Title Page

  • Supplier

  • Conducted on

  • Prepared by

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  • If the Supplier wants to complete the PSW on paper rather than online. Attached is a copy of the PSW document that needs to be emailed back to the appropriate Malibu SQE (Matt McDonald or Chris Weatherbie).

Contact Lists & RMA

*Quality Contact will be responsible for logging into Malibu's QT9 Software to supply root cause investigation and corrective actions for any CAR/QA

*RMA information needed when defective product is found: -RMA "return merchandise authorization" (The supplier will issue this) -Contact(s) for RMA's -Shipping Address -Preference on return -Shipping account number (FedEx or UPS) or a Call Tag

Quality Assurance Contact

  • Name

  • Number

  • Email

Sales Contact

  • Name

  • Number

  • Email

Management Contact

  • Name

  • Number

  • Email

Return Merchandise Contact

  • Name

  • Number

  • Email

Production Part Sample Shipping Info

  • Purchase Order:

  • Date Shipped:

  • Carrier Used:

  • Tracking #:

Malibu Engineering Approval

  • Please insert picture/screenshot/snip of Malibu Engineering Approval

Ballooned Part Drawing

  • Please insert ballooned Drawing to the latest/current Revision

Dimensional Results

  • Supplier to use below inspection sheet or their own as long as all information as shown below is reported.

  • Please add dimensional results based off of ballooned drawing. ALL QCD and Safety Critical Dimensions must be measured/reported.

Safe Launch Plan

  • Supplier is to read the attached Safe Launch Plan. If the Supplier Agrees to the Safe Launch Plan, then they will sign the attached copy and upload it below.

  • Please Upload Signed Safe Launch Plan if the supplier has agreed to it's terms.

  • Below is the Safe Launch Labeling that will be needed for the Safe Launch Plan.

Part Warrant

Malibu Part Submission Warrant

  • Malibu Part Name

  • Malibu Part Number

  • Engineering Drawing Change Level and Date

  • Additional Engineering Changes and Date

  • Are these changes backwards compatible?

  • If NOT backward compatible. Are previous revision parts available for service?

  • Shown on Drawing No.

  • Purchase Order No.

  • Engineering Change Level

  • Dated

Supplier Manufacturing Information

  • Supplier Name

  • Street Address

Submission Information

  • Submission Info - Please Check all that Apply

  • Reason for Submission - Please Check all that Apply

  • Requested Level

  • Submission Results - Please Check all that Apply

  • Results meet all drawing and specification requirements?

Declaration

  • I hereby affirm that the samples represented by this warrant are representative of production parts.

  • The part price will be effected by this change.

  • Explanation/Comments

Supplier Authorized Signature

  • Name

  • Title

  • Phone No.

  • Fax No.

  • Supplier Authorized Signature

  • Date

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