SUPPLIER CHANGE REQUEST (SCR)

Supplier Information Process/Product/Design change ("x" all applicable)

Originator/Date: 1 Design Change
Supplier Name: 2 Die/Mold Change
Supplier Contact: 3 Test/Inspection Method Change
Proposed SP Ship Date: 4 Jig/Tool Change
Phone: 5 Machine Change
E mail: 6 Manufacturing Method Change
Part Information 7 Manufacturing Process Change
Supplier Part Number(s): 8 Material Change
Supplier Drawing Number/Rev: 9 Sub-supplier Change
Part name (NORMA): 10 Drawing change
Part number(s) (NORMA): 11 Packaging changes
Documentation change needed (check all applicable) 12 New production layout
Control Plan 13 Manufacturing Site Change
PFMEA
Process Flow Chart
Operating Instruction
Change description
What is the proposed change?

What is the reason?

Supplier has to complete this section

If this is an emergency, please explain.

Potential Risk(s) associated with change

Current (show picture or sketch) Proposed Change (show picture or sketch)

NOTE: Change is NOT to be shipped for serial production until the supplier has received an APPROVED PSW
NORMA PPAP Requirements ("x" all applicable)
IMDS Control Plan Part Submission Warrant (PSW)
Engineering Change documents MSA Studies PPAP subcomponents
Customer Engineering Approval Dimensional Results & Marked Drawing
Design FMEA Material / Performance Test results
Process Flow Diagram SPC
Process FMEA Sample Parts
Additional or other requirements

Norma Product Engineering to Complete (answer Yes, No, N/A or enter text)

Is a drawing update required? Comment :__________________________________________________________________________________________________

NORMA Approvals (depending on the type of change additional approvals may be needed and will be added to the list)
Date Approval (sign) Comment
Product Development Team leader
NORMA use only

Relevant Quality responsible person or Supplier Quality

Engineer

Assigned SCR Number:

NORMA relevant Quality responsible person or Supplier Quality Engineer to complete (answer Yes, No, N/A or enter text)

Are samples of changed parts required (Yes, No)?

SCR is approved Is a PPAP submission required (Yes, No)?

SCR is approved with conditions (see below) PPAP level (enter 1, 2, 3, 4, 5)

SCR is rejected (see below) Is a run at rate capability study required (Yes, No)?

Comments:

1. When submitting this request the Supplier must include a quality confirmation plan and a schedule. Request MUST be submited a minimum of 6 months prior to change.

2. Any parts received before NORMA PPAP approval are judged as non-conforming and will be charged back to the supplier.
 Instructions for completing SUPPLIER CHANGE REQUEST (SCR)

Item Explanation
1 Originator/Date Name of the SCR issuer, Date when SCR was submitted to Norma

2 Supplier Name Supplier submitting SCR

3 Supplier Contact Contact person at supplier

4 Proposed SP Ship Date Indicate when the proposed change will take effect at Serial production

5 Documentation change needed Indicate which documents are being revised to facilitate the change

6 Current Describe the current process, dimensions or attributes of the product. Include picture or sketch.

7 Proposed Change Describe the change to the process, dimensions or attributes of the product. Include picture or sketch.

8 Potential Risk(s) associated with change Describe potential risk(s) that might be associated with the change
Norma will fill out this section and send back to the supplier indicating PPAP level expected from the supplier
9 NORMA PPAP Requirements
before new parts or process is approved for serial production.
10 Additional or Other Requirements Norma will fill out this section and indicate any additional or other requirements needed

11 Assigned SCR Number Number to be issued by Norma when supplier submits SCR
 REQUEST (SCR)

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