PPAP 3rd Edition Check List

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PPAP 3rd Edition Check List Supplier: PPAPKIT_F01 Rev. A (May_03) Date: Submission Level: Part #: Eng. Chg. Level: Reviewed By: Yes No N/A Comments 1. Design Records / Drawings 2. Eng. Chg. Documents On file / with Package 3.Engineering Approval Customer Eng. Approval 4. DFMEA, Design Responsible DFMEA present Format to 3rd or latest edition 5. Process Flow Diagram Production Process Flow Diagram 6. PFMEA High RPN's Addressed Corrective Actions in Place Format to 3rd or latest edition Includes entire process(receiving to shipping) Complete 7. Dimensional Results Dimensions Verified Complete and Acceptable 8. Material / Performance See Drawing notes Material Certificates Included Complete and Acceptable 9. Initial Process Study Initial Study Ppk / Cpk > 1.67 Complete 10. MSA Studies GR&R Studies completed Acceptable 11. Qualified Lab Documents Scope and Accreditation Certificate to ISO/IEC 17025 12. Control Plan Matches process flow Acceptable 13. Part Submission Warrant Correct Part Name & Number Purchase Order Number Signed and Dated 14. AAR Appearance Items 15.Bulk Material Checklist Specific Requirements / List 16. Sample Product Sample provided if applicable 17. Master Sample Retained w/ Approval Date Correctly Identified by Part # 18. Checking Aids Checking aids Required GR&R App'd 19. Customer Specific See Drawing notes section and supplier manual for specific requirements Are there any customer specific requirements? Are Parts identified properly? (correct label)

Dana Corp., Part Submission Warrant Part Name Part Number Government and/or Safety Regulation Yes No Engineering Drawing Change Level Dated Additional Engineering Changes Dated Shown on Drawing Number Purchase Order Number Weight kg Checking Aid No. Engineering Change Level Dated MANUFACTURING INFORMATION SUBMISSION INFORMATION Dimensional Materials/Functional Appearance Supplier Name Supplier Code Customer Name/Division Street Address Buyer/Buyer Code City State/Province Postal Code Application REASON FOR SUBMISSION Initial Submission Change to Optional Construction or Material Engineering Change Sub-Supplier of Material Source Change Tooling: Transfer, Replacement, Refurbishment, or additional Change in Part Processing Correction of Discrepancy Parts Produced at Additional Location Other please specify REQUESTED SUBMISSION LEVEL (Check one) Level 1 - Dana Warrant, Appearance Approval Report (for designated appearance items only) Level 2 - Dana Warrant, Parts, Drawings, Inspection Results, Laboratory and Functional Results, Appearance Approval Report. Level 3 - Dana Warrant, Parts, Drawings, Inspection Results, Laboratory Results, and Appearance Approval Report, Process Capability Results, Capability Study, Process Control Plan, Gage Study, FMEA. Level 4 - Per Level 3, but without parts. Level 5 - At Supplier Location Warrant, Parts, Drawings, Inspection Results, Laboratory and Functional Results, Appearance Approval Report, Process Capability Results, Capability Study, Process Control Plan, Gage Study, FMEA. SUBMISSION RESULTS Submitting: dimensional measurements material & functional tests appearance criteria? statistical process package These results meet all drawing and specification requirements: YES NO (if NO Explanation required) DECLARATION I hereby affirm that the samples represented by this warrant are representative of our parts, have been made to the applicable Production Part Approval Process Manual 3 rd Edition Requirements. I further warrant these samples were produced at the production rate of / 8 hours. IMDS DECLARATION We affirm that details of the materials used in these parts have been entered onto the IMDS and that the samples conform to all applicable government and safety requirements on restricted materials. YES NO (if NO Explanation required) IMDS Number: I have noted any deviations from this declaration below: EXPLANATION / COMMENTS Print Name Title Phone No. Supplier Authorized Signature Date: FOR DANA USE ONLY Part Disposition: Approved Rejected Other Representative Signature Date PPAP KIT Rev. B (March 04)

Feasibility Commitment Dana Locaton: Date: Part # Part description: Feasibility Considerations The following questions are not intended to be all-includsive in performing a feasibility evaluation. Drawings and/or specifications provided are for analysing your ability to meet specified requirements. All NO answers need to be supported with attached explanations, including proposed changes to meet specifications. Please respond to all questions. Yes No Consideration Is product adequately designed (application requirements, etc.) to evaluate feasiblity? Can Engineering Performance Specifications be met as written? Can product be manufactured to tolerances specified on the drawing? Can product be manufactured with Cpk's that meet requirements? Is there adequate capacity to product product? Does the design allow for the use of efficent material handling techniques? Can the product be manufactured without incurring any unusual: Cost fo capital equipment? Cost for tooling? Alternative manufacturing methods? Is statistical process control required on this product? Are you using statistical process control on similar products? Where statistical process control is used on similar products: Are the processes in control and stable? Are Cpk's greater than 1.33? Conclusion (check one) Feasible: Product can be produced as specified with no revisions. Feasible: Changes recommened (see attached.) Not Feasible: Design revision required to produce produce within the specified requirements Supplier Sign-Off List all team members Name Title Date PPAP KIT Rev. B (March 04)

Dimensional Test Results Page of PART NUMBER NAME/LOCATION OF INSPECTION FACILITY PART NAME ITEM DIMENSION/ SPECIFICATION MEASUREMENTS NOT COMMENTS (Dana use only) Submitted by: NAME TITLE SIGNATURE DATE PPAPKIT_F03 Rev. A (May_03)

Material Test Results Page of PART NUMBER NAME/LOCATION OF LABORATORY PART NAME TYPE OF TEST MATERIAL SPEC. NO./ DATE/ SPECIFICATION TEST RESULTS NOT COMMENTS (Dana use only) Submitted by: NAME TITLE SIGNATURE DATE PPAPKIT_F04 Rev. A (May_03)

Performance Test Results Page of PART NUMBER NAME/LOCATION OF LABORATORY PART NAME REF. NO. REQUIREMENTS TEST FREQ TEST QTY. TEST RESULTS AND TEST CONDITIONS NOT COMMENTS (Dana use only) Submitted by: NAME TITLE SIGNATURE DATE PPAPKIT_F05 Rev. A (May_03)