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This workbook is to be used for Production Part Approval Process (PPAP) submissions to Jacobs Vehicle Systems
(JVS).
Separate tabs are included for each section of the PPAP (as shown in the AIAG PPAP Manual, Fourth Edition).
For Ease of Use with the forms, you should enter all relevant information in the "Data" tab to avoid having to retype it.
The "Submission Plan" defines what sections are applicable for each level of PPAP.
Supplier shall complete each tab. Included are check boxes to be used if the tab is "not applicable". If for some reason,
a document cannot be attached into the designated tab, please submit as a separate .pdf document and indicate in the
tab that the document is being submitted separately.
Supplier shall fill in areas shaded "yellow". JVS uses sections shaded "blue".
Upon completion, please submit your PPAP to JVS_PPAP@jakebrake.com or as requested in the PPAP purchase order
or instruction from JVS Purchasing or Quality.
Part Information
Part Name
Part Number
Revision
Supplier Part Number (if applicable)
Supplier Part Rev or Date (if applicable)
Additional engineering changes
Additional engineering change rev/date
Shown on drawing number
Deviation
Deviation Approval Date
Weight
Application
Purchase Order No
Tooling Purchase Order
JVS Buyer Name
Submission Information
Submission Date
Submission Level (see submission plan)
Supplier Information
Supplier Name
Street Address
City
State
Postal Code
Person responsible for PPAP submission
Title
Phone
Fax
e-mail
Part Name
0
0
Date of Submission
PPAP Level
0
0
Revision
0
0
JVS normally requires PPAP level 3, unless otherwise specified. The PPAP P.O. takes precedence.
JVS requires PPAP level 4* (see below) for commercially available product such as fasteners. Item 10 should include material certs, grade certs, mechanical properties, unless otherwise specified. The PPAP
P.O. takes precedence.
This form represents a plan for the submission of requirements. Not all requirements may be applicable in every case.
Key: R - Retain at Supplier S - Submit to JVS W - Waived
Refer to AIAG PPAP Manual, Fourth Edition, for further clarification.
Design FMEA
Required, if design responsible.
Process FMEA
Control Plan
Dimensional Results
Clearly identify dimensional data to the part(s)
submitted in # 14.
14 Sample Product
Clearly identify part(s) used for the results
submitted in # 9. A minimum of 2 parts to be
submitted (one for dimensional analysis and
one for possible destructive testing), unless
otherwise specified.
15 Master Samples
Sample must be retained at the supplier.
Dimensional data for this piece should also be
included in #9.
16 Checking Aids
List the checking aids with calibration status,
as appropriate.
FAI -
Date
Acceptable
Y/N
Interim/
Conditional
JVS Comments
Date
Design Record
Ballooned JVS Part Print
Supplier Comments
Submitted
Y/N
Rejected
Date
4*
Comments
Approved
Date
PPAP Level
1
Product Engineer
Requirement
Met Review -
N/A
Waived
Waived
N/A
N/A
To be retained at supplier
To be retained at supplier
N/A
N/A
Waived
Waived
N/A
Design Record
Attached below
Submitted under separate cover
Supplier print
Attached below
Submitted under separate cover
Attached below
Engineering Approval
(Supplier Deviation Request)
Identify any deviation(s) from the design drawing (characteristics which do not meet the
design requirement).
Not Applicable
Attached below
Submitted under separate cover
Other (Explain)
Control Plan
Not Applicable per Submission Plan
Control Plan attached below
Control Plan submitted under separate cover
Control Plan included as separate tab in this workbook
Dimensional Results
PART NAME
PART NUMBER
PART REV
SUPPLIER
0
PURCHASE ORDER
Inspection Method
C=Calipers, DI=Drop Indicator, G=Gage Pins, I=Indicator, M=Micrometer, P=Profilometer, R=Rockwell Hardness Tester, S=Shadowgraph
Supplier
Item
Dimension /
Specification
Inspection
Method
Jacobs
Results
Pc. 1
Pc. 2
Pc. 3
(Retained at Supplier)
A/R
Inspection
Method
Results
Page 13 of 24
A/R
Supplier
Item
Dimension /
Specification
Inspection
Method
Jacobs
Results
Pc. 1
Pc. 2
Pc. 3
(Retained at Supplier)
A/R
Inspection
Method
Results
Page 14 of 24
A/R
Complete form and attach material certification below. Blanket statements of conformance are unacceptable for any test results.
SUPPLIER
PART NAME
PART NUMBER
REV
MATERIAL SUPPLIER
NAME OF
LABORATORY
MATERIAL SPEC./
CHARACTERISTIC
SPECIFICATION
LIMITS
TEST DATE QTY TESTED
SUPPLIER TEST
RESULTS (DATA)
OK
0.44
57.70
OK
OK
SAMPLE DATA
METAL CO
HT SUPPLIER
METAL CO.
HT SUPPLIER
42CrMoS4
%C
Core Hardness
0.38 - 0.45
56 - 60 HRC
6/6/10
6/10/10
Heat 425880
(2000 lbs)
1
NOT
OK
Applies to performance tests such as fatigue testing, breakaway torque and mechanical properties.
Complete form and attach test certification below (if applicable). Blanket statements of conformance are unacceptable for any test results.
SUPPLIER
PART NAME
PART NUMBER
REV
TEST LABORATORY
TEST SPEC./
CHARACTERISTIC
SPECIFICATION
LIMITS
TEST DATE QTY TESTED
SUPPLIER TEST
RESULTS (DATA)
OK
1 pc broke at 214,000
cycles, 2 pcs test
stopped at 250,000
cycles without failure
OK
SAMPLE DATA
100,000 cycles
without failure
6/6/10
NOT
OK
Issue Date
Issue Date
Issue Date
Issue Date
Issue Date
Expiration Date
Expiration Date
Expiration Date
Expiration Date
Expiration Date
Checking Aids
Not Applicable
SUPPLIER
PART NAME
Checking aid
number
PART NUMBER
REV
0
Complies with
revision above?
Y/N
0
Date of last
calibration /
verification
Coating MSDS
List any coatings on the product and attach MSDS
Not Applicable
MSDS(s) previously submitted (no changes)
MSDS(s) attached
MSDS(s) submitted under separate cover
Oil (Please specify type and include MSDS)
Rust Preventative (Please specify type and include MSDS)
Black Oxide (Please include MSDS)
Plating (Please specify type and include MSDS)
Loctite or similar (Please specify type and include MSDS)
Other (Please specify and include MSDS)
Process Chemicals
List any chemicals used for cleaning, degreasing, descaling, etching, acids or bases used in vibratory finishing, etc..
Attach manufacturer's chemical specification for any such chemicals, as appropriate.
Not Applicable
Outside Services
Identify supplier for any outside processes or services (e.g. coating application, shot peen, grinding)
Not Applicable
Outside Service /
Operation
Supplier Name
Supplier Location
Part Name
Rev.
Rev.
Rev. / Date
Weight (kg)
SUBMISSION INFORMATION
0.0000
Supplier Name
Street Address
City
State
Note:
Zip
Application
Yes
No
Yes
No
Engineering Change(s)
Correction of Discrepancy
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 customer 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:
Date
0
Phone No.
Fax No.
E-Mail
FOR JVS USE ONLY
Approved
Interim Approval
Customer Signature
Print Name
Date
Rejected
Comments
0
0
Dispositioned PSW
For JVS use only