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Format 10 - Part Submission Warrant1

This document is a part submission warrant from a supplier to TAFE. It includes information about the part being submitted such as the part name and number, engineering drawings, and weights. It also includes supplier information and the reason for submission. The supplier is requesting a Level 3 submission which involves submitting the warrant, parts, inspection results, process documentation, and having the submission reviewed at the customer's location. The supplier declares that the samples meet all specifications and drawings unless noted. Space is provided for TAFE to review and approve or reject the submission.

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vijay
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98 views

Format 10 - Part Submission Warrant1

This document is a part submission warrant from a supplier to TAFE. It includes information about the part being submitted such as the part name and number, engineering drawings, and weights. It also includes supplier information and the reason for submission. The supplier is requesting a Level 3 submission which involves submitting the warrant, parts, inspection results, process documentation, and having the submission reviewed at the customer's location. The supplier declares that the samples meet all specifications and drawings unless noted. Space is provided for TAFE to review and approve or reject the submission.

Uploaded by

vijay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PART SUBMISSION WARRANT

Part Name ___________________________ Part Number___________________________

Safety and /or


Government Regulation:  Yes  No Engineering Drawing Change Level ___ Dated ___________________

Additional Engineering Changes ________________________ Dated __________________________________

Shown on Drawing No. _____________ Purchase Order No _________Weight _________ ____________Kg_

Project
____________________________________________________Dated__________________________________

SUPPLIER MANUFACTURING INFORMATION: SUBMISSION INFORMATION

__________________________ ____  Dimensional  Materials / Functional  Appearance


Supplier Name Supplier code
Customer: TAFE

__________________________________________ Buyer _________________________


Street Address

_______________________________________________________ Application __________________________________


City / State / Postal code / Country

REASON FOR SUBMISSION:

 Initial Submission  Change to Optional Material or Construction


 Engineering Change(s)  Sub-supplier or Material Source change
 Tooling: Transfer, Replacement, Refurbishment  Change in Part Processing
 Correction of Discrepancy  Parts Produced at Additional Location
 Other – Please Specify:
________________________________________________________________________________

REQUESTED SUBMISSION LEVEL (Check one)

 Level 1 – Warrant, Appearance Approval Report (for designated items only)


 Level 2 - Warrant, Parts, Inspection Results, Laboratory and Functional Results, Appearance Approval Report.
 Level 3 – At Customer location -Warrant, Parts, Inspection Results, Laboratory and Functional Results, Appearance
Approval Report, Process Control Plan, P FMEA, Process Flow Diagram.
 Level 4 - Idem Level 3, but without Parts.
 Level 5 – At Supplier Location - Warrant, Parts, Inspection Results, Laboratory and Functional Results, Appearance
Approval Report, Process Capability Results, Capability Study, Process Control Plan, Gage Study, P FMEA, Process Flow
Diagram.

SUBMISSION RESULTS:
The Results for:  Dimensional Results  Material and Functional Tests  Appearance Criteria  Statistical
Process Package
These results meet all Drawing and specification requirements  Yes  No (If “NO” – Explanation Required)

DECLARATION
I affirm that the samples are representative of our parts and have been made to the applicable drawings and
specifications approved by TAFE engineering and are made from specified materials on regular production tooling with no
operations other than the regular production process. I have noted any deviations from this declaration below:

Explanations / comments:
_______________________________________________________________________________________

Print name: ____________________ Title: ____________________ Phone No.: ______________________


Supplier authorized signature: ______________________________ Date: _____________________________

FOR TAFE USE ONLY

RIA No __________________________________________ Data: ________________________


 Approved  Rejected  Other : ____________________________
Part Dispositions TAFE Name : _____________ Customer Signature: _____________Date: ______________

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