SPECIAL PROCESSES
CERTIFICATION
Refer to reverse side for instructions / TO
AEROJET – GENERAL CORPORATION
11411 139th PL NE
REDMOND, WASHINGTON 98052-2025
(Fax) 425-882-5753
ATTN: Aerojet Buyer / FROM
COMPANY NAME AND ADDRESS

This certification applies to Aerojet 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, or Industrial Specification.

Signature of Company Official and Title ______Date: ______

Aerojet QE Approval (To be completed by Aerojet):

Name: ______

Signature: ______Date: ______

INSTRUCTIONS TO SELLER FOR COMPLETING SPECIAL PROCESS CERTIFICATION

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

Note: Contact Procurement Quality Engineer (see contact information on web-based Aerojet Supplier Network, for any clarification or further information.

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

AnodizingBonding Brazing Chemical film Cleaning

Clean Rooms Coatings Finishes, organic and inorganicHeat-treating

Nondestructive testingNonmetallic processes SolderingTestingWelding

Other processes as specified in NADCAP (ref.

*******************************************************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, WA12210
PROCESS CERTIFIED BY
Aerojet / CERTIFICATION DATE
5/6/03 / BASIS FOR CERTIFICATION AND/OR COMMENTS
On-site Audit by Aerojet. 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, WA12210
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, WA12210
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 / CERTIFICATION DATE
4/5/03 / BASIS FOR CERTIFICATION AND/OR COMMENTS
On-site audit by Aerojet on 7/12/04
  1. List the name of special process performed and referenced specification and rev. from Aerojet 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 internal process specifications must be certified by Aerojet.
  3. Date certification was obtained.
  4. Justification for the approval, i.e. On-site audit, test reports, procedure/specification, etc.

Rev: CDocument #SS40809