Production Part Approval Process Submission Requirements - Supplier Checklist Submission Level (Please Type 1-5):

SL Part Number: Part Description: Supplier Name:

Engineering Revision Level: Eng Revision Date: SL SQE: Submission Date:
Primary Manufacturing Site: Supplier Rep: PPAP Due Date:

Included
Level 1

Level 2

Level 3

Level 4

Level 5
PPAP Requirements AIAG PPAP Internal
Order

Fourth Edition Required Documents Assigned to Due Date Comments/Concerns/Questions

1 Part Submission Warrant (PSW) X X X AR X PSW Required

2 Design Records & Bubbled part print(s). X X AR X Divisional Parts Prints

3 Approved Eng. Change Documentation X AR AR Various engineering documentation

4 Customer Engineering Approvals

5 Design FMEA AR AR AR Can be SL supplied format or AIAG compliant format.

6 Process Flow Diagrams X AR X Any standard flowchart format.

7 Process FMEA X AR X Can be SL supplied format or AIAG compliant format.

8 Control Plan X X AR X Can be SL supplied format or AIAG compliant format.

9 Measurement System Analysis Studies AR X AR X GRR format or statistical package format for gage R&R.

10 Dimensional Results X X AR X Can be SL supplied format or AIAG compliant format.

11 Material, Performance Test Results AR X AR X Industry Standard reports.

Initial Process Study (Cpk) Process Capability Study using statistical package or SL
12 Capability Studies AR X AR X Capability Data Forms.
13 Qualified Laboratory Documentation X AR X Lab Scope and outside lab proof of accreditation.

14 Appearance Approval Report AR AR AR AR AR AIAG format AAR

15 Sample Product Parts X X AR X Parts tagged in accordance with SL PPAP Manual.

16 Master Samples X Required only for level 5

17 Checking aids X AR X Design prints and GRR (if KPC related fixture).

18 Customer Specific Requirements X X X X X Documents as specified by SLTN

a Special Characteristic Approval Form (SCAF) AR AR AR AR AR Specific document required by SL.

b Tooling Loan Agreement IA IA IA IA Specific document required by SL.

c Packaging Form X AR X Specific document required by SL.

d Launch Inspection Program AR AR AR AR Supplier’s preferred format

e Supplier Request for Eng. Approval IA IA IA IA Specific document required by SL.

f Special Process (Applicable CQI Audit) IA IA IA IA

CQI-9 - Heat Treat System Assessment IA IA IA IA AIAG compliant format.

CQI-11 - Plating System Assessment IA IA IA IA AIAG compliant format.

CQI-12 - Coating System Assessment IA IA IA IA AIAG compliant format.

CQI-15 - Welding System Assessment IA IA IA IA AIAG compliant format.

CQI-17 - Soldering System Assessment IA IA IA IA AIAG compliant format.

CQI-23 - Molding System Assessment IA IA IA IA AIAG compliant format.

g Certificate of Origin IA IA IA IA US Government format

h Supplement K IA IA IA IA Specific document required by SL.

i PPAP Worksheet (Ford Only) IA IA IA IA Specific document required by SL.

k Phase PPAP Submission Check List (Ford Only) IA IA IA IA Specific document required by SL.

l Run @ Rate (Capacity Study) IA IA IA IA Specific document required by SL.

m Other: ' ' IA IA IA IA Specific document required by SL.

Required for PPAP submission X Not required As Requested IF Applicable

AR IA
Supplier PPAP Forms Pack PPAP Supplier Checklist Rev 02-01-18
Select One
Interim (Non-
Phase 1 Phase 2 Phase 3
PPAP) PPAP Submission Warrant
PART INFORMATION
Customer Part Name Customer Part Number
Shown on Drawing Number Organization Part Number
Engineering Change Level Dated
Additional Engineering Changes Dated

Safety and/or Government Regulation Yes No Purchase Order Number Weight (kg)
Checking Aid Number Checking Aid Engineering Change Level Dated
ORGANIZATION MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION

Organization Name and Supplier/Vendor Code Customer Name/Division

Street Address Buyer/Buyer Code

City State/Region Postal code Country Application

MATERIALS REPORTING
Has customer-required Substances of Concern information been reported? Yes No
Submitted by IMDS or other customer format
(If submited by IMDS, enter Module ID no., version and date transmitted)

Are polymeric parts identified with appropriate ISO marking codes? Yes No n/a
REASON FOR SUBMISSION (Check at least one)
Initial Tooling: Transfer, Replacement, Refurbishment, or Supplier or Material Source
submission
Engineering additional
Tooling Inactive > than 1 Change
✘ Change in Part Processing
Change(s)
Correction of yearChange to Optional Construction or Parts produced at Additional
Discrepancy
Other - please Material Location
specify
REQUESTED SUBMISSION LEVEL (Select 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
dimensional material and functional appearance statistical process
The results for
measurements, tests criteria package
No (If "No" - Explanation
These results meet all design requirements Yes
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 which meets all Production Part Approval Process
Manual 4th Edition requirements including all Ford-specific requirements. I further affirm that these samples were produced at the production rate
of ________ / _______ hours using _______ production streams. I also certify that documented evidence of such compliance is on file and is available for review.
I have noted any exceptions from this declaration below.
EXPLANATION/COMMENTS
Organization Authorized Signature Print Name Date

Title Phone Fax Email

Is each Customer Tool properly tagged and numbered? Ye

No n/a
Capacity Requirements
s
Source of the Program Approval requirements Detail / Date

Program Approval (<PA>) Requirements APW MPW

If Program Approval (<PA>) requirements are not met, indicate date when the requirements will be met Date

Source of the revised requirements after <PA> Detail / Date

Revised requirements after <PA> APW MPW

If the revised requirements after <PA> are not met, indicate date when the requirements will be met Date
Demonstrated Capacity (record in Ford Capacity System [GCP or MCPV] as Purchased Part Capacity)

Enter capacity commitment (PPC) based on Capacity Analysis APPC MPPC Date
Report "Predicted Good Parts per Week" and date of analysis

PPAP Non-PPAP a/ FOR FORD USE ONLY

Interim Status
Phased PPAP Approve Interim (to be completed by the Organization)
Rejected
Warrant Status d Accepted
Engineering
Date Name Authorization
STA Signature . e-mail Alert or Alert Report
Date Name
Description:
P.D. Signature /b . e-mail (Incomplete PPAP
Requirements)
a/ Non-PPAP indicates the part does not satisfy one or more PPAP requirements and is incomplete
b/ P.D. signature for Priority suppliers on GPDS programs

Ford GPPSS1 The original copy of this document shall remain at the Letter paper size format
May 2013 supplier's location while the part is active

Customer Tracking Number (optional)

 Part Submission Warrant

Part Name Cust. Part Number

Shown on Drawing No. Org. Part Number
Engineering Change Level Dated
Additional Engineering Changes Dated
Safety and/or Government Regulation
Ye Purchase Order No. Weight (kg)
s
Checking Aid No. Checking Aid Engineering Change Level Dated

ORGANIZATION MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION

Organization Name & Supplier/Vendor Code Customer Name/Division

Street Address Buyer/Buyer Code

City Region Postal Code Country Application

MATERIALS REPORTING
Has customer-required Substances of Concern information been reported?
n/
a
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 Change to Optional
Submission
Engineering Construction
Supplier or Material
or Material
Change(s)
Tooling: Transfer, Replacement, Source Change
Change in Part Processing
Refurbishment,
Correction of or additional Parts Produced at
Discrepancy
Tooling Inactive > than Additional Location
Other - please specify below
1 year

REQUESTED SUBMISSION LEVEL (Check one)

Level 1 - Warrant only (and for designated appearance items, an
Appearance Approval
Level 2 - Warrant Report)
with submitted
product samples to
andcustomer.
limited
supporting data submitted
Level 3 - Warrant to customer.
with product samples and complete
supporting data submitted
Level 4 - Warrant to customer.
and other
requirements as defined
Level 5 - Warrant by customer.
with product samples and complete supporting data
reviewed at organization's manufacturing location.
SUBMISSION RESULTS appeara statistical
dimensional material and
The results for
Y tests nce process
measurements functional
These results meet all drawing and specification requirements: e No criteria package
(If "NO" - Explanation Required)
Mold / Cavity / Production Process s
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 the declaration below.
EXPLANATION/COMMENTS:

Is each Customer Tool properly tagged and numbered?

Yes
Organization Authorized Signature Date

Print Name Phone No. Fax No.

Title E-mail
O
FOR
Rej CUSTOMER
t USE ONLY (IF APPLICABLE)
Part Warrant Disposition:
Appr
ect h
oved
ed e
Customer Signature r Date

Print Name

Revision: 02-01-18
 Special Characteristic Approval Form
Supplier Name: Approvals Print Name Signature Approval Date
Program: Supplier:
Part Number: Supplier Quality Engineer
Part Description Advanced Quality Manager
Part Revision Level Advanced Quality Engineer
Part Revision Date Materials / Purchasing Manager

To be Completed by SL Tennessee To be completed by the Supplier

Item Characteristic Control Measurement Method PFMEA - RPN

Class Characteristic Description Specification / Tolerance No. Frequency
No. (include measurement device)
(PFMEA / CP) Sev Occ Det

SAFF
Supplier PPAP Forms Pack Rev: 02-01-18
Page 4 of 35
pproval Date

RPN

RPN

SAFF
Supplier PPAP Forms Pack Rev: 02-01-18
Page 5 of 35
 Process Flow Chart
Project #: Original Date: Last Rev: Rev #:
Description: Veh Line/Mod Year:
Part Family #: Part Family Name:
Drawing #: Engineering Level Engineering Level Date
Organization Part: Design/Mfg Resp: Dept #:
Company: Affected Supplier/Plant: Customer Eng Approval Date:
Company Contact Other Areas Involved: Customer QA Approval Date:
Contact Phne Number Process: Supplier/Plant App Date:
Core Team: Other Approval Date:

Sources Characteristics
Process Characteristics Description
Process Name of Misc Info Process Flow Chart Class (Product & Process)
Number
Variation No. Target Tolerance GD&T

Process Flow
Supplier PPAP Forms Pack Rev: 02-01-18
Page 6 of 35
 Sources Characteristics
Process Characteristics Description
Process Name of Misc Info Process Flow Chart Class (Product & Process)
Number
Variation No. Target Tolerance GD&T

Process Flow
Supplier PPAP Forms Pack Rev: 02-01-18
Page 7 of 35
 Page 8 of 35

Control Plan
Prototy Pre- Producti
Control Plan Number Launch
pe on
Key Contact / Phone Date (Orig.) Current Release Level Current Release Date

Part Number Latest Engineering Level Engineering Level Date Part Description Plant Location

Core Team Supplier Name Quality Department Approval

Customer Engineering Approval / Date (If Req'd) Supplier Plant Approval Other Approval / Date (If Req'd)

METHODS
PART / PROCESS

CHARACTERISTICS
SAMPLE
NUMBER

PROCESS NAME / MACHINE DEVICES / JIG / PRODUCT / PROCESS /

OPERATION TOOLS FOR SPECIAL SPECIFICATION / EVALUATION/
DESCRIPTION MANUFACTURING NO. PRODUCT PROCESS CHAR. CLASS TOLERANCE MEASUREMENT TECHNIQUE SIZE FREQ CONTROL METHOD

Control Plan
Supplier PPAP Forms Pack
Page 8 of 35 Rev: 02-01-18
 Page 9 of 35

METHODS
PART / PROCESS CHARACTERISTICS
SAMPLE
NUMBER

PROCESS NAME / MACHINE DEVICES / JIG / PRODUCT / PROCESS /

OPERATION TOOLS FOR SPECIAL SPECIFICATION / EVALUATION/
DESCRIPTION MANUFACTURING NO. PRODUCT PROCESS CHAR. CLASS TOLERANCE MEASUREMENT TECHNIQUE SIZE FREQ CONTROL METHOD

Control Plan
Supplier PPAP Forms Pack
Page 9 of 35 Rev: 02-01-18
 Page 10 of 35

Supplier Code

REACTION PLAN

Control Plan
Supplier PPAP Forms Pack
Page 10 of 35 Rev: 02-01-18
 Page 11 of 35

REACTION PLAN

Control Plan
Supplier PPAP Forms Pack
Page 11 of 35 Rev: 02-01-18
 Page 12 of 35

Please indicate EITHER:

Potential Failure Modes and Effects Analysis Design FMEA 1.) A designated RPN threshold for this process
2.) A target percentage of steps to be addressed.

Print # Design Responsibility FMEA Number

Item Name Contact Number Prepared By
Rev # Key Date FMEA Date (Orig.)
Core Team Customer Manufacturing Site FMEA Date

Current Product Controls Action Results

Item Number

C
Item/ Potential Potential Effects S l Potential Cause(s)/ O D R Recommended Responsibility
Function Requirements Failure Mode of Failure E a Failure Mechanisms C E P Action(s) and Completion S O D R
V s C Prevention Detection T N Date Actions Taken E C E P
s V C T N

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Supplier PPAP Forms Pack Design FMEA Rev: 02-01-18

 Page 13 of 35

Please indicate EITHER:

Potential Failure Modes and Effects Analysis FMEA 1.) A designated RPN threshold for this process
2.) A target percentage of steps to be addressed.

Print # Engineering Level: Engineering Level Date FMEA Number

Part Description Contact Number Revision No.
Prepared By Design Responsibility Key Date FMEA Date (Orig.)
Core Team Customer Manufacturing Site FMEA Date

S O D Responsibility
Number

Item/ Requirements Potential Potential Effects Potential Cause(s)/ Current Product Controls Recommended Action Results
Item

E Class C E RPN and Completion S O D

Function Failure Mode of Failure V Failure Mechanisms C T Action(s) Date
No. Prevention Detection Actions Taken E C E
V C T
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Process FMEA
Supplier PPAP Forms Pack
Page 13 of 35 Rev: 02-01-18
 Page 14 of 35

S O D Responsibility
Number
Item/ Requirements Potential Potential Effects Potential Cause(s)/ Current Product Controls Recommended Action Results
Item E Class C E RPN and Completion
Function Failure Mode of Failure Failure Mechanisms Action(s) S O D
No. V C Prevention Detection T Date Actions Taken E C E
V C T
0
0
0
0
0
0
0
0
0
0

Process FMEA
Supplier PPAP Forms Pack
Page 14 of 35 Rev: 02-01-18
 Page 15 of 35

Action Results

RPN
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Process FMEA
Supplier PPAP Forms Pack
Page 15 of 35 Rev: 02-01-18
 Page 16 of 35

Action Results

RPN
0
0
0
0
0
0
0
0
0
0

Process FMEA
Supplier PPAP Forms Pack
Page 16 of 35 Rev: 02-01-18
 Page 17 of 35

DIMENSIONAL DATA SHEET Date of Measurement:

Reason for Data Submission (check all that apply): Supplier Representative: Supplier Signature
Supplier Name:

Part Name: Initial submission New/revised item, material or product component Name Title
Judgment Legend
Part Number Correction of Non-conformance New Supplier

Drawing Number: New/Revised drawing or other specification New or significantly modified process or routing Phone Number Email:
OK Meets Requirements

Revision Level: Change to optional construction or material Change of location, sub-supplier or material
OKNI OK But Needs Improvement

Revision Date: Tooling: Transfer, replacement, refurbishment Other - please specify Date: Supplier Code:
NG Does Not Meet Requirements
or additional tool.
Judgment
Required Cpk

Data for Sample Number…..

A=Attribute
V=Variable
Data Type:
ITEM #

REQUIREMENT: REQUIREMENT: Bonus Applied

(Y/N)

Description of Check Measurement Method Target (Y/N) Min Max Comments/Action Plan

1 2 3 4 5 6 7 8 9 10 Average Range Supplier SL

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Supplier PPAP Forms Pack Dimensional Data Sheet Rev: 02-01-18

 Supplier Request for Engineering Approval (SREA)
Supplier to Complete
SUPPLIER NAME AND ADDRESS:
SUPPLIER:
ADDRESS:
CITY: STATE: ZIP:
SLTN AND SUPPLIER PART NUMBER(s), REVISION LEVEL, AND PART DESCRIPTIONS OF
ASSEMBLY AND ITS COMPONENTS SUB - SUPPLIER SREA

IF YES - ATTACH Sub-Supplier SREA

SAFETY / REGULATORY PART

AFFECTED YES

REASON FOR CHANGE: SLTN design is Oth Manufacturing Heat

incorrect cannot meet SLTN
Supplier er
Drawin Process Change
Composition (material Treating
Product
design g error change) Improvement
WHEN WAS NEED FOR THIS CHANGE DISCOVERED? At time After Quote / Before After start of
of Quote Implementation production
DESCRIPTION OF CHANGE:

Y
INVENTORY REQUIRED N
ATTACHMENTS: TIMIN E
VALADATION IF YES, QUANTITY: O
BANK BUILD PLAN G ✘ S
PLAN
OTHER: PLAN IF YES, TIMING PLAN REQUIRED:
EFFECT OF CHANGE

INTERCHANGEABILITY AFFECTED? TIME REQ’D TO INCORPORATE CHANGE AFTER TOOLING OR FACILITY CHANGES REQUIRED
ASSEMBLY NO APPROVAL: IF YES, COST EFFECT $
COMPONENTS NO

WILL INCORPORATION OF CHANGE AFFECT SIGNATURE: PRICE COST AFFECTED

Y
SHIPPING SCHEDULE? E SUPPLIER SIGNATURE IF YES, COST AFFECT $
IF YES, HOW S PRINT NAME
TITLE
EMAIL
PHONE TOOL MOVE REQUIRED
DATE
SLTN TO COMPLETE
APPR REJ
SQE Disposition: APPRO REJEC QUALITY MANAGER Disposition: OVED ECT
VED* TED
SIGNATURE: SIGNATURE:
* ED
PRINT NAME PRINT NAME
DATE: TITLE: APPR REJDATE:
QE Disposition: APPRO REJEC PURCHASING MAN. Disposition: OVED ECT
VED* TED
SIGNATURE: DATE ________ SIGNATURE: * ED DATE
PRINT NAME PRINT NAME
Y
BLANKET APPROVAL GRANTED FOR SUBSEQUENT CHANGES SAMPLE OF CHANGED COMPONENT REQUIRED E
WHICH ARE SAME AS DESCRIBED ABOVE (If Yes - to whom) S
REASON FOR REJECTION OR QUALIFYING CONDITIONS OF ACCEPTANCE:

Supplier PPAP Forms Pack SREA Rev: 02-01-18

 Packaging Form
Date Packaging Contact Part Number Supplier Responsibilities Completed?
Packaging Design
Supplier Name Phone Number Print Revision Level
Packaging that prevents shipping
and material handling defects
Supplier Code Fax Number Part Description

Electronic storage of submitted

Supplier Production Facility E-Mail Address HAZMAT? Packaging Data Form
Ye
No
s
Part In Packaging Position Container With Label Shown
DIGITAL IMAGES

Component L (mm) W (mm) H (mm) Component Wt (kg) Quantities

Part Size
PACKAGE DATA

Part Qty Parts per Container

Container Only Dunnage (Tare) Container(s) per Layer on Pallet
Pallet Only Container (Tare) Later per Pallet
Unit Load As Shipped Pallet (Tare) Container(s) per Pallet
In to MM Lbs to Kg Container Gross (Inc Parts) Stacking Rule
0 0 Unit Load Gross (Inc Parts)

Dunnage In Container Position Unit Load As Shipped With Label Shown

DIGITAL IMAGES

Description Manufacturer Material Lead Time RET/EXP COMMENTS

PACKAGING MATERIALS

Dunnage
Container Color
Container Type
Cover/Top Cap
Pallet
Stretch/Shrink Film
Banding
Other

Supplier PPAP Forms Pack Packaging Form Rev: 02-01-18

 GR&R Study - Multiple Operators
Part Number: Supplier Name: Date
Drawing Number: Supplier Address:
Drawing Rev.: Supplier Contact
Rev. Date:
Drawing Location: PCA Supplier Name: GR&R Contact
Part Feature: PCA Address:
Feature Symbol: PCA Contact
Other Information
Calibration Date: Gage Type: Gage ID: Unit of Measure:
Operator 1 Name Operator 2 Name Operator 3 Name

0 0 0
USL LSL Number of Trials: Number of Operators:
Operator 1 Operator 2 Operator 3
Part # 1st Trial 2nd Trial 3rd Trial Range 1st Trial 2nd Trial 3rd Trial Range 1st Trial 2nd Trial 3rd Trial Range
1 Error Error Error
2 Error Error Error
3 Error Error Error
4 Error Error Error
5 Error Error Error
6 Error Error Error
7 Error Error Error
8 Error Error Error
9 Error Error Error
10 Error Error Error
* A minimum of six samples for each trial is required for these results to be valid

Gage R&R Summary Gage R&R Disposition

Measurement Unit Analysis
Repeatability: EV= #VALUE!
Disposition #VALUE!
Reproducability: AV= #VALUE!
R&R= #VALUE!
Part Variation: PV = #N/A
Total Variation: TV= #VALUE! GR&RTOL% < 10 Pass - Gage System is Useable

% Process Variation (TV) / % Tolerance Variation (TOL)

% Equipment Variation (EVTV) #VALUE! %EVTOL #VALUE! 10 ≤ GR&RTOL% ≤ 30 Gage System is useable but marginal
% Appraiser Variation (AVTV) #VALUE! %AVTOL #VALUE!
%GR&R (GR&RTV) #VALUE! %GR&RTOL #VALUE!
%Part Variation (PVTV) #N/A GR&RTOL% > 30 Fail - Gage System is Unstable

Part Operator Average Repeatability Range (All Operators)

Most part averages should be outside the control limits
1 2 3 4 5 6 7 8 9 10 1.000
1.000
0.900
0.900
0.800
0.800
0.700
Operator X Values

0.700
0.600
Bar R

0.600
0.500
0.500 0.400

0.400 0.300

0.300 0.200

0.200 0.100

0.000
0.100
1 2 3 4 5 6 7 8 9 10
0.000 Sample Number
UCLx LCLx Bar-X Op1 X Op2 X Op3 X UCLr Bar-R Op1 Range Op2 Range Op3 Range

Supplier PPAP Forms Pack GRR Study Rev: 02-01-18

 Process Capability Analysis - Ppk
Use when: (a) You are a new supplier to Cooper that has already been manufacturing the specified part, or (b) you are an existing supplier who has been found to have
Are the Design Characteristics Safety Related, suppliedor Functional?
a large number of nonconforming parts.

Part Number: Supplier Name: Date

Drawing Number: Supplier Address:
Drawing Rev.: Supplier Contact
Rev. Date:
Drawing Location: PCA Supplier Name:
Part Feature: PCA Address:
Feature Symbol:
Other Information
Limits PCA Summary
USL Process Data Potential Capability
LSL LSL = 0.000 Ppku = Error in STDEV
USL = 0.000 Ppkl = Error in STDEV
Mean = No Data Ppk = Error in STDEV
Test Data StDev = 0.000 Pp = Error in STDEV
Test No. Test %Cr = Error in STDEV
1 Max = 0.000
2 Min = 0.000
3
4 Spec Frequency
Distribution
5 1 0.000 #VALUE!
6 2 0.000 #VALUE!
7 3 0.000 #VALUE!
8 4 0.000 #VALUE!
9 5 0.000 #VALUE!
10 6 0.000 #VALUE!
11 7 0.000 #VALUE!
Frequency

12 8 0.000 #VALUE!
13 9 0.000 #VALUE!
14 10 0.000 #VALUE!
15
16
17
18
19
0.000

0.000

0.000

0.000

0.000

0.000

0.000

0.000

0.000

0.000

20 Values
21
22 Disposition Invalid PPK
23 PPK<1.67 Reject, Corrective Action Needed
24 PPK>1.67 Accept
25

Supplier PPAP Forms Pack Process Cap Analysis -Ppk Rev: 02-01-18
 Process Capability Analysis - Cpk Comp
Fill ou
Part Number: Supplier Name: Date of Study the C
Drawing Number: Supplier Address:
Drawing Rev.: From
Rev. Date: subgr
Drawing Location: Enter
Part Feature:
Feature Symbol: PCA Summary If the
identi
Limits Process Data Potential Capability identi
1 USL 0.1 USL= 0.100 Cp = Error in STDEV and o
LSL 0 LSL= 0.000 CpkL = Error in STDEV
Exam
Mean= #DIV/0! CpkU = Error in STDEV Cpk h
StDevE= 0.000 Cpk = 0.000 (norm
UCLx= #DIV/0! %Cr = Error in STDEV The X
LCLx= #DIV/0! Max = 0.000 distri
UCLR= 0.000 Min = 0.000
Subgroup Test 1 Test 2 Test 3 Test 4 Test 5 Average Range
1 0.000 Spec Frequency
Histogram
2 0.000 1 0.000 #VALUE!
3 0.000 2 0.000 #VALUE!
4 0.000 3 0.000 #VALUE!

Frequency
5 0.000 4 0.000 #VALUE!
6 0.000 5 0.000 #VALUE!
7 0.000 6 0.000 #VALUE!
8 0.000 7 0.000 #VALUE!
9 0.000 8 0.000 #VALUE!

0.000

0.000

0.000

0.000

0.000

0.000

0.000

0.000

0.000
10 0.000 9 0.000 #VALUE! Test Values
11 0.000
12 0.000 X-Bar Chart
1.000
13 0.000
14 0.000 0.900

15 0.000 0.800

16 0.000
17 0.000 0.700

18 0.000
Sample Value

0.600

19 0.000
0.500
20 0.000
21 0.000 0.400

22 0.000
0.300
23 0.000
24 0.000 0.200

25 0.000 0.100

0.000
1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25
Sample Number
X X-Bar LCLx UCLx

Supplier PPAP Forms Pack Process Cap Analysis - Cpk Revision:02-01-18

 Production Part Approval
MATERIAL TEST RESULTS
Supplier Name: Part Number:

Supplier/Vendor Code: Part Name:

Material Supplier: Engineering Level

*Customer Specified Supplier/Vendor Code: Engineering Level Date:

Name of Laboratory: Engineering Change Documents:

Specification Qty. Not

Material Specification Test Date Test Results OK
Limits Tested OK

March 2006 CFG-1004 Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE

Supplier PPAP Forms Pack Page 23 of 35 Rev: 02-01-18

 Production Part Approval
PERFORMANCE TEST RESULTS
Supplier Name: Part Number:

Supplier/Vendor Code: Part Name:

Name of Laboratory: Engineering Level

*Customer Specified Supplier/Vendor Code: Engineering Level Date:

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

Test Specification Specification / Qty. Not

Test Date Supplier Test Results (Data) / Test Conditions OK
Specification Rev. Date Limits Tested OK

March 2006 CFG-1005 Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE

Supplier PPAP Forms Pack Page 24 of 35 Rev: 02-01-18

 ENGINEERING CHANGE NOTICE
(BRIGHT ORANGE)

EO NUMBER:

PART NUMBER:

SUPPLIER:

CHANGE DESCIPTION

Date of shipment:

ASN/DCR# FOR SHIPMENT:

Revision: 02-01-18
 Checking Aids
Part Number Engineering Level Engineering Level Date

Part Desciption Program

Original Date Revision Date

Please Include Pictures of all checking aids
below

Gage No
Calibration Gage
Gage Description Gage Number on Control Plan? Acc / Rej
Date R&R
Yes / No
 Gage No
Calibration Gage
Gage Description Gage Number on Control Plan? Acc / Rej
Date R&R
Yes / No
Checking Aid: Checking Aid:

Checking Aid: Checking Aid:

Checking Aid: Checking Aid:

 Gage No
Calibration Gage
Gage Description Gage Number on Control Plan? Acc / Rej
Date R&R
Yes / No
Checking Aid: Checking Aid:

Checking Aid: Checking Aid:

Checking Aid: Checking Aid:

 Gage No
Calibration Gage
Gage Description Gage Number on Control Plan? Acc / Rej
Date R&R
Yes / No
Checking Aid: Checking Aid:

Checking Aid: Checking Aid:

Checking Aid: Checking Aid:

 Tooling Approval Form

Company Supplier

Prepare Person completing form

date Date form completed

Mold . Checker , JIG , ETC

Tool Type
Type of tool

Part
Name of part made from tool QTY 1 SUPPILER Name of tool maker
Name

SPEC USER TEAM Incoming Date Date tool

(Completed completed or
S/N GM Asset Number LOCATION Location of tool Date) received

1ST Check date Result

Check 2nd Check date Result

3rd Check date Result

SL Team Purchasing Purchasing Product Development Sourcing Coordinator

SL Position Buyer Manager PDE Tool Coordinator

Agreement

SL Name

SL Sign

↓↓↓↓ Tool Tag Close Up ↓↓↓↓

Revision 02-01-18
 ↓↓↓↓Tool Open With Tool Tag In View ↓↓↓↓
Comment

↓↓↓↓Tool Closed With Tool Tag In View ↓↓↓↓

Revision 02-01-18
 Supplier Request to Remove Launch Inspection
To be completed by the supplier
Date of Request: Supplier:

Requestor: Phone Number:

Start Date of Launch Inspection: PPAP Date:

Part Number: QTY of parts

inspected
Part Description:

Program:

Nonconformance Reason for Nonconformance Corrective Action

Supplier Signature Date Supplier Signature

To be completed by SL TN

SCARs issued during Launch:

Launch Inspection Review Results / Notes

Request Approved PDE / QE - update Supplier Master Dbase

SQE - Scan signed copy of form and store in supplier fold

Request Rejected SQE - Update Supplier Master Dbase with new exit criteria
SQE - Scan signed copy of form and store in supplier fold

Reason for Rejection

Revision: 02-01-18
 New Exit Criteria

Supplier Quality Engineer Date Product Development Engineer

SQE to send Supplier a copy of the signed off form.

Revision: 02-01-18
nch Inspection
plier

QTY of Nonconforming QTY of

Parts Good Parts

Corrective Action

Supplier Signature Date

N

ts / Notes

update Supplier Master Dbase

n signed copy of form and store in supplier folder

e Supplier Master Dbase with new exit criteria

n signed copy of form and store in supplier folder

Revision: 02-01-18
ct Development Engineer Date

Revision: 02-01-18