Critical Component Approval Report
关键零件规格承认书
Number 编号:
12NC (料号):
________________________________________ ________________________________________ ________________________________________ ________________________________________ FOT (首样)
Version No.(版本号) ________________________ Previous sample date (前期样品日期) __________ Modified(修改)
Version No.(版本号) ________________________ Previous sample date (前期样品日期) __________ Final (最终)
Version No.(版本号) ________________________ Previous sample date (前期承认日期) __________
Description (名称) Supplier (供应商) Date (日期) Version (版本):
最终判定(final determinant) Qualified(合格) Unqualified(不合格)
Philips RD (承认者) __________________________ Date: ______________ Philips QC (检验者) __________________________ Date: ______________ Supplier (供应商)
__________________________ Date: ______________
Remark: The component approval report should be issued by supplier together with sample to send to Philips
Luminaires for approval.
此零件承认书须由供应商填写并随样品一起送交飞利浦灯具做承认.
Detail of unqualified (不合格内容)
Remark （备注）
1 Philips Luminaires（Shanghai）Co., Ltd.
飞利浦灯具（上海）有限公司
I. Measure dimension
一、尺寸测量
CheckpointDimension(测量点)(尺寸)12345671011121314151617181920Tolerance (公差)Measuringtools (测量工具)游标卡尺Sample-1样品1Sample-2样品2Sample-3样品3Sample-4样品4Sample-5样品5Conclusion(结论) 1. Those marking Start “*” dimension is the Critical dimensions which require to be measure precisely and state
with the sequent number as showed in the table. (凡是有标示有星号”*”的尺寸为必检尺寸, 需做序号如上表所示并依序填入量测尺寸.)
2. Sampling quantity will be decided by engineer or quality department.(选样数量由工程师或质保部指定.)
3. If the table and space of drawing too big to put in one page, the information can be done in separated page.
(若表格及图纸太大无法置放在一页纸上, 则可以选择放于两页.)
2 Philips Luminaires（Shanghai）Co., Ltd.
飞利浦灯具（上海）有限公司
II. Material property
二、材料特性
(The material property item can be changed when applied different material. 本材料特性表项目可以根据材料的不同, 而做变动.)
Material name (材料名称)Finished (表面处理)Supplier (供应商)Type number (商业牌号)International type number (国际牌号)Material Brand (材料商标)Complied Norms (国标)Material composition (材料成分)Thickness (厚度) mmGravity (比重)Stretchiness (伸长) %Extension percentageElasticity (弹性)Bending strength (弯曲强度) kg/cm-2Impact resistance (冲击强度) m-kg/cmHardness (硬度) RockwellDeflection (挠度)Shrinking percentage %Fire retard (阻燃) °CMelting temperature (耐温度) °C
III． Verification & Certificate
三、测试报告及证书
3 Philips Luminaires（Shanghai）Co., Ltd.
飞利浦灯具（上海）有限公司
The component needs to provide following documents. Please copy the test report and certificate in the attachment. (零件需要提供下面文件, 请将附件测试报告及证书附在后面)
Certificate or Test证书或测试名称Test verification测试方法Equipment仪器Result结果
IV． Sub-supplier 四、下游供应商
If the sub-supplier or row material supplier is changed, please fill the changes in following list: (若下游供应商或原材料厂商有所变更, 须填写下列表格向本公司申报.)
4 Philips Luminaires（Shanghai）Co., Ltd.
飞利浦灯具（上海）有限公司
Items(项目)Supplier (厂商)Applied by(申请人)Date(日期)Approved by(承认者)Date(日期)Remark (备注)
V． Packaging information
五、包装讯息
The components will be packed in which style. How many pieces in a carton and provide which kind of protection. (本零件的包装方式, 多少件装入箱中及提供何种保护方式.)
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5 Philips Luminaires（Shanghai）Co., Ltd.
飞利浦灯具（上海）有限公司
VI． Manufacturing process & Quality control method
六、加工工序与质检方法
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6 Philips Luminaires（Shanghai）Co., Ltd.
飞利浦灯具（上海）有限公司
