FORMULAIRE QUALIT

Demande daccord fournisseur/AUXITROL sur les

volutions techniques et/ou de fabrication
(Communication of technical and/or manufacturing evolution)

FQ 27 - 00
dition Avril 2006

1 Identification du produit (product Identification):

FOURNISSEUR (supplier) :
General
or

LOCALITE (plant location):

Description du produit (description of product):
P/N :
NatCos (FR, UK, GE, SP) code :

2 Description de l'volution (description of the change):

2.1 Type d'volution (type of the change):
2.1.1 : Emplacement ou disposition des installations
(Plant location or lay-out)
2.1.2 : Mode de transport (transportation mode)
2.1.3 : ERP (Enterprise Resource Planning system)
2.1.4 : Rorganisation de la Direction et du Personnel
(Top level organisation and personal)
2.1.5 : Procds : fabrication, assemblage, essais, contrles, outillage
principal
(Process : manufacturing, assembly, tests, inspections, main
tool)
2.1.6 : Principaux fournisseurs et sous-traitants
(major supplier or subcontractor)
2.1.7 : Autre (other) ______________________________________

Yes

No

Yes

No

Yes

Yes

No

Yes

No

(*)

Yes

No

(*)

Yes

No

(*)

No

2.2 Identification de l'volution (change description):

2.3 But et description de l'volution (objectif and description of modification):

2.4 Application (N de srie, date de fabrication, ...) Application (serial number, manufacturing date, ..):

3 Identification et rduction des risques action/status (risks identification and mitigation

action/status):
Description et rfrence du dossier (Description and reference of file) :

4 Plan associ (associated drawing):

5 Informations complmentaires (complementary information):

Description ou rfrence du document (description or reference of document) :

6 Validation fournisseur (supplier Approval)

Validation AUXITROL (AUXITROL approval)

AUXITROL S. A. PROPRIETARY INFORMATION This document and all information contained therein is the property of
AUXITROL S. A. It is confidential and cannot be copied or disclosed in any way without prior written authorisation

FORMULAIRE QUALIT
Demande daccord fournisseur/AUXITROL sur les
volutions techniques et/ou de fabrication
(Communication of technical and/or manufacturing evolution)
Title :
Name:
Date:
Visa:

FQ 27 - 00
dition Avril 2006

Title :
Name:
Date:
Visa

(*) Si l'volution peut avoir un impact sur la qualification du produit; appliquer la procdure
Premier Article pour complter cette forme (If the evolution may have an impact on product
qualification, use the first article procedure in order to complete this form)

AUXITROL S. A. PROPRIETARY INFORMATION This document and all information contained therein is the property of
AUXITROL S. A. It is confidential and cannot be copied or disclosed in any way without prior written authorisation