PPAP File Review Observations

Part/Product No. Description Date :

Documents Detail Observation Action Plan Tgt Dt. Resp Status

Part Submission Warrant.

Design Record- Saleable product including

supplier/sub component dwgs as applicable

Any authorized engineering change

documents- Include copy of the
OrganizationECN

OrganizationEngineering Approval-
As noted on design record

Design FMEA- If the supplier is responsible

for design.

Process Flow Diagram and Supply

Chain Documentation ( PQCS)

Process Failure Mode and Effects

Analysis

Control Plan

Measurement System Analysis studies

(MSA)- e.g. Gage R&R for all IMT's used in part
inspection as per control plan.

Sample Inspection (Dimensional)

Report

Material / Performance Test Results

Initial Process Capability Studies- CC's

and SC's and other specified attributes ( Should be
>1.67)

Qualified Laboratory Documentation

Appearance Approval Report (AAR)

Sample Product for Layout, Cosmetic

Validation, Styling or Pilot

Master Sample - To be identified and retained

by the supplier.

List of Checking Aid e.g. all IMT's used in

part inspection as per control plan with valid
calibration status.

Other Observations
 Organization PPAP Submission Checklist (4th Ed.)
Part Number: xyz-001 Part Rev Level: 0
Description: Special O-Ring Checklist date: 10.11.20
Supplier Name: ABC Aeronotics PPAP Leader: Mr. Ram
Submission Level: 4 ROHS/Regulatory Requirements: Target for PPAP Submission Date: 22.03.21
PPAP Team; PPAP Team Leader to determine PPAP Team and document name members.
R&N TECH TEAM FOR PPAP AUDIT

Name Mr. Ram Title HEAD-QUALITY Name Mr. Govind Title PE

Name Mr.Shyam Title QUALITY Name Mr. Raju Title QUALITY

Name Mr. Mohan Title PRODUCTION Name Mr.Singh Title QUALITY

Organizationhas to mark in "Req." box and Supplier has to mark the "Status" box as follows:

S= Element submitted with package R= Element retained at supplier location N= Element not applicable to submission or waived

PPAP Elements (Submission to be organized in this order and included in PPAP submission)(all documents must have supplier stamp and
sign of quality head or above) Req. Status
1 Part Submission Warrant. S S
2 OrganizationDesign Record- Saleable product including supplier/sub component dwgs as applicable S S
3 Any authorized engineering change documents- Include copy of the OrganizationECN S S
4 OrganizationEngineering Approval- As noted on design record S S
5 Design FMEA- If the supplier is responsible for design. S N/A (
W
h
6 Process Flow Diagram and Supply Chain Documentation- Include sub tier names, location and material/service supplied S S e
n

7 Process Failure Mode and Effects Analysis S S s

u
b
8 Control Plan S S m
i
t
9 Measurement System Analysis studies (MSA)- e.g. Gage R&R for all IMT's used in part inspection as per control plan. S S t
e
d
10 Sample Inspection (Dimensional) Report S S t
o
11 Material / Performance Test Results S S H
-
12 Initial Process Capability Studies- CC's and SC's and other specified attributes ( Should be >1.67) S S D
)

13 Qualified Laboratory Documentation S S

14 Appearance Approval Report (AAR) S N/A
Sample Product for Layout, Cosmetic Validation, Styling or Pilot S S
15
Cosmetic Qty Styling Qty Layout Qty 5 Pilot Qty 100
16 Master Sample - To be identified and retained by the supplier. S S
17 List of Checking Aid e.g. all IM used in part inspection as per control plan with valid calibration status. S S
18 Records of Compliance to Customer-Specific Requirements
a) Certification of number of pieces run declaration PPAP Quantity: 300 S S

I affirm that 300 consecutive production parts were produced for this PPAP and that these parts were made at the production rate_35 NOS/HOUR________,

from specified materials, on regular production tooling, with no operations other than the regular production process
Print Name Mr. Ram Title QUALITY HEAD Phone Number 9876543222
Supplier Authorized Signature

b) Tooling / Fixture Photograph- Pictures of OrganizationTool number, Organizationownership and complete tool S S
Additional requirements as documented below:
c) Evidence of Tool design approval from OrganizationEngineering team S N/A
d) Photographs of Reference sample (for aesthetic) sign off by OrganizationQuality team S S
e) Packing approval from OrganizationQuality team S S
f) ROHS/ELV Certificate S S
g) Sub supplier declarition for child part, special process and Raw materai S S
h) OrganizationINSPECTION STANDARD- PARTS (MIS-P) and supplier PDQAS (with report) S S
Results of test specified in drawing (e.g. Hardness, plating, SST, Torque, force etc.) and audit report if services take from
i) S S
sub-supplier
j) IMDS for part to be submitted at OrganizationId 81745 S S
k) Self QAV audit report and closure S S
L) Supplier Capicity confirmation S S

Sign: MCL VD / SIC MCL QUALITY SUPPLIER HEAD QUALITY

F/09/PPAP/ABC
(
W
h
e
n

s
u
b
m
i
t
t
e
d

t
o

H
-
D
)
Part Name Special O-Ring
Part Submission Warrant Cust. Part number xyz-001
Shown on drawing xyz-001 Org. part number xyz-001
Engineering change level Dated
Additional Engineering Changes Dated
Safety and/or Government Regulation Purchase Order No. Weight (10 gms)
Checking Aid No. Checking Aid Engineerig change l Dated:-

ORGANIZATION MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION

ABC Aeronotics M/S xyz corporation pvt ltd-London

Customer name/division

Address:-Sec-09/ IIDSC

Buyer/Buyer code
94
City Regoin Postal code Country Application
MATERIAL REPORTING
Has customer-required substance of concern information been reported?

Submitted by IMDS or other customer format:

Are polymertic parts identified with approprite ISO marking codes?

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: Transfer, Replacement, Refurbishment, or additional Change in Part Processing
Correction of Discrepancy Parts produced at Additional Location
Tooling inactive> than 1 year For DOL (Directed OnLine)

REQUESTED SUBMISSION LEVEL (Check 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
The results for dimensional measurements material and functional tests appearance criteria statistical process package
These result meet all design record requriment (if no-explanation required)
Mold / Cavity / Production Process

DECLARATION
I affirm that the samples represented by this warrant are representative of our parts, have been made to the applicable parts which are made
by a process that meets all production part approval process manual 4th edition requirement.
I further affirm that these samples were produced at the production rate of 300 per 8 hrs
I also certify that documented evidence of such compliance is on file and avilablefor review. I have noted any deviation from thisdeclaration below
EXPLANATION/COMMENTS:

Is each customer tool properly tagged and numbered

Organization authorized signature Ram Date

Print name Mr. Ram Phone No. 9876543222 FAX No
Title HEAD QUALITY E-mail [email protected]

FOR CUSTOMER USE ONLY (IF APPLICABLE)

PPAP Warrant Disposition:

Customer signature Date

Print name customer tracking no(optional)
 5 of

PROCESS FL
CROSS FUNCTIONAL TEAM CATEGORY
QA- 1.Ram .
2.Mr. Mohan. PROTOTYPE
3.Mr. Sohan

PE- 1.Kumar PRE-LAUNCH

PROD-Kumar PRODUCTION
NPD-Mr. Mohan PREPARED BY : Mr. Mohan

OPR. TRANSPO -
S. NO. PROCESS FLOW OPERATION DESCRIPTION & PROCESS SHEET REFERENCE
No RTATION

1 ----- ISSUE MATERIAL FROM THE MAIN STORE

2 BY TROLLEY MOVE TO Moulding Machine

10

3 BY HAND PLACE THE MATERIAL AT DIFFERENT STATIONS

4 20 Material loading on hopper

5 30 Injection moulding

9427-3X
 6 of

6 BY HAND Unloading

7 40 Cleaning/Curing

8 BY HAND Placement

9 50 Thorogh Inspection

10 BY HAND Move to triming station

11 60 Trimming

12 BY HAND Move to triming station

13 70 Deflashing

14 BY HAND MOVE MATERIAL TO NEXT STATION

9427-3X
 7 of

15 80 FINAL INSPECTION

16 BY HAND MOVE MATERIAL TO NEXT STATION

Packing
17 90

18 BY HAND MOVE MATERIAL TO NEXT STATION

19 100

Dispatch

RAW
33 TRANSPORT OPERATION OPERATION & INSPECTION
MATERIAL

9427-3X
 8 of

34 DATE REV. NO. ECN/AMMENDMENTS

9427-3X
 9 of

SS FLOW CHART
CUSTOMER PFC No 04

PRODUCT NAME
Special O-Ring ORI. ISSUE DATE 10.10.1

PART NO. xyz-001 SHEET NO

PART DESCRIPTION Special O-Ring REV DATE 0
CHECKED BY : Mr. Sohan APPROVED BY : Ram . REV NO.
FIXTURE NO. WITH PRODUCT
EXPECTED OPRN. INCOMING SOURCE OF PROCESS
ERROR PROOFING CHARATERSTICS. Supplier De
OUTCOME VARIATION CHARATERSTICS
DETAILS

9427-3X
 10 of

9427-3X
 11 of

MISTAKE PROOFING
TEMP. STORAGE INSPECTION PREM. STORAGE
OPERATION

9427-3X
 12 of

PAGE NO. PREP BY CKD BY CKD BY

Mr. MOHAN ANOOP Ram

9427-3X
 13 of

10.10.19

Supplier Details

9427-3X
 14 of

9427-3X
 15 of

9427-3X
 16 of

9427-3X
 CONTROL PLAN
Prototype Prelaunch Production Key Contact Date (Orig) Rev. No. &
22.02.21 0
Date.:
Control Plan No Core Team ABC Customer Engg. Approval / Date

Part No. xyz-001 Plant Approval / Date

Part Name Customer Quality Approval / Date
Special O-Ring.
Latest Change Level Other Approval / Date(If required)
Plant :- Other Approval / Date
XYZ AERONOTICS PVT LTD
Part / Process Name / Machine, Device, Characteristics Spl Methods
Process Operation Jig, Tools for No. Product Process Char. Product / Process Evaluation Sample
Control Reaction Plan
No. Description Mfg. Class Specification / Measurement Size Freq.
Method
Tolerance Techniques

CONTROL PLAN 17/

CONTROL PLAN 18/
CONTROL PLAN 19/
SL. NO. DATE ISSUE NO AMENDEMENT PAGE NO. PREP.BY CHKD. BY APPD. BY REMARKS

Mr. MOHAN RAJNISH Ram

CONTROL PLAN 20/

 Failure Modes and Effects Analysis (Design FMEA)
SCOPE DEFINTION (STEP 1)

Company Name: Subject:

Engineering Location: DFMEA Start Date: DFMEA ID Number:

Customer Name: DFMEA Revision Date: Design Responsibility:

Model of Year / Platform: Cross-Functional Team Confidential Level:

STRUCTURE ANALYSIS (STEP 2) FUNCTION ANALYSIS (STEP 3) FAILURE ANALYSIS (STEP 4) RISK ANALYSIS (STEP 5) OPTIMIZATION (STEP 6)

Detection (D) of FC/FM

Occurance (O) of FC
Severity (S) of FE
Status:
serial number #

Occurance (O)

Detection (D)
3. Next Lower level or (Untouched,

Severity (s)
DFMEA AP
3. Next Lower Level 1. Failure Effects (FE)
Characteristic Type 1. Next Higher Level 2. Focus Element 3. FAILURE CAUSE (FC) Current Target under Action Taken
Function and to Next Higher Level 2. FAILURE MODE (FM) of Current Detection Responsibile Completion

AP
1. Next Higher Level 2. Focus Element (Geometry, Material, Function and Function and of the Next Lower Element Prevention Prevention Action Detection Action Completion consideration, with Pointer to Remarks
Requirement or Element and/or the Focus Element Controls Person Date
Surface Finish, Requirement Requirement or Characteristic Controls Date in progress, Evidence
Characteristic Vechile End User
Coating, etc.) completed,
discarded)

Window Lifter Commutation system Brush card base body Converts electrical Commutation system Brush card body Torque and rotating 6 Angle deviation by Brush card body bends in Simulation of 2 Sample test: 2 L None Final Product test: Test Engineer Mr. DD.MM.YYYY Planned
energy into transports the transports forces velocity of the window commutation system contact area of the carbon dynamic forces on measuring the measuring the current Max Mueller
mechanical energy electrical current between spring and lifter motor too slow intermittently connectsthe brush brush card body elastic and plastic under worst case
acc to parametrization between coil pairs of motor body to hold wrong coils (L1, L3 and L2 acc. FEM 8370 deformation conditions acc. Test
spec/ MRJ1140
the electromagnetic the brush spring instead of L1, L2 and L3) effects of brush
converter. system in x, y, z card body acc.
position (support Test spec.
commutating contact MRJ8/60
point)

Helmet Shell Raw Material (Plastic To provide protection High impact injection Provides chemical & Rider may get serious 10 Helmet gets shattered Shell raw material is not Design of shell by 2 Material to be 2 L AA, MS
Granual) ABS- HI (40 B) by reducing the force molding thermal stability head injury incase of during fall & rider's head as per specified using high impact ensured by TC &
of the falling object strike & impact leading to get insufficient properties material & material third party
striking or impacting protection grade has been inspection
on the users head specified as ABS
HI -40 B by
following standard
IS 4151:2015
Shell Thickness is less Shell thickness is 1 Shell thickness to 1 L AA, MS
than 3 mm always kept more be checked during
than 3 mm. in product design
moulding tool
design

754569422.xlsx: DFMEAForm: AIAG-SAE-VDA 21 of Organization's distribution policy statement.

 Failure Modes and Effects Analysis (PROCESS FMEA)
SCOPE DEFINTION (STEP 1)

Company Name: Subject:

Engineering Location: PFMEA Start Date: PFMEA ID Number:

Customer Name: PFMEA Revision Date: Process Responsibility:

Business Use / Proprietary / Confidential

Model of Year / Platform: Cross-Functional Team Confidential Level:

STRUCTURE ANALYSIS FUNCTION ANALYSIS FAILURE ANALYSIS RISK ANALYSIS OPTIMIZATION

Detection (D) of FC/FM

Occurance (O) of FC
Severity (S) of FE
Status:
Serial numnber #

special feature

Occurance (O)
2. Function of the

Detection (D)
1. Function of Process (Untouched,

Severity (s)
1. Process Item, Process Step and 3. Function of the 1. Failure Effects (FE)
2. Process Step, Item, System, Current Current Detection Target under Action Taken
System, Subsystem, 3. Process Work Product Process Work Element to the Next Higher 2. Failure Mode (FM) of the 3. Failure Cause (FC) of Responsibile Completion

AP

AP
Station No. and Name Subsystem, Part Prevention Controls of FC or Prevention Action Detection Action Completion on consideration, with Pointer to Remarks
Part Element or Name Element - 4M Type Characteristics and Process Level Element and/or Focus Element the Next Lower Element Person Date
of the Focus Element Element or Name of Controls of FC FM date in progress, Evidence
of the Process (Quantity value is Characteristics End user or Characteristics
the Process completed,
optional)
discarded)

Electrical Motor Assy [OP30] Sintered Operator Your Plant Press in sintered Operator press the Your Plant 8 Axial position of sintered Machine stops before None 10 Lot Release 6 H
Line Bearing Press-in Assembly of shaft into bearing to achieve button of machine for Clearance too small to bearing is not reached reaching final position Protocol Objective
Process pole houring axial position in pole releasing the press-in assemble shaft (Effectivity 100%)
assembly. housing to max gap process when loading Visual Gauge
Ship to Plant per print. is completed Ship to Plant inspection of axial
Assembly of motor to Assembly of motor to gap of bearing to
vehicle door without vehicle door is not pole housing seat
line stoppage sort or possible. by Operator
containment. Detection
End User End User indicator OK/NOK
Window raises and Comfort closing time
lowers. too long.

Cluster [Op No. 10] Air Core Man Your Plant - Final Electric Managnetic Picking of air core Meter Not working 6 Dry Soldering Soldering NOT as per the Work Instruction 3 No Control 8 L
Assembly testing at assemmbly Force result in the movement and placing specified time (2 to 3 for Soldering Time
stand rotation of magnet in ampere machine to second)
pointer charge.
Ship to Plant - Proper
Fitment in the vehicle Press power supply to
panel charge and fitment in
the fixture for winding
End User - Indicate the operation
fuel level of vehicle
Carbon Flim Resistor
soldering on the
terminal for specified
time
 MTC from Lab

Source - http://www.maishimfg.com/products/windows-doors/security-screen-mesh/certificate/101.html
 PROCESS CAPABILITY STUDY (INITIAL) Ppk
PART No. : xyz-001 DATE :
Pp = 1.67(Min.) SPECIFICATION : 10+2
Required
PART NAME : Special O-Ring (Std.) Ppk = 1.67(Min.)

Weight USL : 12.00 LSL: 8.00

OPERATION : INJECTION MOULDING

SAMPLE 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 26 27 28 29 30

READING 10 10 10 10 10 10 10 10 9 9 10 10 10 10 9 9 10 10 10 10 10 10 10 10 10 10 10 10 10 10

STD DEV. 0.35

Xbar 9.867

USL 12.000

LSL 8.000

Pp = USL- LSL = 1.93

6 * STD. DEV

USL-Xbar = 2.05674 Xbar-LSL = 1.79965

3*STD. DEV 3*STD. DEV

Ppk = Minimum of USL-Xbar Xbar-LSL

&
3*STD. DEV 3*STD. DEV

Ppk = 1.80

RESULT :-

Note : PPK Study to be done Cavitywise whenever Feasible

9793X
 Company Name
QUALIFIED LABORATORY Company Logo
FOR TESTING & CALIBRATION

Approved Agencies For

Sr. No. Testing/Calibration For NABL Accreditiation
Testing And Calibration

1 Inhouse Calibration Thread Gauge Inhouse (Not Applicable)

2 Reliance Calibration Calibration Surface Plate External / NABL - Yes

Reviewed : Approved:

Format No. Rev No. 01 Rev Date - 01.04.2020

 LIST OF CHECKING AIDS
PART NUMBER:-xyz-001 MODEL:-

PART NAME:-Special O-Ring CUSTOMER:-XYZ Corporation Pvt Ltd

CHECKING AIDS NO.:- REV. NO & DATE:-15.11.20

INSTRUM CALIBRAT
INSTRUMENT LEAST CALIBRATIO MSA
SR. ENT ID RANGE ION PHOTO
DESCRIPTION COUNT N DUE DATE (Y/N)
NO. FREQ.
REMARKS

Measuring Instrument

0 ~ 200
1 DVC DVC-01 0.01mm 09.10.20 08.10.21 Y
mm

0 ~ 150
2 DVC DVC-02 0.01mm 09.10.20 08.10.21 Y
mm

0 ~ 150
3 DVC DVC-03 0.01mm 09.10.20 08.10.21 N
mm

0 ~ 150
4 DVC DVC-04 0.01mm 09.10.20 08.10.21 N
mm

HIEGHT 0 ~ 300
5 HG-01 0.001 mm 09.10.20 08.10.21 Y
GUAGE mm

DIGITAL
6 MICROMET DM-01 0~25mm 0.001mm 09.10.20 08.10.21 Y
E

STEP(0.0
7 Pin Gauge Set MPG-01 1 ~ 2 mm 09.10.20 08.10.21 N
2MM)

STEP(0.0
8 Pin Gauge Set MPG-02 1 ~ 2 mm 09.10.20 08.10.21 N
01MM)

STEP(0.0
Pin Gauge Set MPG-03 1 ~ 2 mm 09.10.20 08.10.21 N
02MM)

DIG PUSH
0-
9 PULL PPT-01 0.01mm 08.10.2020 07.10.21 N
TESTER 300KGF

Rivision History
S No. Rev. No. Change Detail Preprared By Approved By

Mr. Mohan Ram

 Photo of reference sample
Part no:-xyz-001 Part name:-Special O-Ring
Prepared by (supplier) XYZ AERONOTICS Approved by ABC corp. pvt. Ltd
Date:-22.03.21 Date:- 22.03.21

Prepared By:-Mr. MOH Approved By:-Ram

 PAKING STANDARS. Special O-Ring xyz-001

Polymbag - L X W X T
Material - XX
 ROHS Certificate (as per standard norms) from NABL approved
testing agency

Source - https://www.qima.com/samplereport/rohs
 GAUGE REPEATABLITY & REPRODUCIBLITY
GAGE NO. : ABC-MM-02 PART NAME : 6.4 MW Terminal Thickness
GAGE NAME : Micrometer CHARACTERSTIC : 0.001mm. (Range : Length-0-25mm
GAGE L.COUNT : 0.001mm. SPECS. : 0.38 ± 0.02

APPRAISER (1) Mohan

TRIAL 1 2 3 4 5 6 7 8 9 10 AVERAGE REPEATABILITY-EQUIPM
1 0.382 0.385 0.392 0.395 0.387 0.382 0.391 0.395 0.392 0.385
2 0.382 0.385 0.392 0.391 0.387 0.382 0.396 0.395 0.392 0.385
3 0.382 0.385 0.392 0.395 0.387 0.391 0.396 0.395 0.392 0.385 EV =
Avg. 0.382 0.385 0.392 0.394 0.387 0.385 0.394 0.395 0.392 0.385 Xa= 0.389
Range 0.000 0.000 0.000 0.004 0.000 0.009 0.005 0.000 0.000 0.000 Ra= 0.0018 REPRODUCIBILITY-APPR

TRIAL APPRAISER (2) Sohan AV =

1 0.382 0.385 0.392 0.395 0.387 0.381 0.396 0.395 0.392 0.385 AV =
2 0.382 0.385 0.392 0.395 0.385 0.382 0.396 0.395 0.392 0.385
3 0.382 0.385 0.392 0.395 0.387 0.382 0.396 0.395 0.392 0.385
Avg. 0.382 0.385 0.392 0.395 0.386 0.382 0.396 0.395 0.392 0.385 Xb= 0.389 REPEATABILITY & REPRO
Range 0.000 0.000 0.000 0.000 0.002 0.001 0.000 0.000 0.000 0.000 Rb= 0.0003
R&R =
TRIAL APPRAISER (3) Raj R&R =
1 0.382 0.385 0.392 0.395 0.387 0.382 0.396 0.394 0.392 0.385
2 0.382 0.385 0.392 0.395 0.387 0.382 0.396 0.395 0.392 0.385 PART VARIATION
3 0.382 0.386 0.392 0.395 0.387 0.382 0.396 0.395 0.395 0.385 PV =
Avg. 0.38 0.39 0.39 0.40 0.39 0.38 0.40 0.39 0.39 0.39 Xc= 0.389
Range
Part 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.001 0.003 0.000 Rc= 0.001 TOTAL VARIATION
Avg.Xp 0.382 0.385 0.392 0.395 0.387 0.383 0.395 0.395 0.392 0.385 Rp= 0.0134 TV =
TV =

R = (Ra+Rb+Rc)/#OF OPR = 0.0009

X Diff =_(Max X - Min X) = 0.0002 NO.OF A2 D3 D4
UCL R = _(R*D4) = 0.0022 TRIALS
LCL R = (R*D3) = 0.0000 2.00 1.88 0.00 3.27
X(D.BAR) = 0.389 UCL X BAR = 0.3900 3.00 1.02 0.00 2.58
LCL X BAR = 0.3882
prepared by
DUCIBLITY
nal Thickness MSA :
ge : Length-0-25mm DATE : 12/2/2021
Analysed By : Mohan
Approved By : Mr. Ram
MEASUREMENT UNIT ANALYSIS % PROCESS VARIATION
REPEATABILITY-EQUIPMENT VARIATION(EV)
TRIAL: K1 %EV= 100(EV/TV)
_ 2 0.8862
R*K1 = 0.0005 3 0.5908 = 12.017
Actual 3 0.5908
REPRODUCIBILITY-APPRAISER VARIATION %AV= 100(AV/TV)
OPERAT K2
[(Xdiff*K2)2-(EV2/nr)] 2 0.7071 = 1.102
0.00005 3 0.5231 n=no. of parts
Actual 3 0.5231 r=no. of trials

REPEATABILITY & REPRODUCIBILITY %R&R = 100(R&R/TV)

100(R&R/.2)
(EV2 + AV2) = 12.068
0.0005

PART VARIATION % PV= 100(PV/TV)

Rp*K3 = 0.0042 = 99.269
PART K3
TOTAL VARIATION 2 0.7071
(R&R2 + PV2) 3 0.5231
0.0043 4 0.4467
%EV = 12.02 5 0.403
6 0.3742
%AV = 1.10 7 0.3534
8 0.3375
%R&R =12.07 9 0.3249
Actual 10 0.3146
%PV = 99.269 10.00 0.3146

NDC1.41( 11.59867
 As %
R&R is
below
Acceptable10% &
ndc is in
apllicable
Not Acceptable
range.
Above
Remarks gauge is
acceptable for above users.

Approved by
 APPROVED SUPPLIER LIST

Material with Grade / Process

Sr.No. Supplier Code Name of supplier Address Mail-Id
Description

GZB/
1 ABC O-Ring RM ABC PANTNAGA [email protected]
R
 Original Date: 09.08.20
R LIST Revision No. & Date: 22.03.21
Updated on :
Self Organization
Lead time Selection
Contact Numbers Contact Person Certified approved approved Scope of Supply
for Supply Criteria
date date

980989881 Prithvi Raj IATF-16949 C

 DOCUMENT NO.
Company Logo Company Name REV NO.
APPEARANCE APPROVAL REPORT REV DATE
DRAWING
PART NUMBER
NUMBER

REV. LEVEL /
PART NAME DATE
DATE

SUPPLIER SUPPLIER CODE

NAME
REASON FOR FIRST PART APPROVAL SPECIAL SAMPLE Part Picture :
OTHERS
SUBMISSION ENGINEERING CHANGE

APPEARANCE EVALUATION
S.NO. APPERANCE ITEMS QUALIFICATION STANDARD/ CRITERIA REMARK

COMMENTS :
COMMENTS :

SUPPLIER PHONE NUMBER DATE AUTHORIZED CUSTOMER DATE

SIGNATURE REPRESENTATIVE SIGNATURE

Format No. Rev No. 01 Rev Date - 01.04.2020

UMENT NO.

RS

REMARK
 DATE

Rev Date - 01.04.2020

 SAMPLE INSPECTION REPORT
ORG : REASON FOR SUBMISSION :
DEPTT.: NO. OF CAVITY : NO. OF SAMPLES :
PART NAME : PART NO : S.I.R. NO.: DATE :
CUSTOMER : REV. NO. : PREVIOUS S.I.R. NO (IF ANY):
SR. INSPECTION INSPECTED OBSERVATIONS
SPEC SC DISPOSITION
NO. PARAMETER BY 1 2 3 4 5
1 DIA 8.5 dia - Micrometer Ok
Digital
2 DIM 10.5 + 0.20 Yes Vernier
Caliper

SPECIAL MENTION / ANY OTHER COMMENT PARAMETER DISPOSITION

APPEARANCE
DIMENSIONAL
FUNCTIONAL
PERFORMANCE
ELECTRICAL
MATERIAL
FINAL DISPOSITION

PREPARED BY APPROVED BY

DISPOSITION OK NOT O.K. ACCPTED UNDER DEVIATION

SPECIAL CHARACTERISTICS (SC) Y - YES BLANK - NOT APPLICABLE

Format Number Rev No. 01 Rev Date - 01.04.19

Special O-Ring xyz-001

Drawing for O-Ring