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Part Submission Warrant: Yes No Yes No
Part Submission Warrant: Yes No Yes No
Engineering Drawing
Tool PO Number Change Level Dated
Note: Does this part contain any restricted or reportable substances? Yes No
Are plastic parts identified with appropriate ISO marking codes? Yes No
DECLARATION
I affirm that the samples represented by this warrant are representative of our parts and have 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
Title e-mail
Print Name
Engineering Drawing
Tool PO Number 4 Change Level 5 Dated
12 14
Organization name and Code Customer Name/Division
13 15
Street Address Customer Contact
16
City State Zip Application
Note: Does this part contain any restricted or reportable substances? Yes No
17
Are plastic parts identified with appropriate ISO marking codes? Yes No
DECLARATION
I affirm that the samples represented by this warrant are representative of our parts and have 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 20
Title e-mail
Print Name
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.
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.
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 required
documentation is available shall approve the declaration and provide Title, Phone Number, Email Address, and Fax Number.
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.
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.
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 (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 required documentation is available shall approve the declaration and provide Title,
Phone Number, Email Address, and Fax Number.
APPEARANCE EVALUATION
CORRECT AND
PROCEED
CORRECT AND
RESUBMIT
APPROVED TO
ETCH/TOOL/EDM
COLOR EVALUATION
COLOR
METALLIC SHIPPING PART
TRISTIMULUS DATA HUE VALUE CHROMA GLOSS BRILLIANCE SUFFIX DISPOSITION
COLOR MASTER MASTER MATERIAL MATERIAL
SUFFIX DL* Da* Db* DE* CMC NUMBER DATE TYPE SOURCE RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW
COMMENTS
March CFG-1002
2006
APPEARANCE APPROVAL REPORT
PART DRAWING APPLICATION
NUMBER 1 NUMBER 2 (VEHICLES) 3
OTHER
REASON FOR PART SUBMISSION WARRANT SPECIAL SAMPLE RE-SUBMISSION
SUBMISSION 11 PRE TEXTURE FIRST PRODUCTION SHIPMENT ENGINEERING CHANGE
APPEARANCE EVALUATION
12 AUTHORIZED CUSTOMER
ORGANIZATION SOURCING AND TEXTURE INFORMATION
PRE-TEXTURE REPRESENTATIVE
13
EVALUATION SIGNATURE AND DATE
CORRECT AND
PROCEED
CORRECT AND
RESUBMIT
APPROVED TO
ETCH/TOOL/EDM
COLOR EVALUATION 21
22
14 15 16 17 18 19 20
COLOR
METALLIC SHIPPING PART
TRISTIMULUS DATA HUE VALUE CHROMA GLOSS BRILLIANCE SUFFIX DISPOSITION
COLOR MASTER MASTER MATERIAL MATERIAL
SUFFIX DL* Da* Db* DE* CMC NUMBER DATE TYPE SOURCE RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW
COMMENTS
23
March CFG-1002
2006
Appendix B - Completion of the Appearance Approval
Report
1. Customer part number: Engineering released customer part number.
2. Drawing Number: Use the number of the drawing on which the part is shown if different from the
part number.
3. Application: Enter the model year(s) and vehicle or other program on which the part is used.
4. Part Name: Use the finished part name on the part drawing.
5. Buyer Code: Enter the code for specific buyer or part.
6./7. E/C Level & Date: Engineering change level and E/C date for this submission.
8. Organization Name: Organization responsible for submission (include supplier if available).
9. Manufacturing Location: Location where part was manufactured or assembled.
10. Supplier/Vendor Code: Customer-assigned code for organization location where the part was
manufactured or assembled.
11. Reason for submission: Check box(es) explaining the reason for this submission.
12. Organization Sourcing & Texture Information: List all first surface tools, graining source(s),
grain type(s), and grain and gloss masters used to check part.
13. Pre-Texture Evaluation: To be completed by authorized customer representative (not used by
GM).
14. Color Suffix: Use alphanumeric or numeric color identification
15. Tristimulus Data: List numerical (colorimeter) data of submission part as compared to the
customer-authorized master.
16. Master Number: Enter alphanumeric master identification (not used by Ford).
17. Master Date: Enter the date on which the master was approved.
18. Material Type: identify first surface finish and substrate (e.g;, paint/ABS).
19. Material Source: Identify first surface and substrate suppliers. Example: Redspot/Dow.
20. Color Evaluation, Hue, Value, Chroma, Gloss and Metallic Brilliance: Visual
assessment by customer
21. Color Shipping Suffix: Color part number suffix or color number.
22. Part Disposition: To be determined by customer (approved or rejected).
23. Comments: General comments by the organization or customer (optional).
24. Organization Signature, Phone No. & Date: Organization certification that the document
information is accurate and meets all requirements specified.
25. Authorized Customer Representative Signature & Date: Authorized Customer
Representative approval signature.
THE AREAS INSIDE THE BOLD LINES ARE FOR CUSTOMER USE ONLY.
Appendix C - Production Part Approval, Dimensional
Results
Production Part Approval
Dimensional Test Results