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Part submission warrant (PSW) template

A part submission warrant (PSW) is the one-page declaration a supplier signs to say that the parts it submitted were made with production tooling, gauges, process and materials, and meet every drawing and specification requirement. It is the cover sheet of a PPAP submission. This template has a working form with the sections most customers' PSW forms share, a page of twelve checks to answer before you sign, and an Excel file that counts your results and says whether the warrant is ready to sign.

Free to use: print it, copy it and edit it for your team. Enter your name and work email once to download.

Page 1 of the part submission warrant working formSections for part information, organization and customer, a tick list of reasons for submission, and the five requested submission levels.
Part and customer detailsReason for submissionSubmission levelResults countsDeclaration and signatureCustomer dispositionTwelve readiness checksReady to sign verdict
Filled-in Part submission warrant (PSW) template: a warrant held back by one low Ppk
The same sheet filled in with the worked example (page 4 of the PDF, illustrative numbers). Open full size (opens the picture in a new tab)

When to use it

When to use a part submission warrant template

  • When you prepare a PPAP submission and want to check the warrant against the results before the signature, not after the customer rejects it.
  • For a re-submission after an engineering change, new or moved tooling, a change of material source or a change in how the part is made.
  • When your customer has no PSW form of its own, or when you want a working copy to fill in first and then copy onto the customer's form.
  • To train a new quality engineer: the twelve checks show what has to be true before a person signs for the organization.
  • Not as a replacement for the customer's own form or portal. If the customer requires its form, use this one to prepare the answers.

How to fill it in

  1. 1

    Fill in the part and the customer

    Part name and number, drawing number, drawing change level and date, weight, purchase order, and the customer and application. The change level must match the ballooned drawing and the results.
  2. 2

    Tick the reason and the submission level

    Tick every reason that applies: initial submission, an engineering change, tooling, a source change and so on. Write the level your customer asked for. The contents of levels 2 to 4 vary, so confirm them with your customer.
  3. 3

    Count your results from your own records

    For dimensions, material and functional tests, appearance and the statistical package, write whether each is required, how many items you checked and how many were not OK. The Excel file turns those counts into Yes, No or Not done.
  4. 4

    Write the production rate and the comments

    State the pieces per hours the parts were made at. Anything that does not meet a requirement goes in the comments with the action and the date, never in a corner of another document.
  5. 5

    Answer the twelve readiness checks

    Yes means true and you can show the record. N/A is for a check that does not apply. A blank counts as open. The Excel file counts the open ones and says Ready to sign or Not ready to sign.
  6. 6

    Sign only when the open count is 0

    The authorized person signs and dates the declaration. If you have to submit with a gap, say so in the comments and ask for an interim decision, so the customer knows what it is approving.

What goes with the warrant

The warrant is a summary: the evidence sits behind it

Each result line on the warrant points to a record. If you cannot find the record, the line is not ready to be signed.

  • Dimensional measurements

    What it states
    Every dimension on the drawing was measured on production parts and is within tolerance
    The record behind it
    A ballooned drawing and a results table with the gauge for each row
    Where to build it
    Ballooned drawing and dimensional results template
  • Material and functional tests

    What it states
    Material and performance tests were run and meet the requirements
    The record behind it
    Lab reports from a lab the customer accepts, and the test plan
    Where to build it
    DVP&R template
  • Statistical process package

    What it states
    The special characteristics are capable at the level the customer asks for
    The record behind it
    Capability studies and measurement system studies
    Where to build it
    Cpk study sheet and attribute agreement analysis template
  • Declaration

    What it states
    Made with production tooling, gauges, process and people at the stated rate
    The record behind it
    The process flow, PFMEA and control plan for the part
    Where to build it
    Special characteristics matrix template

A filled-in example

Illustrative, not a benchmark

An example (illustrative): Northfield Stamping Co. (made up) prepares the warrant for a left seat frame bracket, SB-4410-L, for Example Motors, Seating Division (made up). Every name, number and date is invented.

  • The part is on drawing change level C dated 14 August 2026. It is an initial submission at level 3 and the parts were made at 1,200 pieces per 8 hours.
  • Dimensional measurements: 22 items checked, 0 not OK, so the line meets requirements. Material and functional tests: 3 checked, 0 not OK, which also meets.
  • Appearance criteria are not required for this part, so that line is Not required and is left out of the check.
  • Statistical process package: 4 items checked and 1 not OK. The hole position has a Ppk of 1.52 against the customer's target of 1.67, so the line is No and the results line reads No.
  • Readiness: 12 checks, 1 N/A (no appearance approval is required), 10 Yes and 1 open. The open one is check 5, capability for each special characteristic. 10 of 11 counted checks are Yes.
  • Verdict: Not ready to sign. The die was adjusted on 30 October and the study is being repeated. Interim approval is requested until the new study is in.

The form stops the signature at the one number that is not good enough, and the comments already say what is being done about it and what the customer is being asked to approve.

Common mistakes

  • Signing before the evidence is in

    The signature is a statement that the records exist. A warrant signed first and backed up later is the usual reason for a rejection and for a customer audit finding.

  • Drawing change level that does not match

    The warrant, the ballooned drawing and the results all have to name the same drawing level and date. A mismatch looks small and is rejected on sight.

  • Hiding a gap in the results

    A not OK count with a clean Yes on the warrant is worse than an honest No. Write the gap in the comments with the action and the date, and ask for an interim decision.

  • Submitting parts that were not made at the production rate

    The declaration says production tooling, gauges, process, materials and people, at the stated rate. Hand-made or slow-run samples do not support it.

  • Treating a template as the customer's form

    Customers differ in the fields they want and the level definitions they use. Prepare the answers here, then enter them on the customer's own form or portal.

Download the template

Free to use: print it, copy it and edit it for your team. Enter your name and work email once to download.

Run this template in LeanSuite

In LeanSuite quality checks run as digital checklists with number limits, an out-of-spec answer can raise a tag or start a CAPA automatically, and KPI Builder tracks quality KPIs against targets.

See it in a 45-minute demo

FAQ

Part submission warrant (PSW) template: common questions

  1. It is the signed declaration that goes on top of a PPAP submission. The supplier states that the parts were made with production tooling, gauges, process and materials at the production rate and meet every drawing and specification requirement, except any exceptions explained in the comments.

  2. Only if your customer accepts it. Most customers have their own form or portal, and the fields and level definitions differ. Use this working form to prepare and check the answers, then copy them onto the customer's form.

  3. It counts the twelve readiness checks. If every check that applies is answered Yes, it says Ready to sign. If any is No or blank, it says Not ready to sign and shows how many are open. It does not replace your judgment or your customer's requirements.

  4. The one your customer asked for, usually in the purchase order or the supplier manual. The five levels are commonly summarized as warrant only, warrant with samples and limited data, warrant with samples and complete data, a level the customer defines, and a review at the supplier's site. Confirm what each level contains with your customer.

  5. Write it in the comments with the action and the date, say what the customer is being asked to approve, and request an interim decision. Do not show a clean Yes on a result that is a No.

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