SYMBOL & STATUS KEY:
O Name:X Location:
NA Duns:
Contact Name:Completed & Supplier verified only Contact Phone:
E-mail:
P
D u n s /S u b -t i e r c l a s s i f i c a t i o n
D u n s 1
D u n s 2
D u n s 3
D u n s 4
D u n s 5
D u n s 6
T i e r 2
T i e r 3
T i e r 4
Part Name &Number
GM Plant
N/C or CPV
CS Status
PRR Number / Issue
Containment
Cause of Failure Mode Corrective Action Prevent Corrective Action Protect Corrective Action Predict Corrective Action
Key Findings Corrective Action Documentation Updated
Part Name &Number
GM Plant N/C or CPV CS Status PRR Number / Issue
Containment
Cause of Failure Mode Corrective Action Prevent Corrective Action Protect Corrective Action Predict Corrective Action
Key Findings Corrective Action Documentation Updated
Part Name &Number
GM Plant N/C or CPV CS Status PRR Number / Issue
Containment
Cause of Failure Mode Corrective Action Prevent Corrective Action Protect Corrective Action Predict Corrective Action
Key Findings Corrective Action Documentation Updated
Part Name &Number
GM Plant N/C or CPV CS Status PRR Number / Issue
Containment
Cause of Failure Mode Corrective Action Prevent Corrective Action Protect Corrective Action
Symbols
v e A c t i o n
FAILURE MODE
EFFECT OF FAILURE
MODE Champion
DRILL WIDE MATRIX (Ref. GM 1927-69, Drill Deep Matrix)
C o r r e c t i v e A c t i o n
FAILURE MODE
EFFECT OF FAILURE
MODE
Not Applicable
Completed & 3rd Party/GM verified Not Completed Pass Through
Original location
Location with similar process A.P.Q.P.Tiered Supplier
Duns / Location
DDW Completion & Verification
Champion
1Symbols
DDW Completion & Verification
4
Symbols
C o r r e c t i v e A c t i o n
FAILURE MODE
Champion
DDW Completion & Verification
2
Champion
EFFECT OF FAILURE
MODE EFFECT OF FAILURE
MODE DDW Completion & Verification
3
Symbols
C o r r e c t i v e A c t i o n
FAILURE MODE
REV: TBD
Page 1 of 2
File Name: 251331822.xls
Print Date:2015-2-8
D u n s /S u b -t i e r c l a s s i f i c a t i o n
D u n s 1
D u n s 2
D u n s 3
D u n s 4
D u n s 5
D u n s 6
T i e r 2
T i e r 3
T i e r 4
A.P.Q.P.Tiered Supplier
Duns / Location
e
REV: TBD
Page 2 of 2
File Name: 251331822.xls
Print Date:2015-2-8