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PART INFO
Part Number Part Name/Description Change Level Program MY
1 1234 Sample Part A ABC123 2010
CUSTOMER INFO
Customer ID Customer Name Company Vendor ID Vendor Name Address
1 T123 Sample Customer V123 Name of your Company
ert rows if you need to add more)
Zip Buyer
Name of the Buyer
Process Flow Diagram
Model Yr: 2010 Customer ID: T123 Part #: 1234 Original:
Program: Cust Name: Sample Customer Part Name: Sample Part Revised:
Vendor ID: V123 Plant Location: Document #: Revision #:
OPERATION/ STORE
PARTS AS
OPERATION INSPECTION DELAY TRANSPORT
RECEIVED INSPECTION
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Control Plan
Part #: 1234 Prepared By: ( Date (Original):
Part Name/Description: Sample Part Core Team: Notes: Customer Engg. Appr./Date (Opt):
Latest Change Level: A Supplier/Plant App./Date: Cust. Quality Appr./Date (Opt):
Vendor ID: V123 Other Approval/Date: Other Approval/Date (Optional):
Name of your Company Supplier Plant/Code: Control Plan No.:
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FMEA (
Customer: Sample Customer Part Name/Number/Rev. Level: 1234 Sample Part A Prep. By:
Model Yr: 2010 Process Description: Key Date:
Program: ABC123 Core Team: Orig.Date: Latest Revision Date:
Action Results
Oper. No. Process Description Potential Failure Mode Potential Effects of Failure Sv Cl. Potential Causes Oc Current Controls Dt RPN Recom. Actions Resp. & Target Date Action Taken Sv Oc Dt RPN
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