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Characteristics Methods
Part/ Process Name/ Machine, Device, Jig, No. Product Process Special Product/Process Evaluation/ Control Reaction Plan
Process Operation Tools, for Mfg. Char. Specification/ Measurement Method
Number Description Class Tolerance Technique Size Freq.
Check
x1 Check in Time ????? time???
CONTROL PLAN SPECIAL CHARACTERISTICS (OPTIONAL)
Part Number/Latest Change Level Core Team Customer Eng. Approval/Date (if Req'd)
Organization/Plant Organization Code Other Approval/Date (If Req'd) Other Approval/Date (if Req'd)
Use Excel's
Drawing
Toolbar to draw
here.
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A-8 CONTROL PLAN CHECKLIST
Customer or Internal Part No. Revision Level
Person
Question Yes No N/A Comment / Action Required Due Date
Responsible
Was the control plan developed according to
the methodology described in Chapter 6 of the
1 APQP Manual?
Have all the controls identified in the PFMEA
2 been included in the control plan?
Area all special product/process characteristics
3 included in the control plan?
Were DFMEA and PFMEA used to prepare the
4 control Plan?
Are Material specifications requiring inspection
5 identified?
Does the control plan address incoming
(material/components through
6 processing/assembly including packaging?
Are engineering performance testing and
7 dimensional requirements identified?
Are gages and test equipment available as
8 required by the control plan?
If required, has the customer approved the
9 control plan?
Are the gage Methodology and compatibility
10 appropriate to meet customer
Have measurement requirements?
systems analysis been
completed in accordance with customer
11 requirements?
Are sample sizes based upon industry
standards, statistical sampling plan tables, or
other statistical process control methods or
12 techniques?
Revision Date
Prepared by:
Week 9 Case Study Assignment - SFP Urgent Care - Patient Waiting Time Six Sigma Project
Validated Xs (Statistically Significant Xs) from Data Collection Plan