SUPPLIER DISPOSITION REQUEST (2) (8) SUPPLIER … · SUPPLIER DISPOSITION REQUEST (2) PAGE: ... SUPPLIER DISPOSITION REQUEST (continuation page) ... The disposition addresses each

Contractor CAGE Code: 4V360 3550 General Atomics Ct San Diego, CA 92121-1122

(1) SDR NO.: REV.:

SUPPLIER DISPOSITION REQUEST (2) PAGE: 1 of _____

EMS-0196 Revision: C 18DEC14

(3) PART NOMENCLATURE: (4) DWG/PART NO.: (5) REV.: (6) LOCATION: (7) DATE:

(8) SUPPLIER NAME: (9) SUPPLIER ADDRESS: (10) MFR CAGE CODE: (11) GA-EMS BUYER:

(12) P.O. NO.: (13) P.O. LINE ITEM NO.: (14) LOT SIZE: (15) QTY INSP: (16) QTY NOT ACC.: (17) LOT/SERIAL NO.:

(18) DISCOVERED IN: (19) INSPECTION CRITERIA:

Receiving In-Process Final Other _____________ Design Document Inspection Instruction Other _____________

(20) REQUIREMENTS (21) NONCONFORMING CONDITION ITEM DESCRIPTION ITEM DESCRIPTION

(22) PROPOSED DISPOSITION, CAUSE, AND CORRECTIVE ACTION (23) ATTACHMENTS:

ITEM DESCRIPTION

(24) PREVIOUS SDR/NR NO.: (25) INITIATOR:

Print Signature Date

FOR GENERAL ATOMICS ELECTROMAGNETIC SYSTEMS USE ONLY

(26) CONTRACT NUMBER: (27) HWCI PART NO.: (28) HWCI NOMENCLATURE:

(29) WBS NO.: (30) PROJECT NO.: (31) CONTRACT DELIVERY INFORMATION NO: (32) CSI / CAI ITEM?

YES NO

(33) CLASSIFICATION: (34) ECR:

NONCONFORMANCE: Critical Major Minor

DESIGN CHANGE: Class I Class II

INFORMATION ONLY:

ECR No: ________________

Date Issued: ________________

(35) DISPOSITION: (36) DISPOSITION & TECHNICAL JUSTIFICATION:

Use-As-Is Repair Re-Work Scrap Information Only Modify

ITEM DESCRIPTION

SUPPLIER DISPOSITION REQUEST SDR No. Rev.

(continuation page) PAGE: 2 of _____


FOR GENERAL ATOMICS ELECTROMAGNETIC SYSTEMS USE ONLY (Continuation Sheet) (37) CAUSE OF DISCREPANCY: (38) DEFECT CODE(s):

ITEM DESCRIPTION

(39) CAUSE CODE(s):

(40) CORRECTIVE ACTION: (41) CORRECTIVE ACTION CODE(s):

ITEM DESCRIPTION

(42) CAUSE RESPONSIBILITY: (43) CORRECTIVE ACTION VERIFICATION:

(44) CAR REQUIRED? YES NO GA-EMS:___________________ Supplier Other:______________________

CAR No.:

Date Issued:


EFFECT INFORMATION: (45) EFFECT ON CONTRACT COST/PRICE:

(46) EFFECT ON DELIVERY SCHEDULE:

(47) EFFECT ON LOGISTICS SUPPORT, INTERFACE, OR SOFTWARE:

GENERAL ATOMICS ELECTROMAGNETIC SYSTEMS SIGNATURES: (48) DESIGN ENGINEERING: (49) OTHER TECHNICAL:

Print Signature Date Print Signature Date

(50) ENGINEERING: (51) ENGINEERING MANAGER:


(52) QUALITY ASSURANCE: (53) GA-EMS INTERNAL MATERIAL REVIEW BOARD (IMRB):


CUSTOMER MATERIAL REVIEW BOARD: (54) GA-EMS CO-CHAIR: (55) CUSTOMER CO-CHAIR:


DISPOSITION ACTION COMPLETED: (56) QTY ACC: (57) QTY NOT ACC: (58) NEW SDR/NR NO: (59) SUPPLIER OR GA-EMS INSPECTOR OR QA REPRESENTATIVE:


(60) OTHER SIGNATURES (AS NEEDED)

(61) GA-EMS QE VERIFICATION OF IMPLEMENTED DISPOSITION AND C/A – SDR CLOSED


SUPPLIER DISPOSITION REQUEST SDR No. Rev.

(continuation page) PAGE: 3 of _____


SUPPLIER DISPOSITION REQUEST (continuation page) PAGE: 4


Instructions to Supplier for Completing form EMS-0196 Supplier Disposition Request

Responsible Person Block Title Description

Supplier 1 SDR No. & Revision

The SDR number consists of two parts. The first part is the GA-EMS PO number, and the second part is a three or more digit sequential number (for each PO) that is assigned by the Supplier, who manages an SDR number log to avoid duplication or gaps. A letter is used to indicate subsequent revisions of the SDR.

Supplier 2 Page 1 of __ Fill in the total number of pages in the SDR, including continuation pages. Include the attachment pages documented in Block (23) as part of the total page count.

Supplier 3 Part Nomenclature Part Nomenclature from the drawing or specification.

Supplier 4 DWG/Part No.

Enter the Drawing Number of the Part that is nonconforming, requiring information, or design change suggestion. List the lowest level part number that the Supplier has. If no drawing number exists, then list the applicable specification number.

Supplier 5 Rev. Proper configuration of the Drawing/Part per the Purchase Order (PO) (i.e., drawing revision + applicable Change Notice[s]).

Supplier 6 Location Current physical location of the part.

Supplier 7 Date The date of occurrence or discovery of the nonconformance, design modification, or information request.

Supplier 8 Supplier Name The name of the organization on the GA-EMS PO.

Supplier 9 Supplier Address The location of the manufacturing facility of the Supplier in Block (8).

Supplier 10 Mfr CAGE Code Supplier's Contractor and Government Entity (CAGE) Code for the Manufacturing facility.

Supplier 11 GA-EMS Buyer Name of the GA-EMS Buyer listed on the GA-EMS PO. Supplier 12 PO No. Enter the GA-EMS PO number.

Supplier 13 PO Line Item No. Enter the PO Line Item(s) for the nonconforming part(s).

Supplier 14 Lot Size Size of the Lot. Supplier 15 QTY Insp. Quantity of Items that were Inspected. Supplier 16 QTY Not Acc. Quantity of Items that were not accepted after inspection.

Supplier 17 Lot/Serial No.

Serial Number of nonconforming item, if applicable. If more than one Serial Number, enter "see Block 21” and include the Serial Numbers in Block (21). If multiple nonconforming parts that are not serialized, attach temporary identification tags with "Unit 1," "Unit 2," etc., if necessary to clarify which nonconformance description applies to each unit.

Supplier 18 Discovered in Check the box indicating the part of the manufacturing process in which the issue was discovered. For Other, specify the process.

Supplier 19 Inspection Criteria

Check the box indicating the type of criteria used to determine the issue. For Other, specify the criteria.

Supplier 20 Requirements

State the required condition, and note the applicable specification number, paragraph, or drawing number and location. Describe it quantitatively, be complete, and be concise. Identify any interfacing items affected by the reported or proposed condition. For multiple items, give each a sequential item number in the Item column.




Supplier 21 Nonconforming Condition

Identify the actual nonconformance, design modification, obsolescence, or information request. Describe it quantitatively, be complete, and be concise. Identifying any interfacing items affected by the reported or proposed condition. For multiple items, number them with the corresponding item numbers used in Block (20).

Supplier 22

Proposed Disposition, Cause and Corrective Action

Provide a clear, concise justification for any proposed changes. In addition, the following shall be provided:

1. Primary reason for change (e.g., Safety, Product Improvement, Correction of Deficiency, R&M Improvement, Weight, Savings)

2. Implementation schedule (need dates) 3. Cost estimate for total effort, separating non-recurring and

recurring engineering. 4. Safety risk assessment, if applicable. 5. Documentation of logistics impact, if known, (e.g.,

Corrective/Preventive Maintenance Procedures, Part Number/Cage Code changes)

Supplier Engineer/ Liaison Quality Engineer

23 Attachments

Identify all attachments submitted with the SDR. Include the attachment title and the page numbers for each attachment. A repair procedure, including the method of verifying acceptability, is required for any repair dispositions. A design modification procedure, including a provision for acceptability verification, is required for any modification dispositions. Engineering analysis, sketches, or photographs are recommended to add to the clarity of the description of the nonconforming condition or design modification, or recommended disposition.

Supplier 24 Previous SDR/NR No.

Previous NRs/SDRs that apply to the item covered by the SDR and had similar causes and affected other items supplied to GA-EMS. Identify by NR/SDR number(s).

Supplier 25 Initiator The initiator prints, signs, and dates this block as indicated. Supplier or GA-EMS Inspector or QA Representative

56 QTY ACC Enter the quantity of items that are now accepted but were included in Block (16).

Supplier or GA-EMS Inspector or QA Representative

57 QTY NOT ACC. Enter the quantity of items that are still not accepted and were included in Block (16).


58 NEW SDR/NR NO.

If one or more items are still not acceptable, document on a new SDR form and list the SDR number here.


59

Supplier Inspector or Supplier QA Representative

Sign here to attest to the completion of the disposition actions and indicated quantities in Blocks (56) and (57). Provide any documentation to support the disposition and preventative / corrective action completion specified in either Block (22) or (40).

After the Supplier implements the GA-EMS-approved disposition, forward the SDR to the Buyer listed on the Purchase Order.



Instructions to GA for Completing form EMS-0196 Supplier Disposition Request


Supplier Engineer/ Liaison Quality Engineer

23 Attachments

Identify any attachments submitted with the SDR. Include the attachment title and number of pages in each attachment. A repair procedure, including the method of verifying acceptability, is required for any repair dispositions. A design modification procedure, including a provision for acceptability verification, is required for any modification dispositions. Engineering analysis, sketches, or photographs are recommended to add to the clarity of the description of the nonconforming condition or design modification, or recommended disposition.

Engineer/ Liaison 26 Contract Number Enter contract number as specified on PO.

Engineer/ Liaison 27 HWCI Part No. Enter the Part Number of the Hardware Deliverable Item per the Hardware

Configuration Item (HWCI) drawing (End Item Deliverable). Engineer/ Liaison 28 HWCI

Nomenclature Enter the nomenclature of the Hardware Deliverable Item per the HWCI drawing (End Item Deliverable).

Engineer/ Liaison 29 WBS Number Enter the Work Breakdown Structure (WBS) Number, if applicable, from the

PO in SAP or per project requirements. Engineer/ Liaison 30 Project No. Enter the 5-digit GA-EMS Project Number.

Engineer/ Liaison 31 Contract Delivery

Information # Indicate the applicable contract’s delivery information number (e.g., Schedule A number, CLIN number) if applicable, if not enter N/A.

Engineer/ Liaison 32 CSI/CAI Item? Check “YES” if the part is designated as a Critical Safety Item (CSI) or a

Critical Application Item (CAI).

Engineer/ Liaison 33 Classification

For a nonconformance, select the Defect Classification. For a Design Change, indicate whether the change is Class I or Class II. For Information Only, the answer to the information requested should be in Block (36). Note: Mark only one classification.

Engineer/ Liaison 34 ECR No. If an ECR is generated in relation to this SDR, then enter the ECR number

and date issued.

Engineer/ Liaison 35 Disposition

For a nonconformance, select from the disposition - Use-As-Is, Repair, Rework, or Scrap. Multiple dispositions may be selected for a nonconformance, if applicable. For a Design Change, select Modify. For Information Only, select Information Only. Note: If “Preliminary Disposition” is needed for further investigation prior to final disposition, select “Information Only”.




Engineer/ Liaison 36

Disposition & Technical Justification

The Engineer/Liaison enters the disposition and justification. Standard dispositions and explanations are included in REF-0035, Nonconformance Disposition Definitions. The disposition addresses each condition listed on the document and the actions necessary to correct the situation, where applicable. Specific instructions addresses rework or repair, where required, and include in-process and/or final inspections and acceptance criteria. For hardware requiring source inspection, specific inspection sheets with locations for applicable sign off and stamps are included. If additional pages are required for a disposition with additional instructions, continuation sheets can be added. The technical justification explains why the disposition was selected and must provide a complete explanation of the condition that is understood by someone not familiar with the condition of the hardware. The justification must discuss all impacts of the disposition, including, but not limited to, effectivity, safety, performance, service life, site installation, maintainability, interfacing items. Where the disposition results in a nonconforming condition, supporting analysis is required to justify the condition. The analysis varies depending on the complexity and extent of the condition, ranging from hand calculations to a full-on finite element analysis. All analysis requires engineering review and approval prior to final document approval. If further investigation is required before final disposition, the request for additional information will be identified as “Preliminary Disposition”. For multiple items, number them with the corresponding item numbers used in Block (20).

Engineer/ Liaison/Quality Engineer

37 Cause of Discrepancy

State the root cause of the nonconformance. For multiple items, number them with the corresponding item numbers used in Block (20). (Does not apply to Preliminary Disposition, Design Change or Information Only SDR; enter N/A.)


38 Defect Code(s)

Enter the NC Defect Code per REF-0021, QA Nonconformance Codes. For multiple items, number them with the corresponding item numbers used in Block (20). (Does not apply to Preliminary Disposition, Design Change or Information Only SDR; enter N/A.)


39 Cause Code(s)

Enter the NC Cause Code per REF-0021, QA Nonconformance Codes. For multiple items, number them with the corresponding item numbers used in Block (20). (Does not apply to Preliminary Disposition, Design Change or Information Only SDR; enter N/A.)


40 Corrective Action

Enter the action taken by GA-EMS to correct/prevent this need for deviation. For multiple items, number them with the corresponding item numbers used in Block (20). If applicable, please note if the corrective action is “immediate action” or “future action”. (Does not apply to Preliminary Disposition, Design Change or Information Only SDR; enter N/A.)


41 Corrective Action Code(s)

Enter the NC Corrective Action Code per REF-0021, QA Nonconformance Codes. For multiple items, number them with the corresponding item numbers used in Block (20). (Does not apply to Preliminary Disposition, Design Change or Information Only SDR; enter N/A.)


42 Cause Responsibility

For nonconformance SDR, select the party responsible for the nonconformance. For GA-EMS, enter the responsible group (i.e., Design, Test, Manufacturing, San Diego, Tupelo, Lakehurst, etc). For other, enter the responsible party’s name. (Does not apply to Preliminary Disposition, Design Change or Information Only SDR; enter N/A.)




Quality Engineer 43 Corrective Action

Verification

If corrective action was taken, then the QE prints, signs, and dates to indicate that the corrective action is verified. Attach documented evidence to the SDR, if applicable, and fix pagination. The QE’s signature indicates that the corrective action listed in Block (40) has been completed, that any Supplier CAR or Internal CAR issued has been received by the Supplier or appropriate GA group, and that any Engineering Change Request (ECR) in the implementation stage is an acceptable means to capture and track the action to affect the design.

Quality Engineer 44 CAR Required? Check “No” unless a CAR is issued. If so, enter the CAR number and issue

date.


Effect on Contract Cost/Price

Enter the effect on contract cost/price if Request for Deviation is required; refer to the applicable project’s contract. (Critical or Major defect classification with Use-As-Is or Repair disposition). If not, enter N/A.

Engineer/ Liaison 46 Effect on Delivery

Schedule

Enter the effect on the delivery schedule if Request for Deviation is required; refer to the applicable project’s contract. (Critical or Major defect with Use-As-Is or Repair recommended disposition). If not, enter N/A.


Effect on Logistics Support, Interface, or Software

Enter the effect on logistics support, interface, or software if Request for Deviation is required; refer to the applicable project’s contract. (Critical or Major defect with Use-As-Is or Repair recommended disposition). If not, enter N/A.

Engineer/ Liaison 48 Design

Engineering

The Engineer/Liaison decides whether Design Engineering review is required. If not, enter N/A. If yes, then the Design Engineer prints, dates, and signs this block to indicate concurrence with all associated information, instructions, and technical justification. If the Engineer/Liaison role is filled by a Design Engineer, then that Engineer signs both Block (48) and Block (50).

SME 49 Other Technical Print, Sign, and Date if applicable. If not, enter N/A. Engineer/ Liaison 50 Engineering Engineer/Liaison prints, signs, and dates this block.

Engineering Manager 51 Engineering

Manager Engineering Manager prints, signs, and dates to indicate that the SDR is satisfactory to this point.

Quality Engineer 52 Quality

Assurance Quality Engineer prints, signs, and dates this block.

IMRB 53 GA-EMS Internal Material Review Board

The IMRB Chair prints, signs, and dates to indicate approval of the SDR. Determines whether Formal MRB is required.

GA MRB Co-chair 54 GA-EMS Co-

Chair The GA-EMS Co-Chair prints, signs, and dates to indicate agreement with the SDR.

Customer MRB Co-chair 55 Customer Co-

Chair Customer Co-Chair prints, signs, and dates to indicate agreement with the SDR.


56 QTY ACC Enter the quantity of items that are now accepted but were included in Block (16).


57 QTY NOT ACC. Enter the quantity of items that are still not accepted and were included in Block (16).


58 NEW SDR/NR NO.

If one or more items are still not acceptable, document on a new SDR form and list the SDR number here.





59

Supplier Inspector or Supplier QA Representative

Sign here to attest to the completion of the disposition actions and indicated quantities in Blocks (56) and (57). Provide any documentation to support the disposition and preventative / corrective action completion specified in either Block (22) or (40).


60 Other Signatures (As Needed)

This block is available for any additional signatures (Customer SME, etc.). If not, enter N/A.

GA-EMS Quality Engineer

61

Verification of Implemented Disposition and C/A – SDR Closed

After reviewing and verifying the completion of the disposition and the corrective action, print, sign, and date to indicate the SDR is considered closed. Note: Attach documented evidence to the SDR, if applicable and fix the pagination.

Documents

SUPPLIER DISPOSITION REQUEST (2) (8) SUPPLIER … · SUPPLIER DISPOSITION REQUEST (2) PAGE: ... SUPPLIER DISPOSITION REQUEST (continuation page) ... The disposition addresses each