PART SUBMISSION WARRANT

MQS/MPAP/PSW/F/03 PSW M & M Ref. No.: ___________

Date : ___________

Supplier Code: Supplier Name : Mfg. Location:

Part Number: Part Name:
Purchase Order / P.O. Amendment No.: Dated:
Safety and/or Shown on Drawing No.:
Government Regulation Yes No Drawing Change Letter No.: Date:
Part weight (Kg) : Part Application:
 Initial Submission/ New Product  Change to Optional construction or material
 Engineering Change(s) / Product Modification by EN  Sub supplier or material source change
 Tooling: Transfer, Replacement, Refurbishment or additional  Change in part processing
 Correction of Discrepancy- Previously submitted part  Parts produced at additional / new location
 Production from new or modified tools  Change in Inspection & Test Method
 Tooling Inactive for more than 1 year  Process change
 Production from Refurbishment or Rearrangement  Other - please specify/ Poke Yoke
of tooling or From Tooling / Equipment transferred

Submission Level Assigned By M & M:

Declaration :
I hereby confirm that the samples represented by this warrant are from a batch of _____ nos. of parts and are manufactured at normal
production rate (_____Nos./8hrs.) using production tooling and process settings as mentioned in Process Flow Diagram and Control
Plan. All the results submitted meet all drawing and specification requirements.

I assure that the parts manufactured and all the documents submitted are as per the applicable Mahindra Quality System Guideline for
MPAP. In case of any change in process, material and other situations mentioned in the MPAP manual/Guideline, the same would be
communicated to M & M for approval of PSW.

NAME: DESIGNATION: Phone No.:

Supplier Authorised Signature: Date:

Warrant Approval Status

Plant: ___________ PD&C-CTM: _______________ CTM Signature: _____________

Lab Ref. :____________ Fitment Trial Ref. :____________Reliability Trial Ref No.:_____________

Part Warrant Disposition:  Approved  Interim Approval  Rejected (Reasons Overleaf)

Interim Approval Subjected to : __________________________________________________________

___________________________________________________________________________________

Interim Approval for _____nos. of parts / till the date_________Interim Approval Action Plan Ref. : _________

CM : Signature : Date :

H.O.D : Signature : Date :

R&D/VE Approval (for ‘A’ Cat.Parts) :

Name: Signature : Date :

 PART SUBMISSION WARRANT

MPAP requirements as applicable & Declaration by CFT

(To be filled by M&M Representative before MPAP Run & Approval from, Head - PD & C to be taken. For all “ Not
Applicable” requirements, Justification /Risk Assessment Forms to be filled up)

Sr. Applicable / Not

Requirements Justification / Risk Assessment
No. Applicable
1 Design Records.
2 Engineering Change Documents.
3 Customer Engineering Approval.
4 DFMEA
5 Process Flow Diagram
6 PFMEA.
7 Dimensional Results.
8 Material Performance Test Results
9 Initial Process Study.
10 Measurement System Analysis
11 Qualified Laboratory Documents
12 Control Plan.
13 Part Submission Warrant (PSW)
14 Appearance Approval Report (AAR) – if applicable.
15 Bulk Material Requirement Checklist - for bulk
material MPAP only
16 Sample Products.
17 Master Sample
18 Checking Aids.
19 Customer Specific Requirements
Raw Material Control Plan
Product Quality Assurance Plan at Final Inspection

Supplier : CTM : C.M:

Signature : Signature : Signature :

 PART SUBMISSION WARRANT

MPAP Effectiveness Monitoring :

PIST =Total number of characteristics within specifications (for ___ samples) x100
Total number of characteristics specified on drawing (for ___ samples)

(Percentage Inspection Points Satisfying Tolerance: To be calculated based on Sample quantity & specifications
includes dimensional parameters other specification such as Hardness , H.T. parameters, Torque etc.)

Note : PIST to be calculated for all 5 samples.

PIPC = No of SC,CC parameters having Ppk more than 1.67 x 100

Total Number of SC & CC

(Percentage Indices Process Capable: To be calculated based on No of SC/CC & Ppk values achieved. )

The results meet all the drawing & specification  Yes  No

requirements
Explanation, if “No” : =>

MPAP Efficiency Monitoring (To be filled up by M&M representative)

1. MPAP Initiation Date :

2. MPAP Completion Target Date :

3. MPAP Submission Date :

4. MPAP Approval Date :

5. No. of days overrun from target Date {(4)-(2)} :

 PART SUBMISSION WARRANT

Comments to Supplier:

______________________________________________________________________________________
For M & M Internal Communication:
Comments: