Supplier_Deviation_Disposition_Request_Form_(SDDR).pdf

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Supplier Deviation Disposition Request OSR 45-4 (Rev. 11-01-2016) Page 1 of 2 NOTE 1. Completion instructions attached. 4. Attach additional information whenever necessary.

2. Items 1-19 and 35 below to be completed by Supplier. 5. SRS shall be notified within 5 days after detection of deviation.

3. *Items SRS entries only. 6. A copy of the completed SDDR form shall be included by the Supplier in the Quality Verification Data Package for each item to which this SDDR applies.

Supplier Completed For Supplier Use For SRS Use

14. Supplier's Proposed Disposition

SRS

20. SRS Disposition For Prior Use USQ/TSQ/DATR Application (Print Name/Signature)

23. SRS Disposition Acceptance/Printed Name/Signature Supplier Deviation Disposition Request (Con't) OSR 45-4 (Rev. 11-01-2016) Page 2 of 2 Table A - Documents Requiring Action Identify all change docs and Check Yes or No for each 24.

SRS Document Change Incorporation Required 25.

SRS Specification Change Incorporation Required 26.

Baseline Change Incorporation Required 27.

Supplier Document Change Incorporation Required 28.

Other Document Change Incorporation Required 29.

Nonconformance Report (NCR)

Supplier Issued

If YES, SDDR/DCF cannot be invalidated or modified without CQF approval or reissue of an NCR

30. Methods of Verification (Choose All that apply)

Verify Inspection Attributes cover changes

Verify Inspection Plan/Surveillance Report includes/inspects NCR item

35. SDDR Disposition Supplier/Subcontractor Field Implementation Supplier Deviation Disposition Request (Always include Instruction Sheet with Form) OSR 45-4 (Rev. 11-01-2016) Instructions Sheet This form is to be used by a supplier or subtier supplier after Purchase Order Award to:

a) Notify SRS when manufactured product or service does not meet established contract requirements and to document the supplier’s proposed disposition, with their technical proposed disposition, with their technical (and where appropriate, Cost/Schedule) justification.

b) Notify SRS when the supplier wants to propose changes to the contract documents unanticipated at time of award.

c) Record SRS disposition of the SDDR.

A deviation is any departure from the requirements of the procuring documents, which the supplier has incorporated or proposes to incorporate in the completed item or service provided. Deviation disposition can be classified as “Use As-Is” or “Repair.”

Repair is defined as the process of restoring a nonconforming characteristic to a condition such that the capability of an item to function reliably and safely is unimpaired, even though that item still may not conform to the original requirement. Repair includes alterations to the properties to the material through heat-treating, welding, metal deposition, chemical processing, etc. The SDDR form is not required for cases where SRS has previously provided authorization to proceed, using an accepted repair method for a specific type of repair. Records must be maintained for each specific repair.

A SRS Engineering action and disposition statement does not relieve the supplier from responsibility for the accuracy, adequacy, or suitability of the item or service being provided as defined in the procurement documents, nor does it constitute waiver of the right to renegotiate the terms of the procurement documents.

Block No. Entry Information

1. Supplier’s name and address, city, state and zip code. List same information for subtier suppliers if applicable.

2. Supplier’s order number if one has been assigned.

2.1 SRS specification or drawing number against which a deviation is being proposed.

3. Supplier’s Part Number as applicable from the drawings, catalog, internal specification, etc.

4. Supplier’s Part Name.

5. Date deviation detected and method used to detect deviation (NDE, dimensional, check, visual, etc.).

6. List all previous SDDRs and their dates that have been submitted for similar deviations requested on this purchase order.

7. SRS Purchase Order Number and Revision Number.

8. SRS Buyer Name.

9. SRS Purchase Requisition (item, part, tag or code) Number(s).

10. SRS Part Name, if one has been assigned.

11. Date and method (fax, letter, etc.) used to notify the SRS Supplier Surveillance Representative (SSR) whenever SRS Quality Surveillance is applicable. If the Purchase Requisition identified no requirements for Supplier Surveillance, enter “Not Required.”

12. Date and method (fax, letter, etc.) used to notify SRS Engineering.

13. Describe the deviating characteristics and define the extent of the out-of specification condition for each identified piece affected.

Identify the location of the deviation characteristic by print coordinates or specific location, as applicable. attach reproducible quality extra sheets, sketches, photographs, etc., as necessary. When proposing a change in either supplier or SRS documents; describe the change;

identify the documents completely including title or subject, date and revision; and where appropriate, attach a copy of areas in question.

14. State proposed disposition.

15. Enter cost impact that would result from proposed changes and which will be reflected in appropriate Procurement documents.

16. Enter delivery schedule impact that would result from proposed changes.

17. Describe the proposed disposition and provide technical (and where appropriate cost/schedule) justification for SRS evaluation. Attach reproducible quality copies whenever required. If the deviation is correctable by repair, submit a detailed repair procedure or reference the procedure previously submitted and approved by SRS for use in similar situations. Provide supplier control number and procedure title.

For documents, provide suggested corrective wording, procedures, documents, etc. Provide a copy of each SDDR attachment to the SRS SSR at the supplier’s location.

18. Identify the nature of changes that may be needed on associated supplier documents (drawings, specifications, procedures, installation instructions, etc.).

19. Enter the name (typed or printed) and title of the supplier’s representative authorizing the disposition request and have appropriate signature and date signed.

20. Check SRS Engineering disposition accepted or rejected. Provide justification for the acceptance or rejection in Block 22. Include the appropriate item description, end use, responsible division and functional classification.

21. When a disposition of “Use As-Is,” “Repair,” or “Modify SRS Requirement” is accepted for parts used in nuclear and nuclear support facilities, enter USQ/TSQ Document No. This may be a USQ Screening, USQ Evaluation, or Categorical Exclusion Document No.

If the designated USQS or USQE was created prior to this SDDR and is being reused, then two USQ qualified engineers must sign approving this application. Reference 11Q, 1.05. TSQ screenings are performed in accordance with Manual 19Q, 4.05.

22. Provide appropriate justification for the SRS action(s) indicated in Block 20. When changes to drawings, specification, requisitions, or other SRS documents are involved, each document should be identified and the associated change briefly described. If other suppliers are affected, indicate who they are and the documents that initiated resolution of that involvement. “Other” follow-up action (e.g., the need for additional SRS calculations, additional drawings or sketches, inspection by SRS Engineering representative, etc.) should also be identified here. If SRS action is required, so indicate. State the verification/re-examination method to assure supplier action(s) were performed. This method is defined by the CTF and may be performed as defined by the process; for example, they may be performed by RI or the SSR. They may also be performed by document review or other method(s) defined by the CTF. Refer to baseline change procedures for baseline changes.

23. Originator - Signature of Responsible Engineer.

Verifier/Checker - Signature of the Verifier/Checker reviewing the engineering action and the date signed.

MGR - Signature of the SRS Department Manager and the date signed.

CQF - Signature of the Cognizant Quality Function representative and the date signed.

Buyer- Signature of the SRS Procurement and Materials Management Department representative acknowledging the SDDR.

24. Identify if an SRS Document Change requires incorporation. If “Yes” then identify the documents(s) requiring change.

25. Identify if an SRS Specification Change requires incorporation. If “Yes” then identify the SRS Specification requiring change.

26. Identify if a Baseline Change is required. If “Yes” then identify the Trend Number requesting the Baseline Change.

27. Identify if a Supplier Document Change requires incorporation. If “Yes” then identify the Supplier Document(s) requiring change.

28. Identify if any Other Document Change requires incorporation. If “Yes” then identify the Other Document(s) requiring change.

29. Identify if a Nonconformance Report is associated with this SDDR.

If “Yes” then identify the NCR no.

30. Identify the Methods of Verification.

31. Identify any other Related Docs. If none, enter "N/A

32. Identify any Additional Reviewer(s) required. If none, enter "N/A”.

33. Identify if a Facility Operations Safety Committee (FOSC) review is required. If not required, enter "N/A”.

34. Obtain DC/RO review if required. If not required, enter "N/A”.

35. Upon completion of work, complete the “SDDR Disposition Supplier/Subcontractor Field Implementation” part of the SDDR including the name and signature of the Supplier Quality Manager and date. Include the completed SDDR with the Receipt Inspection Documentation or Subcontract close-out documentation.

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