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    Appendix 3 - Supplier PPAP Check List Form Rev Date: April 2!!

    Page 1 of 37

    S"PPL#$R PPAP Check List

    !%!&%2!!'(ote - al)a*s re+er to the Cooper Standard Supplier Portal +or the latest PPAP Checklist version,

    $S (. (%A

    x 2/2/! Desi0n Record

    x A. Hard copy of engineering print or CAD/CAM math data is provided?

    x B. Print indicates approved reease n!m"er and reease date?

    x C. Print is 1##$ "aooned and se%!entia n!m"ered for dimensions& notes and specifications?

    x

    x

    x

    Comments'

    $S (. (%A

    x 2/2/2 Authori1ed $n0ineerin0 Chan0e Documents

    x A. Are there any changes a!thori(ed that are not yet capt!red "y the c!rrent print?

    Comments' C!stomer specific doc!ments )i "e inc!ded as appica"e.

    $S (. (%A

    x 2/2/3 Customer $n0ineerin0 Approval

    x A. Are C* or C!stomer +ngineering Approvas ,e%!ired? +C, - +ngineering Change ,e%!est& *,+A& orever ,e%& etc.

    x B. Are Approved C!stomer specific doc!ments inc!ded?

    $S (. (%A

    x 2/2/ Desi0n Failure ode 4 $++ects Anal*sis 'DF$A,

    x A. f design responsi"e& is a Design ai!re Mode 0 +ffects Anaysis DM+A2 present and in the atest AA format?

    x B. s he DM+A 4P-56-DA5+ )ith a c!rrent revision?

    x C. Are *+ 8-9 and 6CC :-1# identified as ;ey Characteristic? f none& is there evidence of redesign to red!ce *+ or 6CC?

    x D. s the doc!ment in

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    Appendix 3 - Supplier PPAP Check List Form Rev Date: April 2!!

    Page of 37

    S"PPL#$R PPAP Check List

    !%!&%2!!'(ote - al)a*s re+er to the Cooper Standard Supplier Portal +or the latest PPAP Checklist version,

    Supplier (ame 4 Location: P4L Development and anu+acturin0

    Cooper Part (um6er: !32!3 Rev Level % Date: 7! 28S$!!

    $S (. (%A

    x 2/2/9 Process Failure ode 4 $++ects Anal*sis 'PF$A,/

    x A. s a Process ai!re Mode 0 +ffects Anaysis PM+A2 present and in the atest AA format?

    x B. s PM+A !p-to-date )ith a c!rrent revision?x C. Are *+ 8-9 )ith and 6CC :-1# identified as PHC? f none& is there evidence of actions to red!ce 6CC?

    x D. Are *ev and 1# identified as CC?

    x +. s in agreement )ith PD& Contro Pan and Es/*6PEs? ;ey characteristics m!st "e isted at specific operation/se%!ence.

    x . Are *+ ,atings Appropriate per the AA g!ideines?

    x . Are D+5 ,atings Appropriate per the AA g!ideines?

    x H. s the doc!ment in

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    Appendix 3 - Supplier PPAP Check List Form Rev Date: April 2!!

    Page 3 of 37

    S"PPL#$R PPAP Check List

    !%!&%2!!'(ote - al)a*s re+er to the Cooper Standard Supplier Portal +or the latest PPAP Checklist version,

    Supplier (ame 4 Location: P4L Development and anu+acturin0

    Cooper Part (um6er: !32!3 Rev Level % Date: 7! 28S$!!

    $S (. (%A

    x 2/2/& Dimensional Results

    x A. aria"e meas!rements for every eGcept reference2 dimensions on part print are to recorded?

    x B. Dimensiona res!ts re%!ired for every !ni%!e man!fact!ring process?x

    x

    x +. s tracing inc!ded for 6ptica Comparator re%!ired for inspection?

    x . f meas!red "y CMM& reports inc!ded?

    x . ,es!ts indicate that dimensiona verifications re%!ired "y print and contro pan have "een competed and res!ts indicate compiance?Comments'

    $S (. (%A

    x 2/2/! aterial%Per+ormance ;est Results

    x A. s the AA Materia and Performance 5est ,es!ts form are !sed?

    x B. Are records of each specified test inc!ded?

    x C. Part print information to "e recorded on Materia/Performance ,eports? nc!ding engr. >eve& date& p/n& etc.x D. Any a!thori(ed engineering change doc!ments not yet incorporated into the design record& "!t present in the part?

    x +. =!m"er& date and change eve of specification to )hich part )as tested?

    x . Date on )hich testing too< pace?

    x . Kty. tested if not stated )ithin specification?

    x H. Act!a res!ts?

    x . Materia s!ppierEs name re%Ed2 and code if appica"e2?

    x F. ord *pecific' s the DP0, inc!ded?

    Comments'

    $S (. (%A

    x 2/2/!! #nitial Process Studies

    x

    x B. *!ppier sha o"tain conc!rrence from the c!stomer on )hich indeG is to "e !sed? 4se Pp; 1.@7 Pp;2

    x C. age ,0, is to "e performed in order to !nderstand ho) meas!rement error impacts the st!dy meas!rements?

    x D. nitia st!dies )i "e provided in accordance )ith the mportant Characteristics *!mmary sheet or +ngineering designed dra)ing?

    x +. nitia process st!dies are s!mmari(ed )ith capa"iity or performance indices?

    x

    x . s the P a!e I8$& if not has the st!dy "een eva!ated for improvements?

    x H. ,a) data is inc!ded in PPAP?

    x . +ectronic data format to "e s!"mitted either in Minita"& or the ,a) Data provided in an +Gce ie.

    x

    Comments'

    $S (. (%A

    x 2/2/!2

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    Appendix 3 - Supplier PPAP Check List Form Rev Date: April 2!!

    Page : of 37

    S"PPL#$R PPAP Check List

    !%!&%2!!'(ote - al)a*s re+er to the Cooper Standard Supplier Portal +or the latest PPAP Checklist version,

    Supplier (ame 4 Location: P4L Development and anu+acturin0

    Cooper Part (um6er: !32!3 Rev Level % Date: 7! 28S$!!

    $S (. (%A

    x 2/2/!3 Appearance Approval Report

    x A. or parts having an appearance re%!irement on design record& a AA, m!st "e competed for each part or series of parts?

    x

    x C. AA, )/disposition and a!thori(ed c!stomer signat!re to accompany P* at time of s!"mission?

    x D. AA form C-1##.AA,2 to "e !sed for s!"mission?

    Comments'

    $S (. (%A

    x 2/2/! Sample Production Parts

    x A. *!ppier provides sampe parts as specified "y the Cooper !sing pant

    x B. nc!de a note in the PPAP pac

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    Appendix 3 - Supplier PPAP Check List Form Rev Date: April 2!!

    Page 8 of 37

    S"PPL#$R PPAP Check List

    !%!&%2!!'(ote - al)a*s re+er to the Cooper Standard Supplier Portal +or the latest PPAP Checklist version,

    Supplier (ame 4 Location: P4L Development and anu+acturin0

    Cooper Part (um6er: !32!3 Rev Level % Date: 7! 28S$!!

    $S (. (%A

    x 2/2/! PPAP Su6mission =arrant Status

    x A. *!ppier sha s!"mit the re%!ired AAEs orth +dition P* form?

    x B. s the PPAP ready for s!"mission?x C. Has the )arrant "een signed "y an a!thori(ed s!ppier representative?

    x D. Does the part name eGacty match the print inc!ded in the Design ,ecord?

    x +. Do the part n!m"ers eGacty match the print inc!ded in the Design ,ecord?

    x . s there a !ni%!e c!stomer part n!m"er?

    x . Does Change >eve and Date eGacty match the print inc!ded in the Design ,ecord?

    x H. =ote any Additiona +ngineering changes not inc!ded in the reeased eve?

    x . s s!ppier MD* inc!ded?

    x F. s s!ppier P.6. inc!ded?

    x ;. s the correct s!ppier and site code inc!ded?

    x >. s the correct B!yer and B!yer code inc!ded as avaia"e2?

    x M. s the )eight identified in ;g to : decima paces?

    x =. s the C!stomer and the Division appropriatey identified?

    x 6. s the correct s!"mission eve identified?

    x P. s the prod!ction rate per ho!r inc!ded?

    x K. Does the data to s!pport the Prod!ction ,ate eGist in c!stomer specifics?

    x ,. Has the mod/cavity/processes "een inc!ded?

    *. A fieds have "een competed. =/A has "een inserted if any fied is non-appica"e?

    Comments'

    ACC R$>

    D#SP.S#;#.( '+or Cooper Standard to complete,f the PPAP s!"mission meets a Cooper-*tandard re%!irements& chec

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    +==++,= CHA=+ D6C4M+=5*

    =ot Appica"e

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    C4*56M+, +==++,= APP,6A>

    *++ *4PP>+, PPPAP

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    DM+A

    =65 APP>CAB>+

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    Page 11 of 37

    PR.C$SS FL.= D#A?RA

    PA,5 =4MB+,' 1#313# DA5+' @/1/#1

    PA,5 D+*C,P56=' +C>' L1

    Machined ave& Ba 3 port P,+PA,+D B' Christina ,aynaM+5H6D*

    ,eceiving nspectionof 1#3131 ave

    Correct ave inPac

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    Page 1 of 37

    tem' 1#313# Process ,esponsi"iity P0> D++>6PM+=5

    Mode ears2/Programs2 #13 D*/DF ;ey Date 7/1/#1

    Core 5eam' K!aity& Man!fact!ring& +ngineering

    Process *tep

    *everity

    Cassification

    6cc!rrence

    Detection

    ,P=

    / !nction

    ,e%!irements

    1 / ,+C+= 7 @ 9: =one

    9 R 3 @ @ =one

    9 R 3 @ @ =one

    9 R @ @ =one

    9 R 3 @ @ =one

    9 *4A> 9 19 =one

    9 9 19 =one

    P.;$(;#ALFA#L"R$ .D$ A(D $FF$C;S A(ALS#S

    'PR.C$SS F$A,

    Potentiaai!reMode

    Potentia+ffects2of ai!re

    PotentiaCa!sess2of ai!re

    C!rrentProcessControsPrevention

    C!rrentProcessControsDetection

    ,ecommenAction

    PA,5* 645 6*P+CCA56=

    DC4>5 =P,6C+**=

    *4PP>+, *HPP+DPA,5* 645 6*P+CCA56=

    1*5 P+C+CH+C; A5 *+5-4P

    =P,6C+**CH+C;*

    3 / MACH==,AD4* 6=A>+

    ,AD4* =65MACH=+D 56P,=5

    A** >> =654=C56=P,6P+,>

    ,6= ,AD4* 566>*+5 = 54,==C+=5+,

    +,C6,,+C5 566>*+5 = MACH=+

    A5 *5A,5 4P

    1*5 P+C+APP,6A>&=P,6C+**

    CH+C;*

    ,6= 566> 6-*+5C6MP+=*A56= =P,6,AM

    +,P,6,AM 566>C6MP+=*A56== P,6,AM A5*+5-4P

    1*5 P+C+APP,6A>&=P,6C+**CH+C;*

    ,6= P,6,AMB+= 4*+D

    +,C6,,+C5P,6,AM A5*+5-4P

    1*5 P+C+APP,6A>&=P,6C+**CH+C;*

    +C+**+ +A, 6=

    566>

    CHA=+ ,AD4*

    C455= 566>++, @## PC*

    =P,6C+**

    CH+C;*

    8 / A*HA>+*

    C6=5AM=A56=,6M D+B4,,=P,6C+** 6=A>+

    MA CA4*+ A**56 =65 4=C56=

    6P+,A56, A>+D 56C6MP>+5+ 5H+ A*HP,6C+**

    6P+,A56,5,A==&+,CA56=6,M& ,645+,

    7 /C6MP,+**+D

    A, B>6-6

    CHP* ,6MMACH==P,6C+** 6=PA,5*

    MA CA4*+ A**56 =65 4=C56=

    6P+,A56, A>+D 56C6MP>+5+ B>6-66P+,A56=

    6P+,A56,5,A==&+,CA56=6,M& ,645+,

    PA,5* A,+P>AC+D = A,++= B=

    A5+, B>6-6 6P+,A56=

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    Page 13 of 37

    M

    tem' 1#313# Process ,esponsi"iity P0> D++>6PM+=5 M+A

    Mode ears2/Programs2 #13 D*/DF ;ey Date 7/1/#1 M+

    Core 5eam' K!aity& Man!fact!ring& +ngineering

    Process *tep

    *everi

    ty

    Cass

    ifica

    tion

    6cc!rrence

    De

    tec

    tion

    ,P=

    / !nction

    ,e%!irements

    P.;$(;#ALFA#L"R$ .D$ A(D $FF$C;S A(ALS#S

    'PR.C$SS F$A,

    Potentiaai!reMode

    Potentia+ffects2of ai!re

    PotentiaCa!sess2of ai!re

    C!rrentProcessControsPrevention

    C!rrentProcessControsDetection

    ,ecommendedAction

    8 9 9# =one

    1# / *HPP= : 9 @: =one

    / >AB+>= 0PAC;A==A> A4D5

    =C6,,+C5>AB+>= 6C6=5A=+,

    =C6,,+C5 PA,5=4MB+, ,+C++D

    A5 C4*56M+,

    M*>AB+>+D& 6>D5A* =65 ,+M6+D

    6P+,A56,=*5,4C56=&+,CA56=6,M

    *HPP=P+,*6==+> 56+,P,6D4C5 P,6,56 *HPP=

    P,6D4C5DAMA+D H>+

    HA=D>=

    *C,AP/,+6,;/*6,5= 6

    P,6D4C5

    *HPP+, A>+D 566>>6 P,6C+D4,+*

    6P+,A56,=*5,4C56=

    *HPP=P+,*6==+> 56

    +,P,6D4C5 P,6,56 *HPP=

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    Page 1: of 37

    C.(;R.L PLA(

    Contro Pan =!m"er ;ey Contact/Phone Date 6rig.2 Date ,ev.2

    Dave >angey / 9-9#-8@ @/1/#1Part =!m"er/>atest Change >eve Core 5eam C!stomer +ngineering Approva/Date f

    1#313# / L1 K!aity& Man!fact!ring& +ngineeringPart =ame/Description *!ppier/Pant Approva/Date C!stomer K!aity Approva/Date f ,e%Ed

    Machined ave& Ba 3 Port Christina ,ayna< / @-1-1*!ppier/Pant *!ppier Code 6ther Approva/Date f ,e%Ed.2 6ther Approva/Date f ,e%Ed.2

    P 0 > Deveopment P>D+#1

    CHA,AC5+,*5C* M+5H6D*

    =6. P,6D4C5 P,6C+**

    P,6D4C5/P,6C+** +A>4A56=/ *AMP>+

    *P+CCA56=/ M+A*4,+M+=5*S+ ,+K.

    1

    *4A> P+, >65 *4A>

    3

    MACH== R 3 R 3 1.738: Q/- .##8 MC,6M+5+, 1

    8

    A>+ A*H 1##$ P+, >65 *4A>

    7

    1##$ P+, >65

    *4A> 1 CA,56=

    PA,5/P,6C+**=4MB+,

    P,6C+** =AM+/6P+,A56=

    D+*C,P56=

    MACH=+&D+C+

    F& 566>*6, M.

    *P+CA>

    CHA,.C>A**

    C6=5,6>M+5H6D

    ,+C+==*P+C56= 61#3131 A>+

    C6,,+C5 A>+ =PAC;A=

    C=C54,==

    C+=5+,

    MACH=+,AD4* 6=

    A>+

    1#313#C455=

    P,6,AM

    1*5P+C+&

    ++, 8PC*

    C455=P,6,AM&

    6P+,A56,=*5,4C56=&=-P,6C+**

    CH+C;*

    PA,5A*H+,

    ,+M6+D+B4,,=C6=5AM-=A56=

    A*H+,CC>+

    =6 ,+*D4+ 6=A>+*

    *4A>& PA,5,645+,

    C6MP,+**+DA, B>6-6

    B>6-6*5A56=

    ,+M6+CHP* ,6MPA,5*

    =6 CHP* 6=PA,5*

    *4A>& PA,5,645+,

    6P+,A56,=*5,4C56=&=-P,6C+**

    CH+C;*

    >AB+>= 0PAC;A==A> A4D5

    P,6P+,>AB+> A=DPAC;A=

    PA,5* 56 B+PAC;+D A=D>AB+>+D P+,6P+,A56,=*5,4C56=

    6P+,A56,=*5,4C56=+,CA56=

    6,M

    Prototype Pre-Launch Production

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    Page 18 of 37

    C.(;R.L PLA(

    Contro Pan =!m"er ;ey Contact/Phone Date 6rig.2 Date ,ev.2

    Dave >angey / 9-9#-8@ @/1/#1Part =!m"er/>atest Change >eve Core 5eam C!stomer +ngineering Approva/Date f ,e%Ed

    1#313# / L1 K!aity& Man!fact!ring& +ngineeringPart =ame/Description *!ppier/Pant Approva/Date C!stomer K!aity Approva/Date f ,e%Ed.2

    Machined ave& Ba 3 Port Christina ,ayna< / @-1-1

    *!ppier/Pant *!ppier Code 6ther Approva/Date f ,e%Ed.2 6ther Approva/Date f ,e%Ed.2P 0 > Deveopment P>D+#1

    CHA,AC5+,*5C* M+5H6D*

    =6. P,6D4C5 P,6C+**

    P,6D4C5/P,6C+** +A>4A56=/ *AMP>+

    *P+CCA56=/ M+A*4,+M+=5*S+ ,+K.56>+,A=C+ 5+CH=K4+

    PA,5/P,6C+**=4MB+,

    P,6C+** =AM+/6P+,A56=

    D+*C,P56=

    MACH=+&D+C+

    F& 566>*6, M.

    *P+CA>

    CHA,.C>A**

    ,+

    C6=5,6>M+5H6D

    Prototype Pre-Launch Production

    1#

    *HPP= *4A> P+, >65*HPP,6D4C5

    =6 DAMA+ H+=>6AD+D

    *HPP+,P,6C+D4,+

    K4AP,C6

    *4P

    ,+*

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    Page 1 of 37 Pages

    March C-1##3

    Production Part Approval

    Dimensional ;est Results

    6,A=SA56=' P 0 > Deveopment and Man!fact!ring PA,5 =4MB+,' 1#313#

    *4PP>+, / +=D6, C6D+' 1P>D+#1 PA,5 =AM+' achined @alve Ball 3-Port

    =*P+C56= AC>5' P 0 > Deveopment and Man!fact!ring D+*= ,+C6,D CHA=+ >++>' L1 7*+11

    +==++,= CHA=+ D6C4M+=5*'

    5+M 6;

    1 .#:mm 1.738:2 Q/- .13 .##82 8/7/1 @ 1.73: G

    1.73:8 G

    1.73:9 G

    1.73:1 G

    1.73: G

    1.73:# G

    *!rface ,o!ghness 8/7/1 @ Pass G

    3 Ma

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    MA5+,A>/P+,6,MA=C+ 5+*5 ,+*4>5*

    =65 APP>CAB>+

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    K4A>+D >AB6,A56,

    =65 APP>CAB>+

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    APP+A,A=C+ APP,6A> ,+P6,5

    =65 APP>CAB>+

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    *AMP>+ P,6D4C56= PA,5* HA+ B+

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    = *HPP+D P+, ,+>+A*+*.

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    MA*5+, *AMP>+* HA+ B++= ,+5A=

    A=D D+=5+D.

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    D

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    CH+C;= AD*

    =65 APP>CAB>+

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    eight Meas!rement for 1#313#

    12 .#187

    2 .#18932 .#18@

    :2 .#187

    82 .#187

    @2 .#189

    72 .#189

    92 .#18@

    2 .#187

    1#2 .#187

    *!m of 1# U #.1871/ 1# U .#187

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    Appendix @ - Packa0in0 Form Rev - 2

    Packa0in0 #n+ormation F**4+ DA5+'

    PAC; ++C5+ DA5+'

    P0> Deve:#8 Arro) *t.

    *4PP>+, =AM+'

    *4PP>+,

    ADD,+**'

    6scoda& M :978#

    *4PP>+, =4MB+,'

    C*4PP>+, C6=5AC5'

    PH6=+ L'

    A L'

    PAR; #(F.RA;#.( D#$(S#.(S >+=5H'

    1#313#PA,5 =4MB+,' D5H'

    Machined ave& Ba 3 Port=AM+' H+H5'

    L1,+*6= >++>' +H5'

    PACA?#(? #(F.RA;#.( C.(;A#($R R$>+5 MA5+,A> PA>>+5 *5>+ =4

    >+=5H ,4==+,2 HA,D 66D H+H5 *=>+ = =4

    D5H D+C; B6A,D2 *65 66D +H5 D64B>+ = =4

    H+H5 PAP+, >4*H = ,

    +H5 P>A*5C B>6C; PA

    M+5A> 65H+, =

    65H+, H+

    #.##C.S; PAC;A= C6*5 P+, P+C+

    ;RA(SP.R;A;#.( #(F.RA;#.(

    4P*CA,,+, 56 B+ 4*+D' ,+H5 CHA,+*' C6>>+C5 P,

    C*A *HP 56 >6CA56=' *CH+D4>+D PC; 4P 5M+*2'

    *CH+D4>+D PC; 4P DA*2' x M6=DA x 54+*DA x +D=+*DA x 5H4,*DA x ,DA ++;> B-++;> M6

    'CE$C ALL ;EA; APPL,

    S"PPL#$R ;. C.PL$;$

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    Part Su6mission =arrant

    Part =ame Machined ave& Ba 3 Port C!st. Part =!m"er 1#313#

    *ho)n on Dra)ing =!m"er 1#313# 6rig. Part =!m"er 1#313#

    +ngineering Change >eve L1 Dated 7*+11

    Additiona +ngineering Changes =/A Dated =/A

    *afety and/or overnment ,eg!ation P!rchase 6rder =o. C8@####39 eight eve - arrant )ith prod!ct sampes and imited s!pporting data s!"mitted to c!stomer.

    >eve 3 - arrant )ith prod!ct sampes and compete s!pporting data s!"mitted to c!stomer.

    >eve : - arrant and other re%!irements as defined "y c!stomer.

    >eve 8 - arrant )ith prod!ct sampes and compete s!pporting data revie)ed at organi(ationEs man!fact!ring ocation.

    S"B#SS#.( R$S"L;S

    5he res!ts for

    5hese res!ts meet a design record re%!irements' f J=6J - +Gpanation ,e%!ired2

    Mod / Cavity / Prod!ction Process C=C Machining

    D$CLARA;#.(

    +P>A=A56=/C6MM+=5*' MA*5+, *AMP>+ D+=5+D 5H ,++= 5A A=D ,+5A=+D.

    s each C!stomer 5oo propery tagged and n!m"ered?

    6rgani(ation A!thori(ed *ignat!re Christina Raynak Date 7/17/1

    Print =ame Christina ,ayna< Phone =o. 9-73-8#3 aG =o. 9-73-8#8

    5ite K!aity Manager +-mai

    6, C4*56M+, 4*+ 6=> APP>CAB>+2

    PPAP arrant Disposition'

    C!stomer *ignat!re Date

    affirm that the sampes represented "y this )arrant are representative of o!r parts& )hich )ere made "y a process that meets aProd!ction Part Approva Process Man!a :th +dition ,e%!irements. f!rther affirm that these sampes )ere prod!ced at the prod!ctionrate of V3##V/V1V ho!rs. aso certify that doc!mented evidence of s!ch compiance is on fie and avaia"e for yo!r revie). have notedany deviation from this decaration "eo).

    crayna