Today's Date:

Requester:

Department:

Date for submission:

Supplier Name:

Timken Part #:

Program Name:

Supplier Address:

Timken Drawing #:

Revision level:

Supplier Contact:

Part name and description:

Submit To Timken Representative:

Purchase Order (if available):

Initial Submission:

Sub-supplier Material/Source Changes:

Engineering Changes:

Location Changes:

Tool Changes/Inactive >1 year:

Re-submission:

Process Changes:

Other (specify):

Documentation (____ copies) and parts:

Details

1

2

3

4

5

Applicable

1. Customer/Supplier Design Record

R

S

S

R

R

2. Engineering Change Documents

R

S

R

R

R

3. Customer Engineering Approval

R

R

S

R

R

4. Design FMEA

R

R

S

R

R

5. Process Flow Diagram

R

R

S

R

R

6. Process FMEA

R

R

S

R

R

7. Dimensional results

R

S

S

R

R

8. Material Performance Test Results

R

S

S

R

R

9. Initial Capabilities Study

R

R

S

R

R

10. Measurement System Analysis

R

R

S

R

R

11. Qualified Laboratory Documentation

R

S

S

R

R

12. Control Plan (prototype/ prelaunch/ process)

R

R

S

R

R

13. Part Submission Warrant (PSW)

S

S

S

S

R

14. Appearance Approval Report

S

S

S

R

R

15. Bulk Material Requirements Checklist

R

R

R

R

R

16. Sample Product

R

S

S

R

R

17. Master Sample

R

R

R

R

R

18. Checking Aids

R

R

R

R

R

19. Certificate of Compliance

R

R

S

R

R

Timken Standard/ Specification: Rev:

Material Standard:

Customer/Industry Standard:

Timken/Customer/Supplier Performance Test:

Owner:

Performed By:

Performance Test Results:

For Timken: Date:

For Supplier: Date: