Overview

Company Info
AAR
PTR
MTR
DTR
Drawing xxxx-x_xxxx
PSW

Sheet 1: Company Info

For Ease of Use with the forms, you could enter all relevant information here and then avoid having to retype it.

Cust Part Number

Rev Level Part

Suppl Part No

Part Name

Drawing Number

Rev Level Draw

Rev Date

E-Change Number

Part Weight (kg)

Application

Org Name

Org Street Address

City

Region

Country

Zip

Supplier Code

Auth. Rep

Ph Number

Fax Number

Customer Name

Buyer

Buyer Code

Lab/Insp Facility

Enter Customer Part #

Enter Rev Level Part

Enter Your Part #

Enter Part Name

Drg Number

Enter Rev Level Drawing

Enter Drawing Rev Date

Enter E-Change Number

Enter Weight

What Vehicles is this used on?

Your Company Name

Company Street Address

City

State

Country

ZIP

Your Supplier Code

Name of the Rep

Contact Ph Number

Contact Fax Number

Enter Name of the Customer

Enter Your Buyer's Name

Buyer Code

Lab/Insp Facility Used

Sheet 2: AAR

APPEARANCE APPROVAL REPORT

CUST PART

Enter Customer Part #

REV LEVEL PART

Enter Rev Level Part

DRAWING

Drg Number

APPLICATION

What Vehicles is this used on?

NUMBER

(VEHICLES)

PART

Enter Part Name

BUYER

Buyer Code

REV LEVEL

Enter Rev Level Drawing

DATE

NAME

CODE

DRAWING

SUPPLIER

Your Company Name

MANUFACTURING

Company Street Address City State Country ZIP

SUPPLIER

Your Supplier Code

NAME

LOCATION

CODE

REASON FOR

PART SUBMISSION WARRANT

SPECIAL SAMPLE

RE-SUBMISSION

OTHER

SUBMISSION

PRE TEXTURE

FIRST PRODUCTION SHIPMENT

ENGINEERING CHANGE

APPEARANCE EVALUATION

Organization Sourcing & Texture Information

Pre-Texture Evaluation

Authorized Customer Representative Signature & Date

Correct & Proceed

Correct & Resubmit

Approved to Texture

COLOR EVALUATION

COLOR SUFFIX

TRISTIMULUS DATA

MASTER NUMBER

MASTER DATE

MATERIAL TYPE

MATERIAL SOURCE

HUE

VALUE

CHROMA

GLOSS

METALLIC BRILLIANCE

COLOR SHIPPING SUFFIX

PART DISPOSITION

DL*

Da*

Db*

DE*

CMC

RED

YEL

GRN

BLU

LIGHT

DARK

GRAY

CLEAN

HIGH

LOW

HIGH

LOW

COMMENTS

SUPPLIER

Your Company Name

PHONE NUMBER

DATE

AUTHORIZED CUSTOMER REPRESENTATIVE SIGNATURE

DATE

SIGNATURE

March 2006

CFG-1002

Rev: LK March 2010

Sheet 3: PTR

Production Part Approval

PERFORMANCE TEST RESULTS

Organization:

Your Company Name

Cust Part Number:

Enter Customer Part #

Rev. Level Part:

Enter Rev Level Part

Supplier/Vendor Code:

Your Supplier Code

Part Name:

Enter Part Name

Name of Laboratory:

Lab/Insp Facility Used

Drawing Number:

Drg Number

Rev. Level Drawing:

Enter Rev Level Drawing

*Customer Specified Supplier/Vendor Code:

E-Change Number:

Enter E-Change Number

* 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

Not Ok

March 2006

CFG-1005

'Rev: LK March 2010

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE

TITLE

DATE

Sheet 4: MTR

Production Part Approval

MATERIAL TEST RESULTS

Organization:

Your Company Name

Cust Part Number:

Enter Customer Part #

Rev. Level Part:

Enter Rev Level Part

Supplier/Vendor Code:

Your Supplier Code

Part Name:

Enter Part Name

Material Supplier:

Drawing Number:

Drg Number

Rev. Level Drawing:

Enter Rev Level Drawing

*Customer Specified Supplier/Vendor Code:

Engineering Change Documents:

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

Name of Laboratory:

Lab/Insp Facility Used

Material Specification

Specification Limits

Test Date

Qty. Tested

Test Results

Not Ok

March 2006

CFG-1004

Rev: LK March 2010

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE

TITLE

DATE

Sheet 5: DTR

Production Part Approval

DIMENSIONAL TEST RESULTS

Organization:

Your Company Name

Cust Part Number:

Enter Customer Part #

Rev. Level Part:

Enter Rev Level Part

Customer-

Evaluation:

Supplier/Vendor Code:

Your Supplier Code

Part Name:

Enter Part Name

Date:

INSPECTION FACILITY:

Drawing Number:

Drg Number

Rev. Level Drawing:

Enter Rev Level Drawing

Dept:

Measurement Lab used:

Lab/Insp Facility Used

E-Change Number:

Enter E-Change Number

Name:

Number of Report:

Engineering Change Documents:

allowable min. value

allowable max. value

max. deviation inside of tolerance

max. deviation outside of tolerance

Item

View

Position at multiple dimensions

Dimension / Specification

Specification / Limits

Test Date

Qty. Tested

Organization Measurement Results (Data)

Not Ok

Comments

Customer
Evaluation

Dimension

Type of dimension (Ø, °, R, ...) Type of dim

add lower tolerance (-0,12) lower

add upper tolerance (+0,12) upper

Cav. 1

Cav. 2

Cav. 3

Cav. 4

Cav. 5

Cav. 6

Cav. 7

Cav. 8

March 2006

CFG-1003

Rev: LK March 2010

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE

TITLE

DATE

Sheet 6: Drawing xxxx-x_xxxx

Sheet 7: PSW

Part Submission Warrant

Cust Part Name

Enter Part Name

Customer Part Number

Enter Customer Part #

Rev Level
Part

Enter Rev Level Part

Shown on Drawing No.

Drg Number

Organization Part No

Enter Your Part #

Review Level Drawing

Enter Rev Level Drawing

Dated

Enter Drawing Rev Date

Additional Engineering Changes

Dated

Safety and/or Government Regulation

Purchase Order No.

Weight (kg)

Enter Weight

Checking Aid No.

Checking Aid Engineering Change Level

Dated

ORGANIZATION MANUFACTURING INFORMATION

CUSTOMER SUBMITTAL INFORMATION

Your Company NameYour Supplier Code

Enter Name of the Customer

Organization Name & Supplier/Vendor Code

Customer Name/Division

Company Street Address

Buyer Code

Street Address

Buyer/Buyer Code

City

State

ZIP

Country

What Vehicles is this used on?

City

Region

Postal Code

Country

Application

MATERIALS REPORTING

Has customer-required Substances of Concern information been reported?

Submitted by IMDS or other customer format:

Are polymeric parts identified with appropriate ISO marking codes?

REASON FOR SUBMISSION (Check at least one)

The results for

These results meet all drawing and specification requirements:

Mold / Cavity / Production Process

DECLARATION

I hereby 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 review. I have noted any deviations from this declaration below.

EXPLANATION / COMMENTS:

Is each Customer Tool properly tagged and numbered?