Supplier PPAP Submission Level Guide

Quick Reference Sheet

Required Submission
Level - Level III unless otherwise specified on the Agility Purchase Order or project documentation

The additional comments below are only a summary of AIAG manual.

Refer to AIAG Manual current edition for complete information.

PPAP
Requirements
Element

Required Documents Additional Comments

Level 1
Level 2
Level 3
Level 4
Level 5
AIAG PPAP
Order

Fourth Edition

Upon completion of all PPAP requirements, the organization shall complete the Part
submission warrant (PSW).
Use Supplied Truck or PSW If production parts will be produced from more than one cavity, mold, tool die, pattern, or
Part Submission
1 Warrant (PSW) X X X * X only Production process e.g., line or cell, the organization shall complete a dimensional evaluation
on one part from each . These specifics cavities, molds, line, etc..., shall then be identified in
the "Mold/Cavity/Production Process" line on a PSW, or in a PSW attachment. A responsible
official of the organization shall approve the PSW and provide contact information.

The organization shall have the design record for the saleable product/part, including design
records for components or details of the saleable product / part. Where the design record is
Design Records & Agility Fuel Solutions design
2 Bubbled part print(s). X X * X record bubbled
in electronic format, e.g., CAD/CAM math data, the organization shall produce a hard copy
(e.g., pictorial, geometric dimensioning & tolerancing (GD&T) sheets, drawing) to identify
measurements taken.
Various engineering
Authorized
documentation The organization shall have any authorized engineering change documents form those
3 Engineering Change
Documentation
X X * X Agility Fuel Solutions changes not yet recorded in the design record but incorporated in the product, part or tooling.
Deviation Form
Customer
Customer engineering Where specified by the customer, the organization shall have evidence of customer
4 Engineering
Approvals
X * X approval proof engineering approval.

Can be Agility Fuel Solutions The product design-responsible organization shall develop a Design FMEA in accordance
5 Design FMEA, X * X DFMEA Format or an AIAG
compliant DFMEA.
with and compliant to, customer specified requirements.(e.g., potential Failure Mode and
Effects Analysis reference manual)
The organization shall have a process flow diagram in an organization-specified format that
clearly describes the production process steps and sequence, as appropriate, and meets the
Process Flow Any standard flowchart
6 Diagrams X * X format.
specified customer needs, requirements and expectations (e.g., Advanced Product Quality
Planning and Control Plan reference manual). For bulk materials, an equivalent to a process
Flow Diagram is a Process Flow Description.
Can be Agility Fuel Solutions The organization shall develop a process FMEA in accordance with and compliant to,
7 Process FMEA X * X PFMEA Format or an AIAG
compliant PFMEA.
customer-specified requirements, (e.g., Potential Failure Mode and Effects Analysis
reference manual)
Can be Agility Fuel Solutions The organization shall have a control plan that defines all methods used for process control
8 Control Plan X * X format or AIAG compliant
format.
and complies with customer-specified requirements (e.g., Advanced Product Quality
Planning and Control Plan reference manual).

Measurement Can be Agility Fuel Solutions The organization shall have applicable Measurement System analysis studies, e.g., gage
9 System Analysis
Studies
X * X format or AIAG compliant
format.
R&R, bias, linearity, stability, for all new or modified gages, measurement, and test
equipment.( see the Measurement Systems Analysis reference manual)

The organization shall provide evidence that dimensional verifications required by the design
record and the Control Plan have been completed and result indicate compliance with
Can be Agility Fuel Solutions specified requirements. The organization shall have dimensional results for each unique
10 Dimensional Results X X * X format or AIAG compliant manufacturing process, e.g., cells or production lines and all cavities, molds, patterns or dies.
format. The organization shall record , with the actual results : all dimensions (except reference
dimensions), characteristics, and specifications as noted on the design record and Control
Plan. The organization shall identify the parts measured.

Material test results shall indicate and include :

1) The design record change level of the parts tested;
2) Any authorized engineering change documents that not yet been incorporated in the
Material Test Results Industry Standard reports or design record;
and Performance test test result formats 3) The number, date, and change level of the specification to which the part was tested;
11-1 result and related X X * X designated by Agility Fuel 4) the date on which the testing took place;
design notes Solutions 5) the quantity tested;
6) the actual results;
7) The material supplier's name and, when required by the customer, the customer-assigned
supplier/vendor code.

804133778.xls
 Supplier PPAP Submission Level Guide
Quick Reference Sheet

The organization shall perform tests for all part(s) or product material(s) when performance
or functional requirements are specified by the design record or Control Plan. Performance
test results shall indicate and include :
Industry Standard reports or 1) The design record change level of the parts tested;
Performance Test test result formats 2) Any authorized engineering change documents that not yet been incorporated in the
11-2 Results X X * X designated by Agility Fuel design record;
Solutions . 3) The number, date, and change level of the specification to which the part was tested;
4) the date on which the testing took place;
5) the quantity tested;
6) the actual results;

The level of initial process capability or performance shall be determined to be acceptable

prior to submission for all Special Characteristics designated by the customer or
organization. The organization shall obtain customer concurrence on the index for estimating
initial process capability prior to submission.
Process Capability Study
Initial Process Study - Where no special characteristics have been identified, the customer reserve the right to
using any statistical package
12 (Cpk) Capability
Studies
X * X or Agility Fuel Solutions
require demonstration of initial process capability on other characteristics.
Index > 1.67 : the process currently meets the acceptance criteria.
Capability Form.
1.33=< Index =< 1.67 : the process may be acceptable. Contact the authorized customer
representative for review of the study results.
Index <1.33 : Process does not currently meet the acceptance criteria. Contact the
authorized customer representative for a review of study results.

Inspection and testing for PPAP shall be performed by qualified laboratory as defined by
customer requirements (e.g. an accredited laboratory). the qualified laboratory (internal or
external to the organization) shall have a laboratory scope and documentation showing that
Qualified Laboratory Lab Scope and outside lab the laboratory is qualified for the type of measurements or tests conducted.
13 Documentation X X * X proof of accreditation. When an external/Commercial laboratory is used, the organization shall submit the test
results on the laboratory letterhead or the normal laboratory report format. The name of the
laboratory that performed the tests, the date(s) of the tests, and the standards used to run the
tests shall be identified.

A separate Appearance Approval Report (AAR) shall be completed for each part or series of
part if the product/part has appearance requirements on the design record.
Upon satisfactory completion of all required criteria, the organization shall record the required
Appearance Approval Agility Fuel Solutions format information on the AAR. The completed AAR and representative production product/part
14 Report X X X * X or AIAG format shall be submitted to the location specified by the customer to receive disposition. AARs
(complete with part disposition and authorized customer representative signature) shall then
accompany the PSW at the time of final submission based upon the submission level
requested.

Sample Product Upon Agility Fuel Solutions

15 Parts X X * X requirements
The organization shall provide sample product as specified by the customer.

The organization shall retain a master sample for the same period as the production part
approval records, or a) until a new master sample is produced for the same customer part
number for customer approval, or b) where a master sample is required by the design record,
Control Plan or inspection criteria, as a reference or standard. The master sample shall be
Upon Agility Fuel Solutions identified as such, and shall show the customer approval date on the sample. The
16 Master Samples * X requirements organization shall retain a master sample for each position of a multiple cavity die, mold tool
or pattern, or production process unless otherwise specified by the customer.
When part size , sheet volume of parts, etc. makes storage of a master sample difficult, the
sample retention requirements may be modified or waived in writing by authorized customer
representative.

Part specific assembly or If requested by customer, the organization shall submit with the PPAP submission any part
17 Inspection aids * X checking aids specific assembly or component checking aid.

The organization shall have records of compliance to all applicable customer-specific

Customer specific To submit for PCA suppliers
18 requirements * only
requirements. For bulk materials, applicable customer-specific requirements shall be
documented on the Bulk Material Requirement Checklist.

NOTE: Each of the listed items must be created where PPAP is required (where applicable for the product). Boxes with X are deliverables and must accompany
associated shipments. Failure to provide the documentation along with or prior to delivery of product will result in a hold on the shipment. Where the item is not
required as a deliverable, the additional items are to be available for review by Agility Fuel Solutions upon request.

804133778.xls
 PPAP Submission
Date Initiated
Agility Part Name
Agility Part Number
Agility Engineering Revision Level
Agility Engineering Revision Date
Agility Purchase Order Number
Supplier Name
Supplier Code
Street Address
City, State and Zip
Phone Number
Supplier Contact Name
Agility Location / Division
Agility Buyer
Application

File Name

804133778.xls
 Part Submission Warrant
Truck Industry

Part Name 0 Agility Part Number 0 Rev. 0

If applicable
Tool PO Number Engineering Drawing Change Level Dated

Additional Engineering Changes Dated

Shown on Drawing Number Purchase Order No. Weight (kg)

Checking Aid Number Engineering Change Level Dated

ORGANIZATION MANUFACTURING INFORMATION SUBMISSION INFORMATION

0 0 0
Organization Name and Code Agility Location/Division Customer ID#

0 0
Street Address Agility Buyer

0 0
City State Zip Application

Note: Does this part contain any restricted or reportable substances? Yes No

Are plastic parts identified with appropriate ISO marking codes? Yes No

REASON FOR SUBMISSION

Initial submission Change to Optional Construction or Material
Engineering Change(s) Sub-Supplier or Material Source Change
Tooling: Transfer, Replacement, Refurbishment, or Additional Change in Part Processing
Correction of 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 Agility.
Level 2 - Warrant with product samples and limited supporting data submitted to Agility.
Level 3 - Warrant with product samples and complete supporting data submitted to Agility.
Level 4 - Warrant and other requirements as defined by Agility.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
(check)
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

DECLARATION
I affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable Agility
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:

List Molds / Cavities / Production Processes

Organization Authorized Signature Date

Print Name Phone No. Fax No.

Title E-Mail

FOR AGILITY USE ONLY

PPAP Warrant Disposition: Approved Rejected
Interim Approval Comment(s):

Agility Signature Date

Print Name

804133778.xls
 DESIGN RECORDS

Insert applicable design records and ballooned print here

804133778.xls
 PRODUCT / PROCESS CHANGE NOTIFICATION

Complete this form and e-mail to your Agility buyer when changes to manufactured products, product
sourcing or assembly components and processes are being considered or implemented. Agility may
request additional change clarification or send an acknowledgement and any PPAP submission
requirements.
Notification should be submitted at least 6 weeks prior to the planned change implementation.

To: Customer: 0

Organization Part Number: Engineering Revision Level: Dated:

Customer Part Number: 0 Engineering Revision Level: 0 Dated:

Purchase Order Number: 0 Safety and/or Government Regulation:

Application: 0
MANUFACTURING ORGANIZATION INFORMATION

Name: 0 Code: 0
Street Address: 0
City, State, Zip: 0 Change Type (check all that apply)
Dimensional
Customer Plants Affected: Materials
Functional
Design Responsibility: Customer Organization Appearance

Organization Change That May Affect End Item:

Product Change Engineering Drawing Change New or Revised Subcomponent

Expected PPAP Completion / Submission Date:

DETAILED DESCRIPTION OF PRODUCT / PROCESS CHANGE:

Planned Date of Implementation:

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:

BUSINESS PHONE NO: FAX NO:

E-MAIL: DATE:

Completed forms to be emailed to the Agility Buyer ordering the associated part number.

804133778.xls
 PART HISTORY

Part Number Part Name

0 0

Date Remarks

804133778.xls
 Engineering Change Documents

Supplier Deviation Request Form can be found on the Agility Fuel Solutions webpage for Terms, Conditions and Supplier Info.

Use As Is
Sort
Rework

804133778.xls
 "POTENTIAL
System
FAILURE MODE AND EFFECTS ANALYSIS FMEA Number:
(DESIGN FMEA)"
Subsystem Prepared by:
Component; Design Responsibility FMEA Date (Orig.)
Model Year(s)/Program(s) Key Date FMEA Date (Rev.)
Core Team:

Action Results

Classification
Current Current

Occurrence
Item Responsibility

Detection
Severity

Occurrence
Potential Potential Potential

Detection
Design Design Recommended & Target

RPN

Severity
Requirements Failure Effect(s) Causes(s) Actions Taken

RPN
Controls Controls Action(s) Completion
Mode of Failure of Failure & Effective Date
Function Prevention Detection Date

804133778.xls
 DFMEA LISTS
(4th Edition)

SEVERITY SCALE
10 Affects safe vehicle operation and/or noncompliance to a government regulation without warning.
9 Affects safe vehicle operation and/or noncompliance to a government regulation with warning.
8 Loss of primary function (vehicle inoperable but does not affect safe vehicle operation.
7 Degradation of Primary function (vehicle operable but at a reduced level of performance)
6 Loss of secondary function (vehicle operatable but comport/ convenience functions inoperable.
5 Degradation of secondary function (vehicle operatable but comfort/ convenience functions inoperable.
4 Appearance of audible noise, vehicle operable, item does not conform, and noticed by most customers (75%).
3 Appearance of audible noise, vehicle operable, item does not conform, and noticed by many customers (50%).
2 Appearance of audible noise, vehicle operable, item does not conform, and noticed by discriminating customers (25%).
1 No discernible affect.
OCCURRENCE SCALE
10 New technology/new design with no history.
9 Failure is inevitable with new design, new application, or change in duty cycle/operating conditions.
8 Failure is likely with new design, new application, or change in duty cycle/operating conditions.
7 Failure is uncertain with new design, new application, or change in duty cycle/operating conditions.
6 Frequent failures associated with similar designs or in design simulation and testing.
5 Occasional failures associated with similar designs or in design simulation and testing.
4 Isolated failures associated with similar designs or in design simulation and testing.
3 Only isolated failures associated with almost identical design or in design simulation or testing.
2 No observed failures associated with almost identical design or in design simulation or testing.
1 Failure is eliminated through preventative control.
DETECTION SCALE
10 No current design control; Cannot detect or is not analyzed.
Design analysis/detection controls have a weak detection capability; Virtual Analysis (e.g. CAE, FEA etc.) is not correlated to expected or actual operating
9
conditions. Not likely to detect at any stage
Product verification after design freeze and prior to launch with pass/fail testing (Subsystem or system testing with acceptance criteria such as ride and
8
handling , shipping evaluation etc.)
Product verification after design freeze and prior to launch with test to failure testing (Subsystem or system testing until failure occurs, testing of interactions
7
etc.)
6 Product verification after design freeze and prior to launch with degradation testing (Subsystem or system testing after durability test e.g. functional test.
Product validation (reliability testing, development or validation tests) prior to design freeze using pass/fail testing (e.g.. acceptance criteria for performance
5
functional checks etc.)
4 Product validation (reliability testing, development or validation tests) prior to design freeze using test to failure (e.g. until leaks, yields or cracks etc.)
3 Product validation (reliability testing, development or validation tests) prior to design freeze using degradation (e.g. data trends, before/after values etc.)
Virtual analysis correlated. Design analysis/ detection controls have a strong detection capability and is highly correlated with actual or expected operating
2
conditions.
1 Not Applicable. Failure is fully prevented through design solutions (e.g. proven design standard, best practices, or common material, etc.)

804133778.xls
 PROCESS FLOW DIAGRAM

PART NUMBER: DATE:

PART DESCRIPTION: ECL:
PREPARED BY:

TRANSPORTATION

INSPECTION
OPERATION

STORAGE
SET-UP

DELAY
PRODUCT AND
OPERATION PROCESS PROCESS CONTROL
STEP DESCRIPTION SC CHARACTERISTICS DOCUMENTATION METHODS

804133778.xls
 PROCESS
FAILURE MODE AND EFFECTS ANALYSIS
(PROCESS FMEA)
Prepared by: FMEA Number:
Item: Process Responsibility FMEA Date (Orig.)
Model Year(s)/Program(s) Key Date FMEA Date (Rev.)
Core Team:

Action Results

Classification
Current Current

Occurrence
Responsibility

Detection

Occurrence
Severity
Potential Potential Potential

Detection
Process Process Recommended & Target

Severity
RPN
Process Step Function Requirements Failure Effect(s) Causes(s) Actions Taken

RPN
Controls Controls Action Completion
Mode of Failure of Failure & Effective Date
Prevention Detection Date

804133778.xls
 PFMEA LISTS
(4th Edition)

PFMEA LISTS 4th Edition

SEVERITY SCALE
10 Noncompliance to a government regulation
9 A safety hazard
8 Will result in customer complaint and return of product
7 May cause production disruption or failure of sales specification.
6 Will be caught at subsequent processing.
5 Will be caught during processing
4 Likely to be caught by customer at incoming inspection
3 Only a slight inconvenience with product or processing noticed
2 Likely to cause only a slight customer annoyance
1 Not likely to cause any effect or to be noticed by customer
OCCURRENCE SCALE
10 High frequency No Background
9 High frequency Assumption
8 High frequency Similar Experience
7 High frequency Actual Experience
6 Moderate Frequency Assumption
5 Moderate Frequency Similar Experience
4 Moderate Frequency Actual Experience
3 Low Frequency Assumption
2 Low Frequency Similar Experience
1 Low Frequency Actual Experience
DETECTION SCALE
10 Absolute certainty of Non-detection.
9 Very low likelihood of detection.
8 Controls may detect at end of customer production.
7 Controls may detect existence during customer production.
6 Controls likely to detect defect in lot inspection but higher variability.
5 Controls likely to detect defect in lot inspection.
4 Controls have a good chance of detecting defect at end of current process step.
3 Controls have a good chance of detecting defect before end of current process step.
2 Controls almost certainly defect before next process.
1 Controls detect defect before next process.

804133778.xls
 CONTROL PLAN

Prototype Pre-Launch Production

Control Plan Number Key Contact/Phone Date (Orig.) Date (Rev.)
MM/DD/YYYY MM/DD/YYYY
Agility Part Number/Latest Change Level Core Team Customer Engineering Approval/Date (If Req'd.)
0 0
Part Name/Description Organization/Plant Approval/Date Customer Quality Approval/Date (If Req'd.)
0
Manufacturing Location Organization Code Other Approval/Date (If Req'd.) Other Approval/Date (If Req'd.)
0
MACHINE, CHARACTERISTICS SPECIA METHODS
PART/ PROCESS NAME/
DEVICE L PRODUCT/PROCESS EVALUATION/ SAMPLE REACTION
PROCESS OPERATION
JIG, TOOLS CHAR. CONTROL PLAN
NUMBER DESCRIPTION NO. PRODUCT PROCESS SPECIFICATION/ MEASUREMENT
FOR MFG. CLASS SIZE FREQ. METHOD
TOLERANCE TECHNIQUE

804133778.xls
 MEASUREMENT SYSTEMS ANALYSIS
(GAGE RandR Summary Table for PPAP)

GAP CLOSURE PLAN

Gage R&R Comment and/or Target Completion

Item # Feature Description Gauge Gage R&R Type Responsibility
Result Action Item to Close Gap Date
1
2
3
4
5
6
7
8
9
10

804133778.xls
 ATTRIBUTE GAGE BIAS REPORT

ANALYTICAL METHOD - LOW LIMIT

Part Number Gage Name Appraiser
0
Part Name Gage Number Date Performed
0
Characteristic Gage Type Upper Limit Lower Limit

ATTRIBUTE DATA
# XT a P'a After entering data, follow the directions on the tab marked
1 0.000 'Graph' to create the Gage Performance Curve
2 0.000
3 0.000
4 0.000
5 0.000
6 0.000
7 0.000
8 0.000
9 0.000

FROM THE GRAPH

ENTER THE FOLLOWING:
XT (P=.5) =
XT (P=.995) =
XT (P=.005) =

Measurement Unit Analysis

Bias Repeatability
B = R =
= =

t Statistic
t = 31.3 IBI / R t0.025,19 = 2.093
=
=

Result

804133778.xls
 ATTRIBUTE GAGE BIAS REPORT

ANALYTICAL METHOD - HIGH LIMIT

Part Number Gage Name Appraiser
0
Part Name Gage Number Date Performed
0
Characteristic Gage Type Upper Limit Lower Limit

ATTRIBUTE DATA
# XT a P'a After entering data, follow the directions on the tab marked
1 0.025 'Graph' to create the Gage Performance Curve
2 0.000
3 0.000
4 0.000
5 0.000
6 0.000
7 0.000
8 0.000
9 0.000

FROM THE GRAPH

ENTER THE FOLLOWING:
XT (P=.5) =
XT (P=.995) =
XT (P=.005) =

Measurement Unit Analysis

Bias Repeatability
B = R =
= =

t Statistic
t = 31.3 IBI / R t0.025,19 = 2.093
=
=

Result

804133778.xls
 ATTRIBUTE GAGE BIAS REPORT

ANALYTICAL METHOD - GAGE PERFORMANCE CURVE

Part Number Gage Name Appraiser
0
Part Name Gage Number Date Performed
0
Characteristic Gage Type Upper Limit Lower Limit

LOW LIMIT RESULTS* HIGH LIMIT RESULTS*

Bias Bias
GRR GRR
sGRR sGRR
*Curve can be generated from low or high limit results if symmetry is assumed.

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%
0.000 0.100 0.200 0.300 0.400 0.500 0.600 0.700 0.800 0.900 1.000

REMARKS

Signature

Title Date

804133778.xls
 ATTRIBUTE BIAS STUDY GRAPH

Directions for Gage Performance Curve for Attribute Analytical Method Form

1) Click Tools - Data Analysis - Regression

(If Data Analysis is not available load Analysis Tool Pak from the Add-Ins menu)
2) In the box for Input Y Range select the cells ATT BIAS(Analytic)!D14:D22
3) In the box for Input X Range select the cells ATT BIAS(Analytic)!B14:B22
4) In the box for Output range select the cells below A23:M60
5) Check Line Fit Plots
6) Press OK
7) Copy the Line Fit plot graph to the space on the Analytic sheet
8) Change the graph title to GPC - Low Side Normal Prob Paper
9) Change the x axis to Xt
10) Change the y axis to Probability
11) Repeat for high side data

804133778.xls
 GAGE RandR REPORT

ATTRIBUTE HYPOTHESIS TEST METHOD

Part Number Gage Name Date Performed Appraiser A
0
Part Name Gage Number Gage Type Appraiser B
0
Characteristic Upper Specification Lower Specification Appraiser C

DATA TABLE
Reference
PART A-1 A-2 A-3 B-1 B-2 B-3 C-1 C-2 C-3 Reference Value Code
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
26
27
28
29
30
31
32
33
34
35
36
37
38
39

804133778.xls
 GAGE RandR REPORT

ATTRIBUTE HYPOTHESIS TEST METHOD

Part Number Gage Name Date Performed Appraiser A
0
Part Name Gage Number Gage Type Appraiser B
0
Characteristic Upper Specification Lower Specification Appraiser C

40

DATA TABLE CONTINUED

Reference
PART A-1 A-2 A-3 B-1 B-2 B-3 C-1 C-2 C-3 Reference Value Code
41
42
43
44
45
46
47
48
49
50

Risk Analysis
A * B Crosstabulation

B
Total
0 1
0 Count 0 0 0
Expected Count
A
1 Count 0 0 0
Expected Count
Count 0 0 0
Total Expected Count

B * C Crosstabulation

C
Total
0 1
0 Count 0 0 0
Expected Count
B
1 Count 0 0 0

804133778.xls
 GAGE RandR REPORT

ATTRIBUTE HYPOTHESIS TEST METHOD

Part Number Gage Name Date Performed Appraiser A
0
Part Name Gage Number Gage Type Appraiser B
0
Characteristic Upper Specification Lower Specification Appraiser C

B
Expected Count
Count 0 0 0
Total Expected Count

A * C Crosstabulation

C
Total
0 1
0 Count 0 0 0
Expected Count
A
1 Count 0 0 0
Expected Count
Count 0 0 0
Total Expected Count

Kappa A B C
A -
B -
C -

DETERMINATION
AxB 0.75 or higher indicates good agreement
AxC Between 0.40 and 0.75 indicates some agreement
BxC Less then 0.40 indeicates poor agreement

A * REF Crosstabulation

REF
Total
0 1
0 Count 0 0 0
Expected Count
A
1 Count 0 0 0
Expected Count
Count 0 0 0
Total Expected Count

804133778.xls
 GAGE RandR REPORT

ATTRIBUTE HYPOTHESIS TEST METHOD

Part Number Gage Name Date Performed Appraiser A
0
Part Name Gage Number Gage Type Appraiser B
0
Characteristic Upper Specification Lower Specification Appraiser C

B * REF Crosstabulation

REF
Total
0 1
0 Count 0 0 0
Expected Count
B
1 Count 0 0 0
Expected Count
Count 0 0 0
Total Expected Count

C * REF Crosstabulation

REF
Total
0 1
0 Count 0 0 0
Expected Count
C
1 Count 0 0 0
Expected Count
Count 0 0 0
Total Expected Count

A B C
Kappa

DETERMINATION
A x REF 0.75 or higher indicates good agreement
B x REF Between 0.40 and 0.75 indicates some agreement
C x REF Less then 0.40 indeicates poor agreement

804133778.xls
 GAGE RandR REPORT

ATTRIBUTE HYPOTHESIS TEST METHOD

Part Number Gage Name Date Performed Appraiser A
0
Part Name Gage Number Gage Type Appraiser B
0
Characteristic Upper Specification Lower Specification Appraiser C

% Appraiser1 % Score vs. Attribute2

Source Appraiser A Appraiser B Appraiser C Appraiser A Appraiser B Appraiser C
Total Inspected
# Matched 0 0 0 0 0 0
False Positive (appraiser biased towards rejection) 0 0 0
False Negative (appraiser biased towards acceptance) 0 0 0
Mixed
95% UCI5
Calculated Score
95% LCI5

System % Effective Score3 System % Effective Score vs. Reference4

Total Inspected
# in Agreement 0 0
95% UCI5
Calculated Score
95% LCI5

Notes:
(1) Appraiser agress with themself on all trials
(2) Appraiser agrees on all trials with the known standard
(3) All appraisers agreed within and between themselves
(4) All appraisers agreed within and between themselves and with the reference
(5) UCI and LCI are the upper and lower confidence internval bounds, respectively (Wilson score method)

H0: The effectiveness of both appraisers is the same (Null hypothesis)

HA: The effectiveness of both appraisers is not the same (Alternative Hypothesis)

Acceptance criteria: The calculated score of the appraiser falls between the confidence interval of the other.

EFFECTIVENESS EVALUATION
Appraiser A vs. Appraiser B Reject Null Hypothesis Accept Alternative
Appraiser A vs. Appraiser C Reject Null Hypothesis Accept Alternative
Appraiser B vs. Appraiser C Reject Null Hypothesis Accept Alternative

804133778.xls
 GAGE RandR REPORT

ATTRIBUTE HYPOTHESIS TEST METHOD

Part Number Gage Name Date Performed Appraiser A
0
Part Name Gage Number Gage Type Appraiser B
0
Characteristic Upper Specification Lower Specification Appraiser C

Second Analysis
EVALUATION CRITERIA
Measurement System False
Effectiveness Miss Rate
Decision Alarm Rate
Acceptable for the appraiser >90% <2% <5%

Marginally acceptable fo the

appraiser - may need >80% <5% <10%
improvement
Unacceptable for the
appraiser - needs <80% >5% >10%
improvement

RESULTS SUMMARY
False
Appraiser Effectiveness Miss Rate
Alarm Rate
A

Final Analysis

Approved for use as is

Not approved for use as is
Signature Title

804133778.xls
 GAGE RandR REPORT

VARIABLE DATA RESULTS

Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVERAGE Rp=
17 (ra + rb + rc) / (# OF APPRAISERS) = R=
18 xDIFF = (Max x - Min x) = xDIFF=
19 * UCLR = R x D4 = UCLR=

* 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 appraiser and unit as originally used or
discard values and re-average and recompute R and the limiting value from the remaining observations.

Notes:

804133778.xls
 GAGE RandR REPORT
GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Measurement Unit Analysis % Total Variation (TV)

Repeatability - Equipment Variation (EV)
EV = R x K1 Trials K1 % EV = 100 (EV/TV)
= 2 0.8862 =
= 3 0.5908 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/TV)
= =
= =
Appraisers 2 3
n = parts r = trials K2 0.7071 0.5231
Repeatability & Reproducibility (GRR) % GRR = 100 (GRR/TV)
GRR = {(EV2 + AV2)}1/2 Parts K3 =
= 2 0.7071 =
= 3 0.5231
Part Variation (PV) 4 0.4467
PV = RP x K3 5 0.4030 % PV = 100 (PV/TV)
= 6 0.3742 =
= 7 0.3534 =
Total Variation (TV) 8 0.3375
TV = {(GRR2 + PV2)}1/2 9 0.3249 ndc = 1.41(PV/GRR)
= 10 0.3146 =
= =

For information on the theory and constants used in the form see MSA Reference Manual, Fourth edition.

804133778.xls
 GAGE RandR DATA SHEET

VARIABLE DATA RESULTS

Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVERAGE Rp=
17 (ra + rb + rc) / (# OF APPRAISERS) = R=
18 xDIFF = (Max x - Min x) = xDIFF=
19 * UCLR = R x D4 = UCLR=

* 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 appraiser and unit as originally used or
discard values and re-average and recompute R and the limiting value from the remaining observations.

Notes:

804133778.xls
 GAGE RandR DATA SHEET

VARIABLE DATA RESULTS

Part Number Gage Name Appraiser A

Part Name Gage Number Appraiser B

Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Measurement Unit Analysis % Tolerance (Tol)

Repeatability - Equipment Variation (EV)
EV = R x K1 Trials K1 % EV = 100 (EV/Tol)
= 2 0.8862 =
= 3 0.5908 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/Tol)
= =
= =
Appraisers 2 3
n = parts r = trials K2 0.7071 0.5231
Repeatability & Reproducibility (GRR) % GRR = 100 (GRR/Tol)
GRR = {(EV + AV )}
2 2 1/2
Parts K3 =
= 2 0.7071 =
= 3 0.5231
Part Variation (PV) 4 0.4467
PV = RP x K3 5 0.4030 % PV = 100 (PV/Tol)
= 6 0.3742 =
= 7 0.3534 =
Tolerance (Tol) 8 0.3375
Tol = Upper - Lower / 6 9 0.3249 ndc = 1.41(PV/GRR)
= ( - )/6 10 0.3146 =
= =

For information on the theory and constants used in the form see MSA Reference Manual, Fourth edition.

804133778.xls
 GAGE RandR DATA SHEET
ANOVA METHOD
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVERAGE Rp=

Anova Table
Source DF SS MS F Sig
Appraiser
Parts
Appraiser-by-Part
Equipment
Total
* Significant at a = 0.05 level

804133778.xls
 GAGE RandR DATA SHEET
ANOVA METHOD
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Standard
Anova Report Deviation (s)
% Total Variation % Contribution

Repeatability (EV)
Reproducibility (AV)
Appraiser by Part (INT)
GRR
Part-to-Part (PV)

Standard
Anova Report Deviation (s) % Tolerance % Contribution

Repeatability (EV) n/a

Reproducibility (AV) n/a
Appraiser by Part (INT) n/a
GRR n/a
Part-to-Part (PV) n/a

NDC Analysis
Tolerance = Total variation (TV) =
Number of distinct data categories (ndc) =

Remarks:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVE ( Xp ) Rp=

Note: The REFERENCE VALUE can be substituted for PART AVE to generate graphs indicating true bias.

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Average Chart -"Stacked"

Average

12
10
Appraiser A
8 Appraiser B
Appraiser C
6 Upper
Spec
4 Lower
Spec

2
0
1 2 3 4 5 6 7 8 9 10
Part Number

Analysis:

Range Chart -"Stacked"

12
Range

10
Appraiser A
8
Appraiser B
6 Appraiser C
Rucl
4
2
0
1 2 3 4 5 6 7 8 9 10
Part Number

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Average Chart -"Unstacked"

Average

12
10
8
6
4
2
0
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
Appr A Appr B Appr C

Analysis:

Range Chart -"Unstacked"

Average

12.000
10.000
8.000
6.000
4.000
2.000
0.000
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
Appr A Appr B Appr C

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Run Chart

12

10
Value

0
1 2 3 4 5 6 7 8 9 10
Part

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Scatter Plot

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Part 1

Part 2

Part 3

Part 4

Part 5
Scatter Plot

0.8

0.6

0.4

0.2

0
Part 6

Part 7

Part 8

Part 9

Part 10

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Whiskers Chart - Appraiser A

12
10
8
6
4
2
0
1 2 3 4 5 6 7 8 9 10

Whiskers Chart - Appraiser B

12
10
8
6
4
2
0
1 2 3 4 5 6 7 8 9 10

Whiskers Chart - Appraiser C

12
10
8
6
4
2
0
1 2 3 4 5 6 7 8 9 10

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Error Chart

12
10
8
6
4
2
0
Part 1

Part 2

Part 3

Part 4

Part 5
Error Chart

12
10
8
6
4
2
0
Part 6

Part 7

Part 8

Part 9

Part 10

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Normalized Histogram - Error

1
0.8
0.6
Appr A
0.4
0.2
0
-1.00

-0.90

-0.80

-0.70

-0.60

-0.50

-0.40

-0.30

-0.20

-0.10

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00
Normalized Histogram - Error

1
0.8
0.6
Appr B
0.4
0.2
0
-1.00

-0.90

-0.80

-0.70

-0.60

-0.50

-0.40

-0.30

-0.20

-0.10

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

Normalized Histogram - Error

1
0.8
0.6
Appr C
0.4
0.2
0
-1.00

-0.90

-0.80

-0.70

-0.60

-0.50

-0.40

-0.30

-0.20

-0.10

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

XY Plot of Averages by Size

1
0.9
0.8
0.7
Appr A
0.6
Appr B
0.5 Appr C
X=Y line
0.4
0.3
0.2
0.1
0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Comparison XY Plot

1
Appr B

0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
Appr A

Comparison XY Plot

1
Appr C

0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
Appr A

804133778.xls
 GAGE RandR DATA SHEET
GRAPHICAL ANALYSIS
Part Number Gage Name Appraiser A
0
Part Name Gage Number Appraiser B
0
Characteristic LSL USL Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Comparison XY Plot

1
Appr C

0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
Appr B

Analysis:

804133778.xls
 GAGE RandR DATA SHEET
PART NO. VARIABLES CONTROL CHART (XbarR) CHART NO.
0
PART NAME (Product) OPERATION (Process) SPECIFICATION LIMITS
0
APPRAISER A APPRAISER B APPRAISER C MACHINE GAGE UNIT OF MEASURE ZERO EQUALS

x= UCL = LCL = AVERAGES (X BAR CHART)

12

10

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 26 27 28 29 30

r= UCL = LCL = RANGES (R CHART)

12

10

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 26 27 28 29 30

APPRAISER A APPRAISER B APPRAISER C

PART
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
NUMBER

R 1
E
2
A
D
3
I
N
4
G
S 5

SUM

SUM
x
NUM

804133778.xls
 GAGE RandR DATA SHEET
PART NO. VARIABLES CONTROL CHART (XbarR) CHART NO.
0
PART NAME (Product) OPERATION (Process) SPECIFICATION LIMITS
0
APPRAISER A APPRAISER B APPRAISER C MACHINE GAGE UNIT OF MEASURE ZERO EQUALS

HIGH-
R
LOW

** = APPRAISER OUT OF CONTROL

Computations for the Control Chart Method of Evaluating a Measurement Process

REPLICATION ERROR: Average Subgroup Range = r = r d2
2 1.128
Number of replications = Subgroup Size = r = 3 1.693
4 2.059
Estimate Replication Standard Deviation r / d2 = se = 5 2.326

CALCULATION FOR APPRAISER EFFECT: Appraiser Averages

no d2* Number of Appraisers = nA = 0 Appraiser Average

2 1.410 A
3 1.906 Number of Samples = n = 0 B
C
Range of Appraiser Averages = RA = 0.00

Appraiser Effect = RA / d2* = sA =

CALCULATIONS FOR MEASUREMENT ERROR STANDARD DEVIATION:

sm = SQRT ( se + sA )

CALCULATIONS FOR SIGNAL TO NOISE RATIO: Sample Averages

no d2* Range for these Sample Averages = Rp = 0.00 Sample Average

2 1.410 1
3 1.906 Estimate Sample to Sample Standard Deviation: 2
4 2.237 3
5 2.477 sp = Rp / d2* = 4
6 2.669 5
7 2.827 Signal to Noise Ratio: 6
8 2.961 sp / sm = 7
9 3.076 8
10 3.178 9
10

Thus the number of distinct categories that can be reliably distinguished by these measurements is:

ndc = 1.41 x sp / sm =

This is the number of non-overlapping 97% confidence intervals that will span the range of product variation. (A 97% confidence
interval centered on a single measurement would contain the actual product value that is represented by that measurement 97%
of the time.)

804133778.xls
 GAGE RandR STUDY DATA SHEET

PART NO. GAGE R STUDY CHART NO.

0
PART NAME (Product) OPERATION (Process) ZERO EQUALS
0
APPRAISER MACHINE GAGE UNIT OF MEASURE UPPER SPECIFICATION LOWER SPECIFICATION

AVERAGES (X BAR CHART)

x= UCL = LCL =

12

10

0
1 2 3 4 5 6 7 8 9 10

RANGES (R CHART)
r= UCL = LCL =

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
1 2 3 4 5 6 7 8 9 10

READING 1 2 3 4 5 6 7 8 9 10

VALUE

HIGH-
R n/a 0 0 0 0 0 0 0 0 0
LOW

** = POINT OUT OF CONTROL

GAGE R ANALYSIS
Data in control? % Repeatability =

This method CANNOT be used for final gage acceptance without other complete and detailed MSA methods.

804133778.xls
 PRODUCTION PART APPROVAL

Dimensional Test Results

SUPPLIER NAME: 0 PART NUMBER: 0
SUPPLIER CODE: 0 PART NAME: 0
INSPECTION FACILITY: ENGINEERING REVISION LEVEL: 0
ENGINEERING CHANGE DOCUMENTS:

DIMENSION / SPECIFICATION QTY. NOT

ITEM
SPECIFICATION / LIMITS
TEST DATE
TESTED
ORGANIZATION MEASUREMENT RESULTS (DATA) OK
OK Device ID

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE TITLE DATE

804133778.xls
 PRODUCTION PART APPROVAL

Material Test Results

SUPPLIER NAME: 0 AGILITY PART NUMBER: 0
SUPPLIER CODE: 0 PART NAME: 0
MATERIAL SUPPLIER: ENGINEERING REVISION LEVEL: 0
*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE: ENGINEERING CHANGE DOCUMENTS:
*If source approval is req'd, include the Supplier (Source) & Customer assigned code. NAME of LABORATORY:
SPECIFICATION QTY. NOT
MATERIAL SPEC. NO. / REV / DATE TEST DATE SUPPLIER TEST RESULTS (DATA) OK
/ LIMITS TESTED OK

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE TITLE DATE

804133778.xls
 PRODUCTION PART APPROVAL

Performance Test Results

SUPPLIER NAME: 0 AGILITY PART NUMBER: 0
SUPPLIER CODE: 0 PART NAME: 0
NAME of LABORATORY: ENGINEERING REVISION LEVEL 0
*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE: ENGINEERING CHANGE DOCUMENTS:
*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

SPECIFICATION / TEST QTY. SUPPLIER TEST RESULTS (DATA)/ TEST NOT

TEST SPECIFICATION / REV / DATE OK
LIMITS DATE TESTED CONDITIONS OK

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE TITLE DATE

804133778.xls
 PRODUCTION PART APPROVAL PROCESS

Initial Process Study

GAP CLOSURE PLAN

Customer or Target
Operation Comment and/or
Item # Feature Description Supplier CTQ Type Cpk Result Cpk Action Completion Responsibility
# Action Item to Close Gap
Indentified KC Date
Ex 1 Lathe 1 .148 - .150 Dia Customer KPC1 1.16 Between 1.0 and 1.32 - Caution SPC Implementation Feb-15 Mike Anderson
Ex 2 Lathe 1 16 Surface Finish Customer KPC1 3.23 >= 1.33 - No action required

Note: Lathe 1: Okuma L250E Cell 1

804133778.xls
 LAB DOCUMENTATION

Insert applicable lab documentation in this tab.

804133778.xls
 PRODUCTION PART APPROVAL

APPEARANCE APPROVAL REPORT

SUPPLIER NAME: 0 AGILITY PART NUMBER 0

SUPPLIER CODE: 0 PART NAME: 0
NAME of LABORATORY: ENGINEERING REVISION LEVEL0
*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE: ENGINEERING CHANGE DOCUMENTS:
*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

APPEARANCE EVALUATION
AUTHORIZED CUSTOMER
ORGANIZATION SOURCING AND TEXTURE INFORMATION REPRESENTATIVE SIGNATURE
PRE-TEXTURE EVALUATION AND DATE

COLOR EVALUATION METALLIC

Tristimulus Data HUE VALVE CHROMA GLOSS BRILLIANCE P
COLOR A
Color Master Master Material Material SHIPPING R
Suffix DL* Da* Db* DE* CMC Number Date Type Source RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW SUFFIX T

Comments:

Blanket statements of conformance are unacceptable for any test results.

804133778.xls
 PPAP SAMPLE PARTS - LABEL

Send identified sample(s). Each sample used for PPAP must be clearly identified
with their identification number corresponding with data.

Please complete, print in color and attach this page on the outside of each package in plain view of a fork
lift/material handler/operator. Put the Packing slip pocket near the label.

In the event parts are “Loose” shipped, a label should be placed on each part. This would apply to parts laying on
pallets also. Label on a Painted Part must be wire tied or attached in a way painted surface is protected from label
adhesion.

PPAP SAMPLE PARTS

INSPECTION VERIFICATION REQUIRED
Purchase Order#: 0
Part Number: 0
Revision Level: 0
Supplier Name: 0

PPAP SAMPLE PARTS

INSPECTION VERIFICATION REQUIRED
Purchase Order#: 0
Part Number: 0
Revision Level: 0
Supplier Name: 0
 MASTER SAMPLE SUMMARY

Date Master Sample(s) Information Quantitiy Supplier Storage Location

804133778.xls
 INSPECTION AID RECORDS

Attach drawings and verification/calibration information related to part specific or component inspection
aid(s) to this sheet.

804133778.xls
 CUSTOMER SPECIFIC REQUIREMENTS

Customer specific requirements to be defined if required

Customer Requirement Description / Additional Explanation

 FILE HISTORY

Part Number: Part Name:

0 0

Date Revision Tab Changed Change Made Revised by

804133778.xls
THE FOLLOWING EDITIONS OF CORE TOOLS MANUALS WERE USED TO PREPARE THIS FILE

MANUAL FORMS FROM MANUAL EDITION PRINTING

ADVANCED PRODUCT QUALITY PLANNING AND CONTROL Second Jul-08
PLAN REFERENCE MANUAL
MEASUREMENT SYSTEM ANALYSIS Fourth Jun-10
POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS Fourth Jun-08
PRODUCTION PART APPROVAL Fourth Mar-06
ADDITIONAL FORMS

804133778.xls
 BULK MATERIALS

Project:
Required / Primary Responsibility Comments / Approved
Requirements Checklist Target Date Customer Supplier Conditions by / date
Product Design and Development Verification

Design Matrix
Design FMEA
Special Product Characteristics
Design Records
Prototype Control Plan
Appearance Approval Report
Master Samples
Test Results
Dimensional Results
Checking Aids
Engineering Approval
Process Design and Development Verification

Process Flow Diagrams

Process FMEA
Special Product Characteristics
Pre-launch Control Plan
Production Control Plan
Measurement System Studies
Interim Approval
Product and Process Validation

Initial Process Studies

Part Submission Warrant
Elements to be Completed as Needed

Customer Plant Connection

Customer Specific Requirements
Change Documentation
Supplier Considerations

Plan agreed to by: Name / Function Company / Title / Date

804133778.xls
BULK MATERIALS

804133778.xls
 BULK MATERIALS
BULK MATERIAL INTERIM APPROVAL FORM
SUPPLIER NAME: 0 PART NAME: 0
SUPPLIER CODE: 0 PART #: 0
ENGINEERING REVISION LEVEL: 0
MANUFACTURING SITE:
FORMULA DATE:
RECEIVED DATE: RECEIVED BY:
SUBMISSION LEVEL: EXPIRATION DATE:
TRACKING CODE: RE-SUBMISSION DATE:

STATUS: (NR - Not Required, A - Approved, I - Interim)

Design Matrix DFMEA: Special Product Characteristics Engineering Approval
Control Plans PFMEA: Special Process Characteristics Process Flow Diagram
Test results Process Studies: Dimensional Results Master Sample
Measurement Systems Studies: Appearance Approval Report

SPECIFIC QUANTITY OF MATERIAL AUTHORIZED (IF APPLICABLE):

PRODUCTION TRIAL AUTHORIZATION #:
REASON(S) FOR INTERIM APPROVAL:

CLASSIFICATION
EXPECTED
ISSUES TO BE RESOLVED ENG, DESIGN, PROCESS
COMPLETION DATE
or OTHER:

ACTIONS TO BE ACCOMPLISHED DURING

EFFECTIVE DATE
INTERIM PERIOD

PROGRESS REVIEW DATE: DATE MATERIAL DUE AT PLANT:

What actions are taking place to ensure that future submissions will conform to bulk material PPAP
requirements by the sample promise date?

SUPPLIER (AUTHORIZED SIGNATURE) DATE:

PRINT NAME: PHONE:
CUSTOMER APPROVAL:
QUALITY ENG: Date:
PRINT NAME:
ENGINEERING: Date:
PRINT NAME:

INTERIM APPROVAL NUMBER:

804133778.xls