/ PART NO
REV
NAME
P.O. #
AFFECTED QTY
QTY IN LOT
PROJ SHIP DATE / GOODRICH AIRCRAFT WHEEL & BRAKE
SUPPLIER MATERIAL
REVIEW RECORD
GOODRICH AWB-9100
FORM # 815
(REVISED 8/04) / PRODUCT SAFETY AND INTEGRITY
RISK CAT______
______
ENGINEER INITIALS DATE
GOODRICH USE ONLY
MRB NO.
ITEM
NO / QTY / SERIAL
NUMBER / DWG/SPEC
REQUIREMENT / NONCONFORMANCE
(DESCRIBE IN FULL) / GOODRICH USE ONLY
SHIP / DO NOT SHIP
CAUSE AND CORRECTIVE ACTION
ITEM
NO / CAUSE / CORRECTIVE ACTION / EFFECTIVE
DATE
ENGINEERING DISPOSITION AND ANALYSIS / SUPPLIER’S QA REPRESENTATIVE
SIGNATURE DATE
ITEM
NO / TYPE / DISPOSITION / ANALYSIS
i / ii
QA DISPOSITION/REMARKS / PREVIOUS OCCURRENCES / GOODRICH ENGINEERING/MRB REPRESENTATIVE
SIGNATURE DATE
ITEM
NO / DISPOSITION / REMARKS / TOTAL / DEG.
ACC. / DEG.
REJ. / PREVIOUS
MRB NOS.
CUSTOMER/DCMC REMARKS
CONTRACT NO.
CUSTOMER P.O. NO.
COMMENTS:

GOV’T. REP. DATE

CUST. REP. DATE
ٱ EACH PIECE ٱ EACH CONTAINER TO BE IDENTIFIED WITH ABOVE MRB NO. BY
ٱ INK STAMP ٱ IMPRESSION STAMP ٱ ELECTRO-CHEMICAL ETCH
GOODRICH QA REP. DATE

INSTRUCTIONS FOR COMPLETING FORM #815

SUPPLIER MATERIAL REVIEW RECORD

A)  Supplier Name and Address – Name and address of the supplier.

B)  Part No. – The applicable part number specified on the Goodrich purchase order.

C)  Revision – The part number revision letter specified on the order.

D)  Name – The description of the part specified on the purchase order.

E)  Purchase Order No. – The Goodrich purchase order number under which the parts are ordered.

F)  Affected Quantity – The number of pieces which are discrepant.

G)  Quantity In Lot – The total number of pieces contained in the lot.

H)  Projected Ship Date – The date that the material is scheduled to be shipped from the supplier’s facility.

I)  Item No. – Assign a number to each discrepancy (1, 2, 3, etc.)

J)  Quantity – The total number of pieces having that discrepancy.

K)  Serial Number – If the items are serialized, enter the appropriate serial number for each item having that discrepancy. If not serialized, then Not Applicable (N/A).

L)  Drawing/Specification Requirement – The requirement as specified on the Goodrich (or applicable) drawing/specification. Include the blueprint zone location if available.

M)  Nonconformance – Describe the specific nonconformance in full, providing actual measurements.

N)  Cause – A brief description of the root cause of the discrepancy.

O)  Corrective Action – A detailed description of the corrective action which will prevent the discrepancy from occurring again. The root of the problem must be addressed.

P)  Effective Date – The date (or serial number, etc.) on which the corrective action becomes fully effective.

Q)  Signature and Date – This document should be signed and dated by an authorized representative from the supplier’s quality organization.

R)  These sections are to be completed by Goodrich.

Upon completion, the Form #815 is to be submitted to the appropriate Goodrich Purchasing department. Goodrich will then review the Material Review Record and either approve or disapprove the request.

If approved, Goodrich will return the Form with marking instructions, approval signature and MRB number. When the review activity finds the material to be unacceptable, the Form will be returned marked “Do Not Ship” and/or “Reject”. The supplier must maintain a copy of the approved Form #815 which is traceable to their records for the affected material.