APQP/PPAP

WORKBOOK V2.0a
Copyright © 1998,1999 March Quality Services

Part Name NAME

Part Number NUMBER
Engineering Change Level ECL
Engineering Change Level Date ECL DATE

Supplier Name SUPPLIER

Supplier Code CODE
Street Address ADDRESS
City CITY
State STATE
Zip ZIP
Phone Number 555-555-5555

Customer Name GM
Division DIVISION
Application 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 EDITION PRINTING

ADVANCED PRODUCT QUALITY PLANNING AND CONTROL PLAN First Feb-95
REFERENCE MANUAL
MEASUREMENT SYSTEM ANALYSIS Second Jun-98
POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS Second Feb-95
PRODUCTION PART APPROVAL Third Sep-99
 A-1 DESIGN FMEA CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
1 Was the SFMEA and/or DFMEA prepared using
the DaimlerChrysler, Ford, and General Motors
Potential Failure Mode and Effects Analysis
(FMEA) reference manual?
2 Have historical campaign and warranty data been
reviewed?
3 Have similar part DFMEAs been considered?
4 Does the SFMEA and/or DFMEA identify Special
Characteristics?
5 Have design characteristics that affect high risk
priority failure modes been identified?
6 Have appropriate corrective actions been
assigned to high risk priority numbers?
7 Have appropriate corrective actions been
assigned to high severity numbers?
8 Have risk priorities been revised when corrective
actions have been completed and verified?

Revision Date:

Prepared By:

Page 3 of 103
 A-2 DESIGN INFORMATION CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
A. General
Does the design require:
1 l New materials?
/
2 l Special tooling? /

3 Has assembly build variation analysis been

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

Page 4 of 103
 A-2 DESIGN INFORMATION CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
13 Is bill of material complete?
/
14 Are Special Characteristics properly documented?

B. Engineering Drawings
15 Have dimensions that affect fit, function and
durability been identified?
16 Are reference dimensions identified to minimize
inspection layout time?
17 Are sufficient control points and datum surfaces
identified to design functional gages?
18 Are tolerances compatible with accepted
manufacturing standards?
19 Are there any requirements specified that cannot
be evaluated using known inspection techniques?

C. Engineering Performance Specifications

20 Have all special characteristics been identified?
/
21 Is test loading sufficient to provide all conditions,
i.e., production validation and end use?
22 Have parts manufactured at minimum and
maximum specifications been tested?

Page 5 of 103
 A-2 DESIGN INFORMATION CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
23 Can additional samples be tested when a reaction
plan requires it, and still conduct regularly
scheduled in-process tests?
24 Will all product testing be done in-house?
/
25 If not, is it done by an approved subcontractor?
/
26 Is the specified test sampling size and/or
frequency feasible?
27 If required, has customer approval been obtained
for test equipment?
D. Material Specification
28 Are special material characteristics identified?
/
29 Are specified materials, heat treat and surface
treatments compatible with the durability
requirements in the identified environment?
30 Are the intended material suppliers on the
customer approved list?
31 Will material suppliers be required to provide
certification with each shipment?
32 Have material characteristics requiring inspection
been identified? If so,

33 l Will characteristics be checked in-house?

/

Page 6 of 103
 A-2 DESIGN INFORMATION CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
34 l Is test equipment available?
/
35 l Will training be required to assure accurate
test results?
36 Will outside laboratories be used?
/
37 Are all laboratories used accredited (if required)?
/
Have the following material requirements been considered:
38 l Handling?
/
39 l Storage?
/
40 l Environmental?
/

Revision Date

Prepared By:

Page 7 of 103
 A-3 NEW EQUIPMENT, TOOLING, AND TEST EQUIPMENT CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
Does the design require:
1 l New materials?
/
2 l Quick
change? /
3 l Volume fluctuations?
/
4 l Mistake proofing?
/
Have lists been prepared identifying:
5 l New equipment?
/
6 l New tooling?
/
7 l New test equipment?
/
Has acceptance criteria been agreed upon for:
8 l New equipment?
/
9 l New tooling?
/
10 l New test equipment?
/
11 Will a preliminary capability study be conducted at
the tooling and/or equipment manufacturer?
12 Has test equipment feasibility and accuracy been
established?

Page 8 of 103
 A-3 NEW EQUIPMENT, TOOLING, AND TEST EQUIPMENT CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
13 Is a preventive maintenance plan complete for
equipment and tooling?
14 Are setup instructions for new equipment and
tooling complete and understandable?
15 Will capable gages be available to run preliminary
process capability studies at the equipment
supplier's facility?
16 Will preliminary process capability studies be run
at the processing plant?
17 Have process characteristics that affect special
product characteristics been identified?
18 Were special product characteristics used in
determining acceptance criteria?
19 Does the manufacturing equipment have sufficient
capacity to handle forecasted production and
service volumes?
20 Is testing capacity sufficient to provide adequate
testing?

Revision Date

Prepared By:

Page 9 of 103
 A-4 PRODUCT/PROCESS QUALITY CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
1 Is the assistance of the customer's quality
assurance or product engineering activity needed
to develop or concur to the control plan?

2 Has the supplier identified who will be the quality

liaison with the customer?
3 Has the supplier identified who will be the quality
liaison with its suppliers?
4 Has the quality assurance system been reviewed
using the Chrysler, Ford, and General Motors
Quality System Assessment?

Are there sufficient personnel identified to cover:

5 l Control plan requirements?
/
6 l Layout inspection?
/
7 l Engineering performance testing?
/
8 l Problem resolution analysis?
/
Is there a documented training program that:
9 l Includes all employees?
/
10 l Lists whose been trained?
/
11 l Provides a training schedule?
/
Has training been completed for:
12 l Statistical process control?
/

THIS CHECKLIST IS NOT INTENDED TO REPLACE THE CHRYSLER, FORD, AND GENERAL MOTORS QUALITY SYSTEM ASSESSMENT. Page 10 of 103
 A-4 PRODUCT/PROCESS QUALITY CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
13 l Capability studies?
/
14 l Problem solving?
/
15 l Mistake proofing?
/
16 l Other topics as identified?
/
17 Is each operation provided with process
instructions that are keyed to the control plan?
18 Are standard operator instructions available at
each operation?
19 Were operator/team leaders involved in
developing standard operator instructions?
Do inspection instructions include:
20 l Easily understood engineering performance
specifications?
21 l Test frequencies?
/
22 l Sample sizes?
/
23 l Reaction plans?
/
24 l Documentation?
/
Are visual aids:
25 l Easily understood?
/
26 l Available?
/

THIS CHECKLIST IS NOT INTENDED TO REPLACE THE CHRYSLER, FORD, AND GENERAL MOTORS QUALITY SYSTEM ASSESSMENT. Page 11 of 103
 A-4 PRODUCT/PROCESS QUALITY CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
27 l Accessible? /

28 l Approved?
/
29 l Dated and current?
/
30 Is there a procedure to implement, maintain, and
establish reaction plans for statistical control
charts?
31 Is there an effective root cause analysis system in
place?
32 Have provisions been made to place the latest
drawings and specifications at the point of the
inspection?
33 Are forms/logs available for appropriate personnel
to record inspection results?
Have provisions been made to place the following at the monitored operation:
34 l Inspection gages?
/
35 l Gage instructions?
/
36 l Reference samples?
/
37 l Inspection logs? /

38 Have provisions been made to certify and

routinely calibrate gages and test equipment?
Have required measurement system capability studies been:
39 l Completed?
/

THIS CHECKLIST IS NOT INTENDED TO REPLACE THE CHRYSLER, FORD, AND GENERAL MOTORS QUALITY SYSTEM ASSESSMENT. Page 12 of 103
 A-4 PRODUCT/PROCESS QUALITY CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
40 l Acceptable?
/
41 Are layout inspection equipment and facilities
adequate to provide initial and ongoing layout of
all details and components?
Is there a procedure for controlling incoming product that identifies:
42 l Characteristics to be inspected?
/
43 l Frequency of
inspection? /
44 l Sample size? /

45 l Designated location for approved product?

/
46 l Disposition of nonconforming products?
/
47 Is there a procedure to identify, segregate, and
control nonconforming products to prevent
shipment?
48 Are rework/repair procedures available?
49 Is there a procedure to requalify
repaired/reworked material?
50 Is there an appropriate lot traceability procedure?

51 Are periodic audits of outgoing products planned

and implemented?
52 Are periodic surveys of the quality system planned
and implemented?
53 Has the customer approved the packaging
specification?

THIS CHECKLIST IS NOT INTENDED TO REPLACE THE CHRYSLER, FORD, AND GENERAL MOTORS QUALITY SYSTEM ASSESSMENT. Page 13 of 103
 A-4 PRODUCT/PROCESS QUALITY CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible

Revision Date

Prepared By:

THIS CHECKLIST IS NOT INTENDED TO REPLACE THE CHRYSLER, FORD, AND GENERAL MOTORS QUALITY SYSTEM ASSESSMENT. Page 14 of 103
 A-5 FLOOR PLAN CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
1 Does the floor plan identify all required process
and inspection points?
2 Have clearly marked areas for all material, tools,
and equipment at each operation been
considered?
3 Has sufficient space been allocated for all
equipment?
Are process and inspection areas:
4 l Of adequate
size? /
5 l Properly
lighted? /
6 Do inspection areas contain necessary equipment
and files?
Are there adequate:
7 l Staging
areas? /
8 l Impound areas? /

9 Are inspection points logically located to prevent

shipment of nonconforming products?
10 Have controls been established to eliminate the
potential for an operation, including outside
processing, to contaminate or mix similar
products?
11 Is material protected from overhead or air
handling systems contamination?

Page 15 of 103
 A-5 FLOOR PLAN CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
12 Have final audit facilities been provided?
13 Are controls adequate to prevent movement of
nonconforming incoming material to storage or
point of use?

Revision Date

Prepared By:

Page 16 of 103
 A-6 PROCESS FLOW CHART CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
1 Does the flow chart illustrate the sequence of
production and inspection stations?
2 Were all appropriate FMEA's (SFMEA, DFMEA)
available and used as aids to develop the process
flow chart?
3 Is the flow chart keyed to product and process
checks in the control plan?
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 Have potential quality problems due to handling
and outside processing been identified and
corrected?

Revision Date

Prepared By:

Page 17 of 103
 A-7 PROCESS FMEA CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
1 Was the Process FMEA prepared using the
Chrysler, Ford, and General Motors guidelines?
2 Have all operations affecting fit, function,
durability, governmental regulations and safety
been identified and listed sequentially?
3 Were similar part FMEA's considered?
4 Have historical campaign and warranty data been
reviewed?
5 Have appropriate corrective actions been planned
or taken for high risk priority items?
6 Have appropriate corrective actions been planned
or taken for high severity numbers?
7 Were risk priorities numbers revised when
corrective action was completed?
8 Were high severity numbers revised when a
design change was completed?
9 Do the effects consider the customer in terms of
the subsequent operation, assembly, and
product?
10 Was warranty information used as an aid in
developing the Process FMEA?
11 Were customer plant problems used as an aid in
developing the Process FMEA?
12 Have the causes been described in terms of
something that can be fixed or controlled?
13 Where detection is the major factor, have
provisions been made to control the cause prior to
the next operation?

Revision Date

Page 18 of 103
 A-7 PROCESS FMEA CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
Prepared By:

Page 19 of 103
 A-8 CONTROL PLAN CHECKLIST
Customer or Internal Part No. NUMBER

Person
Question Yes No Comment / Action Required Due Date
Responsible
1 Was the control plan methodology referenced in
Section 6 used in preparing the control plan?
2 Have all known customer complaints been
identified to facilitate the selection of special
product/process characteristics?
3 Are all special product/process characteristics
included in the control plan?
4 Were SFMEA, DFMEA, and PFMEA used to
prepare the control plan?
5 Are material specifications requiring inspection
identified?
6 Does the control pan address incoming
(material/components) through
processing/assembly including packaging?
7 Are engineering performance testing 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 gage methods compatible between supplier
and customer?

Revision Date

Prepared By:

Page 20 of 103
 TEAM FEASIBILITY COMMITMENT
Customer: GM Date:

Part Number: NUMBER Part Name: NAME

Feasibility Considerations
Our product quality planning team has considered the following questions, not intended to be all-inclusive in
performing a feasibility evaluation. 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 our concerns and/or proposed changes to enable us 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 Cpk's 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 without incurring any unusual:
- 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?
- Are Cpk's greater than 1.33?

Conclusion

Feasible Product can be produced as specified with no revisions.

Feasible Changes recommended (see attached).
Not Feasible Design revision required to produce product within the specified requirements.

Sign-Off

Team Member/Title/Date Team Member/Title/Date

Team Member/Title/Date Team Member/Title/Date

Team Member/Title/Date Team Member/Title/Date

REVIEW DATE MODEL YEAR
SUPPLIER SUPPLIER VEHICLE LINE
PART NUMBER NUMBER SUPPLIER CODE CODE
PART NAME NAME

Initial Risk Evaluation Checklist

Item Levels of Concern

No. Questions Low Med. High Comments
DESIGN CATEGORY
1 - New Commodity For Selected Supplier? (RISK DRIVER*) *
2 - New Materials or Technology? (RISK DRIVER*) *
3 - New/Different Application of a Carry-Over Part? (RISK DRIVER*) *
4 - New Design Concept?
5 - Are there Safety/Emissions/Noise Requirements?
6 - Offshore Engineering Site?
7 - Will Design Need To Be Coordinated With Mating
Parts For Fit, Function, or Appearance?
8 - Are There Other Car Line Applications Planned?
9 - Any Historic Quality/Warranty Issues?
10 - Is Program Timing An Issue?
11 - Are Sample Submission Dates Too Late for MTS's?
MANUFACTURING CATEGORY
12 - New Manufacturing Facility? (RISK DRIVER*) *
13 - Is This a New Manufacturing Process? (RISK DRIVER*) *
14 - A Part or System With Historical Launch Problems? (RISK DRIVER*) *
15 - Offshore Manufacturing Site?
16 - Will Supplier Need Source Evaluation?
17 - Is New Production Equipment Required?
18 - Are Special Tools or Tooling Fixtures Required?
19 - Are Gages or Check Fixtures Required to Ensure Dimensional Integrity?
20 - Any Potential Handling or Shipping Issues?
21 - Will Parts Ever Be Shipped From a Location
Other Than The Primary Source (i.e. Warehouse,
Offshore, etc.)
22 - Will Returnable Packaging Be Required?
23 - Is JIT Delivery or Sequenced Part Delivery Required?
ASSEMBLY CATEGORY
24 - Is Part Installation an Issue?
25 - Are Special Tools/Fixtures Required to Install Part in Vehicle?
SERVICE CATEGORY
26 - Is Part Serviceability a Problem?
27 - Are Special Tools/Fixtures Required?
OTHER CATEGORY
28 - Other?
29 - Other?

NOTE: * INDICATES RISK DRIVER - PROCESS SPECIALIST ASSISTANCE MAY BE REQUIRED

PSSP0005;REV 7 - INITIAL RISK EVALUATION FORMS PAGE 22 OF 103

REVIEW DATE MODEL YEAR
SUPPLIER SUPPLIER VEHICLE LINE
PART NUMBER NUMBER SUPPLIER CODE CODE
PART NAME NAME

Initial Risk Evaluation Summary

INITIAL RISK EVALUATION RATING (Select One Below)
(Refer to Initial Risk Evaluation Checklist)

LOW LEVEL OF CONCERN INITIAL RISK EVALUATION TEAM INDICATES A LOW LEVEL OF
CONCERN REGARDING THE SUCCESS OF SUPPLYING THIS PRODUCT.

MEDIUM LEVEL OF CONCERN INITIAL RISK EVALUATION TEAM INDICATES THAT THERE IS A MEDIUM
LEVEL OF CONCERN REGARDING ONE OR MORE CATEGORIES
ASSURING THE SUCCESS OF SUPPLYING THIS PRODUCT.

HIGH LEVEL OF CONCERN INITIAL RISK EVALUATION TEAM INDICATES THAT THERE IS A HIGH
LEVEL OF CONCERN REGARDING ONE OR MORE CATEGORIES, (OR
ONE OR MORE RISK DRIVERS) ASSURING THE SUCCESS OF
SUPPLYING THIS PRODUCT.

LIST HIGH CONCERN ITEMS

LIST MEDIUM CONCERN ITEMS

SIGNATURE DATE

TEAM MEMBERS

ENGINEERING

SUPPLIER QUALITY

SUPPLIER MANAGEMENT

ADVANCED MFG.

SUPPLIER

SERVICE

PSSP0005;REV 7 - INITIAL RISK EVALUATION FORMS PAGE 23 OF 103

 PRODUCT QUALITY PLANNING SUMMARY AND SIGN-OFF
DATE:

PRODUCT NAME: NAME PART NUMBER: NUMBER

CUSTOMER: GM MANUFACTURING PLANT: CITY

1. PRELIMINARY PROCESS CAPABILITY STUDY 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 ACCEPTABLE PENDING*
DIMENSIONAL
VISUAL
LABORATORY
PERFORMANCE

4. GAGE AND TEST EQUIPMENT

MEASUREMENT SYSTEM ANALYSIS QUANTITY
REQUIRED ACCEPTABLE PENDING*
SPECIAL CHARACTERISTIC

5. PROCESS MONITORING
QUANTITY
PROCESS MONITORING INSTRUCTIONS REQUIRED ACCEPTABLE PENDING*
PROCESS SHEETS
VISUAL AIDS

6. PACKAGING/SHIPPING QUANTITY
REQUIRED ACCEPTABLE PENDING*
PACKAGING APPROVAL
SHIPPING TRIALS

7. SIGN-OFF

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.

 PROCESS SIGN-OFF CHECKLIST

ELEMENTS 1 THROUGH 19
COMPLETE AND APPROVED

ALL PROCESS SIGN-OFF ELEMENTS APPROVED: YES NO

SUPPLIER SUPPLIER PROGRAM

MFG. LOCATION CITY SUPPLIER CODE CODE
PART NUMBER(S) NUMBER PART NAME(S) NAME
CHANGE LEVEL(S) ECL PRE-PSO MEETING PLACE
FPSC REVIEWED WITH SUPPLIER YES DATE PSO PLANT VISIT DATE

PSO PROCESS ELEMENTS VERIFIED DURING PLANT VISIT

DOCUMENTATION PROCESS
ACCEPT UNACCEPT ACCEPT UNACCEPT
1 PART NUMBER, DESCRIPTION AND CHANGE LEVEL
2 PROCESS FLOW DIAGRAM AND MANUFACTURING FLOOR PLAN
3 DESIGN FMEA AND PROCESS FMEA
4 ERROR AND MISTAKE PROOFING COMPLETE
5 PROBLEM SOLVING METHODS
6 INCOMING AND OUTCOMING MATERIAL QUALIF/CERT PLAN
7 TEST SAMPLE SIZES AND FREQUENCIES
8 PARTS PACKAGING AND SHIPPING SPECIFICATIONS
9 PARTS HANDLING PLAN
10 ENGINEERING STANDARDS IDENTIFIED
11 PREVENTIVE MAINTENANCE PLANS
12 PRODUCT QUALITY PLAN (PQP)
13 GAGE AND TEST EQUIPMENT EVALUATION
14 TOOLING, EQUIPMENT, AND GAGES IDENTIFIED
15 SPECIAL PRODUCT AND PROCESS CHARACTERISTICS IDENTIFIED
16 CONTROL PLAN
17 EVIDENCE OF PRODUCT SPECIFICATIONS
18 PROCESS MONITORING AND OPERATING INSTRUCTIONS
19 LINE SPEED DEMONSTRATION

PSO PROCESS ELEMENTS VERIFIED FOLLOWING PLANT VISIT

DOCUMENTATION PROCESS
ACCEPT UNACCEPT ACCEPT UNACCEPT
20 INITIAL PROCESS STUDY
21 BSR/NVH
22 PRODUCTION VALIDATION TESTING COMPLETE

CORRECTIVE ACTION REQUIRED YES NO DATE

ON-SITE REVISIT REQUIRED YES NO DATE

Chrysler Corporation Process Sign-Off Team Supplier

ENGINEERING PRINT NAME AND SIGN QUALITY ASSURANCE MANAGER PRINT NAME AND SIGN

SUPPLIER QUALITY PRINT NAME AND SIGN MANUFACTURING MANAGER PRINT NAME AND SIGN

ENGINEERING PRINT NAME AND SIGN PLANT MANAGER PRINT NAME AND SIGN

PROCESS SIGN-OFF CHECKLIST

COMMENTS/FOLLOW-UP SHEET
Page 25 of 103
SUPPLIER SUPPLIER PROGRAM
MFG. LOCATION CITY SUPPLIER CODE CODE
PART NUMBER(S) NUMBER PART NAME(S) NAME
CHANGE LEVEL(S) ECL PRE-PSO MEETING PLACE

ELEMENT TARGET
ISSUE / ACTION RESPONSIBILITY
NUMBER DATE

COMPLIANCE REPORT
Page 26 of 103
SUPPLIER SUPPLIER PROGRAM
MFG. LOCATION CITY SUPPLIER CODE CODE
PART NUMBER(S) NUMBER PART NAME(S) NAME
CHANGE LEVEL(S) ECL PRE-PSO MEETING PLACE

- As part of the PSO, the actual measurement process must be witnessed and or verified by the PSO Team.
- A minimum of 3 characteristics are to be checked. For any given part, assembly, or process, the number of characteristics
selected depends upon the complexity.
- A minimum of 25 randomly selected samples shall be checked.
- Variable data is preferred but attribute data is acceptable.
- Minimum value for Pp and Ppk should be 1.67 or greater.
- Based on sample size of 25 for attribute data one or more nonconformances is unacceptable.

SUMMARY EXAMPLE

CHARACTERISTIC/SPEC SAMPLE SIZE Pp/Ppk ACC/UNACC

Length (3.6 - 7.5mm) 25 1.3/1.1 UNACC
Width (1.2 - 1.8mm) 25 1.4/1.2 UNACC
Hole Size (2.0 +/-.02mm) 25 1.8/1.7 ACC

DATA

CHARACTERISTIC/SPEC SAMPLE SIZE Pp/Ppk ACC/UNACC

KEY: NOTE: Attach supporting detailed

ACC = Acceptable data and worksheets
LSL = Lower Specification Limit GOAL:
Pp = (USL - LSL)/6S Pp, Ppk > 1.67
Ppk = The smaller of... (USL - X)/3S or (X - LSL)/3S The difference between Pp and Ppk should be as
s = Sample Standard Deviation small as possible.
UNACC = Unacceptable Ideally Pp - Ppk = 0
USL = Upper Specification Limit
x-bar = Mean of the Sample Measurements

ADDITIONAL REQUIREMENTS
Page 27 of 103
SUPPLIER SUPPLIER PROGRAM
MFG. LOCATION CITY SUPPLIER CODE CODE
PART NUMBER(S) NUMBER PART NAME(S) NAME
CHANGE LEVEL(S) ECL PRE-PSO MEETING PLACE

Forever Requirements And Their Impact On The

Extended EnterpriseTM Reviewed With Supplier.

PRODUCTION DEMONSTRATION RESULTS

ELEMENT 19 - LINE SPEED:

Quantity Unit of Measure Line Shared: Yes / No

Quoted Peak Daily Line Rate Number of Shifts (SH):
PSO Line Speed Observed Hours / Shift (HR):
Days / Week (DY):

Example: Quantity Unit of Measure Line Shared: Yes / No

Quoted Peak Daily Line Rate 100 Pieces Per Hour Number of Shifts (SH): 2
PSO Line Speed Observed 100 Pieces Per Hour Hours / Shift (HR): 8
Days / Week (DY): 5
COMMENTS:

ELEMENT 20
INITIAL PROCESS STUDY
Characteristic Type Quantity Quantity Process Performance
and Tolerance (Attribute / Variable) Processed Inspected Qty Accepted Pp / Ppk

FIRST TIME CAPABILITY

Quantity Quantity FTC Percent
Operation Attempted Accepted (without Repairs)
1-
2-
3-
4-
5-
6-

TOTAL

Record the quantity of parts built during the Production Demonstration Run. Deviations from
requirements (minimum of two hours or 300 pieces, whichever is more stringent) must be explained:

Page 28 of 103
 PART HISTORY
Part Number Part Name
NUMBER NAME

Date Remarks

Page 29 of 103
Page 30 of 103
 PROCESS / INSPECTION FLOWCHART

Product Program Issue Date ECL ECL

Supplier Name SUPPLIER Part Name NAME
Supplier Location CITY STATE Part Number NUMBER

Legend:
Operation Transportation Inspection Delay Storage

Operation or Event Description of Evaluation

Operation or Event and Analysis Methods

Page 31 of 103
 PROCESS / INSPECTION FLOWCHART

Product Program Issue Date ECL ECL

Supplier Name SUPPLIER Part Name NAME
Supplier Location CITY STATE Part Number NUMBER

Legend:
Operation Transportation Inspection Delay Storage

Operation or Event Description of Evaluation

Operation or Event and Analysis Methods

Page 32 of 103
 PROCESS FLOW DIAGRAM
PART NUMBER: NUMBER DATE:
PART DESCRIPTION: ECL: ECL
NAME PREPARED BY:
FABRICATION

INSPECT
STORE
MOVE

PRODUCT AND

ITEM #

ITEM #
OPERATION PROCESS CONTROL
STEP DESCRIPTION CHARACTERISTICS METHODS

Page 33 of 103
 PROCESS FLOW DIAGRAM
PART NUMBER: NUMBER DATE:
PART DESCRIPTION: ECL: ECL
NAME PREPARED BY:
FABRICATION

INSPECT
STORE
MOVE

PRODUCT AND

ITEM #

ITEM #
OPERATION PROCESS CONTROL
STEP DESCRIPTION CHARACTERISTICS METHODS

Page 34 of 103
 PROCESS FLOW JOB #
Part # ECL Process Responsibility Prepared By

Part Name Product Line Core Team Date (revised)

Component to Assembly Name Key Date Date (original)

Process Flow Diagram Operation Potential Quality Problems Product Characteristics Process Characteristics

operation w/auto inspection

w/mult product streams

transportation storage

inspection

decision Delay

operator partial

rework R
 CHARACTERISTIC MATRIX
Part Number Engineering Change Level Part Name
NUMBER 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 OPERATION NUMBER

NUMBER DESCRIPTION TOLERANCE

Page 36 of 103
 CHARACTERISTIC MATRIX
Part Number Engineering Change Level Part Name
NUMBER 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 OPERATION NUMBER

NUMBER DESCRIPTION TOLERANCE

Page 37 of 103
DESIGN MATRIX -
Product Code / Description: Project #:
POTENTIAL CAUSES FUNCTION - DESIRED ATTRIBUTES (POTENTIAL FAILURE MODES)

ROBUST THRESHOLD RANGE

Prelim. Special Characteristics

PROCESSABILITY

ENVIRONMENTAL
FAILURE

UNITS
CATEGORY /

PERFORMANCE
APPEARANCE
CHARACTERISTICS

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

 POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # NUMBER Rev. ECL (DESIGN FMEA) FMEA Number: FILE.XLS
System/Subsystem/Component: Design Responsibility: SUPPLIER Prepared by:
Model Year(s)/Vehicle(s) APPLICATION Key Date Date (Orig.)
Team: Date (Rev.)
C Potential O D
Item/ Potential Potential S l Cause(s)/ c Current e R. Recommended Responsibility Action Results
Function Failure Effect(s) of e a Mechanism(s) c Design t P. Actions & Target Actions S O D R.
Mode Failure v s of Failure u Controls e N. Date Taken e c e P.
s r c v c t N.

Page 39 of 103
 POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # NUMBER Rev. ECL (DESIGN FMEA) FMEA Number: FILE.XLS
System/Subsystem/Component: Design Responsibility: SUPPLIER Prepared by:
Model Year(s)/Vehicle(s) APPLICATION Key Date Date (Orig.)
Team: Date (Rev.)
C Potential O D
Item/ Potential Potential S l Cause(s)/ c Current e R. Recommended Responsibility Action Results
Function Failure Effect(s) of e a Mechanism(s) c Design t P. Actions & Target Actions S O D R.
Mode Failure v s of Failure u Controls e N. Date Taken e c e P.
s r c v c t N.

Page 40 of 103
 POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # NUMBER Rev. ECL (PROCESS FMEA) FMEA Number: FILE.XLS
Item: NAME Process Responsibility: SUPPLIER Prepared by:
Model Year(s)/Vehicle(s) APPLICATION Key Date Date (Orig.)
Team: Date (Rev.)
C Potential O D
Process Potential Potential S l Cause(s)/ c Current e R. Recommended Responsibility Action Results
Function/ Failure Effect(s) of e a Mechanism(s) c Process t P. Actions & Target Actions S O D R.
Require- Mode Failure v s of Failure u Controls e N. Date Taken e c e P.
ments s r c v c t N.

Page 41 of 103
 POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # NUMBER Rev. ECL (PROCESS FMEA) FMEA Number: FILE.XLS
Item: NAME Process Responsibility: SUPPLIER Prepared by:
Model Year(s)/Vehicle(s) APPLICATION Key Date Date (Orig.)
Team: Date (Rev.)
C Potential O D
Process Potential Potential S l Cause(s)/ c Current e R. Recommended Responsibility Action Results
Function/ Failure Effect(s) of e a Mechanism(s) c Process t P. Actions & Target Actions S O D R.
Require- Mode Failure v s of Failure u Controls e N. Date Taken e c e P.
ments s r c v c t N.

Page 42 of 103
 CONTROL PLAN
Prototype Pre-Launch Production
Control Plan Number Key Contact/Phone Date (Orig.) Date (Rev.)
FILE.XLS 555-555-5555 1/1/1996 1/1/1996
Part Number/Latest Change Level Core Team Customer Engineering Approval/Date (If Req'd.)
NUMBER ECL
Part Name/Description Supplier/Plant Approval/Date Customer Quality Approval/Date (If Req'd.)
NAME
Supplier/Plant Supplier Code Other Approval/Date (If Req'd.) Other Approval/Date (If Req'd.)
SUPPLIER CODE
MACHINE,
CHARACTERISTICS METHODS
PART/ PROCESS NAME/ DEVICE, SPECIAL
PROCESS OPERATION JIG,TOOLS, CHAR. PRODUCT/PROCESS EVALUATION/ SAMPLE REACTION
NUMBER DESCRIPTION FOR MFG. NO. PRODUCT PROCESS CLASS SPECIFICATION/ MEASUREMENT SIZE FREQ. CONTROL PLAN
TOLERANCE TECHNIQUE METHOD

Page 43 of 103
 CONTROL PLAN
Prototype Pre-Launch Production
Control Plan Number Key Contact/Phone Date (Orig.) Date (Rev.)
FILE.XLS 555-555-5555 1/1/1996 1/1/1996
Part Number/Latest Change Level Core Team Customer Engineering Approval/Date (If Req'd.)
NUMBER ECL
Part Name/Description Supplier/Plant Approval/Date Customer Quality Approval/Date (If Req'd.)
NAME
Supplier/Plant Supplier Code Other Approval/Date (If Req'd.) Other Approval/Date (If Req'd.)
SUPPLIER CODE
MACHINE,
CHARACTERISTICS METHODS
PART/ PROCESS NAME/ DEVICE, SPECIAL
PROCESS OPERATION JIG,TOOLS, CHAR. PRODUCT/PROCESS EVALUATION/ SAMPLE REACTION
NUMBER DESCRIPTION FOR MFG. NO. PRODUCT PROCESS CLASS SPECIFICATION/ MEASUREMENT SIZE FREQ. CONTROL PLAN
TOLERANCE TECHNIQUE METHOD

Page 44 of 103
 CONTROL PLAN SPECIAL CHARACTERISTICS
Prototype Pre-Launch Production
Control Plan Number Key Contact/Phone Date (Orig.) Date (Rev.)
FILE.XLS 555-555-5555 1/1/1996 1/1/1996
Part Number/Latest Change Level Core Team Customer Engineering Approval/Date (If Req'd.)
NUMBER ECL
Part Name/Description Supplier/Plant Approval/Date Customer Quality Approval/Date (If Req'd.)
NAME
Supplier/Plant Supplier Code Other Approval/Date (If Req'd.) Other Approval/Date (If Req'd.)
SUPPLIER CODE
No. Description/Rationale Specification/Tolerance Class Illustration/Pictorial

Page 45 of 103
 CONTROL PLAN SPECIAL CHARACTERISTICS
Prototype Pre-Launch Production
Control Plan Number Key Contact/Phone Date (Orig.) Date (Rev.)
FILE.XLS 555-555-5555 1/1/1996 1/1/1996
Part Number/Latest Change Level Core Team Customer Engineering Approval/Date (If Req'd.)
NUMBER ECL
Part Name/Description Supplier/Plant Approval/Date Customer Quality Approval/Date (If Req'd.)
NAME
Supplier/Plant Supplier Code Other Approval/Date (If Req'd.) Other Approval/Date (If Req'd.)
SUPPLIER CODE
No. Description/Rationale Specification/Tolerance Class Illustration/Pictorial

Page 46 of 103
 1/1/1996
Approval/Date (If Req'd.)

oval/Date (If Req'd.)

Pictorial

Page 47 of 103
 1/1/1996
Approval/Date (If Req'd.)

oval/Date (If Req'd.)

Pictorial

Page 48 of 103
 DATA POINT COORDINATES
Control Plan No. Part Number Engineering Change Level Date(Orig):
FILE.XLS NUMBER ECL 1/1/1996
Part Name Customer Supplier Date(Rev):
NAME GM SUPPLIER 1/1/1996

Char. Point Char. Point Char. Point

No. Ident. X Y Z No. Ident. X Y Z No. Ident. X Y

Page 49 of 103
 DATA POINT COORDINATES
Control Plan No. Part Number Engineering Change Level Date(Orig):
FILE.XLS NUMBER ECL 1/1/1996
Part Name Customer Supplier Date(Rev):
NAME GM SUPPLIER 1/1/1996

Char. Point Char. Point Char. Point

No. Ident. X Y Z No. Ident. X Y Z No. Ident. X Y

Page 50 of 103
1/1/1996

1/1/1996

Page 51 of 103
1/1/1996

1/1/1996

Page 52 of 103
 Dynamic Control Plan - Master Copy
Company/Plant Department Operation Station Part Name Control Plan Revision Date
SUPPLIER NAME
Process Machine Part Number Process sheet revision date B/P revision date
NUMBER ECL DATE
Characteristic C
Char Description Spec T I Failure Effects S Causes O Current D R Recom. Area Actions S O D R Ctrl. l Control T Gage desc, GR&R Cp/Cpk Reaction
# y m Mode of E of C Controls E P Actions Respon. Taken E C E P Fact. a Method o master, & (target) Plans
(Product & p p failure V Failure C T N & Date V C T N s o detail Date & Date
Process) e s l

Page 53 of 103
 Dynamic Control Plan - Operator Copy
Department Operation Part Name Control Plan Revision Date
NAME
Process Machine Part Number Process Sheet Revision Date
NUMBER
C
Char Characteristic Spec l Control Current Gage desc,
# Description a Method Controls master,
s detail
s

Page 54 of 103
 Dynamic Control Plan - Operator Copy
Department Operation Part Name Control Plan Revision Date
NAME
Process Machine Part Number Process Sheet Revision Date
NUMBER
C
Char Characteristic Spec l Control Current Gage desc,
# Description a Method Controls master,
s detail
s

Page 55 of 103
y
ol Plan Revision Date

B/P Revision Date

ECL DATE

Reaction
Plans

Page 56 of 103
y
ol Plan Revision Date

B/P Revision Date

ECL DATE

Reaction
Plans

Page 57 of 103
 Page 58 of 103 Pages

Production Part Approval -

DaimlerChrysler Ford General Motors Dimensional Results
SUPPLIER PART NUMBER
SUPPLIER NUMBER
NAME OF INSPECTION FACILITY PART NAME
NAME
NOT
ITEMDIMENSION/SPECIFICATION SUPPLIER MEASUREMENT RESULTS OK OK
Ex1 Diameter 8.0 +/-.25 7.98
b z b d 1.0m b A b Bm b Cmb True position 0.54 X
Bonus tolerance 0.23
X nominal is 123.15 123.25
Y nominal is 1200.25 1200.50

SIGNATURE TITLE DATE

May 1995 CFG-1003

 Page 103 of 59 Pages

Production Part Approval -

DaimlerChrysler Ford General Motors Material Test Results
SUPPLIER PART NUMBER
SUPPLIER NUMBER
NAME OF LABORATORY PART NAME
NAME
TYPE OF NOT
TEST MATERIAL SPEC. NO./DATE/SPECIFICATION SUPPLIER TEST RESULTS OK OK

SIGNATURE TITLE DATE

May 1995 CFG-1004

 Page 61 of 103 Pages

Production Part Approval -

DaimlerChrysler Ford General Motors Performance Test Results
SUPPLIER PART NUMBER
SUPPLIER NUMBER
NAME OF LABORATORY PART NAME
NAME
REF. TEST QTY. NOT
NO. REQUIREMENTS FREQ. TESTED SUPPLIER TEST RESULTS AND TEST CONDITIONS OK OK

SIGNATURE TITLE DATE

May 1995 CFG-1005

 DaimlerChrysler APPEARANCE APPROVAL REPORT
END ITEM E/C SUPPLIER MANUFACTURING DATE
NUMBER LEVEL NAME SUPPLIER LOCATION CITY
COMPONENT E/C SUPPLIER SUPPLIER APPLICATION
PART NUMBER LEVEL CONTACT PHONE 555-555-5555 (VEHICLE)

COMPONENT SUPPLIER BUYER CUSTOMER

NAME NAME CODE CODE CODE ENGINEER

SURFACE AND TEXTURE EVALUATION

TEXTURE ID TEXTURE SOURCE TEXTURE LOCATION ON PART APPROVALS CUSTOMER REPRESENTATIVE SIGNATURE AND DATE
DESIGN STUDIO
PRE-TEXTURE SURFACE

ENGINEERING PRE-TEXTURE
CONCURRENCE

MASTERING STUDIO TEXTURE

ORIENTATION

MASTERING STUDIO
POST TEXTURE

ORNAMENTATION AND GRAPHICS

NOT REQ'D REQ'D
BASE OR RAW MATERIAL DAIMLERCHRYSLER SPEC. # AND SUPPLIER / SUPPLIER # / LOT #

MATERIAL, COLOR, AND GLOSS EVALUATION

PAINT OR COLORANT DAIMLERCHRYSLER SPEC. # AND SUPPLIER / SUPPLIER # / LOT #
APPROVAL CUSTOMER
MASTER REF. MASTER TRISTIMULUS & GLOSS PART DATA STATUS INITIALS &
CUSTOMER COMMENTS
# COLOR TYPE DATE Dl* Da* Db* De* CMC GLS A R DATE

SUPPLIER APPROVAL PHONE DATE

SIGNATURE

ORNAMENTATION, GRAPHICS AND SURFACE TACTILITY

TYPE OF ORNAMENTATION CUSTOMER APPROVAL SIGNATURE DATE
AND GRAPHICS REQUIRED

COMMENTS:
CUSTOMER INTERIM APPROVAL DATE
SIGNATURE

CUSTOMER FINAL APPROVAL DATE

BOLD BOXED AREAS FOR CUSTOMER USE ONLY SIGNATURE

January 1, 1999
AAR.doc
Ford General Motors APPEARANCE APPROVAL REPORT
PART DRAWING APPLICATION
NUMBER NUMBER NUMBER (VEHICLES) APPLICATION
PART BUYER E/C LEVEL DATE
NAME NAME CODE ECL
SUPPLIER MANUFACTURING ADDRESS SUPPLIER
NAME SUPPLIER LOCATION CITY STATE ZIP CODE CODE
REASON FOR PART SUBMISSION WARRANT SPECIAL SAMPLE RE-SUBMISSION OTHER
SUBMISSION PRE TEXTURE FIRST PRODUCTION SHIPMENT ENGINEERING CHANGE
APPEARANCE EVALUATION
CUSTOMER
SUPPLIER SOURCING AND TEXTURE INFORMATION PRE-TEXTURE REPRESENTATIVE
EVALUATION SIGNATURE AND DATE
CORRECT
AND PROCEED
CORRECT AND
RESUBMIT
APPROVED TO
TEXTURE
COLOR EVALUATION
COLOR
COLOR TRISTIMULUS DATA MASTER MASTER MATERIAL MATERIAL HUE VALUE CHROMA GLOSS METALLIC SHIPPING
SUFFIX NUMBER DATE TYPE SOURCE BRILLIANCE SUFFIX
DL* Da* Db* DE* CMC RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW

COMMENTS

May 1995 CFG-1002

SUPPLIER PHONE NO. DATE CUSTOMER DATE
SIGNATURE REPRESENTATIVE SIGNATURE

May 1995 CFG-1002

PPLICATION

EPRESENTATIVE
GNATURE AND DATE

PART
DISPOSITION

May 1995 CFG-1002

May 1995 CFG-1002
 GAGE REPEATABILITY AND REPRODUCIBILITY REPORT
SHORT FORM ATTRIBUTE RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characterisitic/Specification Gage Type Date Performed

APPRAISER A APPRAISER B
PART # TRIAL #1 TRIAL #2 PART # TRIAL #1 TRIAL #2
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20

All measurement decisions agree? Yes Accept Gage

No Reject Gage

Remarks
 GAGE REPEATABILITY AND REPRODUCIBILITY REPORT
LONG FORM ATTRIBUTE RESULTS
Part Number Gage Name Appraiser
NUMBER
Part Name Gage Number Date Performed
NAME
Characterisitic Gage Type Upper Limit Lower Limit

ATTRIBUTE DATA
# XT a P'a After entering data, follow the directions on the tab marked
1 0.000 'Graph' to create the Gage Performance Curve
2 0.000
3 0.000
4 0.000
5 0.000
6 0.000
7 0.000
8 0.000
9 0.000

FROM THE GRAPH

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

Measurement Unit Analysis

Bias Repeatability
B = R =
= =

t Statistic
t = 31.3 IBI / R t0.025,19 = 2.093
=
=

Result

Reviewed
Title
 Graph

Directions for Gage Performance Curve for Longform Attribute 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 GR&R ATT(L)! D14:D22
3) In the box for Input X Range select the cells GR&R ATT(L)! 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 to the graph to the space on the Longform sheet
8) Change the graph title to Gage performance Curve
9) Change the x axis title to Xt
10) Change the y axis title to Probability

Page 70
Graph

Page 71
Graph

Page 72
Graph

Page 73
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Specification Gage Type Appraiser C
Lower Upper
Characteristic Classification Trials Parts Appraisers Date Performed
0 0 0

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVE ( xp ) Rp=
17 (ra + rb + rc) / (# OF APPRAISERS) = R=
18 (Max x - Min x) = xDIFF=
19 R x D4* = UCLR=
20 R x D3* = LCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials; D3 = 0 for up to 7 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 dis-
card values and re-average and recompute R and the limiting value from the remaining observations.

Notes:
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

0 0 0

Measurement Unit Analysis % Total Variation (TV)

Repeatability - Equipment Variation (EV)
EV = R x K1 Trials K1 % EV = 100 (EV/TV)
= 2 4.56 =
= 3 3.05 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/TV)
= =
= Appraisers 2 3 =
K2 3.65 2.70 n = number of parts
Repeatability & Reproducibility (R & R) r = number of trials
R&R = {(EV2 + AV2)}1/2 Parts K3
= 2 3.65 % R&R = 100 (R&R/TV)
= 3 2.70 =
Part Variation (PV) 4 2.30 =
PV = RP x K3 5 2.08
= 6 1.93
= 7 1.82 % PV = 100 (PV/TV)
Total Variation (TV) 8 1.74 =
TV = {(R&R2 + PV2)}1/2 9 1.67 =
= 10 1.62
=

All calculations are based upon predicting 5.15 sigma (99.0% of the area under the normal distribution curve).
K1 is 5.15/d2, where d2 is dependent on the number of trials (m) and the number if parts times the number of operators (g) which is
assumed to be greater than 15.
AV - If a negative value is calculated under the square root sign, the appraiser variation (AV) defaults to zero (0).
K2 is 5.15/d2, where d2 is dependent on the number of operators (m) and (g) is 1, since there is only one range calculation.
K2 is 5.15/d2, where d2 is dependent on the number of parts (m) and (g) is 1, since there is only one range calculation.
d2 is obtained from Table D3, "Quality Control and Industrial Statistics", A.J. Duncan.
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Specification Gage Type Appraiser C
Lower Upper
Characteristic Classification Trials Parts Appraisers Date Performed
0 0 0

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVE ( Xp ) Rp=
17 (ra + rb + rc) / (# OF APPRAISERS) = R=
18 (Max x - Min x) = xDIFF=
19 R x D4* = UCLR=
20 R x D3* = LCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials; D3 = 0 for up to 7 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 dis-
card values and re-average and recompute R and the limiting value from the remaining observations.

Notes:
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

0 0 0

Measurement Unit Analysis % Tolerance (Tol)

Repeatability - Equipment Variation (EV)
EV = R x K1 Trials K1 % EV = 100 (EV/Tol)
= 2 4.56 =
= 3 3.05 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/Tol)
= =
= Appraisers 2 3 =
K2 3.65 2.70 n = number of parts
Repeatability & Reproducibility (R & R) r = number of trials
R&R = {(EV + AV )}
2 2 1/2
Parts K3
= 2 3.65 % R&R = 100 (R&R/Tol)
= 3 2.70 =
Part Variation (PV) 4 2.30 =
PV = RP x K3 5 2.08
= 6 1.93
= 7 1.82 % PV = 100 (PV/Tol)
Tolerance 8 1.74 =
Tol = Upper - Lower 9 1.67 =
= Upper - Lower 10 1.62
=

All calculations are based upon predicting 5.15 sigma (99.0% of the area under the normal distribution curve).
K1 is 5.15/d2, where d2 is dependent on the number of trials (m) and the number if parts times the number of operators (g) which is
assumed to be greater than 15.
AV - If a negative value is calculated under the square root sign, the appraiser variation (AV) defaults to zero (0).
K2 is 5.15/d2, where d2 is dependent on the number of operators (m) and (g) is 1, since there is only one range calculation.
K2 is 5.15/d2, where d2 is dependent on the number of parts (m) and (g) is 1, since there is only one range calculation.
d2 is obtained from Table D3, "Quality Control and Industrial Statistics", A.J. Duncan.
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS - INCLUDING WITHIN-PART VARIATION
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Specification Gage Type Appraiser C
Lower Upper
Characteristic Classification Trials Parts Appraisers Date Performed
0 0 0

PART
APPRAISER/ 1 2 3 4 5 APPRAISER
TRIAL # MAX MIN RGE MAX MIN RGE MAX MIN RGE MAX MIN RGE MAX MIN RGE AVERAGE
1. A 1
2 2
3 3
4 AVE xa=
5 R
6. B 1
7 2
8 3
9 AVE xb=
10 R
11. C 1
12 2
13 3
14 AVE xc=
15 R Ro=
16. Part
Ave ( xp ) Rp=
17. Ave of xwiv Rxwiv=
18 rREPEAT = (SRANGE(LINES 5, 10, & 15))/(#RANGE READINGS) (MAX/MIN ONLY)= rREP=
19 xdiff = [ Max x ] - [Min x ] = xDIFF=
20 UCLR = R x D4* = D4= UCLR=
21 LCLR = R x D3* = LCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials; D3 = 0 for up to 7 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 dis-

card values and re-average and recompute R and the limiting value from the remaining observations.

Notes:
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

0 0 0

Measurement Unit Analysis % Total Variation (TV)

Repeatability - Equipment Variation (EV)
EV = r x K1 Trials K1 % EV = 100 (EV/TV)
= 2 4.56 =
= 3 3.05 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/TV)
= =
= Appraisers 2 3 =
K2 3.65 2.70 n = number of parts
Repeatability & Reproducibility (R & R) r = number of trials
R&R = {(EV + AV )}
2 2 1/2

= % R&R = 100 (R&R/TV)

= Parts K3 =
Part Variation (PV) 2 3.65 =
PV = RP x K3 3 2.70
= 4 2.30
= 5 2.08 % PV = 100 (PV/TV)
Within-Part Variation (WIV) =
=
WIV = ((xWIV + (Rxwiv x K3) - (EVWIV) /(nWIVr)) )/2
2 2 1/2

= % WIV = 100 (WIV/TV)

xWIV = SxWIV(LINE 17)/# xWIV READINGS =
= =
WIV = # APPRAISERS, r = # TRIALS
EVWIV = K1 x SRRGE(LINES 5,10, & 15)/# RRGE READINGS
=
Total Variation (TV)
TV = {(R&R2 + PV2 + WIV2)}1/2
=
=
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS - INCLUDING WITHIN-PART VARIATION
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Specification Gage Type Appraiser C
Lower Upper
Characteristic Classification Trials Parts Appraisers Date Performed
0 0 0

PART
APPRAISER/ 1 2 3 4 5 APPRAISER
TRIAL # MAX MIN RGE MAX MIN RGE MAX MIN RGE MAX MIN RGE MAX MIN RGE AVERAGE
1. A 1
2 2
3 3
4 AVE xa=
5 R
6. B 1
7 2
8 3
9 AVE xb=
10 R
11. C 1
12 2
13 3
14 AVE xc=
15 R Ro=
16. Part
Ave ( xp ) Rp=
17. Ave of xwiv Rxwiv=
18 rREPEAT = (SRANGE(LINES 5, 10, & 15))/(#RANGE READINGS) (MAX/MIN ONLY)= rREP=
19 xdiff = [ Max x ] - [Min x ] = xDIFF=
20 UCLR = R x D4* = D4= UCLR=
21 LCLR = R x D3* = LCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials; D3 = 0 for up to 7 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 dis-

card values and re-average and recompute R and the limiting value from the remaining observations.

Notes:
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
NUMBER
Part Name Gage Number Appraiser B
NAME
Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

0 0 0

Measurement Unit Analysis % Tolerance (Tol)

Repeatability - Equipment Variation (EV)
EV = r x K1 Trials K1 % EV = 100 (EV/Tol)
= 2 4.56 =
= 3 3.05 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/Tol)
= =
= Appraisers 2 3 =
K2 3.65 2.70 n = number of parts
Repeatability & Reproducibility (R & R) r = number of trials
R&R = {(EV + AV )}
2 2 1/2

= % R&R = 100 (R&R/Tol)

= Parts K3 =
Part Variation (PV) 2 3.65 =
PV = RP x K3 3 2.70
= 4 2.30
= 5 2.08 % PV = 100 (PV/Tol)
Within-Part Variation (WIV) =
=
WIV = ((xWIV + (Rxwiv x K3) - (EVWIV) /(nWIVr)) )/2
2 2 1/2

= % WIV = 100 (WIV/Tol)

xWIV = SxWIV(LINE 17)/# xWIV READINGS =
= =
WIV = # APPRAISERS, r = # TRIALS
EVWIV = K1 x SRRGE(LINES 5,10, & 15)/# RRGE READINGS
=
Tolerance (Tol)
Tol = Upper - Lower
= Upper - Lower
=
 REPEATABILITY RANGE CONTROL CHART
PLANT DEPT. OPERATION DATE CONTROL LIMITS CALCULATED ENGINEERING SPECIFATION PART NO.
CITY BER
MACHINE NO. DATES OF STUDY CHARACTERISTIC SAMPLE SIZE FREQUENCY PART NAME
NAME
NUMBER OF APPRAISERS APPRAISER A APPRAISER B APPRAISER C
0
x= UCL = LCL = AVERAGES (X BAR CHART)

12.00

10.00

8.00

6.00

4.00

2.00

0.00
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

r= UCL = LCL = RANGES (R CHART)

1.00

0.90

0.80

0.70

0.60

0.50

0.40

0.30

0.20

0.10

0.00
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

NUMBER 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

DATE/TIME

1
R
E
2
A
D
3
I
N
4
G
S
5

SUM

SUM
X
NUM
HIGH-
R
LOW

** = POINT OUT OF CONTROL

 PART APPRAISER AVERAGE CHART
PLANT DEPT. OPERATION DATE CONTROL LIMITS CALCULATED ENGINEERING SPECIFATION PART NO.
CITY BER
MACHINE NO. DATES OF STUDY CHARACTERISTIC SAMPLE SIZE FREQUENCY PART NAME
NAME
NUMBER OF APPRAISERS APPRAISER A APPRAISER B APPRAISER C
0
x= UCL = LCL = AVERAGES (X BAR CHART)

1.00

0.90

0.80

0.70

0.60

0.50

0.40

0.30

0.20

0.10

0.00
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

r= UCL = LCL = RANGES (R CHART)

12.00

10.00

8.00

6.00

4.00

2.00

0.00
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

NUMBER 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

DATE/TIME

1
R
E
2
A
D
3
I
N
4
G
S
5

SUM

SUM
X
NUM
HIGH-
R
LOW

** = POINT OUT OF CONTROL

 FORD

SUPPLIER CHECKLIST / APPROVAL for MANAGING CHANGE

SUPPLIER NAME NUMBER
Supplier Name Part Name Part Number
CODE
Mfg. Location Code Vehicle Lines Affected Ford Plants Affected

Change Description
ANY ITEMS NOT REQUIRED, PLEASE EXPLAIN: Req'd Complete Date Comments

1. Engineering and Manufacturing Disciplines:

Layout / Detail / Assy Drawings
Tolerance Stack-Up
Installation Drawings
Reliability Methods
Process Sheets
Engineering Specification
Material Specification
Supplier Component DFMEA
Supplier System DFMEA
Ford Component DFMEA
Ford System DFMEA
Process Flow Chart
Supplier Component PFMEA
Supplier System PFMEA
Ford Component PFMEA
Ford System PFMEA
Ford SDS Update
DV / PV / IP Test
Vehicle Test
Operator Instruction Sheets
Tool & Gage Revisions
Gage R&R Study
Control Plan
Production Trial Run
Sub-Supplier Affect
Service Parts
2. Ford Feasibility Review
Ford Design Engineer Approval
SREA
CR / CR
Alert
PSW
Ford Plant Functional Approval Use Part Submission Warrant (PSW) under "Customer Use Only"
Purchase Order
3. Approvals
Engineering Manager: Quality Manager:
Production Manager: Plant Manager:
FORD SUPPLIER REQUEST FOR ENGINEERING APPROVAL
DATE:

SUPPLIER TO COMPLETE
SUPPLIER NAME AND ADDRESS SUPPLIER
ADDRESS
CITY STATE ZIP
FORD AND/OR SUPPLIER PART NAME AND PART NUMBER OF ASSEMBLY AND ITS COMPONENTS EMISSION CONTROL CODE NUMBER

NUMBER NAME (SEE FORM 74-107)

CONTROL ITEM AFFECTED

YES NO
DESCRIPTION OF CHANGE: DESIGN COMPOSITION WEIGHT PROCESSING

EFFECT OF CHANGE:

INTERCHANGEABILITY AFFECTED TIME REQ'D TO INCORPORATE CHANGE TOOLING OR FACILITY CHANGES REQUIRED YES NO
ASSEMBLY YES NO AFTER APPROVAL

COMPONENTS YES NO IF YES, COST EFFECT $

WILL INCORPORATION OF CHANGE SIGNATURE PIECE COST AFFECTED YES NO

AFFECT SHIPPING SCHEDULE?

YES NO SUPPLIER REPRESENTATIVE IF YES, COST EFFECT $

PRODUCT ENGINEERING TO COMPLETE

APPROVED* RELEASE ACTION REQ'D, NOTICE # REJECTED

BY DATE CONCURRED DATE

SIGNATURE BY SIGNATURE

BLANKET APPROVAL GRANTED FOR SUBSEQUENT CHANGES SUPPLIER CHECKLIST ATTACHED? SAMPLE OF CHANGED COMPONENT REQUIRED
WHICH ARE SAME AS DESCRIBED ABOVE

YES NO YES NO YES NO

REASON FOR REJECTION OR QUALIFYING CONDITIONS OF ACCEPTANCE:

REVIEWED 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 specifications and/or
inherent in the samples as originally tested and approved, are maintained. Seller accepts full responsibility for the changes
or types of changes listed above: and should such changes result in less satisfactory performance than experienced with
the originally approved item, Seller will fully reimburse the Buyer for all expenses incurred to correct the deficiency.

CEG JUL 92 1638

 GM INTERIM RECOVERY WORKSHEET (GM 1411)
SUPPLIER NAME: SUPPLIER PART NAME: NAME
SUPPLIER CODE: CODE PART #: NUMBER
RESUBMISSION DATE:
Supplier

INTERIM EXPIRE DATE: EWO #:

APPLICATION: APPLICATION ECL: DATE:
SUBMISSION LEVEL: KG WT:
SAMPLE #: INSP/SQE: ADD. SAMPLE: PKG: Interim#:

18 INTERIM CLASS (Type interim class or circle for manual entry): A B C D E

Customer

19 STATUS: Type or fill in appropriate status (A=Approved, I=Interim, N=Not made).

DIM: APP: LAB: PROCESS: ENG:

20 BRIEF REASONS (116 characters max.):

21 ISSUES: (List DIM, APP, LAB, Process, tooling, ACTION PLANS (provide with date of completion):
capacity, or start-up issues):
Supplier

22 WHERE APPLICABLE ARE INTERIM ISSUES ADDRESSED ON THE GP-12 PLAN? (i.e. rework, temporary
operations, Please explain below):

23 SUPPLIER (Authorized signature): PHONE:

NAME AND TITLE (Print): FAX:
PART SUBMISSION WARRANT MUST BE INCLUDED WITH CUSTOMER APPROVALS IN ORDER TO PROCESS YOUR REQUEST AND SEND TO THE PROCURING DIVISION.

24 CUSTOMER APPROVALS: SIGNATURE NAME (Print) PHONE DATE

SUPPLIER QUALITY ENGINEER:
Customer

PRODUCT ENGINEER (DRE):

LAB / MATERIAL ENGINEER:
APPEARANCE / PAINT ENGINEER:
Customer

OTHER (Buyer, Assembly Plant, etc.):

 GM

Engineering Source Approval for Functional Performance

I. Part Number(s): Supplier:

Part Name: Duns Code:

Application: ECL: EWO:

Drawing Number: Revision Date:

II. The Part Meets All Engineering Performance Requirements. (e.g., Sub System
Tech. Spec., Comp. Tech. Spec., Solar Validation) Yes

III. Comments:

IV. Part not meeting all engineering requirements specified above (section III).
Must be submitted on the GM1411 interim worksheet (the GM-E364 form
does not apply).

V. GM Product Engineer: Phone #:

(Print)

Date:
(Signature)

(Code)

Supplier Þ GM Engineer (DRE) Þ Supplier Þ SQE/Part Approval Activity

 GM1000M - SUBSTANCE REPORT AND CONFORMANCE FORM

I Part Information This form must be submitted with all Laboratory PPAP
Assembly / Part Number NUMBER sample submission packages when the GM1000M
Part Name: NAME requirement is evident on the top level, any detail
Model Yr / Vehicle Line: DIVISION APPLICATION drawing or material specification as "RESTRICTED AND
Part Revision Level: ECL Revision Date: ECL DATE REPORTABLE CHEMICALS PER GM1000M"

II Conformance Statement
The raw materials or parts associated with this sample submission DO contain the following chemicals identified in the latest revision of GM1000M.
Cadmium, Class I Substance, Class II Substance, PCB'S, PBB's,
YES (Check all that apply) Asbestos, Mercury and/or Radioactive Compounds
(COMPLETE SECTION III, IV, AND V)
Lead and Compounds
(COMPLETE SECTION III AND IV. SECTION V IS NOT REQUIRED)
(Check One) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(COMPLETE SECTION IV ONLY. SECTION III AND V ARE NOT REQUIRED)

NO

III Report Form

A B C D E F G H I
PART PART SPECIFICATION PURPOSE AVAILABLE DATE FOR CAS NUMBER
SUBSTANCE % WT
NUMBER NAME NUMBER OF CHEMICAL SUBSTITUTES SUBMISSION IF KNOWN

IV Supplier Information and Certification V Platform Engineering Review and Approval for Use

Supplier: SUPPLIER Signature: Date:

Signature: Date: Print Name:

Print Name: Supplier:

Address: ADDRESS Address:
CITY STATE ZIP
Phone #: 555-555-5555 Fax #: Phone #: Fax #:

JUNE 1999
 Proj no. Reg. No:
Declaration of Conformance to GMW3059 Issue Page of

A. Assembly (Asm) / Part Information I. Manufacturing / Supplier Information

B. Asm / Part Number: F. Unit Supplied to: J. Name: N. Address:
C. Asm / Part Name: G. Asm / Part mass: K. Company:
D. Model Yr / Vehicle Line: H. Comments (L/O/S status): L. Department: Country:
E. Asm / Part Revision Level: Rev. Date: M. Mail Code (if applicable): Phone:
Fax:

O. 1. This part does not contain substances listed in GMW3059G above the reporting limits.

2. This part does contain substances listed in GMW3059G above the reporting limits as detailed below.

P. Component in Assembly Q. Material / Surface Treatment R. Substance S. Purpose for Use and Plan to
Mass % Material Mass % Material Eliminate Use Including Timing
Part No. Name Mass Standard No. Name CAS Number Name
in Component in Component and Substitute Substances

T. Supplier Certification
U. Unit Approval if "F" Substances Present Approved Not Approved
Signature /Seal: For parts supplied to Saab: Signatures are required for F and D substances
Printed Name:
Date: Signature /Seal:
Printed Name:
Date:
August 1999
Bulk Materials Requirements Checklist Project:
Required / Primary Responsibility Comments /
Target Date Customer Supplier Conditions
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
Product 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 Design and Development Verification
Initial Process Studies
Part Submission Warrant (CFG-1001)
Product Design and Development Verification
Customer Plant Connection
Change Documentation
Subcontractor Considerations

Plan agreed to by: Company/Title/Date

Approved
by / date
 BULK MATERIAL INTERIM APPROVAL FORM

SUPPLIER NAME: SUPPLIER PRODUCT NAME: NAME

SUPPLIER CODE: CODE ENG. SPEC.:
MANUF. SITE: CITY PART #:
ENG. CHANGE #: ECL FORMULA DATE:
RECEIVED DATE: RECEIVED BY:
SUBMISSION LEVEL: EXPIRATION DATE:
TRACKING CODE: 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: Dimensional Results Master Sample
Measurement Systems Studies: 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) PHONE:

(PRINT NAME) DATE:
CUSTOMER APPROVALS (as needed): PHONE: DATE:
PRODUCT ENG. (SIGNATURE)
(PRINT NAME)
MATERIALS ENG. (SIGNATURE)
(PRINT NAME)
QUALITY ENG. (SIGNATURE)
 (PRINT NAME)
INTERIM APPROVAL NUMBER:
North American Truck Industry Part Submission Warrant
Part Name NAME Part Number NUMBER

Safety and/or Engineering Drawing

Government Regulation Yes No Change Level ECL Dated ECL DATE

Additional Engineering Changes Dated

Shown on Drawing Number Purchase Order No. Weight (kg)

Checking Aid Number Engineering Change Level Dated

SUPPLIER MANUFACTURING INFORMATION SUBMISSION INFORMATION

SUPPLIER CODE Dimensional Materials/Function Appearance

Supplier Name

ADDRESS Customer Name/Division GM DIVISION

Street Address
Buyer/Buyer Code
CITY STATE ZIP
City State Zip Application 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. (circle)
Level 4 - Warrant and other requirements as defined by customer. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

SUBMISSION RESULTS
The results for dimensional measurements material and functional tests appearance criteria statistical process package
These results meet all drawing and specification requirements: YES NO (If "NO" - Explanation Required)

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:

Print Name Title Phone No. 555-555-5555 Fax No.

Supplier Authorized Signature Date

FOR CUSTOMER USE ONLY (IF APPLICABLE)

Part Warrant Disposition: Approved Rejected Part Functional Approval: Approved
Interim Approval Waived

Customer Name Customer Signature Date

July 1999 TAG-1001

DaimlerChrysler Ford General Motors Part Submission Warrant
Part Name NAME Part Number NUMBER

Safety and/or Engineering Drawing

Government Regulation Yes No Change Level ECL Dated ECL DATE

Additional Engineering Changes Dated

Shown on Drawing Number Purchase Order No. Weight (kg)

Checking Aid Number Engineering Change Level Dated

SUPPLIER MANUFACTURING INFORMATION SUBMISSION INFORMATION

SUPPLIER CODE Dimensional Materials/Function Appearance

Supplier Name

ADDRESS Customer Name/Division GM DIVISION

Street Address
Buyer/Buyer Code
CITY STATE ZIP
City State Zip Application 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.
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

SUBMISSION RESULTS
The results for dimensional measurements material and functional tests appearance criteria statistical process package
These results meet all drawing and specification requirements: YES NO (If "NO" - Explanation Required)
Mold / Cavity / Production Process

DECLARATION
I affirm that the samples represented by this warrant are representative of our parts, have been made to the applicable
Production Part Approval Process Manual 3rd Edition Requirements. I further warrant these samples were
produced at the production rate of ________ / 8 hours. I have noted any deviations from this declaration below.

EXPLANATION/COMMENTS:

Print Name Title Phone No. 555-555-5555 Fax No.

Supplier Authorized Signature Date

FOR CUSTOMER USE ONLY (IF APPLICABLE)

Part Warrant Disposition: Approved Rejected Part Functional Approval: Approved
Other Waived
Customer Name Customer Signature Date

The original copy of this document shall remain at the supplier' location Optional: customer tracking
July 1999 CFG-1001 while the part is active (see Glossary). number: # ______________
 RUN @ RATE GP-9 - RUN @ RATE WORKSHEET

Supplier Name: SUPPLIER Part Number(s): NUMBER

RUN @ RATE REVIEW CONTENT

The Run @ Rate will verify that the results of the supplier's actual manufacturing process meet customer requirements for on-going quality, as
stated in PPAP, and quoted tooling capacity. Also, it will verify that the supplier's actual process is to plan, as documented in PPAP, GP-12 and
the other documentation listed below.

During the Run @ Rate, the following will be reviewed: documentation; the manufacturing process and results; part quality requirements and
results; sub-supplier requirements and Run @ Rate results and packaging.

A. Documentation
At the time of the Run @ Rate, the following documentation should be available for review:
Available Y/N
1. PPAP package including: 1.
a) process flow diagram a.
b) process control plan, with reaction plan b.
c) DFMEA/PFMEA c.
d) Master part(s) d.
2. GP-12 (Pre-launch Control) plan 2.
3. Tool capacity information 3.
4. Operator/inspection instructions 4.
5. Prototype/pilot concerns (PR/R's) 5.
6. Sub-contractor control/capacity data 6.
7. Sub-contractor material schedules and transportation 7.
8. Packaging/labeling plan 8.
9. Acceleration plan 9.
Note: All documentation must be complete and correct.
B. MANUFACTURING PROCESS - ACTUAL TO PLAN
1. Is the product being manufactured at the production site using the production tooling, gaging, process, materials,
operators, environment, and process settings? Yes No

Comments:

2. Does the actual process flow agree with the process flow diagram, as documented in PPAP? (Review the facility plan
and layout. Walk the process with the flow diagram.) Yes No

Comments:

3. Are operator instructions/visual controls available and adhere to at each work station?

Yes No Comments:

4. Is all in-process documentation, such as process control charts, in place at the time of the Run @ Rate? Is the
documentation utilized to drive a defined reaction plan and corrective action process?
Yes No Comments:

5. When required, are production boundary samples available at the required work stations? Are the boundary samples
approved by GM? Yes No Comments:

6. Are maintenance plans in place? Are repair and maintenance parts available? Is there planned downtime for
preventive maintenance? Yes No Comments:

Note: All of the preceding requirements must be met to pass the Run @ Rate.

GM-1965 (2/95)
 RUN @ RATE GP-9 - RUN @ RATE WORKSHEET

Supplier Name: SUPPLIER Part Number(s): NUMBER

C. MANUFACTURING CAPACITY RESULTS

The following will be verified while the process is running.
1. Can net output from each operation support quoted capacity? Yes No

Comments:

Operation Quoted Capacity Rate

2. During the Run @ Rate, did the tooling meet the quoted up time requirements (net vs. gross quoted output)? Make note of
any unexpected downtime and corrective action plans required. Yes No

Comments:

3. Can all line changeovers, if any, be performed within the quoted tolling capacity requirements?

Yes No Comments:

4. Does the net through-put of good pieces (scrap taken out, ant allowable rework) meet daily quoted capacity?

Yes No Comments:

5. Is the acceleration plan sufficient to meet requirements? Yes No

Comments:

Note: All of the preceding requirements must be met to pass the Run @ Rate.

D. PART QUALITY PLAN TO ACTUAL

1. Are all Production checking fixtures complete, with acceptable measurement system studies (i.e, gage R and R)
performed, and operator instructions/visual aids available? Yes No

Comments:

2. Are all in process gaging and controls complete, functional and in place?

Yes No Comments:

3. Do the process control plans (normal and GP-12) agree with the actual process? Do production part checks and statistical

monitoring take place as outlined on the process control plan? Yes No

Comments:

GM-1965 (2/95)
 RUN @ RATE GP-9 - RUN @ RATE WORKSHEET

Supplier Name: SUPPLIER Part Number(s): NUMBER

D. PART QUALITY PLAN TO ACTUAL (CONTINUED)

4. Are potential failure modes, as identified in the PFMEA, addressed through error-proofing or the control plan?

Yes No Comments:

5. Do the process control plan reaction plan and the supplier's corrective actions ensure effective containment and

correction? Yes No Comments:

Note: All of the preceding requirements must be met to pass the Run @ Rate.

E. PART QUALITY RESULTS:

Note: The total number of parts produces, the pieces rejected and the pieces reworked must be documented on the
summary sheet
1. Do the parts produced off the production tooling during the Run @ Rate meet GM's requirements for on-going quality, as
stated in PPAP? Yes No Comments:

2. Is the manufacturing process in control? Yes No Comments:

3. Does the manufacturing process demonstrate the required capability? Yes No

Comments:

4. Is the process control plan sufficient to effectively meet the design record requirements, i.e., control points, frequency of

checks, etc.? Yes No Comments:

5. Nonconformances
a) Were nonconformances yielded by the process identified by the normal PPAP control plan?
Yes No If identified by the GP-12 Process Control Plan or an activity outside
documented plans, corrective action is required.
b) Did the PFMEA identify the potential failure modes? Yes No
If not, the PFMEA needs to be updated and corrective action put in place.
c) Do all the observed rework and repairs effectively correct the nonconformance(s)?
Yes No
d) Are there any open concerns from prototype or pilot (PR/R)? Yes No

Comments:

Note: All of the preceding requirements must be met to pass the Run @ Rate.

GM-1965 (2/95)
 RUN @ RATE GP-9 - RUN @ RATE WORKSHEET

Supplier Name: SUPPLIER Part Number(s): NUMBER

F. SUBCONTRACTOR REQUIREMENTS
1. Were subcontractors' abilities to meet the customer's quality and capacity requirements confirmed by the supplier prior to
the Run @ Rate being conducted at the supplier's facility? Was verification of the subcontractors' manufacturing
processes accomplished through a Run @ Rate or similar process conducted by the supplier?

Yes No Comments:

2. Are controls in place to isolate incoming material until it has been approved?

Yes No Comments:

Note: All of the preceding requirements must be met to pass the Run @ Rate.

G. PACKAGING AND HANDLING

1. During the review of in process and final shipment packaging for preservation of part quality and ease of use by supplier's
operators loading and unloading parts, were any problems identified?

Yes No Comments:

2. Does the supplier's method for in process and final shipping packaging and handling effectively eliminate the potential for

process errors or mixed stock? Yes No Comments:

COMMENTS:

GM-1965 (2/95)
Completed by: Phone: Date:

GM-1965 (2/95)
 RUN @ RATE GP-9 - RUN @ RATE SUMMARY

Part Description NAME

Supplier SUPPLIER Part # NUMBER

Mfg. Location Drawing #

Supplier Quoted Production Rate /Hr /Day Change Level ECL

Customer GM Buyer
Phone #

Planned Usage: Daily Weekly SQE

Phone #

Planned Run Date GOAL (net good parts)

Planned Hours To Run /Hour

Planned Shifts Planned Downtime /Shift

Reason for Planned Downtime: /Day

RESULTS

Actual Hours From To ACTUAL (net good parts)

Actual Shifts Date /Hour

Actual Downtime Hours (planned & unplanned) /Shift

/Day
Explain:

Total Produced - Total Rejected = Net

Comments/Open Issues:

Supplier Run At Rate Recommendation: PAS Rerun Date

OPEN FAIL
S
Comments:

Supplier Signature Title Phone Date

Run At Rate Summary: PASS OPEN FAIL Rerun Date

Authorized Customer Supplier Quality Signature Title Date

GM-1965 (2/95)
 CUSTOMER LIST FMEA LISTS
ACTIVE # IN DOCUMENT 1 SEVERITY SCALE
1 GM 10 Hazardous - w/o warning
2 FORD 9 Hazardous - w/ warning
3 CHRYSLER 8 Very High
4 7 High
5 6 Moderate
6 5 Low
7 4 Very Low
8 3 Minor
9 2 Very Minor
10 1 None
11 OCCURENCE SCALE
12 10 >1 in 2
13 9 1 in 3
14 8 1 in 8
15 7 1 in 20
16 6 1 in 80
17 5 1 in 400
18 4 1 in 2,000
19 3 1 in 15,000
20 2 1 in 150,000
1 1 in 1,500,000
DETECTION SCALE
10 Absolute Uncertainty
9 Very Remote
8 Remote
7 Very Low
6 Low
5 Moderate
4 Moderately High
3 High
2 Very High
1 Almost Certain