SUPPLIER SUBMITTAL REQUEST (SSR)
SSR#:
SSR TYPE (CHECK BOX)
DISCREPANCY
INFORMATION ONLY
CHANGE REQUEST
PROCESS CONTROL PLAN
SUBMISSION
CHANGE REQUEST
SPECIAL PROCESS APPROVAL
SUBMISSION
CHANGE REQUEST
FIRST ARTICLE
PLAN
COMPLETED REPORT
DELTA REPORT
OTHER: ____________________
SUBMITTED BY SUPPLIER
(Name/Address):
DATE SUBMITTED:
RESPONSE NEED DATE:
P. O. NUMBER:
PO LINE ITEM NO:
PART NUMBER/DRAWING REV.:
PART DESCRIPTION:
PROGRAM:
LOT NUMBER/ SERIAL NUMBER:
QUANTITY:
SUPPLIER EMAIL:
AR BUYER:
HAS A SSR BEEN PROCESSED PREVIOUSLY FOR THIS DISCREPANCY?
LIST SSR NOs:
Yes
No
DISCREPANCY DESCRIPTION / CHANGE OR INFORMATION REQUEST
CAUSE OF DISCREPANCY / CONDITIONS/ SOURCES OF REQUIREMENTS
SUPPLIER CONTAINMENT ACTION TAKEN
CORRECTIVE ACTION AND EFFECTIVITY / RECOMMENDED ACTION
SUPPLIER REPRESENTATIVE’S
SIGNATURE:
PHONE:
QMA-F-7.08.06.20.001 Rev. 0
TITLE:
DATE:
SSR NO.
PAGE 2 OF
AEROJET ROCKETDYNE RESPONSE
MATERIAL REVIEW DISPOSITION BY:
QUALITY ASSURANCE
ENGINEERING /DESIGN
GOVERNMENT
PROGRAM MGR
CUSTOMER
DATE:
QMA-F-7.08.06.20.001 Rev. 0
DATE:
DATE:
DATE:
GUIDE FOR USE OF SUPPLIER SUBMITTAL REQUEST (SSR)
The SSR is used by Aerojet Rocketdyne as a means of written communication between Suppliers and Aerojet Rocketdyne to accomplish the following objectives:
(Please check the appropriate block at the top of the SSR form, front page that applies to the information you are requesting.)
1.
Describe material and process discrepancies for which approval by Aerojet Rocketdyne is required.
2.
Present information of a technical nature to Aerojet Rocketdyne for which acknowledgement, concurrence or approval desired or required.
3.
Transmit documentation such as special process procedures, test reports and planning documents specifically required by Purchase Order or Subcontract.
Submittal of certifications, data sheets and test reports stipulated by reference to Quality Assurance Provision do not require the use of the SSR format.
All SSRs must be transmitted from the vendor to the Aerojet Rocketdyne Purchasing Department.
The SSR form should be completed as follows:
1.
SUPPLIER NAME AND ADDRESS - Indicate the supplier facility where the parts were processed.
2.
SSR NO., DATE RECEIVED, DATE PROCESSED - Leave Blank.
3.
P.O. NO., LINE ITEM NO. - Enter the applicable purchase order number and the line item no. Use a separate SSR form for each purchase order and part
number. This is a mandatory field. Contact the Aerojet Rocketdyne buyer if this data is not available
4.
PART NO., PART REVISION, PART NAME - Enter the information as shown in the applicable drawing or specification.
5.
LOT NO., QUANTITY, SERIAL NO’S - Fill in the applicable information as shown in the applicable drawing or specification. For discrepant parts, fill in
quantity and serial numbers prior to corrective action effectivity. Enter N/A if not applicable.
6.
DISCREPANCY DESCRIPTION/CHANGE OR INFORMATION REQUEST
a)
b)
c)
d)
7.
For nonconforming material, describe the discrepant characteristics of the material. Refer to serial numbers and state the applicable requirements
together with the actual measurements or a clear word description of the discrepant characteristics.
For document transmittals, state the full name of the document and the document number.
For conditions requiring clarifications or concurrence, state all pertinent details.
For change requests identify the reference documents and the “WAS” condition to the “TO” condition.
CAUSE OF DISCREPANCY, CONDITIONS, SOURCE OF REQUIREMENTS
a)
b)
c)
8.
For nonconforming material describe the assignable cause of the discrepancy.
For conditions requiring clarification or concurrence, describe the cause of the conditions.
For documentation transmittals, state the name and identification number of the specification or Work Statement requiring the document transmittal.
SUPPLIER CONTAINMENT ACTION TAKEN
a)
b)
c)
9.
For nonconforming material describe the containment action taken by the supplier.
For conditions requiring clarification or concurrence, describe the containment action taken by the supplier.
For documentation transmittals, simply state “Approval Requested.
CORRECTIVE ACTION AND EFFECTIVITY/RECOMMENDED ACTION
a)
b)
c)
Explain what corrective actions have been taken to prevent recurrence of each assignable discrepancy cause. State the effectivity of the corrective
actions by serial number, date, or other effectivity point which can be verified. Include any recommendations for repair, if appropriate.
For conditions requiring clarification or concurrence, state the action taken or the action recommended to be taken by the supplier or Aerojet
Rocketdyne.
For document transmittals, simply state “Approval Requested”.
FOR DISCREPANT MATERIAL ONLY:
Material that fails to comply with purchase order and drawing requirements is discrepant material. When a supplier finds discrepant material, it
should be so marked and removed from normal processing areas. If the discrepant material cannot be reworked to meet specifications, and if in the
supplier’s opinion the material is usable, Aerojet Rocketdyne material review action may be requested by submitting a SSR to the Aerojet
Rocketdyne Procurement Representative.
Transmit the completed SSR form to the cognizant Aerojet Rocketdyne Procurement Representative. DO NOT SHIP THE DISCREPANT MATERIAL
until instructions are received. If the SSR information is telephoned to the Aerojet Rocketdyne Procurement Representative for the sake of saving
time, a confirming written SSR must be transmitted within 24 hours.
The Aerojet Rocketdyne Procurement Representative will advise the vendor of the intended material disposition. If the authorization for use is given,
the vendor will receive a copy of the approved nonconformance record (NC) generated in the Aerojet Rocketdyne system with a reference to the SSR
number. To prevent rejection at Aerojet Rocketdyne receiving inspection of materials shipped under SSR authorization, identify the discrepant
material by tagging within the lot shipped, reference the NC or SSR number on all shipping documentation and material certifications, and include a
copy of the NC/SSR with each shipment.
All SSR dispositions are subject to final acceptance after receipt of material at Aerojet Rocketdyne. After verification of documented discrepancies,
Aerojet Rocketdyne will use the approved SSR as a basis of acceptance of material. Approval of a SSR does not relinquish the rights of either
Aerojet Rocketdyne or the Government to an equitable price adjustment negotiation with the Aerojet Rocketdyne Procurement Representative.
QMA-F-7.08.06.20.001 Rev. 0