)

Responsibility

Current
Design
Controls

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Item

Severity

Core Team:

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)

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RPN

Effective
Date

Detection

Actions
Taken

Occurrence

Action Results
Severity

Target
Completion Date

FMEA Date (Rev.)

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)

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RPN

Effective
Date

Detection

Actions
Taken

Occurrence

Action Results
Severity

Target
Completion Date

FMEA Date (Rev.)

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 82 of 181

Current
Process
Controls

Current
Process
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process Step
/ Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 83 of 181

Current
Process
Controls

Current
Process
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process Step
/ Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

FILE.XLS

Page 84 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

FILE.XLS

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RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 86 of 181

Current
Process
Controls

Current
Process
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

Recommended
Action

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 87 of 181

Current
Process
Controls

Current
Process
Controls

Prevention

Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

Recommended
Action

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 88 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Current
Process
Controls
Prevention

Page 90 of 181

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Process
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process Step
/ Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Current
Process
Controls
Prevention

Page 91 of 181

Current
Process
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process Step
/ Function

Severity

Core Team:

Recommended
Action

Responsibility
& Target
Completion
Date

FILE.XLS

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RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

FILE.XLS

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 94 of 181

Current
Process
Controls
Prevention

Current
Process
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

Recommended
Action

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number:
Prepared by:

ORGANIZATION

FMEA Date (Orig.)

Key Date

FMEA Date (Rev.)

Page 95 of 181

Current
Process
Controls
Prevention

Current
Process
Controls
Detection

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

Recommended
Action

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 96 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 97 of 181

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Current
Process
Controls
Prevention

Page 98 of 181

Current Detection
Process Controls
Cause

Failure Mode

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

Recommended
Action

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Current
Process
Controls
Prevention

Page 99 of 181

Current Detection
Process Controls
Cause

Failure Mode

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

Recommended
Action

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 100 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 101 of 181

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Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number

Prepared by

ORGANIZATION

FMEA Date (Orig.

Key Date

FMEA Date (Rev.

Page 102 of 181

Prevention

Detection

Recommended
Action

Target
Completion
Date

Current
Process
Controls

Responsibility

Current
Process
Controls

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Number

Prepared by

ORGANIZATION

FMEA Date (Orig.

Key Date

FMEA Date (Rev.

Page 103 of 181

Prevention

Detection

Recommended
Action

Target
Completion
Date

Current
Process
Controls

Responsibility

Current
Process
Controls

RPN

Potential
Causes(s)
of Failure

Detection

Function

Potential
Effect(s)
of Failure

Occurrence

Requirements

Potential
Failure
Mode

Classification

Process
Step

Severity

Core Team:

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 104 of 181

RPN

Detection

Effective
Date

Occurrence

Actions
Taken

Severity

Action Results

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 105 of 181

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Detection

Effective
Date

Occurrence

Actions
Taken

Severity

Action Results

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Process

Potential
Causes(s)
of Failure

Page 106 of 181

Current
Process
Controls

Current
Process
Controls

Prevention

Detection

RPN

Product

Potential
Effect(s)
of Failure

Detection

ID

Potential
Failure
Mode

Occurrence

Function

Requirements

Classification

Process
Step

Severity

Core Team:

Recommended
Action

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Process

Potential
Causes(s)
of Failure

Page 107 of 181

Current
Process
Controls

Current
Process
Controls

Prevention

Detection

RPN

Product

Potential
Effect(s)
of Failure

Detection

ID

Potential
Failure
Mode

Occurrence

Function

Requirements

Classification

Process
Step

Severity

Core Team:

Recommended
Action

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 108 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 109 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Process

Potential
Causes(s)
of Failure

Page 110 of 181

Current
Process
Controls
Prevention

Current
Process
Controls
Detection

RPN

Product

Potential
Effect(s)
of Failure

Detection

ID

Potential
Failure
Mode

Occurrence

Function

Requirements

Classification

Process
Step

Severity

Core Team:

Recommended
Action

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Item:

Process Responsibility

Model Year(s)/Program(s)

APPLICATION

FMEA Numbe

Prepared b

ORGANIZATION

FMEA Date (Orig

Key Date

FMEA Date (Rev

Process

Potential
Causes(s)
of Failure

Page 111 of 181

Current
Process
Controls
Prevention

Current
Process
Controls
Detection

RPN

Product

Potential
Effect(s)
of Failure

Detection

ID

Potential
Failure
Mode

Occurrence

Function

Requirements

Classification

Process
Step

Severity

Core Team:

Recommended
Action

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 112 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

FMEA Number:

FILE.XLS

Prepared by:
FMEA Date (Orig.)
FMEA Date (Rev.)

Page 113 of 181

RPN

Detection

Occurrence

Actions Taken
& Effective Date

Severity

Action Results
Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(MACHINERY FMEA)

System
Subsystem
Component

Supplier Name

Program(s) / Plant(s)

FMEA Number:

ORGANIZATION

Prepared by:

Key Date

Date (Orig.)

Core Team:
Machinery
Function /
Requirements

Date (Rev.)
Potential
Failure
Mode

Potential
Effect(s)
of Failure

S
e
v

C
l
a
s
s

Potential
Causes(s)/
Mechanism(s)
of Failure

Page 114 of 181

O
c
c
u
r

Current
Machinery
Controls
-Prevention
-Detection

D
e
t
e
c

R.
P.
N.

Recommended
Action(s)

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(MACHINERY FMEA)

System
Subsystem
Component

Supplier Name

Program(s) / Plant(s)

FMEA Number:

ORGANIZATION

Prepared by:

Key Date

Date (Orig.)

Core Team:
Machinery
Function /
Requirements

Date (Rev.)
Potential
Failure
Mode

Potential
Effect(s)
of Failure

S
e
v

C
l
a
s
s

Potential
Causes(s)/
Mechanism(s)
of Failure

Page 115 of 181

O
c
c
u
r

Current
Machinery
Controls
-Prevention
-Detection

D
e
t
e
c

R.
P.
N.

Recommended
Action(s)

Responsibility
& Target
Completion
Date

FILE.XLS

Action Results
Actions
Taken

S
e
v

O
c
c

Page 116 of 181

D
e
t

R.
P.
N.

FILE.XLS

Action Results
Actions
Taken

S
e
v

O
c
c

Page 117 of 181

D
e
t

R.
P.
N.

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(MACHINERY FMEA)

System
Subsystem
Component

Supplier Name

Program(s) / Plant(s)

FMEA Number:

ORGANIZATION

Prepared by:

Key Date

Date (Orig.)

Core Team:
Machinery
Function /
Requirements

Date (Rev.)
Potential
Failure
Mode

Potential
Effect(s)
of Failure

S
e
v

C
l
a
s
s

Potential
Causes(s)/
Mechanism(s)
of Failure

O
c
c
u
r

Page 118 of 181

Current
Process
Controls
Prevention

Current
Process
Controls
Detection

D
e
t
e
c

R.
P.
N.

Recommended
Action(s)

Responsibility
& Target
Completion
Date

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(MACHINERY FMEA)

System
Subsystem
Component

Supplier Name

Program(s) / Plant(s)

FMEA Number:

ORGANIZATION

Prepared by:

Key Date

Date (Orig.)

Core Team:
Machinery
Function /
Requirements

Date (Rev.)
Potential
Failure
Mode

Potential
Effect(s)
of Failure

S
e
v

C
l
a
s
s

Potential
Causes(s)/
Mechanism(s)
of Failure

O
c
c
u
r

Page 119 of 181

Current
Process
Controls
Prevention

Current
Process
Controls
Detection

D
e
t
e
c

R.
P.
N.

Recommended
Action(s)

Responsibility
& Target
Completion
Date

FILE.XLS

Action Results
Actions
Taken

S
e
v

O
c
c

Page 120 of 181

D
e
t

R.
P.
N.

FILE.XLS

Action Results
Actions
Taken

S
e
v

O
c
c

Page 121 of 181

D
e
t

R.
P.
N.

CONTROL PLAN
Prototype
Control Plan Number

Pre-Launch

Production
Key Contact/Phone

Date (Orig.)

FILE.XLS

555-555-5555

Part Number/Latest Change Level

NUMBER

Date (Rev.)

1/1/1996

1/1/1996

Core Team

Customer Engineering Approval/Date (If Req'd.)

Organization/Plant Approval/Date

Customer Quality Approval/Date (If Req'd.)

Other Approval/Date (If Req'd.)

Other Approval/Date (If Req'd.)

ECL

Part Name/Description

NAME
Organization/Plant

ORGANIZATION
PART/
PROCESS NAME/
PROCESS
OPERATION
NUMBER
DESCRIPTION

Organization Code

CODE
MACHINE,
DEVICE
JIG, TOOLS
FOR MFG.

CHARACTERISTICS
NO.

PRODUCT

METHODS
SPECIAL
PRODUCT/PROCESS
EVALUATION/
SAMPLE
CHAR.
SPECIFICATION/ MEASUREMENT
PROCESS CLASS
SIZE
FREQ.
TOLERANCE
TECHNIQUE

Page 122 of 181

CONTROL
METHOD

REACTION
PLAN

CONTROL PLAN SPECIAL CHARACTERISTICS


Prototype
Control Plan Number

Pre-Launch

Production
Key Contact/Phone

Date (Orig.)

FILE.XLS

555-555-5555

Part Number/Latest Change Level

NUMBER

Date (Rev.)

1/1/1996

Customer Engineering Approval/Date (If Req'd.)

Organization/Plant Approval/Date

Customer Quality Approval/Date (If Req'd.)

Other Approval/Date (If Req'd.)

Other Approval/Date (If Req'd.)

ECL

Part Name/Description

NAME
Organization/Plant

1/1/1996

Core Team

Organization Code

ORGANIZATION
CODE
No.
Description/Rationale

Specification/Tolerance

Class

Page 123 of 181

Illustration/Pictorial

DATA POINT COORDINATES


Control Plan No.

FILE.XLS

Customer

CUSTOMER

Char. Point
No. Ident.

Date(Orig):

Char. Point
No. Ident.

Page 124 of 181

1/1/1996
Char.
No.

Date(Rev):

Point
Ident.

1/1/1996
Y

Page 125 of 181 Pages

Production Part Approval


Dimensional Test Results
ORGANIZATION
CODE

ORGANIZATION:

PART NUMBER:

NUMBER
NAME

SUPPLIER / VENDOR CODE:

PART NAME:

INSPECTION FACILITY:

DESIGN RECORD CHANGE LEVEL:

ECL

ENGINEERING CHANGE DOCUMENTS:

ITEM

DIMENSION /
SPECIFICATION

March CFG-1003
2006

SPECIFICATION /
LIMITS

TEST
DATE

QTY.
TESTED

ORGANIZATION MEASUREMENT
RESULTS (DATA)

OK

NOT
OK

Page 126 of 181 Pages

Production Part Approval


Dimensional Test Results
ORGANIZATION
CODE

ORGANIZATION:

PART NUMBER:

NUMBER
NAME

SUPPLIER / VENDOR CODE:

PART NAME:

INSPECTION FACILITY:

DESIGN RECORD CHANGE LEVEL:

ECL

ENGINEERING CHANGE DOCUMENTS:

ITEM

DIMENSION /
SPECIFICATION

SPECIFICATION /
LIMITS

TEST
DATE

QTY.
TESTED

ORGANIZATION MEASUREMENT
RESULTS (DATA)

OK

Blanket statements of conformance are unacceptable for any test results.


SIGNATURE

March CFG-1003
2006

TITLE

DATE

NOT
OK

Page 181 of 127 Pages

Production Part Approval


Material Test Results
ORGANIZATION:

ORGANIZATION
CODE

PART NUMBER:

NUMBER
NAME

SUPPLIER / VENDOR CODE:

PART NAME:

MATERIAL SUPPLIER:

DESIGN RECORD CHANGE LEVEL:

*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE:

ENGINEERING CHANGE DOCUMENTS:

*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

NAME of LABORATORY:

MATERIAL SPEC. NO. / REV / DATE

SPECIFICATION /
LIMITS

TEST
DATE

QTY.
TESTED

ECL

SUPPLIER TEST RESULTS (DATA)

OK

Blanket statements of conformance are unacceptable for any test results.

March CFG-1004
2006

NOT
OK

Page 181 of 128 Pages

Production Part Approval


Material Test Results
ORGANIZATION:

ORGANIZATION
CODE

PART NUMBER:

NUMBER
NAME

SUPPLIER / VENDOR CODE:

PART NAME:

MATERIAL SUPPLIER:

DESIGN RECORD CHANGE LEVEL:

*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE:

ENGINEERING CHANGE DOCUMENTS:

*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

NAME of LABORATORY:

MATERIAL SPEC. NO. / REV / DATE

SPECIFICATION /
LIMITS

TEST
DATE

QTY.
TESTED

SIGNATURE

March CFG-1004
2006

ECL

SUPPLIER TEST RESULTS (DATA)

OK

TITLE

DATE

NOT
OK

Page 129 of 181 Pages

Production Part Approval


Performance Test Results
ORGANIZATION:

ORGANIZATION
CODE

PART NUMBER:

NUMBER
NAME

SUPPLIER / VENDOR CODE:

PART NAME:

NAME of LABORATORY:

DESIGN RECORD CHANGE LEVEL:

*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE:

ENGINEERING CHANGE DOCUMENTS:

ECL

*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

TEST SPECIFICATION / REV / DATE

SPECIFICATION /
LIMITS

TEST
DATE

QTY.
TESTED

SUPPLIER TEST RESULTS (DATA)/


TEST CONDITIONS

OK

Blanket statements of conformance are unacceptable for any test results.

March CFG-1005
2006

NOT
OK

Page 130 of 181 Pages

Production Part Approval


Performance Test Results
ORGANIZATION:

ORGANIZATION
CODE

PART NUMBER:

NUMBER
NAME

SUPPLIER / VENDOR CODE:

PART NAME:

NAME of LABORATORY:

DESIGN RECORD CHANGE LEVEL:

*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE:

ENGINEERING CHANGE DOCUMENTS:

ECL

*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

TEST SPECIFICATION / REV / DATE

SPECIFICATION /
LIMITS

TEST
DATE

QTY.
TESTED

SIGNATURE

March CFG-1005
2006

SUPPLIER TEST RESULTS (DATA)/


TEST CONDITIONS

OK

TITLE

DATE

NOT
OK

APPEARANCE APPROVAL REPORT


PART

DRAWING

NUMBER

NUMBER

APPLICATION

NUMBER

PART

NAME

NAME

ADDRESS
CITY

LOCATION

REASON FOR

PART SUBMISSION WARRANT

SUBMISSION

PRE TEXTURE

DATE

ECL

MANUFACTURING

ORGANIZATION

NAME

E/C LEVEL

CODE

ORGANIZATION

APPLICATION

(VEHICLES)

BUYER

SUPPLIER / VENDOR

STATE

ZIP CODE

SPECIAL SAMPLE

RE-SUBMISSION

FIRST PRODUCTION SHIPMENT

ENGINEERING CHANGE

CODE

OTHER

APPEARANCE EVALUATION
AUTHORIZED CUSTOMER

ORGANIZATION SOURCING AND TEXTURE INFORMATION

PRE-TEXTURE

REPRESENTATIVE

EVALUATION

SIGNATURE AND DATE

CORRECT AND
PROCEED
CORRECT AND
PROCEED
APPROVED TO
ETCH/TOOL/EDM

COLOR EVALUATION
METALLIC
COLOR

TRISTIMULUS DATA

MASTER MASTER MATERIAL MATERIAL

SUFFIX DL* Da* Db* DE* CMC NUMBER

DATE

TYPE

SOURCE

HUE
RED

YEL

GRN

VALUE
BLU

LIGHT

DARK

CHROMA
GRAY

CLEAN

GLOSS
HIGH

LOW

COLOR

BRILLIANCE SHIPPING
HIGH

LOW

SUFFIX

COMMENTS

ORGANIZATION
SIGNATURE

March CFG-1002
2006

PHONE NO.

DATE

AUTHORIZED CUSTOMER
REPRESENTATIVE SIGNATURE

DATE

PART
DISPOSITION

ATTRIBUTE GAGE BIAS REPORT


ANALYTICAL METHOD - LOW LIMIT
Part Number

Gage Name

Appraiser

Gage Number

Date Performed

NUMBER
Part Name

NAME
Characteristic

Gage Type

ATTRIBUTE DATA
XT
P'a
a

#
1

0.000

2
3
4
5
6
7
8
9

Upper Limit

Lower Limit

After entering data, follow the directions on the tab marked


'Graph' to create the Gage Performance Curve

0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000

FROM THE GRAPH


ENTER THE FOLLOWING:
XT (P=.5) =
XT (P=.995) =
XT (P=.005) =

Measurement Unit Analysis


Bias
B

=
=

=
=
=

Repeatability
R

=
=

t Statistic
t0.025,19

31.3 IBI / R

Result

Page 132 of 181

2.093

Page 133 of 181

ATTRIBUTE GAGE BIAS REPORT


ANALYTICAL METHOD - HIGH LIMIT
Part Number

Gage Name

Appraiser

Gage Number

Date Performed

NUMBER
Part Name

NAME
Characteristic

Gage Type

ATTRIBUTE DATA
XT
P'a
a

#
1

0.025

2
3
4
5
6
7
8
9

Upper Limit

Lower Limit

After entering data, follow the directions on the tab marked


'Graph' to create the Gage Performance Curve

0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000

FROM THE GRAPH


ENTER THE FOLLOWING:
XT (P=.5) =
XT (P=.995) =
XT (P=.005) =

Measurement Unit Analysis


Bias
B

=
=

=
=
=

Repeatability
R

=
=

t Statistic
t0.025,19

31.3 IBI / R

Result

Page 134 of 181

2.093

Page 135 of 181

ATTRIBUTE GAGE BIAS REPORT


ANALYTICAL METHOD - GAGE PERFORMANCE CURVE
Part Number

Gage Name

Appraiser

Gage Number

Date Performed

NUMBER
Part Name

NAME
Characteristic

Gage Type

Upper Limit

LOW LIMIT RESULTS*

Lower Limit

HIGH LIMIT RESULTS*

Bias
GRR
GRR

Bias
GRR
GRR

*Curve can be generated from low or high limit results if symmetry is assumed.

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

REMARKS

Signature
Title

Page 136 of 181

Date

0.9

Page 137 of 181

Directions for Gage Performance Curve for Attribute Analytical Method Form
1) Click Tools - Data Analysis - Regression
(If Data Analysis is not available load Analysis Tool Pak from the Add-Ins menu)
2) In the box for Input Y Range select the cells ATT BIAS(Analytic)!D14:D22
3) In the box for Input X Range select the cells ATT BIAS(Analytic)!B14:B22
4) In the box for Output range select the cells below A23:M60
5) Check Line Fit Plots
6) Press OK
7) Copy the Line Fit plot graph to the space on the Analytic sheet
8) Change the graph title to GPC - Low Side Normal Prob Paper
9) Change the x axis to Xt
10) Change the y axis to Probability
11) Repeat for high side data

GAGE REPEATABILITY AND REPRODUCIBILITY REPORT


ATTRIBUTE HYPOTHESIS TEST METHOD
Part Number

Gage Name

Date Performed

Appraiser A

Gage Number

Gage Type

Appraiser B

Upper Specification

Lower Specification

Appraiser C

NUMBER
Part Name

NAME
Characteristic

DATA TABLE
PART
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

A-1

A-2

A-3

B-1

B-2

B-3

C-1

C-2

Page 139 of 181

C-3

Reference

Reference
Value

Code

GAGE REPEATABILITY AND REPRODUCIBILITY REPORT


ATTRIBUTE HYPOTHESIS TEST METHOD
Part Number

Gage Name

Date Performed

Appraiser A

Gage Number

Gage Type

Appraiser B

Upper Specification

Lower Specification

Appraiser C

NUMBER
Part Name

NAME
Characteristic

40

DATA TABLE CONTINUED


PART
41
42
43
44
45
46
47
48
49
50

A-1

A-2

A-3

B-1

B-2

B-3

C-1

C-2

C-3

Reference

Risk Analysis
A * B Crosstabulation
B
0
A

1
Total

Count
Expected Count
Count
Expected Count
Count
Expected Count

Total

0
0

1
0

B * C Crosstabulation
C
0
B

Count
Expected Count
Count
Expected Count

0
0

1
0

Page 140 of 181

Total
0
0

Reference
Value

Code

GAGE REPEATABILITY AND REPRODUCIBILITY REPORT


ATTRIBUTE HYPOTHESIS TEST METHOD
Part Number

Gage Name

Date Performed

Appraiser A

Gage Number

Gage Type

Appraiser B

Upper Specification

Lower Specification

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Count
Expected Count

Total

A * C Crosstabulation
C
0
A

1
Total

Kappa
A
B
C

Count
Expected Count
Count
Expected Count
Count
Expected Count

A
-

Total

0
0

1
0

DETERMINATION
AxB
AxC
BxC

0.75 or higher indicates good agreement


Between 0.40 and 0.75 indicates some agreement
Less then 0.40 indeicates poor agreement

A * REF Crosstabulation
REF
0
A

1
Total

Count
Expected Count
Count
Expected Count
Count
Expected Count

Total

0
0

1
0

Page 141 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY REPORT


ATTRIBUTE HYPOTHESIS TEST METHOD
Part Number

Gage Name

Date Performed

Appraiser A

Gage Number

Gage Type

Appraiser B

Upper Specification

Lower Specification

Appraiser C

NUMBER
Part Name

NAME
Characteristic

B * REF Crosstabulation
REF
0
B

1
Total

Count
Expected Count
Count
Expected Count
Count
Expected Count

Total

0
0

1
0

C * REF Crosstabulation
REF
0
C

1
Total

Count
Expected Count
Count
Expected Count
Count
Expected Count

Total

0
0

1
0

Kappa

DETERMINATION
A x REF
B x REF
C x REF

0.75 or higher indicates good agreement


Between 0.40 and 0.75 indicates some agreement
Less then 0.40 indeicates poor agreement

Page 142 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY REPORT


ATTRIBUTE HYPOTHESIS TEST METHOD
Part Number

Gage Name

Date Performed

Appraiser A

Gage Number

Gage Type

Appraiser B

Upper Specification

Lower Specification

Appraiser C

NUMBER
Part Name

NAME
Characteristic

% Appraiser1
Appraiser B

Source
Appraiser A
Total Inspected
# Matched
0
0
False Positive (appraiser biased towards rejection)
False Negative (appraiser biased towards acceptance)
Mixed

% Score vs. Attribute2


Appraiser C Appraiser A Appraiser B Appraiser C
0

0
0
0

0
0
0

0
0
0

95% UCI5
Calculated Score
95% LCI5

Total Inspected
# in Agreement

System % Effective Score3

System % Effective Score vs. Reference4

95% UCI
Calculated Score
5

95% LCI5
Notes:
(1) Appraiser agress with themself on all trials
(2) Appraiser agrees on all trials with the known standard
(3) All appraisers agreed within and between themselves
(4) All appraisers agreed within and between themselves and with the reference
(5) UCI and LCI are the upper and lower confidence internval bounds, respectively (Wilson score method)

H0:

The effectiveness of both appraisers is the same

(Null hypothesis)

HA:

The effectiveness of both appraisers is not the same

(Alternative Hypothesis)

Acceptance criteria:

The calculated score of the appraiser falls between the confidence interval of the other.

EFFECTIVENESS EVALUATION
Appraiser A vs. Appraiser B
Reject Null Hypothesis Accept Alternative
Appraiser A vs. Appraiser C
Reject Null Hypothesis Accept Alternative
Appraiser B vs. Appraiser C
Reject Null Hypothesis Accept Alternative

Page 143 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY REPORT


ATTRIBUTE HYPOTHESIS TEST METHOD
Part Number

Gage Name

Date Performed

Appraiser A

Gage Number

Gage Type

Appraiser B

Upper Specification

Lower Specification

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Second Analysis
EVALUATION CRITERIA
Measurement System
Decision

Effectiveness

Miss Rate

False Alarm
Rate

Acceptable for the appraiser

>90%

<2%

<5%

Marginally acceptable fo the


appraiser - may need
improvement

>80%

<5%

<10%

Unacceptable for the appraiser


- needs improvement

<80%

>5%

>10%

Miss Rate

False Alarm
Rate

RESULTS SUMMARY
Appraiser

Effectiveness

A
B
C

Final Analysis

Approved for use as is


Not approved for use as is
Signature

Page 144 of 181

Title

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


VARIABLE DATA RESULTS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

1. A

2.

3.

4.

AVE

5.

6. B

7.

8.

9.

AVE

10.

11. C

12.

13.

14.

AVE

15.

Date Performed

PART

APPRAISER/
TRIAL #

Appraisers

AVERAGE
6

10

xa=
ra=

xb=
rb=

xc=
rc=
X=

16. PART

Rp=

AVERAGE
17.

(ra + rb + rc) / (# OF APPRAISERS) =

18.

xDIFF = (Max x - Min x) =

19.

* UCLR =

R=
xDIFF=

R x D4 =

UCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials. UCLR represents the limit of individual R's. Circle those that are
beyond this limit. Identify the cause and correct. Repeat these readings using the same appraiser and unit as originally used or
discard values and re-average and recompute R and the limiting value from the remaining observations.
Notes:

Page 145 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


VARIABLE DATA RESULTS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Characteristic

Gage Type

Appraiser C

Characteristic Classification

Trials

NUMBER
Part Name

NAME

Parts

Appraisers

Measurement Unit Analysis

Date Performed

% Total Variation (TV)

Repeatability - Equipment Variation (EV)


EV

R x K1

Trials

K1

% EV

0.8865

0.5907

100 (EV/TV)

Reproducibility - Appraiser Variation (AV)


AV

{(xDIFF x K2)2 - (EV2/nr)}1/2

% AV

n = parts

Appraisers

K2

0.7087

0.5236

r = trials

Repeatability & Reproducibility (GRR)


GRR

K3

0.7087

0.5236

0.4464

0.4032

0.3745

0.3534

0.3378

0.3247

10

0.3145

{(EV2 + AV2)}1/2

RP x K3

Total Variation (TV)


TV

% GRR
Parts

Part Variation (PV)


PV

=
=

{(GRR2 + PV2)}1/2

% PV

ndc

100 (AV/TV)

100 (GRR/TV)

100 (PV/TV)

1.41(PV/GRR)

=
=

For information on the theory and constants used in the form see MSA Reference Manual, Third edition.

Page 146 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


VARIABLE DATA RESULTS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

APPRAISER/
TRIAL #
1

2.

3.

4.

AVE

5.

6. B

7.

8.

9.

AVE

10.

11. C

12.

13.

14.

AVE

15.

Date Performed

PART
1

1. A

Appraisers

AVERAGE
6

10

xa=
ra=

xb=
rb=

xc=
rc=
X=

16. PART

Rp=

AVERAGE
17.

(ra + rb + rc) / (# OF APPRAISERS) =

18.

xDIFF = (Max x - Min x) =

19.

* UCLR =

R=
xDIFF=

R x D4 =

UCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials. UCLR represents the limit of individual R's. Circle those that are
beyond this limit. Identify the cause and correct. Repeat these readings using the same appraiser and unit as originally used or
discard values and re-average and recompute R and the limiting value from the remaining observations.
Notes:

Page 147 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


VARIABLE DATA RESULTS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Characteristic

Gage Type

Appraiser C

Characteristic Classification

Trials

NUMBER
Part Name

NAME

Parts

Appraisers

Measurement Unit Analysis

Date Performed

% Tolerance (Tol)

Repeatability - Equipment Variation (EV)


EV

R x K1

Trials

K1

% EV

0.8865

0.5907

100 (EV/Tol)

Reproducibility - Appraiser Variation (AV)


AV

{(xDIFF x K2)2 - (EV2/nr)}1/2

% AV

n = parts

Appraisers

K2

0.7087

0.5236

r = trials

Repeatability & Reproducibility (GRR)


GRR

K3

0.7087

0.5236

0.4464

0.4032

0.3745

0.3534

0.3378

{(EV2 + AV2)}1/2

RP x K3

Tolerance (Tol)
Tol

% GRR
Parts

Part Variation (PV)


PV

Upper - Lower / 6

0.3247

( Upper - Lower ) / 6

10

0.3145

% PV

ndc

100 (AV/Tol)

100 (GRR/Tol)

100 (PV/Tol)

1.41(PV/GRR)

=
=

For information on the theory and constants used in the form see MSA Reference Manual, Third edition.

Page 148 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


ANOVA METHOD
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

APPRAISER/
TRIAL #
1

2.

3.

4.

AVE

5.

6. B

7.

8.

9.

AVE

10.

11. C

12.

13.

14.

AVE

15.

Date Performed

PART
1

1. A

Appraisers

AVERAGE
6

10

xa=
ra=

xb=
rb=

x c=
rc=
X=

16. PART

Rp=

AVERAGE

Anova Table
Source

DF

SS

MS

Sig

Appraiser
Parts
Appraiser-by-Part
Equipment
Total
* Significant at = 0.05 level

Page 149 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


ANOVA METHOD
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Anova Report

Trials

Parts

Standard
Deviation ()

Appraisers

% Total Variation

Date Performed

% Contribution

Repeatability (EV)
Reproducibility (AV)
Appraiser by Part (INT)
GRR
Part-to-Part (PV)

Note:
Tolerance =
Number of distinct data categories (ndc) =

Page 150 of 181

Total variation (TV) =

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

APPRAISER/
TRIAL #
1

2.

3.

4.

AVE

5.

6. B

7.

8.

9.

AVE

10.

11. C

12.

13.

14.

AVE

Date Performed

PART
1

1. A

Appraisers

AVERAGE
6

10

xa=
ra=

xb=
rb=

15.
R
16. PART

xc=
rc=
X=

AVE ( Xp )

Rp=

Note:

The REFERENCE VALUE can be substituted for PART AVE to generate graphs indicating true bias.

Page 151 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 152 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Average Chart -"Stacked"


12.00
10.00
Appraise
rA
Appraise
rB
Appraise
rC

8.00
Average
6.00
4.00
2.00
0.00
1

10

Part Number
Analysis:

Range Chart -"Stacked"


12.00
10.00
8.00

Appraise
rA

Range

6.00

Appraise
rB

4.00
2.00
0.00
1

Part Number
Page 153 of 181

10

12.00
10.00

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


8.00
Appraise
GRAPHICAL ANALYSIS
Range
rA
6.00

Part Number
Part Name

4.00NUMBER
2.00 NAME

Characteristic

Specification

0.00
1

Characteristic Classification

Lower Upper

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

4Trials

6Parts 7

Part Number
Analysis:

Page 154 of 181

8 Appraisers
9

Appraise
rB

10 Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Average Chart -"Unstacked"


12.00
10.00
8.00
Average
6.00
4.00
2.00
0.00
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

Appr A

Appr B

Appr C

Analysis:

Range Chart -"Unstacked"


12.00
10.00
8.00
Average
6.00
4.00
2.00
0.00
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

Appr A

Appr B

Page 155 of 181

Appr C

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Analysis:

Page 156 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Run Chart
12.00
10.00
8.00
Value
6.00
4.00
2.00
0.00
1

6
Part

Analysis:

Page 157 of 181

10

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 158 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Scatter Plot
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Part 1

Part 3

Part 5

Scatter Plot
1.00
0.80
0.60
0.40
0.20
0.00
Part 6

Part 8

Analysis:

Page 159 of 181

Part 10

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 160 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Whiskers Chart - Appraiser A


12.00
10.00
8.00
6.00
4.00
2.00
0.00
1

10

10

10

Whiske rs Chart - Appraise r B


12.00
10.00
8.00
6.00
4.00
2.00
0.00
1

Whiske rs Chart - Appraise r C


12.00
10.00
8.00
6.00
4.00
2.00
0.00
1

Analysis:
Page 161 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 162 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Error Chart
12
10
8
6
4
2
0
Part 1

Part 3

Part 5

Error Chart
12
10
8
6
4
2
0
Part 6

Part 8

Analysis:

Page 163 of 181

Part 10

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 164 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Normalized Histogram - Error


1
0.8
0.6

Appr A

0.4
0.2
0
-1.00-0.90-0.80-0.70-0.60-0.50-0.40-0.30-0.20-0.10 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00

Normalized Histogram - Error


1
0.8
0.6

Appr B

0.4
0.2
0
-1.00-0.90-0.80-0.70-0.60-0.50-0.40-0.30-0.20-0.100.00 0.100.20 0.30 0.40 0.50 0.60 0.700.80 0.90 1.00

Normalized Histogram - Error


1
0.8
0.6

Appr C

0.4
0.2
0
-1.00-0.90-0.80-0.70-0.60-0.50-0.40-0.30-0.20-0.10 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00

Analysis:
Page 165 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 166 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

XY Plot of Averages by Size


1.00
0.90
0.80
0.70
0.60

Appr A
Appr B

0.50

Appr C
X=Y line

0.40
0.30
0.20
0.10
0.00
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00

Analysis:

Page 167 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 168 of 181

Appraisers

Date Performed

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Comparison XY Plot
1.00
0.90
0.80
0.70
Appr0.60
B
0.50
0.40
0.30
0.20
0.10
0.00
0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

0.70

0.80

0.90

1.00

Appr A

Comparison XY Plot
1.00
0.90
0.80
0.70
Appr0.60
C
0.50
0.40
0.30
0.20
0.10
0.00
0.00

0.10

0.20

0.30

0.40

0.50
Appr A

Page 169 of 181

0.60

1.00
0.90
0.80
0.70
GAGE
REPEATABILITY AND REPRODUCIBILITY DATA SHEET
0.60
Appr C
GRAPHICAL ANALYSIS
0.50
Part Number 0.40
Gage Name
Appraiser A
0.30NUMBER
Part Name
Gage Number
Appraiser B
0.20
NAME
Characteristic0.10
Specification
Gage Type
Appraiser C
Lower Upper
0.00
Characteristic Classification
Appraisers
Date Performed
0.00 0.10 0.20 Trials
0.30 0.40Parts0.50 0.60
0.70 0.80
0.90 1.00
Appr A

Page 170 of 181

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Appraisers

Date Performed

Comparison XY Plot
1.00
0.90
0.80
0.70
Appr0.60
C
0.50
0.40
0.30
0.20
0.10
0.00
0.00

0.10

0.20

0.30

0.40

0.50
Appr B

Analysis:

Page 171 of 181

0.60

0.70

0.80

0.90

1.00

GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET


GRAPHICAL ANALYSIS
Part Number

Gage Name

Appraiser A

Gage Number

Appraiser B

Gage Type

Appraiser C

NUMBER
Part Name

NAME
Characteristic

Specification

Lower Upper
Characteristic Classification

Trials

Parts

Page 172 of 181

Appraisers

Date Performed

VARIABLES CONTROL CHART ( x & R )

PART NO.

CHART NO.

MEASUREMENT EVALUATION
PART NAME (Product)

NUMBER

OPERATION (Process)

SPECIFICATION LIMITS

NAME
APPRAISER A

APPRAISER B

x=

APPRAISER C

UCL =

MACHINE

GAGE

UNIT OF MEASURE

ZERO EQUALS

AVERAGES (X BAR CHART)

LCL =

12.00

10.00

8.00

6.00

4.00

2.00

0.00
1

r=

UCL =

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

RANGES (R CHART)

LCL =

12.00

10.00

8.00

6.00

4.00

2.00

0.00
1

10

11

12

13

14

15

APPRAISER A
PART
NUMBER

R
E
A
D
I
N
G
S

1
2
3
4
5
SUM

SUM
NUM

16

17

18

19

20

21

22

23

24

25

APPRAISER B
7

10

26

27

28

29

30

APPRAISER C
7

10

10

VARIABLES CONTROL CHART ( x & R )

PART NO.

MEASUREMENT EVALUATION
PART NAME (Product)

CHART NO.

NUMBER

OPERATION (Process)

SPECIFICATION LIMITS

NAME
APPRAISER A

APPRAISER B

APPRAISER C

MACHINE

GAGE

UNIT OF MEASURE

ZERO EQUALS

HIGHLOW
** = APPRAISER OUT OF CONTROL

Computations for the Control Chart Method of Evaluating a Measurement Process


REPLICATION ERROR:

Average Subgroup Range = r =


Number of replications = Subgroup Size = r =
Estimate Replication Standard Deviation r / d2 = e =

CALCULATION FOR APPRAISER EFFECT:


no

d2*

2
3

1.410
1.906

d2

r
2
3
4

1.128
1.693
2.059

2.326

Appraiser Averages

Number of Appraisers = nA =

Number of Samples = n =

Range of Appraiser Averages = RA =

Appraiser
A
B
C

Average

0.00

Appraiser Effect = RA / d2* = A =


CALCULATIONS FOR MEASUREMENT ERROR STANDARD DEVIATION:
m

= SQRT ( e + A )

CALCULATIONS FOR SIGNAL TO NOISE RATIO:


no

d2*

2
3
4

1.410
1.906
2.237

5
6
7

2.477
2.669
2.827

8
9
10

2.961
3.076
3.178

Sample Averages

Range for these Sample Averages = Rp =

0.00

Estimate Sample to Sample Standard Deviation:


p

Rp / d2* =

Signal to Noise Ratio:


p / m =

Sample
1
2
3

Average

4
5
6
7
8
9
10

Thus the number of distinct categories that can be reliably distinguished by these measurements is:
ndc =

1.41 x p / m =

This is the number of non-overlapping 97% confidence intervals that will span the range of product variation. (A 97% confidence
interval centered on a single measurement would contain the actual product value that is represented by that measurement 97%
of the time.)

GAGE R STUDY

PART NO.

MEASUREMENT EVALUATION
PART NAME (Product)

CHART NO.

NUMBER

OPERATION (Process)

ZERO EQUALS

NAME
APPRAISER

MACHINE

GAGE

UNIT OF MEASURE

AVERAGES (X BAR CHART)


x=
UCL =

UPPER SPECIFICATION

LOWER SPECIFICATION

LCL =

12.00
10.00
8.00
6.00
4.00
2.00
0.00
1

RANGES (R CHART)
r=
UCL =

10

LCL =

1.00
0.80
0.60
0.40
0.20
0.00
1

READING

10

n/a

VALUE
R

HIGHLOW

** = POINT OUT OF CONTROL

GAGE R ANALYSIS
Data in control?

% Repeatability =

This method CANNOT be used for final gage acceptance without other complete and detailed MSA methods.

10

Bulk Materials Requirements Checklist

Project:

Required / Primary Responsibility


Target Date Customer Supplier
Product Design and Development Verification
Design Matrix
Design FMEA
Special Product Characteristics
Design Records
Prototype Control Plan
Appearance Approval Report
Master Samples
Test Results
Dimensional Results
Checking Aids
Engineering Approval
Process Design and Development Verification
Process Flow Diagrams
Process FMEA
Special Product Characteristics
Pre-launch Control Plan
Production Control Plan
Measurement System Studies
Interim Approval
Product and Process Validation
Initial Process Studies
Part Submission Warrant
Elements to be Completed as Needed
Customer Plant Connection
Customer Specific Requirements
Change Documentation
Supplier Considerations

Plan agreed to by: Name / Function

Company / Title / Date

Comments /
Conditions

Approved
by / date

BULK MATERIAL INTERIM APPROVAL FORM


ORGANIZATION
(VENDOR) NAME:

ORGANIZATION

ORGANIZATION
(VENDOR) CODE:
MANUF. SITE: CITY
ENG. CHANGE #: ECL
RECEIVED DATE:
SUBMISSION LEVEL:
TRACKING CODE:

CODE

PRODUCT NAME:

NAME

ENG. SPEC.:
PART #:
FORMULA DATE:
RECEIVED BY:
EXPIRATION DATE:
RE-SUBMISSION 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 Studies:

Measurement Systems Studies:

Dimensional Results

Master Sample

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 AT 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)


(PRINT NAME)
CUSTOMER APPROVALS (as needed):
PRODUCT ENG. (SIGNATURE)
(PRINT NAME)
MATERIALS ENG. (SIGNATURE)
(PRINT NAME)
QUALITY ENG. (SIGNATURE)
(PRINT NAME)

PHONE:
DATE:
PHONE:

DATE:

INTERIM APPROVAL NUMBER:

PRODUCT / PROCESS CHANGE NOTIFICATION


Complete this form and e-mail to your customer organization whenever customer notification is required by
the PPAP Manual in Table 3.1. Your customer will respond back with an acknowledgement and may
request additional change clarification or PPAP submission requirements.
To:

Customer: CUSTOMER

Organization Part Number:

Engineering Revision Level:

NUMBER

Customer Part Number:

DIVISION
Dated:

ECL

Engineering Revision Level:

Purchase Order Number:

Dated:

ECL DATE

Safety and/or Government Regulation:

APPLICATION

Application:

ORGANIZATION MANUFACTURING INFORMATION


Name:
Street Address:
City, State, Zip:

ORGANIZATION
ADDRESS
CITY
STATE

CODE

Code:

ZIP

Change Type (check all that apply)

Dimensional
Customer Plants Affected:

Design Responsibility:

Materials
Functional
Customer

Appearance

Organization

Organization Change That May Affect End Item:


Product

Change

Engineering
Change

Drawing

New 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:


E-MAIL:

FAX NO:
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.
March
2006

THE-1002

Part Submission Warrant

Truck Industry

NAME

Part Name

NUMBER

Customer Part Number

Rev.
If applicable

Tool PO Number

ECL

Engineering Drawing Change Level

Dated

Additional Engineering Changes

Dated

Shown on Drawing Number

Purchase Order No.

Checking Aid Number

Weight (kg)

Engineering Change Level

Dated

ORGANIZATION MANUFACTURING INFORMATION

SUBMISSION INFORMATION

ORGANIZATION

CUSTOMER

CODE

Organization Name and Code

DIVISION

Customer Name/Division

ADDRESS
Street Address

Customer Contact

CITY

STATE

ZIP

APPLICATION

City

State

Zip

Application

Note:

Does this part contain any restricted or reportable substances?

Yes

No

Are plastic parts identified with appropriate ISO marking codes?

Yes

No

REASON FOR SUBMISSION


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 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.
1

10

11 12

13 14 15 16

17 18

19

(check)
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's 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.

Title

555-555-5555

E-Mail
FOR CUSTOMER USE ONLY

PPAP Warrant Disposition:

Customer Signature
Print Name

March
2006

THE-1001

Approved
Interim
Approval

Rejected
Comment:
Date

Fax No.

Part Submission Warrant


NAME

Part Name

NUMBER

Cust. Part Number

Shown on Drawing Number

Org. Part Number

ECL

Engineering Change Level

Dated

Additional Engineering Changes

ECL DATE

Dated

Yes

Safety and/or Government Regulation


Checking Aid Number

No

Purchase Order No.

Weight (kg)

Checking Aid Eng. Change Level

ORGANIZATION MANUFACTURING INFORMATION

Dated

CUSTOMER SUBMITTAL INFORMATION

ORGANIZATION

CODE

CUSTOMER

Supplier Name & Supplier/Vendor Code

DIVISION

Customer Name/Division

ADDRESS
Street Address

Buyer/Buyer Code

CITY

STATE

ZIP

City

Region

Postal Code

APPLICATION
Country

Application

MATERIALS REPORTING
Has customer-required Substances of Concern information been reported?

Yes

No

Yes

No

Submitted by IMDS or other customer format:

Are polymeric parts identified with appropriate ISO marking codes?

n
/
a

REASON FOR SUBMISSION (Check 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 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 organization's manufacturing location.
SUBMISSION RESULTS
The results for

dimensional
measurements

These results meet all design record requirements:

material and
functional tests
Yes
NO

appearance
criteria

statistical
package

process

(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 at the production
rate of ____/____ hours. I also certify that documented evidence of such compliance is on file and available for your review. I have noted
any deviation from this declaration below.
EXPLANATION/COMMENTS:

Is each Customer Tool properly tagged and numbered?

Yes

No

n/a

Organization Authorized Signature

Date

Print Name
Title

Phone No.

555-555-5555

Fax No.

E-mail
FOR CUSTOMER USE ONLY (IF APPLICABLE)

PPAP Warrant Disposition:

Approved

Rejected

Other

Customer Signature
Print Name

March
2006

CFG-1001

Date
Customer Tracking Number (optional)

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