PART INFORMATION
Fisher & Paykel part details
Drawing Number 247706
Part Number 247706
Part Description Plate Griddle 11 inch
Drawing Revision Rev. 5
Part Revision
Submission date 4-Jul-17
Part Supplier
Supplier Name Promotora Industrial GIM S.A. de C.V. (PROMINOX)
Supplier Part Number N/A
Supplier Contact (Name/Email) Esmeralda Favela [email protected]
Fisher & Paykel Supplier Code 643678
Libramiento Matamoros-Mty Km 8.5 s/n Jacinto López 2, 88756
Supplier Street Address Reynosa, TAMPS, México
Supplier UL Category code
Supplier UL file No
Tool Supplier
Supplier Name Promotora Industrial GIM S.A. de C.V. (PROMINOX)
Supplier Part Number N/A
Supplier Contact (Name/Email) Esmeralda Favela [email protected]
Fisher & Paykel contact details Name Email Address
Procurement Marco Oropeza
[email protected]Supplier Capability Engineer David Duron
[email protected]Simultaneous Engineer - -
Product Design Engineer Christopher Green
[email protected] DOCUMENT REVISION : 002
Part Submission Warrant Acceptance sign off
<< WHO
Fisher & Paykel part details
Drawing Number
247706
Part Number
247706
Part Description
Plate Griddle 11 inch Part Supplier
Drawing Revision Supplier Name
Rev. 5 Promotora Industrial GIM S.A. de C.V
Part Revision Supplier Part Number
0 N/A
Part information
Submission date Supplier Contact Name
4-Jul-17 Esmeralda Favela
Fisher & Paykel contact details Supplier Contact Email
[email protected] Procurement
Marco Oropeza
[email protected] Libramiento
Fisher & Paykel Supplier Code Matamoros-Mty 643678
Km 8.5 s/n Jacinto López 2, 88756
Reynosa, TAMPS, México
Supplier Capability Engineer Supplier Street Address
David Duron
[email protected] Simultaneous Engineer Supplier UL Category code
- - 0
Product Design Engineer
Christopher Green christopher.Green@fisherpayke Supplier UL file No 0
Reason for submission (select all that apply)
Initial Submission (New Part) New
Change of Optional Construction or or Modified Tools, Dies, Molds, Etc.
Material
Engineering Change(s) Sub-Supplier or Material Source Change
Refurbishment - Existing Tooling
✘ Correction of Discrepancy Change in Part Processing Tooling / Equipment Transfer
Tooling Inactive > 1 year Parts Produced at Additional Location
Other - (Please specify)
Section 1 Engineering
F&P Product Engineering
Fisher and Paykel Engineering Part Approval Disposition
Approve (A1)
Reject (R2)
(A2)
Conditional
Approve
(R1)
Conditional
Reject
Required (CR)
Change
Approve (A1) = no issues; Reject (R2) = parts not useable, resubmit; Approve - Conditional (A2) = part
functional / Engineering agrees to change drawing; Reject - Conditional (R1) = deviation granted for xxx days,
must resubmit; Change Required (CR) = revision pending, resubmit.
Signature of Approval
Engineering: Date:
Comments:
Section 2 Quality
Fisher and Paykel Quality Approval Disposition
Approve (A1)
Reject (R2)
(A2)
Conditional
Approve
(R1)
Conditional
Reject
Required (CR)
Change
Approve (A1) = no issues; Reject (R2) = parts not useable, resubmit; Approve - Conditional (A2) = part
F&P Quality
functional / Engineering agrees to change drawing; Reject - Conditional (R1) = deviation granted for xxx days,
must resubmit; Change Required (CR) = revision pending, resubmit.
Signature of Approval
Quality Date:
Procurement Date:
Comments:
Section 3a Supplier Submission
Submission Results
Part submission meets all dimensional, material/mechanical/performance/reliability testing, appearance, and statistical requirements for each part feature / characteristic as defined on the design
record: ✘ Yes No
If no, explanation required:
Declarations
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 in the case of production
samples, are made from specified materials on production intent tooling and equipment while being manufactured in production intent process flow.
✘ Yes No
Part complies with RoHS (2002/95/EC) & WEEE (2003/11/EC) Directives for Restricted Substance Compliance?
Yes No N/A
Supplier
✘
(If yes attach documentation in Qualification Laboratory Documentation tab)
Declarations ("No" response only):
Print Name: Juan Francisco Armenta Maya Title: Quality Manager Date: 04/05/2017 Phone #: +52 8182 5260 93
(Must scan in actual signature if document is sent electronically)
Section 3b Sub-Supplier (of Supplier) Submission. Only to be completed if the part is made by a sub-supplier
Print Name: Title: Date: Phone #:
Signature: Email: Fax #:
(Must scan in actual signature if document is sent electronically)
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11
7
10 2
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9
DOCUMENT REVISION : 002
Deviation Summary & Supplier Change Request
Part Number:
247706 Supplier Name:
Promotora Industrial GIM S.A. de C.V. (PROMINOX)
Part Revision Level:
0 Supplier Code:
Promotora Industrial GIM S.A. de C.V. (PROMINOX)
Part Description: Plate Griddle 11 inch Date of Request:
4/07/2017
Instructions:
1. Supplier will indicate all requested measurements that do not meet the Drawing specification and if required requested changes
2. Supplier will submit this consideration to Fisher & Paykel
3. Agreed deviation(s) will be noted by Fisher & Paykel Engineering
4. If approved, this request will become part of the part file until the design record is changed.
5. This document must be included within the PPAP submission - remember a PPAP is required for all engineering changes
Details provided by Supplier By Fisher & Paykel
Engineering
Nominal Tolerance Nominal Tolerance Agreed deviation
Characteristic as measured as measured on drawing on drawing Change request concession
Description of Note(s) Change:
Supplier Requestor: Phone No.: Fax No.:
Supplier Authorized Signature: Title: Date:
42920
Explanation/Comments:
Approval Signatures - For Customer Use Only
Design Engineer: Date:
Approve Reject
Quality Date:
Approve Reject
Explanation/Comments:
CONTROL PLAN
Control Plan No :
Part Number : 247706 Part Revision: 0
Part Description : Plate Griddle 11 inch
Characteristics
Part/ Process Process Name/ Operation Machine, Device,
Number Description Jig, Tool for Mfg. No: Product
Date (Rev) : Note: Supplier Format can be used.
Date (Orig) :
Core Team :
Characteristics Methods
Special Evaluation
Char. Product/Process
Measurem Sample Sample Control
Process Class Specification/
ent Size Frequency Method
Tolerance
Technique
Reaction to Out of
Control Plan
Note: Supplier Format can be used. DOCUMENT REVISION : 001
First Article Inspection Report - Procured Material
Part No 247706 Description Plate Griddle 11 inch PO #
Supplier PROMOTORA INDUSTRIAL GIM S.A DE C.V. Date 7/4/2017 Qty 3
Unit of Measure inches Method of measure measuring tape Inspector Juan Francisco Armenta M.
Drawing Tolerance Measurements Discrepancy Disposition
Item Lower limit Upper Limit Location on drawing
Dimension
Min Max SAMPLE 1 SAMPLE 2 SAMPLE 3 Sample 1 Sample 2 Sample 3
1 247.900 0.60 0.60 247.300 248.500 A4 247.796 247.830 247.839### ### ###
2 428.000 0.80 0.80 427.200 428.800 C2 427.961 427.978 427.956### ### ###
3 411.200 0.20 0.20 411.000 411.400 C3 411.112 411.111 411.125### ### ###
4 5.800 0.30 0.30 5.500 6.100 A1 5.881 5.893 5.889 ### ### ###
5 0.000 0.000 ### 0 ### 0 ### 0 OK
6 0.000 0.000 ### 0 ### 0 ### 0 OK
7 0.000 0.000 ### 0 ### 0 ### 0 OK
8 0.000 0.000 ### 0 ### 0 ### 0 OK
9 0.000 0.000 ### 0 ### 0 ### 0 Reject
10 0.000 0.000 ### 0 ### 0 ### 0 Reject
11 0.000 0.000 ### 0 ### 0 ### 0 Reject
12 0.000 0.000 ### 0 ### 0 ### 0 Reject
13 0.000 0.000 ### 0 ### 0 ### 0 OK
14 0.000 0.000 ### 0 ### 0 ### 0 OK
15 0.000 0.000 ### 0 ### 0 ### 0 OK
16 0.000 0.000 ### 0 ### 0 ### 0 OK
17 0.000 0.000 ### 0 ### 0 ### 0 OK
18 0.000 0.000 ### 0 ### 0 ### 0 OK
19 0.000 0.000 ### 0 ### 0 ### 0 OK
20 0.000 0.000 ### 0 ### 0 ### 0 OK
21 0.000 0.000 ### 0 ### 0 ### 0 OK
22 0.000 0.000 ### 0 ### 0 ### 0 OK
23 0.000 0.000 ### 0 ### 0 ### 0 OK
24 0.000 0.000 ### 0 ### 0 ### 0 OK
25 0.000 0.000 ### 0 ### 0 ### 0 OK
QA Accepted Engineering accepted
Yes No Yes No
Comments
Sign Sign
DOCUMENT REVISION : 001
Supplier Appearance Approval Report
Part Number: 247706 Date: 4/07/2017
Revision: 0 Supplier
Promotora
Name: Industrial GIM S.A. de C.V. (PROMINOX)
Part Description: Plate Griddle 11 inch Supplier Code: 643678
Drawing Number: 247706 Manufacturing Location:
Application: Purchase Order Number:
Specification Number
COLOUR EVALUATION (IF REQUIRED)
Tristimulus Data
Master Master Master
Colour DL Da Db DE CMC Density Master Number Date Type Source
SPECIFICATION EVALUATION (IF REQUIRED)
This sheet is designed to prompt the supplier to demonstrate their understanding of an acceptable cosmetic finish by inserting photos representing each of the following.
A' Surfaces, ref' Drawing for Part Grade B' Surfaces, ref' Drawing for Part Grade
DEFECT/SURFACE
MINIMUM ACCEPTABLE NOT ACCEPTABLE MINIMUM ACCEPTABLE NOT ACCEPTABLE
.
DESCRIPTION SAMPLE1, SAMPLE2, SAMPLE3
DESCRIPTION
Note the above table does not include C and D surfaces as these are not visual and have very open specs, anything that is outside of the drawing spec should
be recorded on the deviation summary element.
Comments:
Supplier Signature Date Customer Signature Date
`
Master Reference Samples - Photo of samples
Samples taken from the same run as initial process study. Two samples are required for the customer and two sam
required for the Supplier. Note the Supplier may discard their samples if they wish, unless specifically requested to
them by the FPA. This element shows a picture of the sample and where it is kept.
Attached Copies of Documents below (Attachment can be in PDF,TIF ,XLS format)
quired for the customer and two samples are
wish, unless specifically requested to keep
ept.
n be in PDF,TIF ,XLS format)
