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
MANUFACTURING LOCATION
8 PART SUBMISSION WARRANT PRE TEXTURE
11
APPLICATION (VEHICLES) E/C LEVEL
3
DATE
6/7
SUPPLIER/VENDOR CODE
9
SPECIAL SAMPLE FIRST PRODUCTION SHIPMENT
10
OTHER
RE-SUBMISSION ENGINEERING CHANGE
APPEARANCE EVALUATION ORGANIZATION SOURCING AND TEXTURE INFORMATION
12 PRE-TEXTURE EVALUATION
13
AUTHORIZED CUSTOMER REPRESENTATIVE SIGNATURE AND DATE
CORRECT AND PROCEED CORRECT AND RESUBMIT APPROVED TO ETCH/TOOL/EDM 21
COLOR EVALUATION 15
14 COLOR SUFFIX DL*
TRISTIMULUS DATA Da*
Db*
DE*
CMC
16
17
MASTER NUMBER
MASTER DATE
18
20
19
MATERIAL MATERIAL TYPE SOURCE
HUE RED
YEL
GRN
VALUE BLU
LIGHT
DARK
CHROMA GRAY
CLEAN
GLOSS HIGH
LOW
METALLIC BRILLIANCE HIGH
LOW
COLOR SHIPPING SUFFIX
22 PART DISPOSITION
APPEARANCE APPROVAL REPORT PART NUMBER
1
DRAWING NUMBER
2
PART NAME
4
BUYER CODE
5
ORGANIZATION NAME REASON FOR SUBMISSION
MANUFACTURING LOCATION
8 PART SUBMISSION WARRANT PRE TEXTURE
11
APPLICATION (VEHICLES) E/C LEVEL
3
DATE
6/7
SUPPLIER/VENDOR CODE
9
SPECIAL SAMPLE FIRST PRODUCTION SHIPMENT
10
OTHER
RE-SUBMISSION ENGINEERING CHANGE
APPEARANCE EVALUATION ORGANIZATION SOURCING AND TEXTURE INFORMATION
12 PRE-TEXTURE EVALUATION
13
AUTHORIZED CUSTOMER REPRESENTATIVE SIGNATURE AND DATE
CORRECT AND PROCEED CORRECT AND RESUBMIT APPROVED TO ETCH/TOOL/EDM 21
COLOR EVALUATION 15
14 COLOR SUFFIX DL*
TRISTIMULUS DATA Da*
Db*
DE*
CMC
16
17
18
MASTER NUMBER
MASTER DATE
20
19
MATERIAL MATERIAL TYPE SOURCE
HUE RED
YEL
GRN
VALUE BLU
LIGHT
DARK
CHROMA GRAY
CLEAN
GLOSS HIGH
LOW
METALLIC BRILLIANCE HIGH
COLOR SHIPPING SUFFIX
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
ORGANIZATION: SUPPLIER/VENDOR CODE:
PART NUMBER: PART NAME: DESIGN RECORD CHANGE LEVEL: ENGINEERING CHANGE DOCUMENTS:
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
SPECIFICATION / LIMITS
TEST DATE
QTY. TES TED
NAME OF LABORATORY:
SUPPLIER TES T RESULT S (DAT A)
OK
NOT OK
Blanket statements of conformance are unacceptable for any test results. March 2006
CFG-1004
SIGNATURE
TITLE
DATE
ppen x Results
-
ro uct on
art
pprova ,
er ormance
est
Production Part Approval Performance Test Results
ORGANIZATION: SUPPLIER/VENDOR CODE:
PART NUMBER: PART NAME: DESIGN RECORD CHANGE LEVEL: ENGINEERING CHANGE DOCUMENTS:
NAME OFLABORATORY: *CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE: *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
OK
NOT OK
Blanket statements of conformance are unacceptable for any test results. March 2006
CFG-1005
SIGNATURE
TITLE
DATE