Volvo PSW 4th Edition PPAP
Part Submission WarrantPart Name Customer Part Number Rev.
If applicable
Tool PO Number 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
Organization name and Code Customer Name/Division
Street Address Customer Contact
City State Zip Application
Note: Does this part contain any restricted or reportable substances?
Are plastic parts identified with appropriate ISO marking codes?
REASON FOR SUBMISSION (check at least one)Initial submission Change to Optional Construction or MaterialEngineering Change(s) Sub-Supplier or Material Source ChangeTooling: Transfer, Replacement, Refurbishment, or additional Change in Part ProcessingCorrection of Discrepancy Parts produced at Additional LocationTooling inactive > than 1 year Other - please specify below
SUBMISSION LEVEL (Check one)Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.Level 2 - Warrant with product samples and limited supporting data submitted to customer.Level 3 - Warrant with product samples and complete supporting data submitted to customer.Level 4 - Warrant and other requirements as defined by customer.
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.
DECLARATIONI affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable customerdrawings and specifications and are made from specified materials on regular production tooling with no operations other than the regularproduction 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
Title e-mail
FOR CUSTOMER USE ONLY PPAP Warrant Disposition:
Comment:
Customer Signature Date
Print Name
Engineering Drawing Change Level
Yes No
Yes No
Approved RejectedInterim Approval
Part Submission WarrantPart Name Customer Part Number Rev.
If applicable
Tool PO Number 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
Organization name and Code Customer Name/Division
Street Address Customer Contact
City State Zip Application
Note: Does this part contain any restricted or reportable substances?
Are plastic parts identified with appropriate ISO marking codes?
REASON FOR SUBMISSION (check at least one)Initial submission Change to Optional Construction or MaterialEngineering Change(s) Sub-Supplier or Material Source ChangeTooling: Transfer, Replacement, Refurbishment, or additional Change in Part ProcessingCorrection of Discrepancy Parts produced at Additional LocationTooling inactive > than 1 year Other - please specify below
SUBMISSION LEVEL (Check one)Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.Level 2 - Warrant with product samples and limited supporting data submitted to customer.Level 3 - Warrant with product samples and complete supporting data submitted to customer.Level 4 - Warrant and other requirements as defined by customer.
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.
DECLARATIONI affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable customerdrawings and specifications and are made from specified materials on regular production tooling with no operations other than the regularproduction 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
Title e-mail
FOR CUSTOMER USE ONLY PPAP Warrant Disposition:
Comment:
Customer Signature Date
Print Name
Engineering Drawing Change Level
RejectedApproved
Yes No
Yes No
2
5
1 3
4
6
7 8 9
10 11
12
13
14
15
16
17
18
19
20
21
22
Yes No
Yes No
Interim Approval
Completion of the Part Submission Warrant
PART INFORMATION1. Part Name: Engineering released finished end item part name. (See Volvo Part Version Report.)2. Customer Part Number(s): Engineering released finished end item part number. (Volvo PVR number.)3. Part Revision Level: if applicable. (Volvo PVR Version.)4. Tool Purchase Order Number: if applicable.5. Engineering Drawing Change Level & Approval Date: Show change level and date for submission. (Volvo drawing issue, see PVR and drawing.)6. Additional Engineering Changes: Include all authorized engineering change documents and approval dates not yet incorporated on the drawing but which are incorporated in the part. 7. Shown on Drawing Number: The design record that specifies the customer part number being submitted. (Volvo drawing No, see PVR and drawing.)8. Purchase Order Number: Enter this number as found on the purchase order.9. Part weight: Enter the actual weight in kilograms to four significant places. 10. Checking Aid No: Enter the checking aid number, if one is used for dimensional inspection.11. Checking Aid's Engineering Change Level and Approval Date.
ORGANIZATION MANUFACTURING INFORMATION12. Organization Name and Code: Show the code assigned to the manufacturing location on the purchase order. (Supplier Name and Volvo supplier No.)13. Organization Manufacturing Address: Show the complete address of the location where the product was manufactured.
SUBMISSION INFORMATION14. Customer Name/ Division: Show the corporate name and division or operations group. (Volvo purchasing company, e.g. Volvo 3P, Volvo Powertrain, etc.)15. Contact Name: Enter the name of your customer contact. (Volvo SQA and/or Volvo purchaser.)16. Application: Enter the model year, vehicle name, or engine, transmission, etc.17. Check the appropriate box to indicate Substances of Concern (Volvo black list STD 1009,1)/ISO marking reporting.
REASON FOR SUBMISSION18. Check the appropriate box. Add explanatory details in the "other" section.
REQUESTED SUBMISSION LEVEL19. Identify the submission level requested by your customer. Check the submission items if a level 4 is requested. If not otherwise agreed Volvo request level 4. The minimum required mandatory documents are: 6. Process FMEA; 7. Control Plan; 9. Dimensional Results including Marked Drawing; 10. Material, Performance Test Results; 13. Appearance Approval Report (if applicable); 17. Records of Compliance with Volvo Specific Requirements (Review of Technical Specification ,RTS). Mandatory for Volvo Powertrain. 18. Part Submission Warrant (PSW). All other documents shall be submitted to Volvo upon request.
DECLARATION20. Explanation/Comments: Provide any explanatory details on the submission results; additional information may be attached as appropriate.21. Enter the number or code that identifies the specific mold, cavity, and/or production process used to manufacture the sample parts.22. The responsible supplier official, after verifying that the results show conformance to all customer requirements and that all required documentation is available shall approve the declaration and provide Title, Phone Number, Email Address, and Fax Number.
FOR CUSTOMER USE ONLYLeave blank
New 4th Edition PSW Completion Instruction Wording
Appendix ACompletion of the Part Submission Warrant
PART INFORMATION
ORGANIZATION MANUFACTURING INFORMATION
SUBMISSION INFORMATION
REASON FOR SUBMISSION
REQUESTED SUBMISSION LEVEL
1. Part Name: Engineering released finished end item part name. (See Volvo Part Version Report.)2. Customer Part Number(s): Engineering released finished end item part number. (Volvo PVR number.)3. Part Revision Level: if applicable. (Volvo PVR Version.)4. Tool Purchase Order Number: if applicable.5. Engineering Drawing Change Level & Approval Date: Show change level and date for submission. (Volvo drawing issue, see PVR and drawing.)6. Additional Engineering Changes: Include all authorized engineering change documents and approval dates not yet incorporated on the drawing but which are incorporated in the part. 7. Shown on Drawing Number: The design record that specifies the customer part number being submitted. (Volvo drawing No, see PVR and drawing.)8. Purchase Order Number: Enter this number as found on the purchase order.9. Part weight: Enter the actual weight in kilograms to four significant places. 10. Checking Aid No: Enter the checking aid number, if one is used for dimensional inspection.11. Checking Aid's Engineering Change Level and Approval Date.
12. Organization Name and Code: Show the code assigned to the manufacturing location on the purchase order. (Supplier Name and Volvo supplier No.)13. ORGANIZATION Manufacturing Address: Show the complete address of the location where the product was manufactured.
14. Customer Name/ Division: Show the corporate name and division or operations group. (Volvo purchasing company, e.g. Volvo 3P, Volvo Powertrain, etc.)15. Contact Name: Enter the name of your customer contact. (Volvo SQA and/or Volvo purchaser.)16. Application: Enter the model year, vehicle name, or engine, transmission, etc.17. Check the appropriate box to indicate Substances of Concern (Volvo black list STD 1009,1)/ISO marking reporting.
18. Check the appropriate box. Add explanatory details in the "other" section.
19. Identify the submission level requested by your customer. Check the submission items if a level 4 is requested. If not otherwise agreed Volvo request level 4. The minimum required mandatory documents are: 6. Process FMEA;7. Control Plan; 9. Dimensional Results including Marked Drawing; 10. Material, Performance Test Results;13. Appearance Approval Report (if applicable);17. Records of Compliance with Volvo Specific Requirements (RTS). Mandatory for Volvo Powertrain.18. Part Submission Warrant (PSW).All other documents shall be submitted to Volvo upon request.
DECLARATION
FOR CUSTOMER USE ONLYLeave blank
20. Explanation/Comments: Provide any explanatory details on the submission results; additional information may be attached as appropriate.21. Enter the number or code that identifies the specific mold, cavity, and/or production process used to manufacture the sample parts.22. The responsible supplier official, after verifying that the results show conformance to all customer requirements and that all required documentation is available shall approve the declaration and provide Title, Phone Number, Email Address, and Fax Number.
APPEARANCE APPROVAL REPORT
E/C LEVEL DATE
OTHER
APPEARANCE EVALUATION
ORGANIZATION SOURCING AND TEXTURE INFORMATION
COLOR EVALUATION
TRISTIMULUS DATA HUE VALUE CHROMA GLOSS
DL* Da* Db* DE* CMC RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW
COMMENTS
DATE DATE
March CFG-10022006
PART NUMBER
DRAWINGNUMBER
APPLICATION(VEHICLES)
PARTNAME
BUYERCODE
ORGANIZATIONNAME
MANUFACTURINGLOCATION
SUPPLIER/VENDORCODE
REASON FOR PART SUBMISSION WARRANT SPECIAL SAMPLE RE-SUBMISSIONSUBMISSION PRE TEXTURE FIRST PRODUCTION SHIPMENT ENGINEERING CHANGE
PRE-TEXTUREEVALUATION
AUTHORIZED CUSTOMERREPRESENTATIVE
SIGNATURE AND DATE
CORRECT ANDPROCEED
CORRECT ANDRESUBMIT
APPROVED TOETCH/TOOL/EDM
COLORSUFFIX
MASTERNUMBER
MASTER DATE
MATERIALTYPE
MATERIALSOURCE
METALLICBRILLIANCE
COLORSHIPPING
SUFFIXPART
DISPOSITION
ORGANIZATIONSIGNATURE
PHONE NO. AUTHORIZED CUSTOMER
REPRESENTATIVE SIGNATURE
APPEARANCE APPROVAL REPORT
E/C LEVEL DATE
OTHER
APPEARANCE EVALUATION
ORGANIZATION SOURCING AND TEXTURE INFORMATION
COLOR EVALUATION
TRISTIMULUS DATA HUE VALUE CHROMA GLOSS
DL* Da* Db* DE* CMC RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW
COMMENTS
PHONE NO. DATE DATE
March CFG-10022006
PARTNUMBER
DRAWINGNUMBER
APPLICATION(VEHICLES)
PARTNAME
BUYERCODE
ORGANIZATIONNAME
MANUFACTURINGLOCATION
SUPPLIER/VENDORCODE
REASON FOR PART SUBMISSION WARRANT SPECIAL SAMPLE RE-SUBMISSIONSUBMISSION PRE TEXTURE FIRST PRODUCTION SHIPMENT ENGINEERING CHANGE
PRE-TEXTUREEVALUATION
AUTHORIZED CUSTOMERREPRESENTATIVE
SIGNATURE AND DATE
CORRECT ANDPROCEED
CORRECT ANDRESUBMIT
APPROVED TOETCH/TOOL/EDM
COLORSUFFIX
MASTERNUMBER
MASTER DATE
MATERIALTYPE
MATERIALSOURCE
METALLICBRILLIANCE
COLORSHIPPING
SUFFIXPART
DISPOSITION
ORGANIZATIONSIGNATURE
AUTHORIZED CUSTOMERREPRESENTATIVE SIGNATURE
14 15 16 17 18 19 2021 22
23
24 25
12
13
11
8 9 10
4 5 6/7
2 31
1.2.
part number.3.4.5. 6./7.8.9.10.
manufactured or assembled.11.12.
grain type(s), and grain and gloss masters used to check part.13.
GM).14.15.
customer-authorized master.16.17.18.19.20.
assessment by customer21.22.23.24.
information is accurate and meets all requirements specified.25.
Representative approval signature.
Appendix B - Completion of the Appearance ApprovalReport
Customer part number: Engineering released customer part number.Drawing Number: Use the number of the drawing on which the part is shown if different from the
Application: Enter the model year(s) and vehicle or other program on which the part is used.Part Name: Use the finished part name on the part drawing.Buyer Code: Enter the code for specific buyer or part.E/C Level & Date: Engineering change level and E/C date for this submission.Organization Name: Organization responsible for submission (include supplier if available).Manufacturing Location: Location where part was manufactured or assembled.Supplier/Vendor Code: Customer-assigned code for organization location where the part was
Reason for submission: Check box(es) explaining the reason for this submission.Organization Sourcing & Texture Information: List all first surface tools, graining source(s),
Pre-Texture Evaluation: To be completed by authorized customer representative (not used by
Color Suffix: Use alphanumeric or numeric color identificationTristimulus Data: List numerical (colorimeter) data of submission part as compared to the
Master Number: Enter alphanumeric master identification (not used by Ford).Master Date: Enter the date on which the master was approved.Material Type: identify first surface finish and substrate (e.g;, paint/ABS).Material Source: Identify first surface and substrate suppliers. Example: Redspot/Dow.Color Evaluation, Hue, Value, Chroma, Gloss and Metallic Brilliance: Visual
Color Shipping Suffix: Color part number suffix or color number.Part Disposition: To be determined by customer (approved or rejected).Comments: General comments by the organization or customer (optional).Organization Signature, Phone No. & Date: Organization certification that the document
Authorized Customer Representative Signature & Date: Authorized Customer
THE AREAS INSIDE THE BOLD LINES ARE FOR CUSTOMER USE ONLY.
Production Part Approval Dimensional Test Results
INSPECTION FACILITY:
ITEM DIMENSION / SPECIFICATION OK
Blanket statements of conformance are unacceptable for any test results.
March CFG-10032006
Appendix C - Production Part Approval, DimensionalResults
ORGANIZATION: SUPPLIER/VENDOR CODE:
PART NUMBER:PART NAME:DESIGN RECORD CHANGE LEVEL:ENGINEERING CHANGE DOCUMENTS:
SPECIFICATION / LIMITS
TEST DATE
QTY.TESTED
ORGANIZATION MEASUREMENTRESULTS (DATA)
NOTOK
SIGNATURE TITLE DATE
Production Part Approval Material Test Results
*CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE:*If source approval is req'd, include the supplier (Source) & Customer assigned code NAME OF LABORATORY:
MATERIAL SPEC. NO. / REV / DATE SUPPLIER TEST RESULTS (DATA) OK
Blanket statements of conformance are unacceptable for any test results.
March CFG-10042006
Appendix D - Production Part Approval, Material TestResults
ORGANIZATION:SUPPLIER/VENDOR CODE:
PART NUMBER:PART NAME:DESIGN RECORD CHANGE LEVEL:ENGINEERING CHANGE DOCUMENTS:MATERIAL SUPPLIER:
SPECIFICATION / LIMITS
TEST DATE
QTY.TESTED
NOTOK
SIGNATURE TITLE DATE
Production Part ApprovalPerformance Test Results
NAME OFLABORATORY:*CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE:*If source approval is req'd, include the supplier (Source) & Customer assigned code
TEST SPECIFICATION / REV / DATE OK
Blanket statements of conformance are unacceptable for any test results.
March CFG-10052006
Appendix E - Production Part Approval, Performance TestResults
ORGANIZATION:SUPPLIER/VENDOR CODE:
PART NUMBER:PART NAME:DESIGN RECORD CHANGE LEVEL:ENGINEERING CHANGE DOCUMENTS:
SPECIFICATION / LIMITS
TEST DATE
QTY.TESTED
SUPPLIER TEST RESULTS (DATA) /TEST CONDITIONS
NOTOK
SIGNATURE TITLE DATE