Shpsi20221008006

AZ PO# AZ Sku #
AutoZone订 AutoZone 产品单

单号品号
11851012 000125337
20799671 000570234
22703126 000385593
33495292 000570226
33495293
55385980
77388778
Examination Application Form
检验申请表单
Address:
Vendor Name: Factory Name:
工厂地址：Desa Cangkir Kecamatan Driyorejo Km.22 Gresik,61177, Indonesia
供应商名称： Zhejiang Safemate Automotive Safety & Emergency Technology Co.,Ltd 工厂名称：PT. SAFEMATE TECHNOLOGY INDONESIA
Contact: EKKLESIA 085606076814
POV#: 20% of total exmination quantity completion date: 80% of total exmination quantity completion date:
供应商代码：00477 出货订单总量20%完成日期：出货订单总量80%完成日期：2022.10.12
80% of total exmination

Approved Sample 20% of total exmination quantity quantity completion date:
SKU availability ESD
Availability （No impact completion date: ETD
AZ PO# AZ Sku # AZ Part# Description Qty Cartons（if exist） SKU availability 出货订单总量80%完成 expected PSE date （Earliest exmination Remark
of PSE result) (Estimated time of departure)
AutoZone订单号 AutoZone 产品单品号 AutoZone 产品部件号订单产品描述订单型号数量型号外箱数(如有外箱) 出货订单总量20%完成日期时日期时预期尾期检验时间 Date）备注信息
是否有品准样品（不影预计开船日期
型号是否已完成生产下线型号是否已完成生产下最早开船日期
响验货进行）
线
11851012 000125337 BC2 N 2GA 20FT BOOSTER CABLES WITH DIGITAL VOLTMETER 2416 604 YES Yes 10/13/2022 22-Oct-22 22-Oct-22
11851012 000385593 AZ8G N 8GA 12FT BOOSTER CABLES 5955 397 YES Yes 10/13/2022 22-Oct-22 22-Oct-22
20799671 000570226 BC6 N 6GA 12FT SAFETY BOOSTER CABLES 1610 161 YES Yes 10/13/2022 22-Oct-22 22-Oct-22
20799671 000385593 AZ8G N 8GA 12FT BOOSTER CABLES 7995 533 YES Yes 10/13/2022 22-Oct-22 22-Oct-22
22703126 000125337 BC2 N 2GA 20FT BOOSTER CABLES WITH DIGITAL VOLTMETER 2052 513 No Yes 10/13/2022 22-Oct-22 22-Oct-22
22703126 000570226 BC6 N 6GA 12FT SAFETY BOOSTER CABLES 2040 204 No Yes 10/13/2022 22-Oct-22 22-Oct-22
22703126 000385593 AZ8G N 8GA 12FT BOOSTER CABLES 6810 454 No Yes 10/13/2022 22-Oct-22 22-Oct-22
82159
PSE Recap:
尾期检验概述：
• Vendors are responsible for payment and scheduling examinations. All DuPro/PSE needs to be done at least 9 days prior to ETD or ESD when ETD is not fixed.
• 供应商须要负责提供并安排过程检验及尾期检验的时间，并支付相应的费用。所有过程检验及尾期检验需要在预计开船日期（ETD）或者最早开船日期（ESD，当ETD没有确定时）至少9天前完成。
• Majority (80% or more) of PO total quantity needs to be finished when PSE begins,and all packing material(including final product packed and unpacked packing material) must be available during onsite PSE.
• 当尾期检验开始时，工厂须要完成订单出货总量的80%产品，并且每一种型号的包装材料（已包装的成品及未进行包装的包材）都能通过现场得到检验。
Note: Factory is not required to have 80% of each SKU complete when PSE begins.
注意：当工厂开始进行尾期检验时，并不要求每一个型号完成80%的总量。
• PSE service providers upload PSE report in Clear Track within 24 business hours after PSE completes.
•PSE执行方须在尾期检验完成后的24小时内上传到Clear Track系统。
• Final product storage list of exmination PSE POs must be available for PSE and align with examination Application Form on the availability status. If the status is incorrect with missing sku for examination during onsite sampling, PSE will be failed.
• 在尾期检验当天，工厂方须提供最新的出货待检订单的最终成品入库清单,并且入库状态须与检验申请单一致。如果在检验现场抽样的过程中发现，实际入库型号状态与申请单相比存在短缺无法检验，则检验将以不通过处理。
• Pre-exmination examinations must occur early enough to allow time for PSE uploading and ATS release.
• 工厂方需协调生产及仓管计划以安排尾期检验尽早执行，不影响检验报告的上传及发货授权的产生。
• 100% cost will be charged for any incomplete PSE of cancellation/postpone/prepone within 2 working days prior to examination.
• 如在原定检验日期的两个工作日内取消/延后/提前尾期检验，供应商须承担相应的延迟取消费用。
• Please fill in the blank of vendor/factory basic information in both Chinese & English.
• 请用中英文填写供应商/工厂的基本信息（名称，地址）
• If other information need to be informed from vendor on the PSE, such as for certain sku, please write it in the remark.
• 如供应商就检验事宜有其他信息需告知检验方，例如个别型号的问题，请填写在备注表格中。
Disclaimer:
免责声明：
• All inspeciton is performed on sampling basis only and Factory takes reponsible for the products and process before and after examination.
• 所有检验都基于一定抽样计划。工厂须对检验前后的产品及产线进行监督责任。
Below is to be filled by AutoZone

以下信息由AutoZone进行填写
examination Service Provider: Job# :
检验试行方：检验工作单号：
examination Starting Date:

检验起始日期： Total Manday:
examination Ending Date: 总计工作人天：
检验结束日期：
Duration: examination Manday:

检验天数：检验工作人天
Total price: Non-examination Manday:
总计价格：非检验工作人天
Job# :
检验工作单号：
Vendor Name:
供应商名称：
POV#:
供应商代码：
AZ PO# AZ Sku # AZ Part#

AutoZone订单号 AutoZone 产品单品号 AutoZone 产品部件号
PSE Recap:
尾期检验概述：
• Vendors are responsible for payment and scheduling examinations. All DuPro/PSE needs to be done at least 10 d
• 供应商须要负责提供并安排过程检验及尾期检验的时间，并支付相应的费用。所有过程检验及尾期检验需要在预计
• Majority (80% or more) of PO total quantity needs to be finished when PSE begins,and all packing material(includin
• 当尾期检验开始时，工厂须要完成订单出货总量的80%产品，并且每一种型号的包装材料（已包装的成品及未进行
Note: Factory is not required to have 80% of each SKU complete when PSE begins.
注意：当工厂开始进行尾期检验时，并不要求每一个型号完成80%的总量。
• PSE service providers upload PSE report in Clear Track within 24 business hours after PSE completes.
•PSE执行方须在尾期检验完成后的24小时内上传到Clear Track系统。
• Final product storage list of shipment PSE POs must be available for PSE and align with examination Application Form on the
• 在尾期检验当天，工厂方须提供最新的出货待检订单的最终成品入库清单,并且入库状态须与检验申请单一致。如果
• Pre-shipment examinations must occur early enough to allow time for PSE uploading and ATS release.
• 工厂方需协调生产及仓管计划以安排尾期检验尽早执行，不影响检验报告的上传及发货授权的产生。
• 100% cost will be charged for any incomplete PSE of cancellation/postpone/prepone within 2 working days prior to
• 如在原定检验日期的两个工作日内取消/延后/提前尾期检验，供应商须承担相应的延迟取消费用。
• Please fill in the blank of vendor/factory basic information in both Chinese & English.
• 请用中英文填写供应商/工厂的基本信息（名称，地址）
• If other information need to be informed from vendor on the PSE, such as for certain sku, please write it in the rem
• 如供应商就检验事宜有其他信息需告知检验方，例如个别型号的问题，请填写在备注表格中。
• Please fill in the product production status accurately, if there is any inconsistency will lead to failure in examination
请如实填写各SKU的生产状态，在验货过程中发现存在实际生产状况与申请表不一致会导致验货失败。
Disclaimer:
免责声明：
• All examination is performed on sampling basis only and factory takes full reponsibility for the products and proces
• 所有检验都基于一定抽样计划。工厂须对检验前后的产品及产线承担全部责任。
Below is to be filled by AutoZone

以下信息由AutoZone进行填写
examination Service Provider:
检验试行方：
examination Starting Date:

检验起始日期：
examination Ending Date:
检验结束日期：
Duration:
检验天数：
Total price:
总计价格：
Examinatio
检
Factory Name:
工厂名称：
20% of total shipment quantity completion date:
出货订单总量20%完成日期：
Description Qty Cartons（if exist）

订单产品描述订单型号数量型号外箱数(如有外箱)
All DuPro/PSE needs to be done at least 10 days prior to ETD or ESD when ETD is not fixed.
的费用。所有过程检验及尾期检验需要在预计开船日期（ETD）或者最早开船日期（ESD，当ETD没有确定时）至少10天前完成
n PSE begins,and all packing material(including final product packed and unpacked packing material) must be available during
一种型号的包装材料（已包装的成品及未进行包装的包材）都能通过现场得到检验。
n PSE begins.
量。
usiness hours after PSE completes.
d align with examination Application Form on the availability status. If the status is incorrect with missing sku for examination during onsit
清单,并且入库状态须与检验申请单一致。如果在检验现场抽样的过程中发现，实际入库型号状态与申请单相比存在短缺无法检验
r PSE uploading and ATS release.
报告的上传及发货授权的产生。
stpone/prepone within 2 working days prior to examination.
须承担相应的延迟取消费用。
nese & English.
ch as for certain sku, please write it in the remark.

，请填写在备注表格中。
nconsistency will lead to failure in examination.
申请表不一致会导致验货失败。
s full reponsibility for the products and process before and after examination.
全部责任。
Job# :
检验工作单号：
Total Manday:
总计工作人天：
examination Manday:
检验工作人天
Non-examination
Manday:
非检验工作人天
Examination Application Form
检验申请表单
Is Sku avaliable for examination( >=5 Pcs) when total 20%

Pallet with multi-SKUs qty finished.
在完成出货总量20%时，该SKU完成量是否达到5片
D is not fixed.
期（ESD，当ETD没有确定时）至少10天前完成。
ked packing material) must be available during onsite PSE.
验。
rrect with missing sku for examination during onsite sampling, PSE will be failed.
际入库型号状态与申请单相比存在短缺无法检验，则检验将以不通过处理。
Address:
工厂地址：
80% of total shipment quantity completion date:
出货订单总量80%完成日期：
Is Sku avaliable for examination( >=5 Pcs) when total 80% qty
expected PSE date
finished.
期待尾期检验时间
在完成出货总量80%时，该SKU完成量是否达到5片
ETD ESD
Remark
(Estimated time of departure) （Earliest Shipment Date）
备注信息
预计开船日期最早开船日期

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Shpsi20221008006

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Copyright:

Available Formats

AZ PO# AZ Sku #

AutoZone订 AutoZone 产品单

80% of total exmination

Below is to be filled by AutoZone

examination Starting Date:

Duration: examination Manday:

AZ PO# AZ Sku # AZ Part#

Below is to be filled by AutoZone

examination Starting Date:

Description Qty Cartons（if exist）

ch as for certain sku, please write it in the remark.

Is Sku avaliable for examination( >=5 Pcs) when total 20%

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