PPAP_checklist

P PAPKIT_Steel Suppliers_F01 Rev. A (Oct_03)D a n a C o r p.,P a r t S u b m i s s i o n Wa r r a n tPart Name ______________________________________ Part Number _______________________________________ Government and/or Safety Regulation Engineering Drawing Change Level__________ Dated___________Additional Engineering Changes _____________________________________________________________Dated___________ Shown on Drawing Number_____________________ Purchase Order Number______________________ Weight_________kg Checking Aid No.___________________________ Engineering Change Level_______________________ Dated___________SUPPLIER MANUFACTURING INFORMATION SUBMISSION INFORMATION__________________________________________________Materials/FunctionalSupplier Name Supplier Code__________________________________________________Customer Name/Division___________________________Street AddressBuyer/Buyer Code__________________________________________________________________________City State Postal Code Application______________________________________REASON FOR SUBMISSIONEngineering Change Sub-Supplier of Material Source ChangeTooling: Transfer, Replacement, Refurbishment, or additionalParts Produced at Additional LocationOther – please specify____________________________________REQUESTED SUBMISSION LEVEL (Check one)Level 1 - A Dana—Warrant, Appearance Approval Report (for designated appearance items only)Level 2 - A Dana—Warrant, Parts, Drawings, Inspection Results, Laboratory and Functional Results, Appearance Approval Report.Level 3 - A Dana —Warrant, Parts, Drawings, Inspection Results, Laboratory Results, and Appearance Approval Report, Process Capability Results, Capability Study, Process Control Plan, Gage Study, FMEA.Level 4- Per Level 3, but without parts.Level 5- At Supplier Location – Warrant, Parts, Drawings, Inspection Results, Laboratory and Functional Results, Appearance Approval Report, Process Capability Results, Capability Study, Process Control Plan, Gage Study, FMEA.S UBMISSION RESULTSS ubmitting: dimensional measurements material & functional testsT hese results meet all drawing and specification requirements:D ECLARATIONI hereby affirm that the samples represented by this warrant are 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.T he product represented by this warrant conforms to all applicable government, End of Vehicle Life, and safety requirements for restriceted materials. Material Safety Data Sheets (MSDS) or equivalent are enclosed or have been previously submitted.I have noted any deviations from this declaration below:E XPLANATION / COMMENTS _______________________________________________________________________________________P rint Name ___________________________________________ Title_______________________________ Phone No.___________________S upplier Authorized Signature__________________________________________________________ Date: ____________________________F OR DANA USE ONLY – Part Disposition: Approved Rejected Other______________Representative_____________________Signature______________________Date___________PPAPKIT_Steel Suppliers_F02 Rev. A (Oct_03)D i m e n s i o n a l Te s t R e s u l ts SUPPLIER PART NUMBERNAME/LOCATION OF INSPECTION FACILITY PART NAMEITEM DIMENSION/SPECIFICATIONSUPPLIERMEASUREMENTSOK NOTOKCOMMENTS(Dana use only)Submitted by:NAME TITLE SIGNATURE DATE PPAPKIT_Steel Suppliers_F03 Rev. A (Oct_03)M a t e r i a l Te s t R e s u l ts SUPPLIER PART NUMBERNAME/LOCATION OF LABORATORY PART NAMETYPE OF TEST MATERIAL SPEC. NO./DATE/SPECIFICATIONSUPPLIERTEST RESULTSOK NOTOKCOMMENTS(Dana use only)Submitted by:NAME TITLE SIGNATURE DATE PPAPKIT_Steel Suppliers_F04 Rev. A (Oct_03)P r o d u c t i o n P a r t Ap p r o v a l P r o c e s s—P e r f o r m a n c e Te s t R e s u l t s SUPPLIER PART NUMBERNAME/LOCATION OF LABORATORY PART NAMEREF. NO.REQUIREMENTS TESTFREQ TESTQTY.SUPPLIER TESTRESULTS ANDTEST CONDITIONSOK NOTOKCOMMENTS(Dana use only)Submitted by:NAME TITLE SIGNATURE DATE P PAPKIT_Steel Suppliers_F05 Rev. A (Oct_03)。