Professional Documents
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Reason for PPAP Tooling Inactive>1 Year PIQ Risk Level High
PPAP Requirements are highlighted Suppliers are not required to use all suggested templates in this workbook.
Submission Level 5
If individual files are used, be sure to include all 18 elements, compress the files in a Zip file to send the electronic information.
Additional Comments:
Rev 4.0
SHEET No ISSUE LEVEL ISSUE DATE
PROCESS FLOW CHART 1 of 1
Receive Receive
Part Piston Assembly
Install Retaining Place Piston Swage Piston Centerless Superfinishing Wash & Oil Ship to
Ring Assembly On On Part of Stem Journal to Prevent Rust Assembly
Part
R
Existing at this date Corrective Actions Expected results
é
s
Process root Customer Detection Recommended actions / Actions
Process step Process failure mode S O D RPN Responsible Date S O D RPN u
cause effect Prevention to be done
l
What is the process step What do you see in the What are the What is the What are the existing controls What are the actions for reducing
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 Very Slight Customer may see but is not annoyed. Defects noticed by the Will not tell friends. Defects can be reworked on line. Fit & finish/squeak &
discriminating customer. rattle item does not conform
3 Minimal Customer will see and may be slightly annoyed. Defects noticed by the Probably will not tell friends. Rework on line but out of station. Fit &
average customer finish/squeak & rattle item does not conform
4 Minor Customer will be slightly annoyed. Defects noticed by the most customer. May tell friends. Might suggest a change to the product. Fit &
The product may have to be sorted and a portion reworked. finish/squeak & rattle item does not conform
5 Moderate Customer will be slightly dissatisfied. 100% of product will be reworked. Will tell friends, would like a change to the product. Less than 15% loss of
May result in scrap further down the line. production
6 Significant Customer will be dissatisfied. Minor disruption in production line. A portion May be a service call. Will result in scrap. Less than 40% loss of
of the product may have to be scrapped. Product has minor damage. production. Will tell friends, may not buy another product, would like a
change to the product.
7 Serious Customer will be very dissatisfied. Production may need to be sorted and Minor SIR machine repair (<20 minutes), will result in additional
scrapped. Production had major damage maintenance time or unplanned downtime less than 1 hour. Will result in
loss of production, over 40%. Customer will not buy another product, may
not buy a product based on floor demonstration models
8 Very Serious Customer will be extremely dissatisfied. Will result in failure without Major SIR or machine repair (>20 minutes), will result in unplanned
warning. 100% of production will be scrapped. machine/line downtime (greater than 1 hour). Will not buy a product based
on floor demonstration models
9 Extremely Serious Safety of consumer at risk or results in minor injury. Is in non-compliance Could result in liability lawsuit, does not meet internal requirements
with voluntary regulatory requirements
10 Hazardous Is life threatening or results in permanent injury. Is non-compliance with Operator will be permanently injuried. Will not be able to sell the product
mandatory government regulatory requirements with government certification. Does meet government requirements
Occurrence Evaluation Criteria
Ranking Occurrence Description Comments
1 Extremely Unlikely <0.00005% chance of occurrence (<.5 ppm) Severity level 10 MUST fall into this area, depending on the compay
policy, a fault tree analysis may be required to prove the chance of failure
is sufficiently low to meet requirements - this requirement should be listed
in the 'recommended action', and results listed in the 'action taken'
2 Unlikely >0.00005% <0.0005% chance of occurrence (.5 - 5 ppm) Severity level 9 MUST at least fall into this area, depending on the
compay policy, a fault tree analysis may be required to prove the chance
of failure is sufficiently low to meet requirements - this requirement should
be listed in the 'recommended action', and the results listed in the 'action
taken'
3 Minimal >0.0005% <0.005% chance of occurrence (5-50 ppm)
4 Very Slight Probability >0.005% <0.05% chance of occurrence (50-500ppm)
5 Slight Probability >0.05% <0.5% chance of occurrence (500-5000 ppm)
6 Low Probability >0.5% < 1% chance of occurrence (5000-10,000 ppm)
7 Medium Probability > 1% < 2% chance of occurrence(10,000-20,000)
8 Moderately High Probability > 2% < 3% chance of occurrence (20,000-30,000 ppm)
9 High Probability > 3% < 4% chance of occurrence (30,000-40,000 ppm)
10 Extremely High Probability > 4% chance of occurrence (> 40,000 ppm)
2 Almost Certain Severity level 9 MUST fall into this area, depending on the compay policy,
a fault tree analysis may be required to prove the chance of failure is
sufficiently low to meet requirements - this requirement should be listed in
the 'recommended action', and the results listed in the 'action taken'
3 High Probability
4 Very likely
5 Likely
6 Moderately Likely
7 May Not
8 Probably Will Not
9 Almost No Porbability
10 No Proability The defect will not be caught prior to relesing the design for manufacturing
Part Name / Description Facility / Process / Supplier Approval & Date Quality Approval / Date
Location / Supplier Location / Supplier Type of Control Plan Other Approval / Date (if req’d)
Code
Characteristics Methods
Special
Part / Process Process Name / Machine, Device, Char. Product/Process Evaluation Sample Reaction
Number Operation Description Tools, Equip. No. Product Process Class Specification/ Measurement Control Method Plan
Tolerance Technique Size Freq.
TRIALS 3
PART
Appraiser/
Trial # 1 2 3 4 5 6 7 8 9 10 AVG
A
1 0.29 -0.56 1.34 0.47 -0.8 0.02 0.59 -0.31 2.26 -1.36 0.1940
2 0.41 -0.68 1.17 0.5 -0.92 -0.11 0.75 -0.2 1.99 -1.25 0.1660
3 0.64 -0.58 1.27 0.64 -0.84 -0.21 0.66 -0.17 2.01 -1.31 0.2110
AVG'S 0.447 -0.607 1.260 0.537 -0.853 -0.100 0.667 -0.227 2.087 -1.307 X̅a 0.1903
Range 0.350 0.120 0.170 0.170 0.120 0.230 0.160 0.140 0.270 0.110 R̅a 0.1840
B
1 0.08 -0.47 1.19 0.01 -0.56 -0.2 0.47 -0.63 1.8 -1.68 0.0010
2 0.25 -1.22 0.94 1.03 -1.2 0.22 0.55 0.08 2.12 -1.62 0.1150
3 0.07 -0.68 1.34 0.2 -1.28 0.06 0.83 -0.34 2.19 -1.5 0.0890
AVG'S 0.133 -0.790 1.157 0.413 -1.013 0.027 0.617 -0.297 2.037 -1.600 X̅b 0.0683
Range 0.180 0.750 0.400 1.020 0.720 0.420 0.360 0.710 0.390 0.180 R̅b 0.5130
C
1 0.04 -1.38 0.88 0.14 -1.46 -0.29 0.02 -0.46 1.77 -1.49 -0.2230
2 -0.11 -1.13 1.09 0.2 -1.07 -0.67 0.01 -0.56 1.45 -1.77 -0.2560
3 -0.15 -0.96 0.67 0.11 -1.45 -0.49 0.21 -0.49 1.87 -2.16 -0.2840
AVG'S -0.073 -1.157 0.880 0.150 -1.327 -0.483 0.080 -0.503 1.697 -1.807 X̅c -0.2543
Range 0.190 0.420 0.420 0.090 0.390 0.380 0.200 0.100 0.420 0.670 R̅c 0.3280
Part X̿ 0.0014
Average 0.1689 -0.8511 1.0989 0.3667 -1.0644 -0.1856 0.4544 -0.3422 1.9400 -1.5711 Rp 3.5111
* D4 = 3.27 for 2 trials and 2.58 for 3 trials. UCLR represents the limit of individual R's. Circle those that are beyond this limit. Identify the cause and correct.
Repeat these readings using the same apprasier and unit as originally used
or
discard values and re-average and recompute R̿ and the limiting value from the remaining observations.
Notes:
Gage Repeatability and Reproducibility Report
= 0.3058 = 26.68 %
3 0.5231
4 0.4467
PART VARIATION (PV) %PV = 100 [ PV / TV ]
5 0.4030
PV = R P x K3 = 100 1.1046 / 1.1461
= 3.511 X 0.3146
6 0.3742
= 1.1046 = 96.38 %
7 0.3534
= 1.1461 = 5.0939
10 0.3146
BIAS STUDY
Instructions:
Standard Standard
1) Input the reference value n Average
Deviation σr Deviation σb
2) Measure the piece several times
3) Check for unacceptable bias Value 15 6.0667 0.3132 0.0809
Measured BIAS OK
Trial#
Value
Bias
1 5.8 -0.2
2 5.7 -0.3
3.5
3 5.9 -0.1
4 5.9 -0.1 F 3
r
5 6.9 0.9 e
q 2.5
6 6.1 0.1 u
e 2
7 6.0 0.0 n
c
8 6.1 0.1 y 1.5
9 6.4 0.4
10 6.3 0.3 1
11 6.0 0.0
0.5
12 6.1 0.1
13 6.2 0.2 0
14 5.6 -0.4 5.6 5.7 5.8 5.9 6 6.1 6.2 6.3 6.4 6.9
15 6.0 0.0 Measured Values
LINEARITY STUDY
1 2 3 4 5
1 2 3 4 5
1.50
LINEARITY NOT OK
1.00
0.50
0.00
1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 11.00
-0.50
-1.00
-1.50
Value Frequency
5.6 1
5.7 1
5.8 1
5.9 2
6 3
6.1 3
6.2 1
6.3 1
6.4 1
6.9 1
a= -0.13167 0.73667 =b
slope SE 0.01093 0.07252 Int SE
R-Square= 0.71432 0.23954 y SE
F= 145.02324 58 =df
SSReg= 8.32133 3.32800 =SSResid
T inv 2.0017175
Delta y 0.061902
Master Y Measure Avg Bias Y Pred Ci Calculator 95% Lower 95% Higher
2.00 0.70 0.4917 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.50 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.40 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.50 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.70 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.30 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.50 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.50 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.40 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.40 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.60 0.473333333 0.107217443 0.36611589 0.580550777
2.00 0.40 0.473333333 0.107217443 0.36611589 0.580550777
4.00 1.10 0.1250 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.10 0.21 0.075814181 0.134185819 0.285814181
4.00 0.20 0.21 0.075814181 0.134185819 0.285814181
4.00 1.00 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.20 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.10 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.10 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.10 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.10 0.21 0.075814181 0.134185819 0.285814181
4.00 0.00 0.21 0.075814181 0.134185819 0.285814181
4.00 0.10 0.21 0.075814181 0.134185819 0.285814181
4.00 -0.20 0.21 0.075814181 0.134185819 0.285814181
6.00 -0.20 0.0250 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 -0.30 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 -0.10 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 -0.10 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.00 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.10 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.00 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.10 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.40 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.30 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.00 -0.05333333 0.06190202 -0.11523535 0.008568686
6.00 0.10 -0.05333333 0.06190202 -0.11523535 0.008568686
8.00 -0.40 -0.2917 -0.31666667 0.075814181 -0.39248085 -0.24085249
8.00 -0.30 -0.31666667 0.075814181 -0.39248085 -0.24085249
8.00 -0.20 -0.31666667 0.075814181 -0.39248085 -0.24085249
8.00 -0.30 -0.31666667 0.075814181 -0.39248085 -0.24085249
8.00 -0.20 -0.31666667 0.075814181 -0.39248085 -0.24085249
8.00 -0.20 -0.31666667 0.075814181 -0.39248085 -0.24085249
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Supplier may employ the below document format in addition to the required MSA
Instructions:
1) Add reference information to cells highlighted in light yellow:
4) Manually adjust the scale on the Averages Chart so the control limits are wide enough to see the variation.
Note:You may unprotect this worksheet should you wish to modify it: select Tools, then Protection, then Unprotect Sheet
TRIALS 3
Appraiser/
Trial # 1 2 3 4 5 6 7 8 9 10 AVG
A
1 0.29 -0.56 1.34 0.47 -0.8 0.02 0.59 -0.31 2.26 -1.36 0.194
2 0.41 -0.68 1.17 0.5 -0.92 -0.11 0.75 -0.2 1.99 -1.25 0.166
3 0.64 -0.58 1.27 0.64 -0.84 -0.21 0.66 -0.17 2.01 -1.31 0.211
AVG'S 0.447 -0.607 1.260 0.537 -0.853 -0.100 0.667 -0.227 2.087 -1.307 Xa 0.190
Range 0.350 0.120 0.170 0.170 0.120 0.230 0.160 0.140 0.270 0.110 Ra 0.184
B
1 0.08 -0.47 1.19 0.01 -0.56 -0.2 0.47 -0.63 1.8 -1.68 0.001
2 0.25 -1.22 0.94 1.03 -1.2 0.22 0.55 0.08 2.12 -1.62 0.115
3 0.07 -0.68 1.34 0.2 -1.28 0.06 0.83 -0.34 2.19 -1.5 0.089
AVG'S 0.133 -0.790 1.157 0.413 -1.013 0.027 0.617 -0.297 2.037 -1.600 Xb 0.068
Range 0.180 0.750 0.400 1.020 0.720 0.420 0.360 0.710 0.390 0.180 Rb 0.513
C
1 0.04 -1.38 0.88 0.14 -1.46 -0.29 0.02 -0.46 1.77 -1.49 -0.223
2 -0.11 -1.13 1.09 0.2 -1.07 -0.67 0.01 -0.56 1.45 -1.77 -0.256
3 -0.15 -0.96 0.67 0.11 -1.45 -0.49 0.21 -0.49 1.87 -2.16 -0.284
AVG'S -0.073 -1.157 0.880 0.150 -1.327 -0.483 0.080 -0.503 1.697 -1.807 Xc -0.254
Range 0.190 0.420 0.420 0.090 0.390 0.380 0.200 0.100 0.420 0.670 Rc 0.328
Part X 0.001
Average 0.1689 -0.8511 1.0989 0.3667 -1.0644 -0.1856 0.4544 -0.3422 1.9400 -1.5711 Rp 3.511
RANGE VARIATION
Ra 0.184 # Trials D4 Rdoublebar x (D4) = UCLR
Rb 0.513 2 3.267 0.3417 2.575 = 0.880
Rc 0.328 3 2.575 Note: LCL is zero with < 8 trials
SUM 1.025
Rdoublebar 0.3417 # Trials A2 Xbar + ( Rbar x A2) = UCLX
2 1.880 0.0014 0.3417 1.023 = 0.351
3 1.023 Xbar - ( Rbar x A2) = LCLX
0.0014 0.3417 1.023 = -0.348
APPRAISER B NAME
APPRAISER C NAME
Discrimination OK
UCLR 0.880
Ranges Chart 0 MSA with appraiser A is SPC
Min D 0.09 1 MSA with appraiser B is not SPC
Min D Accepted 5 0 MSA with appraiser C is SPC
D 9.775463
1.200
1.000
Range
0.800
0.600
0.400
0.200
0.000
1 2 3 4 5 6 7 8 9 1 1 2 3 4 5 6 7 8 9 1 1 2 3 4 5 6 7 8 9 1
0 0 0
Trial Number
A B C UCL Mean
Averages Chart
Appraiser A: 8 points out of UCL/LCL - Measurement System is able to distinguish variation among the samples. MSA OK
Appraiser B: 7 points out of UCL/LCL - Measurement System is able to distinguish variation among the samples. MSA OK
Appraiser C: 7 points out of UCL/LCL - Measurement System is able to distinguish variation among the samples. MSA OK
2.500
2.000
1.500
1.000
Average
0.500
0.000
-0.500 1 2 3 4 5 6 7 8 9 1
-1.000 0
-1.500
-2.000
-2.500
Trial Number
A B C UCL Mean
REPEATABILITY - EQUIPMENT VARIATION (EV)
n / TV n / Tol
EV 17.65% 7%
AV 20.08% 8%
R&R 26.74% 11%
PV 96.36% 38%
TV 5.902925047
Appraisers K2
2 3.65
3 2.70
Parts K3
2 3.65
3 2.70
4 2.30
5 2.08
6 1.93
7 1.82
8 1.74
9 1.67
10 1.62
Rbar UCL Xbar
1 0.350 0.3417 0.879791667 0.447 0.001
2 0.120 0.3417 0.879791667 -0.607 0.001
3 0.170 0.3417 0.879791667 1.260 0.001
4 0.170 0.3417 0.879791667 0.537 0.001
5 0.120 0.3417 0.879791667 -0.853 0.001
6 0.230 0.3417 0.879791667 -0.100 0.001
7 0.160 0.3417 0.879791667 0.667 0.001
8 0.140 0.3417 0.879791667 -0.227 0.001
9 0.270 0.3417 0.879791667 2.087 0.001
10 0.110 0.3417 0.879791667 -1.307 0.001
0.3417 0.879791667 0.001
1 0.180 0.3417 0.879791667 0.133 0.001
2 0.750 0.3417 0.879791667 -0.790 0.001
3 0.400 0.3417 0.879791667 1.157 0.001
4 1.020 0.3417 0.879791667 0.413 0.001
5 0.720 0.3417 0.879791667 -1.013 0.001
6 0.420 0.3417 0.879791667 0.027 0.001
7 0.360 0.3417 0.879791667 0.617 0.001
8 0.710 0.3417 0.879791667 -0.297 0.001
9 0.390 0.3417 0.879791667 2.037 0.001
10 0.180 0.3417 0.879791667 -1.600 0.001
0.3417 0.879791667 0.001
1 0.190 0.3417 0.879791667 -0.073 0.001
2 0.420 0.3417 0.879791667 -1.157 0.001
3 0.420 0.3417 0.879791667 0.880 0.001
4 0.090 0.3417 0.879791667 0.150 0.001
5 0.390 0.3417 0.879791667 -1.327 0.001
6 0.380 0.3417 0.879791667 -0.483 0.001
7 0.200 0.3417 0.879791667 0.080 0.001
8 0.100 0.3417 0.879791667 -0.503 0.001
9 0.420 0.3417 0.879791667 1.697 0.001
10 0.670 0.3417 0.879791667 -1.807 0.001
Min D Second Min 1 0 3 4 5 6 7 8 9 10
0.11 0.11 0.35 0.17 0.17 0.12 0.23 0.16 0.14 0.27 0.11
0.18 0.18 0.18 0.4 1.02 0.72 0.42 0.36 0.71 0.39 0.18
0.09 0.09 0.19 0.42 0.09 0.39 0.38 0.2 0.1 0.42 0.67
0.09 0.09
UCL LCL
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
0.351 -0.348
Whirlpool Part Number: Production Part Approval, Dimension Results
Part Name:
Whirlpool Drawing Number:
Whirlpool Engineering Revision Level:
Additional Engineering Changes:
Organization Name: Submitter Name (Print):
Supplier Code: Supplier Signature:
Supplier Location: Title:
Inspection Facility: Date:
Supplier is required to employ the below document format for this PPAP deliverable, or similar format that Organization Measurement Results (Data)
provides the same content. (Add more sample columns as needed.)
Item Dimension / Specification Specification Limits Test Date Qty Tested Sample 1 Sample 2 Sample 3 Sample 4 Sample 5 Sample 6 Sample 7
Supplier is required to employ the below document format for this deliverable, or similar format that
provides the same content.
Material or Test Spec. No / Rev / Date Specification Limits Test Date Qty Tested
C2C, PPAP Workbook, 10 Matl Perf Test Results, Revision A, Released 2014-12-01
Production Part Approval, Dimension Results
C2C, PPAP Workbook, 10 Matl Perf Test Results, Revision A, Released 2014-12-01
age
Enter Title or Comments Process Capability Study
Supplier is required to employ the below document format for this deliverable, or similar format that provides the same content.
140
X-Bar Chart Histogram
120
6.00 0.25
100
5.00
0.2
80
4.00
Within 0.15
60 Overall
3.00
40 0.1
2.00
20 0.05
1.00
0
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 0.00 0
1 -3
0 -4
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 -100 -50 0 50 100 150 200
Supplier is required to employ the below document format for this PPAP deliverable. Save a copy to the Zip folder w
Report"
COMMENTS:
CUSTOMER INTERIM APP
SIGNATURE:
VAL REPORT
MANUFACTURING
DATE
LOCATION
SUPPLIER APPLICATION
PHONE (VEHICLE)
BUYER CUSTOMER
CODE ENGINEER
E EVALUATION
N CUSTOMER REPRESENTATIVE SIGNATURE AND
APPROVALS
DATE
DESIGN STUDIO
PRE-TEXTURE
SURFACE
ENGINEERING PRE-
TEXTURE
CONCURRENCE
MASTERING STUDIO
TEXTURE
ORIENTATION
MASTERING STUDIO
POST TEXTURE
ORNAMENTATION AND
NOT REQ’D REQ’D
GRAPHICS
OSS EVALUATION
APPROVAL CUSTOMER
CUSTOMER COMMENTS
RT DATA STATUS INITIALS/DATE
MC GLS A R
PHONE DATE
D SURFACE TACTILITY
CUSTOMER APPROVAL DATE
SIGNATURE
1. Design Record R S S * R
- For proprietary R R S * R
components/details
- For all other R S S * R
components/details
2. Engineering Change R S S * R
Documents, if any
3. Customer Engineering R R S * R
approval, If required
4. Design FMEA R R S * R The product design-responsible
organization shall develop a Design
FMEA;
For NAR, may be retained in WQMS
5. Process Flow Diagrams R R S * R For NAR make parts, may be retained in
WQMS
6. Process FMEA R R S * R For NAR make parts, may be retained in
WQMS
7. Control Plan R R S * R Early Containment Plan, if requested by
Whirlpool, needs to be included with the
Control Plan;
For NAR make parts, may be retained in
WQMS
8. Measurement System R R S * R Measurement System Evaluation (MSE)
Analysis Studies or Repeatability and Reproducibility
(R&R) may be used
9. Dimensional Results R S S * R
10. Material, Performance R S S * R
Test Results
11. Initial Process Studies R R S * R Capability requirements (Cpk) are to be
met for the entire life of the product and
should be demonstrated by supplier at
any time upon Whirlpool request.
12. Qualified Laboratory R S S * R For Whirlpool Engineering Labs,
Documentation documentation may be retained by the
lab.
13. Appearance Approval S S S * R Requires Whirlpool engineering or design
Report (AAR), if applicable approval, if applicable (e.g., Whirlpool
Color Lab Approval)
14. Sample Product R S S * R
15. Master Sample R R R * R
16. Checking Aids R R R * R If requested by Whirlpool
17. Record of Compliance R R S * R GES0084 Whirlpool Specification –
With Customer-Specific Restricted Materials; Regional Materials
Requirements Regulatory Compliance Requirements;
Build by the customer (Whirlpool), if
requested
18. Part Submission Warrant S S S S R
(PSW)
Bulk Material Checklist S S S S R For bulk materials
S = the organization shall submit to the customer and retain a copy of records or documentation items at appropriate
locations.
R = The organization shall retain at appropriate locations and make available to the custom upon request.
* = The organization shall retain at appropriate locations and submit to the customer upon request.
requested
18. Part Submission Warrant S S S S R
(PSW)
Bulk Material Checklist S S S S R For bulk materials
S = the organization shall submit to the customer and retain a copy of records or documentation items at appropriate
locations.
R = The organization shall retain at appropriate locations and make available to the custom upon request.
* = The organization shall retain at appropriate locations and submit to the customer upon request.
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Double-Click to edit, save, and print Part Submission Warrant.
← Back to Front Page Required for all PPAP submission. Save a copy to the Zip folder with
the filename "Part Submission Warrant"
Supplier is required to employ the below document format for this deliverable, or similar format that provides the same content.
Part Name Whirlpool Part Number
Whirlpool Drawing Number Purchase Order No. (if applicable)
Whirlpool Eng. Rev. Level Eng. Rev. Date Windchill Package # (if applic.) Weight (kg)
Additional Engineering Changes Engineering Change Dated
Checking Aid No. Checking Aid Engineering Change Level / Date:
ORGANIZATION MANUFACTURING INFORMATION WHIRLPOOL SUBMITTAL INFORMATION
City Region Postal Code Country Whirlpool Supplier Development Engineer-SDE (For Med High Risk purchase
MATERIALS REPORTING
Does the part meet the latest revision of GES0084 Whirlpool Specification – Restricted Materials? Yes No n/a
Does the part meet the Regional Safety, Materials, other Regulatory Requirements as specified? List below: Yes No n/a
Are polymeric parts identified with appropriate ISO marking codes? Yes No n/a
REASON FOR SUBMISSION (Check at least one)
Initial Submission Change to Optional Construction or Material
Engineering Change(s) Supplier or Material Source Change
Tooling: Transfer, Replacement, Refurbishment, or Additional Change in Part Processing
Correction or Discrepancy Parts produced at Additional Location
Tooling Inactive > than 1 year Other – please specify:
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 organization’s manufacturing location.
SUBMISSION RESULTS
The results for dimensional requirements material and functional tests appearance criteria statistical process package
These results meet all design record requirements: Yes No (If “No” – Explanation Required)
Mold / Cavity / Production Process
DECLARATION
I affirm that the samples represented by this warrant are representative of our parts which were made by a process that meets all Production Pa
th
Approval Process Manual 4 Edition Requirements. I further affirm that these samples were produced at the production rate of _____ pcs/ ___
hours. I also certify that documented evidence of such compliance is on file and available for review. I have noted any deviations from this
declaration below. EXPLANATION/COMMENTS:
Is each Customer Tool properly tagged and numbered? Yes Tool Identification #(s): No
Organization Authorized Signature Date
Print Name Phone No. FAX No.
Title E-mail
he same content.
Weight (kg)
produced)
es No n/a
es No n/a
es No n/a
or Material
ge
ation
tomer.
g location.
No
No n/a
Date
ol produced parts)
No n/a
Date
ol produced parts)
Double-Click to edit and print Product Process Change Notification. Requir
← Back to Front Page for all PPAP submission. Save a copy to the Zip folder with the filename
"Product Process Change Notification"
Supplier is required to employ the below document format for this deliverable, or similar format that provides the same content.
Complete this form and email to your customer organization whenever customer notification is required by the PPAP Manua
in Table 3.1. Your customer will respond back with an acknowledgement and may request additional change clarification or
PPAP submission requirements.
Application:
Name: Code:
Street Address:
City, State & Zip: Change Type (check all that apply)
Dimensional
Whirlpool Plants Affected: Materials
Functional
Design Responsibility: Whirlpool Organization Appearance
DECLARATION
I hereby certify that representative samples will be manufactured using the revised product and/or process and verified, where appropriate, for
dimensional change, appearance change, physical property change, functionally for performance and durability. I also certify that documented
evidence of such compliance is on file and available for customer review.
Explanation/Comments:
NAME: TITLE:
E-MAIL: DATE:
NOTE: Please submit this notification at least 6 weeks prior to the planned change implementation!
Contact your customer to determine if this form is available in an electronic format or if this form should be faxed.
BUSINESS PHONE NO: FAX NO:
E-MAIL: DATE:
NOTE: Please submit this notification at least 6 weeks prior to the planned change implementation!
Contact your customer to determine if this form is available in an electronic format or if this form should be faxed.
nge Notification. Required
older with the filename
cation"
he same content.
red by the PPAP Manual
l change clarification or
Dated:
Dated:
ubcomponent
ould be faxed.
ould be faxed.
Double-Click to edit and print Global Restricted Materials document.
← Back to Front Page Required for all PPAP submission.
Supplier is required to employ the below document format for this deliverable, or similar format that provides the same content.
Materials document.
ion.
he same content.