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CoversheetSenderRecipient☐ProductionprocessandproductapprovalreportSubmissionlevel:☐Reportcoveringothersamples☐ReapprovalofPPAProcess☐Samplesubmission☐Long-termproductionstop(morethan12months)☐Newparts☐Modificationinthesupplychain☐Productmodification:☐Productionprocessmodification:Attachments/itemsforinspectionProduct/Process☐1.1Geometry,dimensioncheck☐1.9ESDtest☐8Softwaretestreport☐16Toolinglist☐1.2Functioncheck☐1.10Reliabilitytests☐9ProcessFMEA☐17Confirmationofagreedcapacity☐1.3Materialcheck☐2Samples☐10Processflowchart☐18Writtenself-assessment☐1.4Hapticcheck☐3Technicalspecifications☐11Controlplan☐19Parthistory☐1.5Acousticscheck☐4ProductFMEA☐12Confirmationofprocesscapability☐20Confirmationofsuitabilityoftransportequipment☐1.6Odourcheck☐5Designrelease☐13Achievementofspecialcharacteristics☐21PPAstatusofthesupplychain☐1.7Appearancecheck☐6Compliancewithlegalrequirements☐14Test/inspectionequipmentlist☐22Approvalofcoatingsystems☐1.8Surfacecheck☐7Materialdatasheet/IMDS☐15Capabilitystudytestingequipment☐23OthersSupplierdetailsSupplier/productionlocation:Ident.No./DUNS:Customer:Partdescription:Deliverynoteno.:ReportNo.:Index:PartNo.:Quantitysupplied:GoodsInwardsNo./date:DrawingNo.:BatchNo.:Orderscheduleno./date:Issue/date:Weightofsample:Unloadingpoint:Confirmationbysupplier–ItisherebyconfirmedthatthesamplesubmissionhasbeencarriedoutinaccordancewiththeagreedsubmissionleveltoVDAvolume2Name:Telephone:☐TheIMDSdata-sethasbeendrawnupunderIMDSID-No.:Dept.:Fax/E-mail:Comments:Date:Signature:Customer'sdecisionApprovalProduct/ProcessOverallOverallprocessOverallproduct1.11.21.31.41.51.61.71.81.91.10234567891011121314151617181920212223OK☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐ConditionallyOK–follow-onsubmissionre-quired☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐NOK–ReapprovalofPPAProcessisrequired☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐☐Deviationapprovalno.ValiduntilQuantityDateofreapprovalPPAProcessIfreturned:deliverynoteno.&date:Name:Telephone:Dept.:Fax/E-mail:Comments:DateSignatureDistribution:1234567891011121314