PART APPROVAL FORM (DCN-2518)

HYG
DATE OF ISSUE: HYG CONTACT:

SUPPLIER NAME: HYG CONTACT EMAIL:

SUPPLIER CONTACT: HYG USER LOCATION:

SUPPLIER CONTACT EMAIL: SUPPLIER SUBMISSION DUE DATE:

SUPPLIER CODE: PCR REFERENCE # (IF APPLICABLE):

PART NAME: PART NUMBER: REVISION: TRUCK SERIES #:

REASON FOR SUBMISSION: IF APPLICABLE, CHECK ONE FOR A PROCESS CHANGE

NEW PROJECT PART REQUEST (PCR) ACTIVITY - REFER TO PCR PROCEDURE
NEW SUPPLIER SAMPLE SUBMISSION - INITIAL SAMPLE TRIAL
SUPPORTING INFO FOR PCR SAMPLE SUBMISSION - PILOT SAMPLE TRIAL
RUNNING CHANGE ECN SAMPLE SUBMISSION - MASS PRODUCTION TRIAL
HYG AND SUPPLIER
SUBMISSION LEVEL REQUIRED
LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 MEETS
CATEGORY YES NO COMMENTS
PART APPROVAL FORM SUBMIT SUBMIT SUBMIT SUBMIT Off Prod. Tool Yes No Off-Prod. Proc. Yes No
PART APPROVAL SAMPLES (TAGGED) SUBMIT SUBMIT SUBMIT SUBMIT
NUMBERED DRAWING SUBMIT SUBMIT SUBMIT SUBMIT
DIMENSIONAL RESULTS SUBMIT SUBMIT SUBMIT SUBMIT # of Dim. OK # of Dim. On drawing
APPEARANCE SUBMIT SUBMIT SUBMIT SUBMIT
MATERIAL PERFORMANCE RESULTS SUBMIT SUBMIT SUBMIT
PART FUNCTIONAL TEST RESULTS SUBMIT SUBMIT SUBMIT
CERTIFICATION REGISTRATION APPROVAL (UL, CARB…) SUBMIT SUBMIT SUBMIT
CLEANLINESS RESULTS SUBMIT SUBMIT SUBMIT
PROCESS FLOW DIAGRAM SUBMIT SUBMIT
PROCESS FMEA SUBMIT SUBMIT
CONTROL PLAN SUBMIT SUBMIT
CHECKING FIXTURES SUBMIT SUBMIT
GAGE R & R STUDY (CTQ & Key Dimensions) SUBMIT
SHORT TERM CAPABILITY STUDY (CTQ & Key) SUBMIT
SUPPLIER

SEE ATTACHMENTS FOR ANY APPLICABLE CORRECTIVE ACTION REQUIRED DUE TO ANY NONCONFORMING RESULTS.
THE DESIGN OR TYPE OF PROCESS TO PRODUCE THIS PART CHANGED SINCE THE PREVIOUS SAMPLE SUBMISSION. SEE ATTACHED.

NAME: TITLE: PHONE: FAX:

SUPPLIER AUTHORIZED SIGNATURE: DATE

(MINIMUM MANAGER LEVEL SIGNATURE)
HYG
PART APPROVAL DISPOSITION SQE / QA SIGNATURE DATE
REJECTED REASON FOR REJECTION
CONDITIONAL APPROVAL FOR PRODUCTION EXPIRATION DATE
APPROVED FOR PRODUCTION

PART APPROVAL #: CONDITIONAL APPROVAL - DESIGN

(SAME AS PCR # IF PCR RELATED) SIGN &
DATE
SUPPLIER CONTACT INFORMATION (RETURN TO) HVPT REQUIRED YES NO
COMPANY: SELF MANAGED HVPT (SEE ATTACHED BLANK REPORT)
ADDRESS: RETURN BEFORE PRODUCTION SHIPMENT
CITY/ST/ZIP: HYG WILL ATTEND HVPT. MUST BE CONDUCTED
ATTN: AT LEAST 30 DAYS PRIOR TO PRODUCTION

DCN 2518 Revision 8, Date: 14 April 2016

 PART APPROVAL FORM (DCN-2518) 1

HYG 2
3 DATE OF ISSUE: 7 HYG CONTACT:

4 SUPPLIER NAME: HYG CONTACT EMAIL:

5 SUPPLIER CONTACT: 8 HYG USER LOCATION:

SUPPLIER CONTACT EMAIL: 9 SUPPLIER SUBMISSION DUE DATE:

6 SUPPLIER CODE: 10 PCR REFERENCE # (IF APPLICABLE):

PART NAME: 11 PART NUMBER: 12 REVISON: TRUCK SERIES #: 14

13
REASON FOR SUBMISSION: 15 IF APPLICABLE, CHECK ONE FOR A PROCESS CHANGE 20
NEW PROJECT PART 16 REQUEST (PCR) ACTIVITY - REFER TO PCR PROCEDURE
NEW SUPPLIER 17 SAMPLE SUBMISSION - INITIAL SAMPLE TRIAL 21
SUPPORTING INFO FOR PCR 18 SAMPLE SUBMISSION - PILOT SAMPLE TRIAL 22
RUNNING CHANGE ECN 19 SAMPLE SUBMISSION - MASS PRODUCTION TRIAL 23
HYG AND SUPPLIER 24
SUBMISSION REQUIREMENTS 25
LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 MEETS 48
CATEGORY 26 27 28 29 30 YES NO COMMENTS 51
PART APPROVAL FORM 31 SUBMIT SUBMIT SUBMIT SUBMIT 49 50 Off Prod. Tool Yes No Off-Prod. Proc. Yes No
PART APPROVAL SAMPLES (TAGGED) 35 SUBMIT SUBMIT SUBMIT SUBMIT 46
NUMBERED DRAWING 32 SUBMIT SUBMIT SUBMIT SUBMIT 34
DIMENSIONAL RESULTS 33 SUBMIT SUBMIT SUBMIT SUBMIT # of Dim. OK # of Dim. On drawing
APPEARANCE 36 SUBMIT SUBMIT SUBMIT SUBMIT
MATERIAL PERFORMANCE RESULTS 37 SUBMIT SUBMIT SUBMIT
PART FUNCTIONAL TEST RESULTS 40 SUBMIT SUBMIT SUBMIT
CERTIFICATON REGISTRATION APPROVAL 39 SUBMIT SUBMIT SUBMIT
CLEANLINESS RESULTS 38 SUBMIT SUBMIT SUBMIT
PROCESS FLOW DIAGRAM 43 SUBMIT SUBMIT
PROCESS FMEA 42 SUBMIT SUBMIT
CONTROL PLAN 41 SUBMIT SUBMIT
CHECKING FIXTURES 44 SUBMIT SUBMIT
GAGE R & R STUDY 45 SUBMIT
SHORT TERM CAPABILITY STUDY 47 SUBMIT
SUPPLIER 52

SEE ATTACHMENTS FOR ANY APPLICABLE CORRECTIVE ACTION REQUIRED DUE TO ANY NONCONFORMING RESULTS. 53
THE DESIGN OR TYPE OF PROCESS TO PRODUCE THIS PART CHANGED SINCE THE PREVIOUS SAMPLE SUBMISSION. SEE ATTACHED. 54

NAME: 55 TITLE: 56 PHONE: 57 FAX: 58

SUPPLIER AUTHORIZED SIGNATURE: 59 60 DATE 61

(MINIMUM MANAGER LEVEL SIGNATURE)
HYG 62
PART APPROVAL DISPOSITION 63 SQE / QA SIGNATURE 64 DATE 65
REJECTED 66 REASON FOR REJECTION 67
CONDITIONAL APPROVAL FOR PRODUCTION 68 EXPIRATION DATE 69
APPROVED FOR PRODUCTION 70

PART APPROVAL #: 71 CONDITIONAL APPROVAL - DESIGN 73

(SAME AS PCR # IF PCR RELATED) 72 SIGN &
DATE 74
SUPPLIER CONTACT INFORMATION (RETURN TO) 75 HVPT REQUIRED 76 YES 77 NO 78
COMPANY: 79 SELF MANAGED HVPT (SEE ATTACHED BLANK REPORT)
ADDRESS: 80 RETURN BEFORE PRODUCTION SHIPMENT 83
CITY/ST/ZIP: 81 HYG WILL ATTEND HVPT. MUST BE CONDUCTED
ATTN: 82 AT LEAST 30 DAYS PRIOR TO PRODUCTION 84

Revision 8, Date: 14 April 2016

 PART APPROVAL FORM (DCN-2518)
HYG
DATE OF ISSUE: 4/22/2002 HYG CONTACT: Chad Tindall

SUPPLIER NAME: Manufacturing, INC. HYG CONTACT EMAIL: Chad Tindall

SUPPLIER CONTACT: John Smith HYG USER LOCATION: Berea, Kentucky

SUPPLIER CONTACT EMAIL: John Smith SUPPLIER SUBMISSION DUE DATE: 5/21/2002

SUPPLIER CODE: 100057 PCR REFERENCE # (IF APPLICABLE): N/A

PART NAME: PART NUMBER: REVISION: TRUCK SERIES #:

WIRE-HARNESS-LIGHTS 8500693 4 K005 / C813 / L005
REASON FOR SUBMISSION: IF APPLICABLE, CHECK ONE FOR A PROCESS CHANGE
X NEW PROJECT PART REQUEST (PCR) ACTIVITY - REFER TO PCR PROCEDURE
NEW SUPPLIER SAMPLE SUBMISSION - INITIAL SAMPLE TRIAL
SUPPORTING INFO FOR PCR SAMPLE SUBMISSION - PILOT SAMPLE TRIAL
RUNNING CHANGE ECN SAMPLE SUBMISSION - MASS PRODUCTION TRIAL
HYG AND SUPPLIER
SUBMISSION LEVEL REQUIRED
LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 MEETS
CATEGORY X YES NO COMMENTS
PART APPROVAL FORM SUBMIT SUBMIT SUBMIT SUBMIT X Off Prod. Tool Yes No Off-Prod. Proc. Yes No
NUMBERED DRAWING SUBMIT SUBMIT SUBMIT SUBMIT X
DIMENSIONAL RESULTS SUBMIT SUBMIT SUBMIT SUBMIT X # of Dim. OK 15 # of Dim. On drawing 15
PART APPROVAL SAMPLES (TAGGED) SUBMIT SUBMIT SUBMIT SUBMIT X
APPEARANCE SUBMIT SUBMIT SUBMIT SUBMIT X PART PASSING RATIO
MATERIAL PERFORMANCE RESULTS SUBMIT SUBMIT SUBMIT X
CLEANLINESS RESULTS SUBMIT SUBMIT SUBMIT X
CERTIFICATION REGISTRATION APPROVAL SUBMIT SUBMIT SUBMIT X
PART FUNCTIONAL TEST RESULTS SUBMIT SUBMIT SUBMIT X
CONTROL PLAN SUBMIT SUBMIT X
PROCESS FMEA SUBMIT SUBMIT X
PROCESS FLOW DIAGRAM SUBMIT SUBMIT X
CHECKING FIXTURES SUBMIT SUBMIT X
GAGE R & R STUDY SUBMIT
LIMIT SAMPLES SUBMIT
SHORT TERM CAPABILITY STUDY SUBMIT
SUPPLIER

SEE ATTACHMENTS FOR ANY APPLICABLE CORRECTIVE ACTION REQUIRED DUE TO ANY NONCONFORMING RESULTS.
THE DESIGN OR TYPE OF PROCESS TO PRODUCE THIS PART CHANGED SINCE THE PREVIOUS SAMPLE SUBMISSION. SEE ATTACHED.

NAME: JOHN SMITH TITLE: QA MANAGER PHONE: (123) 456-7890 FAX: (123) 456-0987

SUPPLIER AUTHORIZED SIGNATURE: John Smith DATE 5/20/2002

(MINIMUM MANAGER LEVEL SIGNATURE)
HYG
PART APPROVAL DISPOSITION SQE / QA SIGNATURE DATE
REJECTED REASON FOR REJECTION
CONDITIONAL APPROVAL FOR PRODUCTION EXPIRATION DATE
X APPROVED FOR PRODUCTION Chad Tindall 5/29/2002

PART APPROVAL #: CONDITIONAL APPROVAL - DESIGN

(SAME AS PCR # IF PCR RELATED) SIGN &
DATE
SUPPLIER CONTACT INFORMATION (RETURN TO) HVPT REQUIRED X YES NO
COMPANY: Manufacturing Inc. X SELF MANAGED HVPT (SEE ATTACHED BLANK REPORT)
ADDRESS: 210 S. Orange Ave. RETURN BEFORE PRODUCTION SHIPMENT
CITY/ST/ZIP: Orlando, FL 32802 HYG WILL ATTEND HVPT. MUST BE CONDUCTED
ATTN: John Smith AT LEAST 30 DAYS PRIOR TO PRODUCTION

Revision 8, Date: 14 May 2016

Item No. English Spanish Italiano
FORMATO DE APROBACION DE
1 PART APPROVAL FORM PARTE MODULO APPROVAZIONE COMPONENTE
2 HYG HYG HYG
3 DATE OF ISSUE FECHA DE EMISION DATA DI EMISSIONE
4 SUPPLIER NAME NOMBRE DEL PROVEEDOR RAGIONE SOCIALE DEL FORNITORE
5 SUPPLIER CONTACT CONTACTO REFERENTE DEL FORNITORE
6 SUPPLIER CODE CÓDIGO DE PROVEEDOR CODICE FORNITORE
7 HYG CONTACT CONTACTO EN HYG REFERENTE HYG
PLANTA DEL USUARIO FINAL DE
8 HYG USER LOCATION HYG STABILIMENTO HYG UTILIZZATORE
FECHA LIMITE PARA QUE EL
PROVEEDOR ENTREGUE DATA DI SCADENZA PER LA PRESENTAZIONE DA PARTE DEL
9 SUPPLIER SUBMISSION DUE DATE MUESTRAS FORNITORE
# DE REFERENCIA RCP (EN CASO
DE QUE APLIQUE) / RCP:
REQUISICION DE CAMBIO DE
10 PCR REFERENCE # (IF APPLICABLE) PROCESO NUMERO DI RIFERIMENTO PCR (SE APPLICABILE)
11 PART NAME NOMBRE DE LA PARTE DENOMINAZIONE DEL COMPONENTE
12 PART NUMBER NUMERO DE PARTE CODICE DEL COMPONENTE
13 REVISION REVISION LIVELLO DI REVISIONE
14 TRUCK SERIES # TRUCK SERIES # SERIE DEL CARRELLO
15 REASON FOR SUBMISSION RAZON DE NUEVAS MUESTRAS MOTIVAZIONE PER LA PRESENTAZIONE
16 NEW PROJECT PART PARTE DE UN NUEVO PROYECTO COMPONENTE PER UN NUOVO PROGETTO
17 NEW SUPPLIER NUEVO PROVEEDOR NUOVO FORNITORE
INFORMACION DE APOYO PARA
18 SUPPORTING INFO FOR PCR RCP INFORMAZIONI DI SUPPORTO PER PCR
CAMBIO DE INGENIERIA EN
19 RUNNING CHANGE ECN PROCESO MODIFICHE DI PROGETTO GESTITE CON ECN

EN CASO DE QUE APLIQUE,

MARQUE LA OPCION PARA UNA
ACTIVIDAD DE REQUISICION DE
IF APPLICABLE, CHECK ONE FOR A PROCESS CHANGE CAMBIO DE PROCESO (RCP) - SE APPLICABILE, CONTRASSEGNARE UNA CASELLA PER
REQUEST ACTIVITY (PCR) - REFER TO PCR REFIERASE AL PROCEDIMIENTO UNA ATTIVITÀ DI RICHIESTA MODIFICA PROCESSO - PCR-
20 PROCEDURE DE RCP. VEDERE LA PROCEDURA PCR
ENTREGA DE MUESTRAS - PRUEBA
21 SAMPLE SUBMISSION - INITIAL TRIAL INICIAL PRESENTAZIONE CAMPIONI - PROVA CAMPIONI INIZIALI
ENTREGA DE MUESTRAS - PRUEBA
22 SAMPLE SUBMISSION - PILOT TRIAL PILOTO PRESENTAZIONE CAMPIONI - PROVA PEZZI PILOTA
ENTREGA DE MUESTRAS -
23 SAMPLE SUBMISSION - MASS PRODUCTION PRODUCCION EN MASA PRESENTAZIONE CAMPIONI - PROVA PEZZI DI SERIE
24 HYG AND SUPPLIER HYG Y PROVEEDOR HYG E FORNITORE
25 SUBMISSION REQUIREMENTS REQUERIMIENTOS DE ENTREGA REQUISITI PER LA PRESENTAZIONE
26 CATEGORY CATEGORIA CATEGORIA
27 LEVEL 1 NIVEL 1 LIVELLO 1
28 LEVEL 2 NIVEL 2 LIVELLO 2
29 LEVEL 3 NIVEL 3 LIVELLO 3
30 LEVEL 4 NIVEL 4 LIVELLO 4
FORMATO DE APROBACION DE
31 PART APPROVAL FORM PARTE MODULO APPROVAZIONE COMPONENTE
32 NUMBERED DRAWING DIBUJO NUMERADO
33 DIMENSIONAL RESULTS RESULTADOS DIMENSIONALES RISULTATI DIMENSIONALI
# DE DIMENSIONES OK / # DE
34 # OF DIM. OK / # OF DIM. ON DRAWING DIMENSIONES DE DIBUJO NUMERO DI DIM. OK / NUMERO DI DIM. SUL DISEGNO
EJEMPLARES DE APROBACIÓN DE
35 PART APPROVAL SAMPLES (TAGGED) PARTE (TARJETEADO)
36 APPEARANCE APARIENCIA ASPETTO
RESULTADOS DE DESEMPEÑO DEL
37 MATERIAL PERFORMANCE RESULTS MATERIAL RISULTATI DI PRESTAZIONE DEI MATERIALI
38 CLEANLINESS RESULTS RESULTADOS DE LIMPIEZA
39 UL REGISTRATION APPROVAL REGISTRO DE APROBACION UL APPROVAZIONE PER LA REGISTRAZIONE UL
RESULTADOS DE PRUEBAS
40 PART FUNCTIONAL TEST RESULTS FUNCIONALES DE LA PARTE RISULTATI DELLE PROVE FUNZIONALI DEL COMPONENTE
41 CONTROL PLAN PLAN DE CONTROL PIANO DI CONTROLLO
42 PROCESS FMEA PROCESO AMEF ANALISI FMEA DI PROCESSO
PROCESO DE DIAGRAMAS DE
43 PROCESS FLOW DIAGRAMS FLUJO DIAGRAMMI DI FLUSSO DI PROCESSO

44 CHECKING FIXTURES AYUDAS VISUALES PARA CHECAR STRUMENTI DI VERIFICA

45 GAGE R&R STUDY ESTUDIOS R&R DE GAGES STUDIO GAGE R&R
FUERA DE PRODUCCION
HERRAMENTAL (SI/NO) FUERA DE
OFF PRODUCTION TOOLING (YES/NO) OFF PRODUCCION EN PROCESSO ATTREZZATURA FUORI PRODUZIONE (SI/NO)
46 PRODUCTION PROCESS (YES/NO) (SI/NO) PROCESSO FUORI PRODUZIONE (SI/NO)
ESTUDIO DE CAPACIDAD A CORTO
47 SHORT TERM CAPABILITY STUDY PLAZO STUDIO DI CAPACITÀ DI BREVE TERMINE
48 MEETS CONFORME CONFORME
49 YES SI SI
50 NO NO NO
51 COMMENTS COMENTARIOS COMMENTI
52 SUPPLIER PROVEEDOR FORNITORE

Revision 8, Date: 14 May 2016

 VER ANEXOS PARA CUALQUIER
SEE ATTACHMENTS FOR ANY APPLICABLE ACCION CORRECTIVA APLICABLE
CORRECTIVE ACTION DUE TO ANY NONCONFORMING DEBIDO A CUALQUIER NO- VEDI ALLEGATO PER LE AZIONI CORRETTIVE APPLICABILI IN
53 RESULTS CONFORMIDAD SEGUITO A RISULTATI NON CONFORMI

EL DISEÑO O TIPO DE PROCESO,

THE DESIGN OR TYPE OF PROCESS, TO PRODUCE THIS PARA PRODUCIR ESTA PARTE, LA PROGETTAZIONE O IL PROCESSO DI PRODUZIONE DEL
PART, CHANGED SINCE THE PREVIOUS SAMPLE CAMBIADO DESDE LA ENTREGA DE COMPONENTE E' CAMBIATO DALLA PRECEDENTE
54 SUBMISSION. SEE ATTACHED MUESTRAS PREVIAS. VER ANEXO PRESENTAZIONE DEI CAMPIONI. VEDERE ALLEGATO
55 PRINT NAME NOMBRE DEL DIBUJO NOME IN STAMPATELLO
56 TITLE PUESTO TITOLO
57 PHONE TEL TELEFONO
58 FAX FAX FAX
FIRMA DE PROVEEDOR
59 SUPPLIER AUTHORIZED SIGNATURE AUTORIZADO FIRMA DI AUTORIZZAZIONE DEL FORNITORE
FIRMA DEL NIVEL MINIMO
60 MINIMUM MANAGER LEVEL SIGNATURE GERENCIAL FIRMA DI UN MANAGER (LIVELLO MINIMO)
61 DATE FECHA DATA
62 HYG HYG HYG
DISPOSICION PARA LA
63 PART APPROVAL DISPOSITION APROVACION DE PARTE DISPOSIZIONI DI APPROVAZIONE COMPONENTE

FIRMA DE INGENIERO DE CALIDAD

DE PROVEEDORES DE
64 SQE / QA SIGNATURE HYG/DEPARTAMENTO DE CALIDAD FIRMA SQE/QA
65 DATE FECHA FIRMA & DATA
66 REJECTED RECHAZADO RESPINTO
67 REASON RAZON MOTIVO
68 CONDITIONAL APPROVAL APROBACION CONDICIONADA APPROVAZIONE CONDIZIONATA
69 EXPIRATION DATE FECHA DE EXPIRACION DATA DI SCADENZA APPROVAZIONE CONDIZIONATA
70 APPROVED FOR PRODUCTION APROBADO PARA PRODUCCION APPROVATO PER LA PRODUZIONE
71 PART APPROVAL # APROBACION DE PARTE # NUMERO DI APPROVAZIONE COMPONENTE
IGUAL QUE RCP # SI HAY RCP
72 SAME AS PCR # IF PCR RELATED RELACIONADO IDENTICO AL NUMERO PCR SE CORRELATO A PCR
APROBACION CONDIONADA DE
73 CONDITIONAL APPROVAL DESIGN DISEÑO
74 SIGN & DATE FIRMA Y FECHA FIRMA & DATA
INFORAMACION DEL CONTACTO
75 SUPPLIER CONTACT INFORMATION DE PROVEEDOR INFORMAZIONI SUL REFERENTE DEL FORNITORE
REQUERIMIENTOS DE PRUEBA DE
76 HVPT REQUIRED PRODUCCION EN MASA RISULTATI DELLA HVPT
77 YES SI SI
78 NO NO NO
79 COMPANY COMPAÑÍA SOCIETÀ
80 ADDRESS DIRECCION INDIRIZZO

81 CITY/ST/ZIP CIUDAD/ESTADO/CÓDIGO POSTAL CITTÀ/STATO/CAP

82 ATT: ATENCION ALL'ATTENZIONE DI:
PRUEBA DE PRODUCCION EN
MASA AUTO CONDUCIDA (VER
REPORTE EN BLANCO) DEVOLVER AUTOVALUTAZIONE HVPT (VEDERE REPORT VUOTO IN
SELF MANAGED HVPT (SEE ATTACHED BLANK REPORT) ANTES DE ENVIAR PRODUCTO ALLEGATO) DA RISPEDIRE PRIMA DELLA CONSEGNA DEL
83 RETURN BEFORE PRODUCTION SHIPMENT PARA PRODUCCION COMPONENTE PER LA PRODUZIONE
HYG ASISTIRA A PRUEBA DE
PRODUCCION EN MASA HYG PRESENZIERÀ ALLA VERIFICA HVPT. TALE VERIFICA
HYG WILL ATTEND HVPT. MUST BE CONDUCTED AT CONDUCIDA POR LO MENOS 30 ANDRÀ EFFETTUATA ALMENO 30 GIORNI PRIMA DELLA
84 LEAST 30 DAYS PRIOR TO PRODUCTION DIAS ANTES DE PRODUCCION PRODUZIONE.

Revision 8, Date: 14 May 2016

Question:
Who do I submit the final Part Approval Package/Submission to at HYG?

Answer:
The Part Approval Package/Submission will be submitted to the HYG Contact that initated the Part Approval
Request to the supplier. This contact should be identifed on the Part Approval Form at the time of the request.

Question:
Will Part Approval Samples be ordered separately from a particular trial purchase order?

Answer:
Part Approval Samples will be included as part of the particular trial purchase order, depending on which trial
the Part Approval Submission is made.

Example:
Hyster-Yale Group, Inc. has ordered twenty-five (25) pieces of a part number for a Pilot Trial.
Six (6) pieces from this order will be the Part Approval Samples.

Question:
How do I ship the Part Approval Samples?

Answer:
Part Approval Samples can be shipped in 2 different methods (The supplier to negotiate and confirm with HYG
one of the 2 methods):

1. Samples can be shipped as part of the trial that are packaged separately and identified on the
packaging as "Part Approval Samples".

2. Samples can be sent directly to the HYG Quality Representative that issued the Part Approval Request at the
request of the HYG Quality Representative.

A Dimensional data package must be shipped with the Part Approval Samples no matter which method is used.

Example:
Hyster-Yale Group, Inc. receives a twenty-five (25) piece order of Pilot Trial parts. Within the box/
container of this Pilot Trial order are a separate package of six (6) parts that are identified on the outside of the
packaging as "Part Approval Samples".

Question:
How do I identify the Part Approval Samples?

Answer:
Each Part Approval Sample must be identified with one (1) of the following methods:

1. A identification tag on each sample signifies the sample number

2. A legible identification number marked on each sample that signifies the sample number.

All identified samples must correspond to the dimensional results supplied in the Part Approval Submission.

Question:
How do I ship the Part Approval documentation?

Answer:
Part Approval documentation must be sent directly to the HYG Quality Representative via mail, fax, or email.
Question:
What is the Part Passing Ratio?

Answer:
The Part Passing Ratio identifies the number of dimension that are determined within specification (OK) and
the total number of dimensions noted on the drawing.

Example:
If the drawing has 100 dimensions and the 5 dimension are found out of tolereance then the supplier is to
reprot 95 OK of 100 TOTAL for the Part Passing Ratio.

Question:
Where does the Part Passing Ratio Apply?

Answer:
The Part Passing Ratio applies to the final Part Approval Submission and any trial samples submitted with
a data package. When making the final Part Approval Submission, the Part Passing Ratio shoud be completed
on the Part Approval Form. When submitting trial samples with a data package, the Part Passing Ratio should
be written on the front dimensional data sheet of the data package.

Question:
Can the Part Approval Form be used a covers sheet to submit dimensional data packages and additional
documentation on the form for trial builds, other than the final Part Approval Submission?

Answer:
The Part Approval submission can be used as a cover sheet and checklist for documentation submission for
trial builds. The supplier is requested not to sign the cover sheet when used in this manner, as well as, HYG
will not be providing an approval signature to this cover sheet to be returned to the supplier.
 LAST DOCUMENT UPDATE

CRITICAL TO QUALITY PART DESCRIPTION

COMMODITY TYPE

HYG P/N REV 0 DESCRIPTION

SUPPLIER P/N

CAPABILITY B Build Pilot

Control Plan STUDY (Off Tool) (Off Process)

item to be Supplier Supplier

STANDARD / included in the item to be confirmed confirmation at this confirmation at
NO. INSPECTION ITEM SPECIFICATION INSPECTION METHOD Control Plan by a capability study stage this stage
FUNCTION FORM AND FINISH CONFIRMATION

FITTING CONFIRMATION

WHAT IS MISSING FROM DWG., PSD, Etc...? (FUNCTION, FITTING, PERFORMANCE / DURABILITY) CORRECTIVE ACTION REQUIRED PDL/VIP#

DCN 2518 Revision 8, Date: 14 April 2016

Insert marked up drawing as required to highlight Critical to Quality dimensions or features.
The marked up drawing can be used on its' own or as a supplement to the CTQ sheet.
 Dimensional Accuracy Report
(A tool to be used by suppliers dimensional accuracy reporting
if they do not have their own report form.)

Report #: Page of

New Part Design change New supplier New or changed process / tooling Standard production inspection

Part #: Rev: Part Name:

Supplier: Lot Code:

Measurements (Samples) MARK "X"
Item Specification Comments
1 2 3 4 5 6 P F

PPR = Part Passing Ratio = TOTAL PASS / FAIL / CHECK AND PPR
Dimensions Pass / Total number of
Dimensions Checked
TOTAL
PASSED
TOTAL
FAILED
TOTAL
CHECKED PPR = 0 / 0 PPR = WILL AUTOMATICALLY CALCULATE IF
DATA IS ENTERED ELECTRONICALLY

Parts manufactured using: Production tooling & process Production tooling & temporary process Temporary tooling Temporary process

Attached:

Comments:

Supplier's Statement HYG Disposition

- reported dimensions conforms to submitted parts Inspection Approved Cond. Approv. Rejected Inspected by Date
- approval by HYG does not release the supplier from
their full supplied product liability Dimensional
Date Signature Functional
Visual Approved by Date
Disposition
 Part No
Customer:
Description:
Parent Part No:

DCN 2518
Part Description
Supplier

Drawing Rev

Made/Purchased
Date

Drawing Issued
Revision

Quotes Received
PO Raised
PPAP Requested
Lead Times
Process Capability
Approved

PPAP Sample Due

Date
PPAP Sample Qty
Qty On Hand

PPAP Status

PPAP Submission
Date

Approval Date
Sub Component Status

Approved By
A tool to be used by suppliers for sub-component
tracking if they do not have their own system / tool.

Lead Time for Receipt

Revision 8, Date: 14 April 2016

of Production Volumes
 Functional Testing Report
Part # Revision #
Test Spec # Revision #
# Test Requirements Qty Resp Plan Actual P/F Result
General Requirements
 POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # Rev. (DESIGN FMEA) FMEA Number:
System/Subsystem/Component: Design Responsibility: Prepared by:
Model Year(s)/Vehicle(s) Key Date Date (Orig.)
Team: Date (Rev.)
Severity Score Rating Occurence Score Rating Detection Score Rating

C Potential O D
Nr./ Potential Potential S l Cause(s)/ c Current e R. Recommended Responsibility Action Results
Function/ Failure Effect(s) of e a Mechanism(s) c Design t P. Actions & Target Actions S O D R.
Requirements Mode Failure v s of Failure u Controls e N. Date Taken e c e P.
s r t v c t N.
1.
2.

3.
4.

DCN 2518 Page 13 of 22 Revision 8, Date: 14 April 2016

FMEA LISTS FMEA LISTS FMEA LISTS
SEVERITY RANKING Bedeutung Bewertungszahl PUNTEGGIO SEVERITA'
10 Hazardous - w/o warning 10 Gefährlich ohne Warnung 10 catastrofico
9 Hazardous - w/ warning 9 Gefährlich mit Warnung 9 molto critico mancata erogazione del servizio
8 Very High 8 Sehr hoch 8 alta insoddisfazione del cliente
7 High 7 Hoch 7 molto importante
6 Moderate 6 Mäßig 6 insoddisfazione del cliente e parziale erogazione del servizio
5 Low 5 Niedrig 5 importante
4 Very Low 4 Sehr niedrig 4 molto basso, qualche inconveniente
3 Minor 3 Gering 3 Minore: errore facilemente rimediabile
2 Very Minor 2 Sehr gering 2 secondario, il cliente non si accorge dell'errore
1 None 1 Keine 1 Nessuno
OCCURENCE RANKING Auftreten Bewertungszahl PROBABILITA' DELL'EVENT0
10 >1 in 2 10 >1 in 2 10 >1 in 2
9 1 in 3 9 1 in 3 9 1 in 3
8 1 in 8 8 1 in 8 8 1 in 8
7 1 in 20 7 1 in 20 7 1 in 20
6 1 in 80 6 1 in 80 6 1 in 80
5 1 in 400 5 1 in 400 5 1 in 400
4 1 in 2,000 4 1 in 2,000 4 1 in 2,000
3 1 in 15,000 3 1 in 15,000 3 1 in 15,000
2 1 in 150,000 2 1 in 150,000 2 1 in 150,000
1 1 in 1,500,000 1 1 in 1,500,000 1 1 in 1,500,000
DETECTION RANKING Entdeckung Bewertungszahl CAPACITA' DI SCOPRIRE L'EVENTO
10 Absolute Uncertainty 10 Absolut unwahrscheinlich 10 Assolutamente incerta
9 Very Remote 9 Sehr unwahrscheinlich 9 Molto remota
8 Remote 8 Unwahrscheinlich 8 Remota
7 Very Low 7 Sehr niedrig 7 Molto bassa
6 Low 6 Niedrig 6 Bassa
5 Moderate 5 Mäßig 5 Media
4 Moderately High 4 Mäßig hoch 4 Abbastanza alta
3 High 3 Hoch 3 Alta
2 Very High 2 Sehr hoch 2 Molto alta
1 Almost Certain 1 Mit Sicherheit 1 Certa

DCN 2518 Revision 8, Date: 14 April 2016

 Quality Control Plan Control Plan Page 15 of 22

Supplier Name: Supplier Code:

Control Plan #

HYG Part Name: Plan Level: Proto Pre-Launch Production Plan Prepared By:

Core Team Members:

Truck Series HYG Part No. / Revision # Supplier Part No. CODE REACTION PLAN
1 Mark and separate parts from normal production
2 100% control (parts from production / storage / supplier / customer)
3 Rework if possible and additional control after rework
4 Scrap the parts out of spec.
5 Inform supervisor or quality department

Control Plan Revision Level

REV DATE BY COMMENT

Approvals: Signature Date

Production
Engineering Mgr.:

Production Mgr.:

Quality Mgr.:

Customer Reviewed / Approved:

(When Applicable)

DCN 2518 Revision 8, Date: 14 April 2016

 Quality Control Plan Control Plan Page 16 of 22

Characteristics Methods
Part/ Process Name Machine, Device, Special Product/Process Evaluation
Initial Production Sample On-going Production Sample
Process Operation Description Jig, Tools for Mfg Char. Specification/ Measurement (first 90 days) Control Method Responsibility Reaction Plan
Number Product Process Class Tolerance Technique
Size Freq. Size Freq.

DCN 2518 Revision 8, Date: 14 April 2016

 Quality Control Plan Control Plan Page 17 of 22

Characteristics Methods
Part/ Process Name Machine, Device, Special Product/Process Evaluation
Initial Production Sample On-going Production Sample
Process Operation Description Jig, Tools for Mfg Char. Specification/ Measurement (first 90 days) Control Method Responsibility Reaction Plan
Number Product Process Class Tolerance Technique
Size Freq. Size Freq.

DCN 2518 Revision 8, Date: 14 April 2016

 Quality Control Plan Control Plan Page 18 of 22

Characteristics Methods
Part/ Process Name Machine, Device, Special Product/Process Evaluation
Initial Production Sample On-going Production Sample
Process Operation Description Jig, Tools for Mfg Char. Specification/ Measurement (first 90 days) Control Method Responsibility Reaction Plan
Number Product Process Class Tolerance Technique
Size Freq. Size Freq.

DCN 2518 Revision 8, Date: 14 April 2016

 Quality Control Plan Control Plan Page 19 of 22

Characteristics Methods
Part/ Process Name Machine, Device, Special Product/Process Evaluation
Initial Production Sample On-going Production Sample
Process Operation Description Jig, Tools for Mfg Char. Specification/ Measurement (first 90 days) Control Method Responsibility Reaction Plan
Number Product Process Class Tolerance Technique
Size Freq. Size Freq.

DCN 2518 Revision 8, Date: 14 April 2016

 Quality Control Plan Control Plan Page 20 of 22

Characteristics Methods
Part/ Process Name Machine, Device, Special Product/Process Evaluation
Initial Production Sample On-going Production Sample
Process Operation Description Jig, Tools for Mfg Char. Specification/ Measurement (first 90 days) Control Method Responsibility Reaction Plan
Number Product Process Class Tolerance Technique
Size Freq. Size Freq.

DCN 2518 Revision 8, Date: 14 April 2016

 APPEARANCE REPORT

DATE

HYG P/N REV DESCRIPTION

SUPPLIER SUPPLIER LOCATION

COLOR HCE -

APPEARANCE EVALUATION

EQUIPMENT USED BY SUPPLIER Calibration Date

COLOR
GLOSS
THICKNESS

COLOR EVALUATION MASTER SAMPLE

Supplier Master sample Results HYG Test Results

CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*

COLOR EVALUATION INITIAL SAMPLES

Supplier Test Results HYG Test Results

Sample 1 CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*
∆E ∆E

Sample 2 CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*
∆E ∆E

Sample 3 CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*
∆E ∆E

Sample 4 CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*
∆E ∆E

Sample 5 CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*
∆E ∆E

Sample 6 CMC(2:1) D65/10 F2/10 A/10 CMC(2:1) D65/10 F2/10 A/10

L* L*
c* c*
h* h*
∆E ∆E

GLOSS EVALUATION PAINT THICKNESS

SUPPLIER REPORT HYG REPORT SUPPLIER REPORT HYG REPORT
SAMPLE 1
SAMPLE 2
SAMPLE 3
SAMPLE 4
SAMPLE 5
SAMPLE 6

ADHESION
SUPPLIER REPORT HYG REPORT

COMMENTS

DCN 2518 Revision 8, Date: 14 April 2016