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YES NO: Supplier To Complete

This document is a supplier request for engineering approval. It provides information about a proposed change to a supplier part or assembly, including a description of the change, its potential effects, and whether it will impact interchangeability, assembly, components, shipping schedules, or require tooling/facility changes. The supplier representative signs the request and the product engineering representative will approve or reject the change, providing reasons for rejection or qualifying conditions if approved.

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Sudha
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144 views1 page

YES NO: Supplier To Complete

This document is a supplier request for engineering approval. It provides information about a proposed change to a supplier part or assembly, including a description of the change, its potential effects, and whether it will impact interchangeability, assembly, components, shipping schedules, or require tooling/facility changes. The supplier representative signs the request and the product engineering representative will approve or reject the change, providing reasons for rejection or qualifying conditions if approved.

Uploaded by

Sudha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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SUPPLIER REQUEST FOR ENGINEERING APPROVAL

DATE :
SUPPLIER TO COMPLETE
SUPLIER NAME AND ADDRESS

FORD AND/OR SUPPLIER PART NAME AND PART NUMBER OF ASSEMBLY AND ITS COMPONENT EMISSION CONTROL
CODE NUMBER

(SEE FORM 0
74 - 107 ) .

CONTROL ITEM

AFFECTED

YES NO

DESCRIPTION OF CHANGE DESIGN COMPOSITION WEIGHT PROCESSING

EFFECT OF CHANGE

TOOLING OR FACILITY CHANGES REQUIRED


INTERCHANGEABILITY AFFECTED TIME REQ'D TO INCOPORATE CHANGE
YES NO
ASSEMBLY YES NO AFTER APPROVAL IF YES , COST EFFECT .
COMPONENTS
YES NO
WILL INCORPORATION OF CHANGE PIECE COST AFFECTED -
YES NO
AFFECT SHIPPING SCHEDULE ? SIGNATURE: IF YES , COST EFFECT -

YES NO SUPPLIER REPRESENTATIVE

PRODUCT ENGINEERING TO COMPLETE


APPROVED RELEASE ACTION REQ'D, NOTICE # . Rejected
BY DATE CONCURRED BY DATE
signature . SIGNATURE
BLANKET APPROVAL GRANTED FOR SUBSEQUENT CHANGES SUPPLIER CHECKLIST SAMPLES OF CHANGED COMPONENT REQUIRED
WHICH ARE SAME AS DIRECTED ABOVE

YES NO YES NO YES NO


REASON FOR REJECTION OR QUALIFYING CONDITIONS OF ACCEPTANCE

REVIEWIED BY :
SQA DATE PURCHASING DATE .
* THIS APPROVAL IS GRANTED UPON THE UNDERSTANDING THAT IT IS ADVISORY IN NATURE AND IN NO MANNER CHANGES THE SELLERS
ORIGINAL RESPONSIBILITY FOR INSURING THAT ALL CHARACTERISTICS, DESIGNATED IN THE APPLICABLE ENGINEERING SPECIFICATION AND / OR
INHERENT IN THE SAMPLES AS ORIGINALLY TESTED AND APPROVED , MAINTAINED . SELLER ACCEPTS FULL RESPONSIBILLITY FOR CHANGES
OR TYPES OF CHANGES LISTED ABOVE ; AND SHOULD SUCH CHANGES RESULTS IN LESS SATIFACTORY PERFORMANCE THAN EXPERIENCED WITH
THE ORIGINALLY APPROVED ITEM, SELLER WILL FULLY REIMBURSE THE BUYER FOR ALL EXPENCES INCURRED TO CORRECT THE DEFICIENCY .

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