CORP-QA-7.4.3.2-07 Deviation Request Sheet

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CORP-QA-7.4.3.2-07 Deviation Request Sheet Powered By Docstoc
					                               Sumitomo Electric Wiring Systems, Inc.
                                   DEVIATION REQUEST SHEET
SEWS PART NO:                                                       SUPPLIER INFORMATION ISSUE NO.
                                                                    SUBMISSION DATE:
SEWS PART NAME:                                                     SUPPLIER NAME:
                                                                    SUPPLIER RESPONSIBLE DEPARTMENT
PROGRESS                Initial Shipment (PER ECSC P.O.)
OF PARTS                Mass Production                               APPROVED BY     CHECKED BY                              ISSUED BY
                                                                        Name here      Name here                               Name here
                        Tool Transfer (Other)
                                                                        Date here      Date here                               Date here
CAVITY NO:                         LOT NO:                          TYPE OF DEVIATION
                                                                                     Limited Quantity             Lifetime Mold/Die

                                                                                     Limited Production Date

DESCRIPTION OF NONCONFORMITY:                                       CAUSE
(USE SKETCH OR ATTACH DRAWING)




                                                                    COUNTERMEASURE




SUPPLIER SIDE                                                       RESPONSIBLE PERSON                         EXPECTED
(REQUESTING QUANTITY OR PERIOD)                                     (SUPPLIER AND SEWS)                        COMPLETION DATE




                                                JUDGMENT (FOR SUMITOMO USE ONLY)
CATEGORY OF APPROVAL

     Limited Quantity                      Pcs             Limited Production Date                                    Lifetime Mold/Die


REASONS AND COMMENTS                                          Judgment               Responsible Person                  Manager
SEWS FACILITATOR/DR RECEIVER                                                 Print Name:                       Print Name:
                                                                ACCEPT
                                                                REJECT
                                                                             Signature and Date                Signature and Date
SEWS ENGINEERING                                                             Print Name:                       Print Name:
                                                                ACCEPT
                                                                REJECT
                                                                             Signature and Date                Signature and Date
SEWS QUALITY ASSURANCE                                                       Print Name:                       Print Name:
                                                                ACCEPT
                                                                REJECT
                                                                             Signature and Date                Signature and Date
SEWS PURCHASING                                                              Print Name:                       Print Name:
                                                                ACCEPT
                                                                REJECT
                                                                             Signature and Date                Signature and Date
OTHER DEPT (OPTIONAL)                                                        Print Name:                       Print Name:
                                                                ACCEPT
                                                                REJECT
                                                                             Signature and Date                Signature and Date

Customer Approval Required/ PPAP Submission Required
No Customer Approval Required- No customer spec or drawing requirement
                                                                                                                             CORP-QA-7.4.3.2-07
Deviation Request Sheet                                                                                                               04.02.12
Sumitomo Electric Wiring Systems                                                                                                       REV 01
                               Sumitomo Electric Wiring Systems, Inc.
                                   DEVIATION REQUEST SHEET
SEWS PART NO:                                                    SUPPLIER INFORMATION          ISSUE NO.
 68105360                                                        SUBMISSION DATE:       4/1/2009
SEWS PART NAME:                                                  SUPPLIER NAME:         SEWS, Inc.
 CORCL07-135RN0                                                  SUPPLIER RESPONSIBLE DEPARTMENT
PROGRESS      Initial Shipment (PER HARTEC P.O.)                               Component Evaluation Group
OF PARTS      Mass Production
                                                                  APPROVED BY       CHECKED BY            ISSUED BY
                                                                   Sumitomo Taro        J. Doe             John Doe
                        Tool Transfer (Other)

CAVITY NO:                        LOT NO:                        TYPE OF DEVIATION
 1&2                               L1234OT                                        Limited Quantity             Lifetime Mold/Die

                                                                                  Limited Production Date

DESCRIPTION OF NONCONFORMITY: USE SKETCH OR ATTACH DRAWING
 1) PPAP has not been approved, but SEWS El Paso material control issued a P.O. and need to ship to meet the
 requirement.
 2) Run at rate audit by SEWS is not completed
 3) SEWS has not completed SEWS Inspection Report

QUANTITY OR PERIOD OF DEVIATION                          CAUSE
 Until the end of June 2009                               PPAP has not been submitted and has not been approved




COUNTERMEASURE                                                   RESPONSIBLE PERSON                         EXPECTED
 PPAP will be submitted by 5/1/2009                               John Doe                                  COMPLETION DATE
 Audit will be conducted by 5/15/2009                                                                        5/1/2009




                                                JUDGEMENT (FOR SUMITOMO USE ONLY)
CATEGORY OF APPROVAL

     Limited Quantity                      Pcs          Limited Production Date             6/15/2009                 Lifetime Mold/Die


REASONS AND COMMENTS                                      Judgement           Responsible Person                      Manager
SEWS COMPONENT DE                                                         Print Name:                       Print Name:
                                                             ACCEPT
                                                             REJECT
                                                                          Signature and Date                Signature and Date
SEWS NMDC NED CEG                                                         Print Name:                       Print Name:
                                                             ACCEPT
                                                             REJECT
                                                                          Signature and Date                Signature and Date
SEWS MSC SQA                                                              Print Name:                       Print Name:
                                                             ACCEPT
                                                             REJECT
                                                                          Signature and Date                Signature and Date
SEWS PURCHASING                                                           Print Name:                       Print Name:
                                                             ACCEPT
                                                             REJECT
                                                                          Signature and Date                Signature and Date
OTHER DEPT (OPTIONAL)                                                     Print Name:                       Print Name:
                                                             ACCEPT
                                                             REJECT
                                                                          Signature and Date                Signature and Date

Customer Approval Required/ PPAP Submission Required
No Customer Approval Required- No customer spec or drawing requirement

                                                                                                                     CORP-QA-7.4.3.2-07
  Deviation Request Sheet                                                                                                     04.02.12
  Sumitomo Electric Wiring Systems                                                                                             REV 01

				
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