GM GPSC REQUEST FOR GAGE CONSTRUCTION / DESIGN REVIEWREQUEST NUMBER: SUPPLIER:ADDRESS:*****SUPPLIER CONTACT:PHONE # :PART #:*** DATE:SQE:SQE PHONE:PLATFORM:# of GAGES REQUIRED: RH/LH or a combination thereof*****PART DESCRIPTION (NOUN NAME): *SQE INPUT / ACTIONREASON FOR REQUEST:NEW GAGE DESIGNCOMPLETED GAGE REVIEWREVIEW COSTSPECIFICATION REVIEWCHANGEGAGE ENGINEER: ** GD&T SPEC. REVIEW DESIGN CONCEPTDESIGN REVIEWATTACHMENTS / INFORMATIONGD&T SHEETSBLUEPRINTS/CADSUPPLIER INFO.CONSTRUCTION, GAGECERT. & GR&R REVIEW NOTE: Gage dimensional certification to GM FixtureStandards & variable data GR&R results must be submittedto GM Gage Engineer in order to obtain full gage approvalINITIALSSTATUS &DATEADDITIONAL COMMENTS:Supplier must include a completed Request for Gage Construction/Design Review form for PPAP Submission.** Gage Engineer Required Information* Required Informationrevised 04/03/2007
