Annex 14 to DP 2-00-00-3-40-101

Release procedure of new suppliers / manufacturing process for

Casting Parts / Gussteile
Reponsible Projectmanager Department Date Signature

[corresponding department]
Customer involved:
Customer: [fill in name of customer; if required]

Is a customer information required? NO n.a.

Is a customer release required? NO n.a.
Group of parts/material concerned:
Qualified in C4s.
Supplier [fill in name and address of supplier] [select item]
Done by Purchasing Department:
Number of part/material [fill in drawing number] Task for SPR none

Reason of qualification [select item] Colour categorization [select item]

Relevant technical delivery terms:

obtained according to norm Former Aluminium raw parts VA 2-F344-103

The following documentation has to be provided by the supplier:

Initial Sample Test Report YES Date of delivery .xx.xx.20xx
Reports of material [specified by product owner] YES Date of delivery .xx.xx.20xx
Certificate 9001; 14001,… [specified by quality department] YES Date of delivery .xx.xx.20xx
Data sheet lubricant [specified by responsible project manager ] NO Date of delivery n.a.
Source of supply from raw material and/or data sheets including UL Listing no
Required minimum quantity of the samples: Arrival in Factory/Location
Initial sample required: 10 unit [remarks, if required] Arrivaldate: xx.xx.20xx [remarks, if required]
Production test (pilot series) required: 5-50 unit one customer order minimum Arrivaldate: xx.xx.20xx [remarks, if required]
Required process test and confirmations:
Completion
No. Tests required Scope of tests
responsible planned date revised date report no. Costs in ...

Initial sample test report

1 First sample test report Incoming
Conductivity as mentioned on the drawing Quantity :10
Inspection

2 Material test Spectral analasys Quantity: 1, X-RayQuantity: 3

Test Department
On dielectric parts
3 High Voltage Test
Quantity 3 Test Department
Temperature rise within a breaker for
4 polehead, pole support and cooling 1 Brraeker in 3AH3 or 3AH4
devices, if necessary Test Department
Quality Assurance Inspection / Supplieraudit/ Pre- Quality
5 If necessary supplier visit
Assessment; If necesary: Prior First Sample Arrival Department

6 Preliminary product approval according to DP 2-05-00-2-45-001 Q, Product

Management

7 Prelimilary series SPC

Q / Product
Documentations, like drawings, implemented in all relevant systems, homologation status has to be Management/
8
checked Product
responsible
Global
9 If necessary information to responding factories abroad (SPC´s) Operations
Granting of the final product approval according to DP 2-05-00-2-45-001
10 Note: Original must be placed at QM, copy in DVS i.e. under 8QR (SWB) coordinated by the project
manager Project manager
Total costs 0

Siemens AG
Medium Voltage and Systems
Simone Wienhausen