PPAp

Part Submission Warrant Part Name

Customer Part Number

Rev. If applicable

Engineering Drawing Change Level

Tool PO Number

Dated

Additional Engineering Engineering Changes

Dated

Shown on Drawing Number

Purchase Order No.

Checking Aid Number

Engineering Change Level

Dated

ORGANIZATION MA MANUFACT UR URING IN INFORMAT IO ION

SUBMISSION IN INFORMATION

Organization name and Code

Customer Name/Division

Street Address

Customer Contact

City

State

Not Note:

Weight (kg)

Zip

Application

Does Does this this part part cont contai ain n any any restr estric icte ted d or repo reporrtabl table e subs substtance ances? s?

Yes

No

Are plastic parts identified with appropriate ISO marking codes?

Yes

No

REASON FOR SUBMISSION (check at least one) Initial submission

Change to Optional Construction or Material

Engineering Change(s)

Sub-Supplier or Material Source Change

Tooling: Tr Tran sf sfer, Re Replacem en ent, Re Refu rb rbishme nt nt, or or ad additional

Cha ng nge in in Pa Part Pr Pro ce cessin g

Correction of Discrepancy

Parts produced at Additional Location

Tooling inactive > than 1 year

Other - please specify below

SUBMISSION LEVEL (Check one) Level 1 - Warrant only (and for designated appearance items, an Appe arance 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 o ther requirements as defined by customer. 1

2

3

4

5

6

7

8

9

10 10 11 12 13 14 15 16 17 18 19

(check) Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

DECLARATION I affirm that the samples represented by this warrant are representative representative of our parts and hav e 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

List Molds / Cavities / Production Processes Organization Authorized Signature

Date

Print Name

Phone No.

Title

Fax

e-mail

FOR CUSTOMER USE ONLY PPAP Warrant Disposition:

Approved

Rejected

Interim Approval Customer Signature

Comment:

Date

Print Name

Volvo PSW 4th Edition PPAP

Part Submission Warrant 1

Part Name

2

Customer Part Number

3

Rev.

If applicable Engineering Drawing Change Level

4

Tool PO Number

5

Dated

6

Additional Engineering Changes 7

Shown on Drawing Number 10

Checking Aid Number

Dated 8

Purchase Order No. 11

Engineering Change Level

ORGANIZAT ION MANUFACT URING INFORMAT ION

Weight (kg)

9

Dated

SUBMISSION INFORMAT ION 14

12 Organization name and Code

Customer Name/Division

13

15

Street Address

Customer Contact 16

City

State

Note:

Zip

Application

Does this part contain any restricted or reportable substances?

Yes

No

Yes

No

17

Are plastic parts identified wit h appropriate ISO marking codes? REASON FOR SUBMISSION (check at least one)

18

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 below 19

SUBMISSION LEVEL (Check one)

Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer. Level 2 - W arrant 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 - W arrant 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

(check) Level 5 - W arrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

DECLARATION I affirm that the samples represented by this warrant are r epresentative of our parts and have been made to the applicable customer drawings and specifications and are made from specified materials on regular production tooli ng 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. 20

EXPLANATION/COMMENTS

21

List Molds / Cavities / Production Processes 22

Organization Authorized Signature Print Name

Date

Phone No.

Title

Fax

e-mail

FOR CUSTOMER USE ONLY PPAP Warrant Disposition:

Customer Signature Print Name

Approved Rejected Interim Approval Date

Comment:

Completion of the Part Submission W arrant

PART INFORMATION 1. Part Name: Engineering released finished end item part name. (See Volvo Part Version Report.) 2. Customer Part Number(s): Engineering released finished end item part number. (Volvo PVR number.) 3. Part Revision Level: if applicable. (Volvo PVR Version.) 4. Tool Purchase Order Number: if applicable. 5. Engineering Drawing Change Level & Approval Date: Show change level and date for submission. (Volvo drawing issue, see PVR and drawing.) 6. Additional Engineering Changes: Include all authorized engineering change documents and approval dates not yet incorporated on the drawing but which are incorporated in the part. 7. Shown on Drawing Number: The design record that specifies the customer part number being submitted. (Volvo drawing No, see PVR and drawing.) 8. Purchase Order Number: Enter this number as found on the purchase order. 9. Part weight: Enter the actual weight in kilograms to four significant places. 10. Checking Aid No: Enter the checking aid number, if one is used for dimensional inspection. 11. Checking Aid's Engineering Change Level and Approval Date. ORGANIZATION MANUFACTURING INFORMATION 12. Organization Name and Code: Show the code assigned to the manufacturing location on the purchase order. (Supplier Name and Volvo supplier No.) 13. Organization Manufacturing Address: Show the complete address of the location where the product was manufactured. SUBMISSION INFORMATION 14. Customer Name/ Division: Show the corporate name and division or operations group. (Volvo purchasing company, e.g. Volvo 3P, Volvo Powertrain, etc.) 15. Contact Name: Enter the name of your customer contact. (Volvo SQA and/or Volvo purchaser.) 16. Application: Enter the model year, vehicle name, or engine, transmission, etc. 17. Check the appropriate box to indicate Substances of Concern (Volvo black list STD 1009,1)/ISO marking reporting. REASON FOR SUBMISSION 18. Check the appropriate box. Add explanatory details in the "other" section. REQUESTED SUBMISSION LEVEL 19. Identify the submission level requested by your customer. Check the submission items if a level 4 is requested. If not otherwise agreed Volvo request level 4. The minimum required mandatory documents are: 6. Process FMEA; 7. Control Plan; 9. Dimensional Results including Marked Drawing; 10. Material, Performance Test Results; 13. Appearance Approval Report (if applicable); 17. Records of Compliance with Volvo Specific Requirements (Review of Technical Specification ,RTS). Mandatory for Volv o Powertrain. 18. Part Submission Warrant (PSW). All other documents shall be submitted to Volvo upon request. DECLARATION 20. Explanation/Comments: Provide any explanatory details on the submission results; additional information may be attached as appropriate. 21. Enter the number or code that identifies the specific mold, cavity, and/or production process used to manufacture the sa mple parts. 22. The responsible supplier official, after verifying that the results show conformance to all customer requirements and th at all required documentation is available shall approve the declaration and provide Title, Phone Number, Email Address, and Fax Number. FOR CUSTOMER USE ONLY Leave blank

New 4th Edition PSW Completion Instruction Wording Appendix A Completion of the Part Submission Warrant

PART INFORMATION 1. Part Name: Engineering released finished end item part name. (See Volvo Part Version Report.) 2. Customer Part Number(s): Engineering released finished end item part number. (Volvo PVR number.) 3. Part Revision Level: if applicable. (Volvo PVR Version.) 4. Tool Purchase Order Number: if applicable. 5. Engineering Drawing Change Level & Approval Date: Show change level and date for submission. (Volvo drawing issue, see PVR and drawing.) 6. Additional Engineering Changes: Include all authorized engineering change documents and approval dates not yet incorporated on the drawing but which are incorporated in the part. 7. Shown on Drawing Number: The design record that specifies the customer part number being submitted. (Volvo drawing No, see PVR and drawing.) 8. Purchase Order Number: Enter this number as found on the purchase order. 9. Part weight: Enter the actual weight in kilograms to four significant places. 10. Checking Aid No: Enter the checking aid number, if one is used for dimensional inspection. 11. Checking Aid's Engineering Change Level and Approval Date. ORGANIZATION MANUFACTURING INFORMATION 12. Organization Name and Code: Show the code assigned to the manufacturi ng location on the purchase order. (Supplier Name and Volvo supplier No.) 13. ORGANIZATION Manufacturing Address: Show the complete address of the location where the product was manufactured. SUBMISSION INFORMATION 14. Customer Name/ Division: Show the corporate name and division or operations group. (Volvo purchasing company, e.g. Volvo 3P, Volvo Powertrain, etc.) 15. Contact Name: Enter the name of your customer contact. (Volvo SQA and/or Volvo purchaser.) 16. Application: Enter the model year, vehicle name, or engine, transmission, etc. 17. Check the appropriate box to indicate Substances of Concern (Volvo black list STD 1009,1)/ISO marking reporting. REASON FOR SUBMISSION 18. Check the appropriate box. Add explanatory details in the "other" section. REQUESTED SUBMISSION LEVEL 19. Identify the submission level requested by your customer. Check the submission items if a level 4 is requested. If not otherwise agreed Volvo request level 4. The minimum required mandatory documents are: 6. Process FMEA; 7. Control Plan; 9. Dimensional Results including Marked Dr awing; 10. Material, Performance Test Results; 13. Appearance Approval Report (if applicable); 17. Records of Compliance with Volvo Specific Requirements (RTS). Mandatory for Volvo Powertrain. 18. Part Submission Warrant (PSW). All other documents shall be submitted to Volvo upon request.

DECLARATION 20. Explanation/Comments: Provide any explanatory details on the submission results; additional information may be attached as appropriate. 21. Enter the number or code that identifies the specific mold, cavity, and/or production process used to manufacture the sample parts. 22. The responsible supplier official, after verifying that the results show conformance to all customer requirements and that all r equired documentation is available shall approve the declaration and provide Title, Phone Number, Email Address, and Fax Number. FOR CUSTOMER USE ONLY Leave blank

APPEARANCE APPROVAL REPORT PART NUMBER

DRAWING NUMBER

PART NAME

BUYER CODE

ORGANIZATION NAME

APPLICATION (VEHICLES) E/C LEVEL

DATE

MANUFACTURING LOCATION

REASON FOR SUBMISSION

PART SUBMISSION WARRANT PRE TEXTURE

SUPPLIER/VENDOR CODE

SPECIAL SAMPLE FIRST PRODUCTION SHIPMENT

OTHER

RE-SUBMISSION ENGINEERING CHANGE

APPEARANCE EVALUATION ORGANIZATION SOURCING AND TEXTURE INFORMATION

AUTHORIZED CUSTOMER REPRESENTATIVE SIGNATURE AND DATE

PRE-TEXTURE EVALUATION CORRECT AND PROCEED CORRECT AND RESUBMIT APPROVED TO ETCH/TOOL/EDM

COLOR EVALUATION

COLOR SUFFIX DL*

TRISTIMULUS DATA Da*

Db*

DE*

CMC

MASTER NUMBER

MASTER DATE

MATERIAL MATERIAL TYPE SOURCE

HUE RED

YEL

VALUE

GRN

BLU

LIGHT

CHROMA

DARK

GRAY

METALLIC BRILLIANCE

GLOSS

CLEAN

HIGH

LOW

HIGH

COLOR SHIPPING SUFFIX

PART DISPOSITION

LOW

COMMENTS

PHONE NO.

ORGANIZATION SIGNATURE

DATE

DATE

AUTHORIZED CUSTOMER REPRESENTATIVE SIGNATURE

CFG-1002

March 2006

APPEARANCE APPROVAL REPORT PART NUMBER PART NAME

1

DRAWING NUMBER

2

4

BUYER CODE

5

ORGANIZATION NAME REASON FOR SUBMISSION


8 PART SUBMISSION WARRANT PRE TEXTURE

11


3

DATE

6/7


9


10

OTHER



12 PRE-TEXTURE EVALUATION

13


CORRECT AND PROCEED CORRECT AND RESUBMIT APPROVED TO ETCH/TOOL/EDM 21

COLOR EVALUATION 15

14 COLOR SUFFIX DL*


Db*

DE*

CMC

16

17

MASTER NUMBER

MASTER DATE

18

20

19


HUE RED

YEL

GRN

VALUE BLU

LIGHT

DARK

CHROMA GRAY

CLEAN

GLOSS HIGH

LOW

METALLIC BRILLIANCE HIGH

LOW


22 PART DISPOSITION

APPEARANCE APPROVAL REPORT PART NUMBER

1

DRAWING NUMBER

2

PART NAME

4

BUYER CODE

5

ORGANIZATION NAME REASON FOR SUBMISSION


8 PART SUBMISSION WARRANT PRE TEXTURE

11


3

DATE

6/7


9


10

OTHER



12 PRE-TEXTURE EVALUATION

13


CORRECT AND PROCEED CORRECT AND RESUBMIT APPROVED TO ETCH/TOOL/EDM 21

COLOR EVALUATION 15

14 COLOR SUFFIX DL*


Db*

DE*

CMC

16

17

18

MASTER NUMBER

MASTER DATE

20

19


HUE RED

YEL

GRN

VALUE BLU

LIGHT

DARK

CHROMA GRAY

CLEAN

GLOSS HIGH

LOW

METALLIC BRILLIANCE HIGH


LOW

COMMENTS 23

ORGANIZATION SIGNATURE

March

PHONE NO.

24

DATE

AUTHORIZED CUSTOMER REPRESENTATIVE SIGNATURE

25

DATE

CFG-1002

2006

Appendix B Report 1. 2. 3. 4. 5. 6./7. 8. 9. 10. 11. 12.

-

Completion of the Appearance Approval

Customer part number : Engineering released customer part number. Drawing Number: Use the number of the drawing on which the part is shown if different from the part number. Application: Enter the model year(s) and vehicle or other program on which the part is used. Part Name: Use the finished part name on the part drawing. Buyer Code: Enter the code for specific buyer or part. E/C Level & Date : Engineering change level and E/C date for this submission. Organization Name: Organization responsible for submission (include supplier if available). Manufacturing Location : Location where part was manufactured or assembled. Supplier/Vendor Code: Customer-assigned code for organization location where the part was manufactured or assembled. Reason for submission: Check box(es) explaining the reason for this submission. Organization Sourcing & Texture Information : List all first surface tools, graining source(s), grain type(s), and grain and gloss masters used to check part.

22 PART DISPOSITION

Appendix B Report 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.

-

Completion of the Appearance Approval

Customer part number : Engineering released customer part number. Drawing Number: Use the number of the drawing on which the part is shown if different from the part number. Application: Enter the model year(s) and vehicle or other program on which the part is used. Part Name: Use the finished part name on the part drawing. Buyer Code: Enter the code for specific buyer or part. E/C Level & Date : Engineering change level and E/C date for this submission. Organization Name: Organization responsible for submission (include supplier if available). Manufacturing Location : Location where part was manufactured or assembled. Supplier/Vendor Code: Customer-assigned code for organization location where the part was manufactured or assembled. Reason for submission: Check box(es) explaining the reason for this submission. Organization Sourcing & Texture Information : List all first surface tools, graining source(s), grain type(s), and grain and gloss masters used to check part. Pre-Texture Evaluation : To be completed by authorized customer representative (not used by GM). Color Suffix: Use alphanumeric or numeric color identification Tristimulus Data: List numerical (colorimeter) data of submission part as compared to the customer-authorized master. Master Number: Enter alphanumeric master identification (not used by Ford). Master Date: Enter the date on which the master was approved. Material Type: identify first surface finish and substrate (e.g;, paint/ABS). Material Source: Identify first surface and substrate suppliers. Example: Redspot/Dow. Color Evaluation, Hue, Value, Chroma, Gloss and M etallic Brilliance : Visual assessment by customer Color Shipping Suffix : Color part number suffix or color number. Part Disposition: To be determined by customer (approved or rejected). Comments: General comments by the organization or customer (optional). Organization Signature, Phone No. & Date: Organization certification that the document information is accurate and meets all requirements specified. Authorized Customer Representative Signature & Date: Authorized Customer Representative approval signature. THE AREAS INSIDE THE BOLD LINES ARE FOR CUSTOMER USE ONLY.

ppen x Results

-

ro uct on

art

pprova ,

mens ona

Production Part Approval Dimensional Test Results

ORGANIZATION: SUPPLIER/VENDOR CODE:

PART NUMBER: PART NAME: DESIGN RECORD CHANGE LEVEL: ENGINEERING CHANGE DOCUMENTS:

INSPECTION FACILITY:

ITEM

DIMENSION / SPECIFICATION

SPECIFICATION / LIMITS

TEST DATE

QTY. TESTED

ORGANIZATION MEASUREMENT RESULTS (DATA)

OK

NOT OK

Blanket statements of conformance are unacceptable for any test results. March 2006

CFG-1003

SIGNATURE

TITLE

DATE

ppen x Results

-

ro uct on

art

pprova ,

ater a

est

Production Part Approval Material Test Results



MATERIAL SUPPLIER: *CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE: *If source approval is req'd, include the supplier (Source) & Customer assigned code

MATERIAL SPEC. NO. / REV / DATE


TEST DATE

QTY. TES TED

NAME OF LABORATORY:

SUPPLIER TES T RESULT S (DAT A)

OK

NOT OK


CFG-1004

SIGNATURE

TITLE

DATE

ppen x Results

-

ro uct on

art

pprova ,

er ormance

est

Production Part Approval Performance Test Results



NAME OFLABORATORY: *CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE: *If source approval is req'd, include the supplier (Source) & Customer assigned code

TEST SPECIFICATION / REV / DATE


TEST DATE

QTY. TESTED

SUPPLIER TEST RESULTS (DATA) / TEST CONDITIONS

OK

NOT OK


CFG-1005

SIGNATURE

TITLE

DATE

PPAp

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