SPECIAL PROCESSES
APPROVAL
Refer to reverse side for instructions / TO
AEROJET - ROCKETDYNE BUYER / FROM
COMPANY NAME AND ADDRESS

This approval applies to Aerojet Rocketdyne Purchase Order: Part Number: ______Rev. ______

SPECIAL PROCESS NAME , SPECIFICATION AND REV. / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUBTIER SUPPLIER)
PROCESS CERTIFIED BY
/ CERTIFICATION DATE
/ BASIS FOR CERTIFICATION AND/OR COMMENTS
SPECIAL PROCESS NAME , SPECIFICATION AND REV. / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUBTIER SUPPLIER)
PROCESS CERTIFIED BY
/ CERTIFICATION DATE
/ BASIS FOR CERTIFICATION AND/OR COMMENTS
SPECIAL PROCESS NAME , SPECIFICATION AND REV. / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUBTIER SUPPLIER)
PROCESS CERTIFIED BY
/ CERTIFICATION DATE
/ BASIS FOR CERTIFICATION AND/OR COMMENTS
SPECIAL PROCESS NAME , SPECIFICATION AND REV. / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUBTIER SUPPLIER)
PROCESS CERTIFIED BY
/ CERTIFICATION DATE
/ BASIS FOR CERTIFICATION AND/OR COMMENTS

I certify each special process is in compliance with the applicable Military, Aerojet Rocketdyne, or Industrial Specification.

Signature of Company Official and Title ______Date: ______

Aerojet Rocketdyne QE Approval (To be completed by Aerojet Rocketdyne):

Name: ______

Signature: ______Date: ______


INSTRUCTIONS TO SELLER FOR COMPLETING SPECIAL PROCESS APPROVAL

Purpose: The information required by this sheet is intended to ensure that Aerojet Rocketdyne conforms to customer requirements related to process control. First, it identifies when specifications change so that Aerojet Rocketdyne can evaluate the changes for effect on the end product. Second, the form identifies the sub-tier suppliers that process Aerojet Rocketdyne product so that if an issue develops with that sub-tier supplier (identified through GIDEP Alerts or customer Mission Success bulletins), Aerojet Rocketdyne can determine the products that maybe affected.

Note: Contact your buyer or www.rocket.com/supplier-quality

Special processes include, but are not necessarily limited to the following:

Anodizing Bonding Brazing Chemical film Cleaning

Clean Rooms Coatings Finishes, organic and inorganic Heat-treating

Nondestructive testing Nonmetallic processes Soldering Testing Welding

Other processes as specified in NADCAP (ref. http://www.pri-network.org/Nadcap/aboutNadcap/ )

*******************************************************SAMPLE*********************************************************************************

SPECIAL PROCESS NAME , SPECIFICATION AND REV. / SUBTIER SUPPLIER NAME AND ADDRESS
PROCESS CERTIFIED BY / CERTIFICATION DATE / BASIS FOR CERTIFICATION AND/OR COMMENTS
SPECIAL PROCESS NAME , SPECIFICATION AND REV.
/
Cleaning in accordance with MPS-0205, Rev. B, Type I / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUNTIER SUPPLIER)
Clean, Inc.
101 Main St. Anytown, WA 12210
PROCESS CERTIFIED BY
Aerojet Rocketdyne / CERTIFICATION DATE
5/6/03 / BASIS FOR CERTIFICATION AND/OR COMMENTS
On-site Audit by Aerojet Rocketdyne. Note: Items cleaned to SAE-AMS-QQ-P-35 as allowed per spec.

SPECIAL PROCESS NAME ,

SPECIFICATION AND REV.

/ Conversion coating in accordance with MIL-C-5541, Rev.C, Type I Class A / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUNTIER SUPPLIER)
Coatings, Inc.
201 Main St. Anytown, WA 12210
PROCESS CERTIFIED BY
Boeing
/ CERTIFICATION DATE
3/3/02 / BASIS FOR CERTIFICATION AND/OR COMMENTS
Boeing approved supplier since 5/5/01
SPECIAL PROCESS NAME , SPECIFICATION AND REV.
/
EB welding in accordance with AMS 2681, Rev.A / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUNTIER SUPPLIER)
Can Weld Anything
301 Main St. Anytown, WA 12210
PROCESS CERTIFIED BY
NADCAP / CERTIFICATION DATE
8/1/02 / BASIS FOR CERTIFICATION AND/OR COMMENTS
On-site audit by PRI (NADCAP)
SPECIAL PROCESS NAME , SPECIFICATION AND REV.
/
EB welding in accordance with 04-01-000-00, Rev.1, Class 1 / SUBTIER SUPPLIER NAME AND ADDRESS (N/A IF NO SUNTIER SUPPLIER)
N/A
PROCESS CERTIFIED BY
Aerojet Rocketdyne / CERTIFICATION DATE
4/5/03 / BASIS FOR CERTIFICATION AND/OR COMMENTS
On-site audit by Aerojet Rocketdyne on 7/12/04

1.  List the name of special process performed and referenced specification and rev. from Aerojet Rocketdyne drawing and/or PO.

2.  Company name and/or third party organization that performed process certification. Approval by major prime will be considered. Any special process performed in accordance with Aerojet Rocketdyne internal process specifications must be certified by Aerojet Rocketdyne.

3.  Date certification was obtained.

4.  Justification for the approval, i.e. On-site audit, test reports, procedure/specification, etc.

QMA-F-7.08.06.02 REV 0