S3-36零件提交保证书(PSW)临时批准附页 Appendix to Interim Approval of PSW
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注意事项 Notes
状态（Y/N）
Status
日期 Date
供应商品质管理
Supplier Quality Management
Section
□ 建议拒收
Suggest Rejection
高田(上海）供应商品质管理
Takata (Shanghai) Supplier Quality Management Section:
□ 申请临时批准
Apply for Interim Approval
问题点预定完成日期
Estimated Completion Date of Problems:
PPAP再次提交日期
Re-submission Date of PPAP:
临时批准的终止日期
Terminate Date of Interim Approval
临时批准生效期间内防止不良流出对策：
Outflow Prevention Measures during Effective Period of Interim Approval:
经授权的组织代表签字且加盖公司品质部以上章
Signature of Authorized Organization Representative and Seal of Quality Dept. of Company or Above
_______________________________________________________________
日期 Date：________________
□ 申请完全批准
Apply for Full Approval
问题点预定完成日期
Estimated Completion Date of Problems:
PPAP再次提交日期
Re-submission Date of PPAP:
临时批准的终止日期
End Date of Interim Approval:
经授权的组织代表签字且加盖公司品质部以上章
Signature of Authorized Organization Representative and Seal of Quality Dept. of Company or Above
_____________________________________________________________
日期 Date：________________
序号
No.
预定完成日期对策（发生+流出)Countermeasures (Occurance + Overflow)日期 Date：1.3、临时批准后的有效期间内，供方若不符合对策计划，即使按照截至日期或规定的数量交运，部品仍会被拒收。 If thesupplier does not meet the countermeasure plan within the effective period after the interim approval, even in case the delivery is made according to the date or the quantity specified, the parts willbe rejected.1.4、临时批准后，供方重新提出PSW完全批准时，需在PSW上提交原因/其它中注明“第 次提交，被临时批准”且须同时附带已得到高田（上海）供应商品质管理确认各问题点对策完成的PSW附页。 When the supplier re-submits the PSW Full Approval after the interim approval, it is required to, in the area under Reason of Submission / Others,indicate that "Submit for the XX time, beinginterimly approved", together with the appendix to PSW approved by Takata (Shanghai) Supplier Quality Management Section that the completion of countermeasures of each problem.当供方状态不能满足完全批准，且供方未主动申请临时批准时： Where thesupplier's conditions do not meet the Full Approval and the supplier fails to apply for the interim approval forwardly:1.5、高田（上海）供应商品质管理填写问题点并建议拒收，在最高品质责任人在PSW上签署拒收后，将PSW及其附页反馈给供方。Takata (Shanghai) Supplier Quality Management Section fills the problems and suggests rejection and return to the supplier the PSW and the appendix thereof after having been signed forrejection by the top quality person-in-charge.1.6、拒收后，供方重新提出PSW临时批准时，需在PSW上提交原因/其它中注明“第 次提交，被拒收”，且须同时附带制定对策计划并提出临时批准申请的PSW附页。 Thesupplier is to, after being rejected, re-submit the interim approval of PSW and shall, in the area under Reason of Submission / Others,indicate that "Submit for the XX time, being Rejected",together with the formulated countermeasure plan and present the appendix to interim approval of PSW.1.7、拒收后，供方重新提出PSW完全批准时，需在PSW上提交原因/其它中注明“第 次提交，被拒收”，且须同时附带已得到高田（上海）SQE确认各问题点对策完成的PSW附页。 Afterbeing rejected and when the supplier to re-submit the PSW Full Approval, it is required to, in the area under Reason of Submission / Others on PSW,indicate that "Submit for the XX time, beingRejected", together with the appendix to PSW approved by Takata (Shanghai) SQE that the completion of countermeasures of each problem.问题点 ProblemEstimatedCompletion Date责任人
Responsible
Person
高田（上海）确认完成状态 Completion Status Approved
by Takata (Shanghai)
零件提交保证书（PSW）临时批准附页
Appendix to Interim Approval of PSW
1.1、在PSW上声明/解释或说明栏中注明“临时批准申请,详见PSW附页”，须同时附带PSW附页。 Indicate
"Interim Approval Application and Refer to the Appendix to PSW for Details" in the Declare / Explanation or Instruction column in PSW and attach the PSW appendix if necessary.
当供方状态不能满足完全批准时，供方可以主动申请临时批准，此时：
The supplier may forwardly file an application for the interim approval in case the conditions thereof do not meet the full approval, and under such case:
1.2、如果零件不符合或不能证明已符合设计记录的规格，须同时附带已得到高田（上海）批准的特采申请书复印件。 In case
the parts do not or cannot be proved having met the design spec. recorded, it is required to attach thereto the copy of the AOD Application Form already approved by Takata (Shanghai).
TK-SQA-QR-[3-36]
