Sample Inspection Report

Request for Order-No. Rev.

Supplier Report No. Rev. Report No. Rev.

Release Plan No. Rev.

Supplier Address

Company Name

Street Name BSH Serial No.

Post Office Box

Zip Code City Part Designation

Country BSH Drawing No.

Supplier No. Production Location Drawing Status

Project
SIR Recipient (please send all sampling documents to following E-Mail address)

E-Mail: Quantity Ordered Change Request (BSH)

Initial Sample Inspection Subsequent Inspection

Reason for sampling:

New Part Production Relocation New Tool

Part Modification Changed Production Conditions New Raw Material

New Sub-Supplier Long Delivery Interruption

Level of Component Q-Qualification: Short text stating reason for sampling:

In case of Level A or B please expand the sheet and select the enclosed CQP-items
Please select the enclosed items related to this SIR

19 BSH Sample Inspection Report (cover sheet)

10 Material Report/ 11 Measuring Report / 18 Supplier declaration 20 Machine capability 21 preliminary process 22 Reference samples
Material Test Dimension Check (RoHS, REACH) analysis capability analysis

01 Feasibility study/ commitment 05 Control plan 09 Design release 15 Measurement System Analysis (MSA)
(based on requirements)
02 Tooling/ Capacity planning 06 Packaging specification and concept 12 Qualified laboratory documentation 16 Approval evidence for purchased parts from sub suppliers

03 Production layout 07 Advanced quality planning (APQP) 13 FMEA Process 17 Process assessment (Audit)

04 Process flow chart 08 FMEA Product (Design and System) 14 List of test/measurement equipment

We confirm, … BSH Tool No./

Supplier Part No. Delivery Note Date
1. TIN
that the presented samples were manufactured
under standard conditions using standard Delivery Note No. Quantity Delivered (total) Number of Tool
operation resources,
to be completed by supplier

2. the correct implementation of the sample

Supplier's Remarks Quantity Delivered per Cavity Number of Cavities
inspection and recording of the findings in this
sample report (all deviations are indicated in this
report),
3. that the release of products does not exempt
the supplier from his responsibility to deliver the
goods in accordance to the respective valid
drawing and specification,
4. that we accept and will abide by the rules
regarding information and documentation stated
in the quality assurance agreement.

Name / Department Phone & Fax / E-Mail Date Signature

Decision Delivered Quantity Returned

Release Remarks to decision:

Limited Release,
Quantity/ until Date

No Release

New Samples by
(Date)

#NAME?

Name / Department Phone & Fax / E-Mail Date Signature

BSH SIR V16.5

678836396.xlsx
BSH SIR Cover Sheet V16.5
Sample Inspection Report
CQP Check List

Supplier Report Rev. Supplier Supplier No. Production

No. #NAME? ### #NAME? #NAME? location #NAME?

Release Plan No. Rev. Serial No. Part Drawing No.

#NAME? ### #NAME? Designation #NAME? #NAME?

Report-No. Rev. Tool-No. Cavities Project BSH

#NAME? ### #NAME? #NAME? #NAME? Depository

QM department Remark: Independent of the requested items the supplier has to document all applicable records, have to make them available on
Milestones / request and is responsible to ensure the part quality.
Synchronisation
points for: Prior to placement of order this document has to be agreed between BSH QM and Supplier.
The signed component qualification planning has to be send to the responsible BSH QM within 2 weeks after receipt
Planned without explicit request. This document is part of the release documents.
Level of Component Q-Qualification date
A B C Delivery
No. Item
date
Comments
BSH Part Classification
Feasibility study/ commitment
1 (based on requirements) X X -

2 Tooling/ Capacity Planning X -

3 Production Layout X -

4 Process flow chart X -

5 Control Plan X X -

6 Packaging specification and concept X -

7 Advanced quality planning (APQP) -

8 FMEA Product (Design and System) -

9 Design Release -

10 Material report/ Material test -

11 Measuring report / Dimension check X X X -

12 Qualified laboratory documentation E -

13 FMEA Process E -

14 List of test/measurement equipment E -

15 Measurement System Analysis (MSA) E -

Approval evidence for purchased parts

16 from sub suppliers E E -

17 Process assessment (Audit) X -

Supplier declaration on prohibited or

18 declarable substances (RoHS, REACH) X X X -

BSH Sample Inspection Report

19 (full documentation for final release mandatory) X X X -

20 Machine capability analysis X -

21 preliminary process capability analysis X X -

22 Reference samples -

23 -

24 -

additional remark / zusätzliche Bemerkung :

BSH SIR V16.5

678836396.xlsx
BSH CQP Check List V16.5
 Sample Inspection Report
Measuring Report 1

Report-No.: #NAME? Rev. ### RP-No.: #NAME? Rev. #NAME? Page: 1 of

Supplier: Serial No.: Ordering No.:
#NAME? #NAME? #NAME?

Drawing No.: Part Designation: Supplier No.:

#NAME? #NAME? #NAME?

Drawing Status: Quantity Ordered:

#NAME? #NAME?

Name / Dept.: Phone: Date: Signature:

Incoming Incoming Incoming Drawing Date /

No.: Date: Quantity: Status: Name:

Remark

Development department Decision Comment:

Release
No Release
Limited Release until Date Part responsible: Dept.: Date:

Quality department Decision Comment:

Release
No Release
Limited Release until Date Responsible: Dept.: Date:

Modify tool by BSH

Test results Cavity of Part weight

Change Drawing

Correct tool by
(measured):

supplier
Formnest
Teile-Gewicht:

Item-No.: New target

Nominal value Upper allowed Lower allowed Additional Information Actual value (Supplier) Actual value (Customer) value
Drawing deviation deviation
Field: 1 2 3 1 2 3

BSH SIR V16.5

678836396.xlsx
BSH Measuring Report 1 V16.5
 BSH SIR V16.5
678836396.xlsx
BSH Measuring Report 1 V16.5
 Sample Inspection Report
Measuring Report 2

Report-No.: #NAME? Rev. ### RP-No.: #NAME? Rev. #NAME? Page: of

Supplier: Serial No.: Ordering No.:
#NAME? #NAME? #NAME?

Drawing No.: Part Designation: Supplier No.:

#NAME? #NAME? #NAME?

Drawing Status: Quantity Ordered:

#NAME? #NAME?

Name / Dept.: Phone: Date: Signature:

#NAME? #NAME? #NAME? #NAME?

Incoming Incoming Incoming Drawing Date /

No.: Date: Quantity: Status: Name:
#NAME?

Remark

Modify tool by BSH

Test results Cavity of Part weight

Change Drawing

Correct tool by
(measured):

supplier
Formnest
Teile-Gewicht:

Item-No.: New target

Nominal value Upper allowed Lower allowed Additional Information Actual value (Supplier) Actual value (Customer) value
Drawing deviation deviation
Field: 1 2 3 1 2 3

BSH SIR V16.5

678836396.xlsx
BSH Measuring Report 2 V16.5
 BSH SIR V16.5
678836396.xlsx
BSH Measuring Report 2 V16.5
 Sample Inspection Report
Measuring Report Master

Report-No.: #NAME? Rev. ### RP-No.: #NAME? Rev. #NAME? Page: 1 of

Supplier: Serial No.: Ordering No.:
#NAME? #NAME? #NAME?

Drawing No.: Part Designation: Supplier No.:

#NAME? #NAME? #NAME?

Drawing Status: Quantity Ordered:

#NAME? #NAME?

Name / Dept.: Phone: Date: Signature:

#NAME? #NAME? #NAME? #NAME?

Incoming Incoming Incoming Drawing Date /

No.: Date: Quantity: Status: Name:
#NAME?

Remark

Development department Decision Comment:

Release
No Release
Limited Release until Date Part responsible: Dept.: Date:

Quality department Decision Comment:

Release
No Release
Limited Release until Date Responsible: Dept.: Date:

Modify tool by BSH

Test results Cavity of Part weight

Change Drawing

Correct tool by
(measured):

supplier
Formnest
Teile-Gewicht:

Item-No.: New target

Nominal value Upper allowed Lower allowed Additional Information Actual value (Supplier) Actual value (Customer) value
Drawing deviation deviation
Field: 1 2 3 1 2 3

BSH SIR V16.5

678836396.xlsx
BSH Measuring Report Master V16.5
 BSH SIR V16.5
678836396.xlsx
BSH Measuring Report Master V16.5
 Sample Inspection Report
Other Reports

Report-No.: #NAME? Rev. ### RP-No.: #NAME? Rev. #NAME? Page: 1 of

Supplier: Serial No.: Ordering No.:
#NAME? #NAME? #NAME?

Drawing No.: Part Designation: Supplier No.:

#NAME? #NAME? #NAME?

Drawing Status: Please select type of test: Quantity Ordered:

#NAME? #NAME?

Name / Dept.: Phone: Date: Signature:

#NAME? #NAME? #NAME? #NAME?

Incoming Incoming Incoming Drawing Date /

No.: Date: Quantity: Status: Name:
#NAME?

Remark

Development department Decision Comment:

Release
No Release
Limited Release until Date Part responsible: Dept.: Date:

Quality department Decision Comment:

Release
No Release
Limited Release until Date Responsible: Dept.: Date:

Modify tool by BSH

Test results Cavity of Part weight

Change Drawing

Correct tool by
(measured):

supplier
Formnest
Teile-Gewicht:

Item-No.: New target

Nominal value Upper allowed Lower allowed Additional Information Actual value (Supplier) Actual value (Customer) value
Drawing deviation deviation
Field: 1 2 3 1 2 3

BSH SIR V16.5

678836396.xlsx
BSH Other Reports V16.5
 Sample Inspection Report
Components List

Report-No.: #NAME? Rev. ### RP-No.: #NAME? Rev. #NAME? Page: 1 of

Supplier: Serial No.: Ordering No.:
#NAME? #NAME? #NAME?

Drawing No.: Part Designation: Supplier No.:

#NAME? #NAME? #NAME?

Drawing Status: Appendices: Quantity Ordered:

#NAME? #NAME?

Name / Dept.: Phone: Date: Signature:

#NAME? #NAME? #NAME? #NAME?

Incoming Incoming Incoming Drawing Date /

No.: Date: Quantity: Status: Name:
#NAME?

Only to fill out for assembly parts (>1 part) complete by BSH

Part-No. Description No. of SIR SIR

Serial No. Drawing No. Drawing Status Material Colour Paint
Supplier cavities
(Material) (Measure)
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Comments

BSH SIR V16.5

678836396.xlsx
BSH Components List V16.5
 Sample Inspection Report
Process Capability Study

Report-No.: #NAME? Rev. ### RP-No.: #NAME? Rev. #NAME? Page: 1 of

Supplier: Serial No.: Ordering No.:
#NAME? #NAME? #NAME?

Drawing No.: Part Designation: Supplier No.:

#NAME? #NAME? #NAME?

Drawing Status: Appendices: Quantity Ordered:

#NAME? #NAME?

Name / Dept.: Phone: Date: Signature:

#NAME? #NAME? #NAME? #NAME?

Incoming Incoming Incoming Drawing Date /

No.: Date: Quantity: Status: Name:
#NAME?

Results supplier of process capability

Quantity Process Stable Capability Index Remark

Item No.: Parameter Stat. Calc.
Leaflet Samp. yes no cmk ppk cpk

Remark

Decision affected departments Comment:

Release
No Release
Limited Release until Date Signature: Dept.: Date:

Decision Quality department Comment:

Release
No Release
Limited Release until Date Signature: Dept.: Date:

BSH SIR V16.5

678836396.xlsx
BSH Preliminary Process Capability V16.5
 Supplier: Serial No.: Drawing No.:
#NAME? #NAME? #NAME? Material Report
Attention!
If you have more than one type / variant of a part the Serial Supplier Code: Part Description: Drawing Status.: Report-No.: List of Products/ Variants:
#NAME? #NAME? #NAME? #NAME?
No., Drawing No. and Drawing status has not to be filled in. part name of variant / if needed Material No.
Internal
Name / Dept.:
#NAME?
Phone:
#NAME?
Date:
#NAME?
Signature:
#NAME?
RP-No.:
#NAME?
working
area
Used Raw Materials for this SIR/MPP B/S/H/
have to be blue highlighted!
A B C D E F G H I J
ENVIRONMENT

Tests concerning B/S/H/

corrospond to EU-guidline
Does the used substance

delivery specification
1935/2004 and/or FDA
EU RoHS Directive 2011/65/EU

Part Position No. PPN

Coating / Beschichtung

No. of Raw Material

carried out?
Self-colouring / Selbsteinfärbung SIR- or
REACH Candidate List RP-no.
Colour index Supplier of Raw Modification / Modifikation
Part Material Manufacture of Farbe (first release of
Change History name
Remarks
possibly concerning DIN/ISO Raw Material
Trade Name
(concerning
Material
Lieferant (Material)
EU RoHS
compliant
EU RoHS
compliant
EU REACH this raw material
manufacturer) only if deviating to B SVHC connected to
without with
PPN c. Layer Candidate list part name)
exemptions exemptions
version

Supplier
of list

Change / Part BSH a. Trade Name, Thickness(µm) or

Name / Dept. / date of b. Manufacturer
Description Pos. Name / Dept. / date Batch/Varnish/Ink d. Adding Weight yes
change yes / no Yes (X) Exemption No. CAS No. status
No. (%) LV.../no

V0.1 creation of list A plastic parts A

10

B metal parts B

10

C rubber parts C

D oil/resin/paste/grease D

E others / mix E

BSH SIR V16.5

678836396.xlsx
BSH Material Report V16.5
 Short description / Explanation of requirements according part classification

1. Feasibility study
As part of the contract review the supplier has to check all commercial, logistic and technical specification, like drawings, CAD data, test instruction regarding
realization (use of internal check list, technical feasibility studies, capacity planning, cost analysis, packaging requirements, FMEA, …
2. Tooling/Capacity Planning
Supplier has to provide a binding statement (based on e.g. excel template) about tooling plans and cavity information and maximum production rates. The BSH ramp
up / disposition plan has to be taken into account when making the time plan.
The tooling / capacity plan has to be updated with project progress.
3. Production Layout
The supplier has to provide a chart that shows the planned or already existing production layout.
4. Process flow chart
The process flow chart is a simplified presentation of the complete production flow using symbols provided by the supplier. It can be a part of the control plan or
created in a separate document. Ensure that a clear allocation to the control plan is possible.
5. Control plan
A control plan states what should be inspected, when, how, with which equipment and to which extent. It contains important information and quality assurance
procedures which are necessary in the course of a production in order to ensure the quality of the final product. The production flow presented in the process flow
chart must be reflected in the control plan. The control plan shall mention the emergency plan in case of non conformity parts for each controlled item. It is provided
by the supplier.
6. Packaging specification and concept
The packaging will be evaluated regarding its ability to meet the quality specific requirements and will be released within the sampling phase.
7. Advanced product quality planning (APQP)

All quality supporting measures in the project are scheduled and documented in the advanced product quality plan (e.g. all CQP items, internal test reviews). The
applied test depends on the specific product and project requirements. The advanced quality plan defines the necessary measures to fulfill the customer requirements
8. FMEA Product (Design and System)
Suppliers with development responsibility have to execute a Product FMEA. The Product FMEA remains with the supplier and has to be shown to BSH on request.
9. Design Release
If the supplier has the development responsibility, the release has to be checked by BSH R&D.
10. Material Report
If raw material is defined, material report and raw material datasheets needs to be submitted.
11. Measuring Report / Dimension check
For every delivery of iteration sample a measuring report needs to be submitted.
12. Qualified laboratory documentation
Laboratory accreditation or concession by BSH: All external laboratories must be accredited to ISO/IEC 17025. The scope of accreditation must correspond to the
tests performed. If internal or not accredited laboratories are used, the supplier must submit a concession to BSH previously.
13. Process FMEA
The Process FMEA (P-FMEA) is prepared based on the results of the Product FMEA and evaluates potential weaknesses in the production process.
The Process FMEA remains with the supplier and has to be shown to BSH on request.
14. List of test/measurement equipment
The supplier has to provide a list which shows the part specific test/measurement equipment.
15. Measurement System Analysis (MSA), Gauge R&R
The supplier has to provide a MSA study. Analyze the ability of gauges und complete measurement systems regarding accuracy, repeatability, reproducible, stability
and linearity.
16. Approval evidence for purchased parts from sub suppliers
Initial sample inspection report (ISIR), material certification, process assessment, etc.
17. Process assessment at the supplier
Integral part of the component qualification planning for complex parts with submission level A. Process assessment under serial condition at the supplier (or if agreed
also at sub suppliers) as final step for the part release.
18. Supplier declaration on prohibited or declarable substances (RoHS, REACH)
RoHS/REACH declaration will be started via RFO (automatic declarartion process)
19. BSH Sample Inspection Report
The BSH Sample Inspection Report (SIR) is an element of the component qualification planning. It shall be submitted to the responsible BSH-QM organization
regardless of any part qualification.
Link to BSH Sample Inspection Report (SIR) Template
Dimension (see 11.), material (see 10.) and additional test results has to be attached.
Measurement report is included in ISIR and contains the significant characteristics, such as supplier number, test report number and characteristics of sample parts,
as well as the detailed test reports for drawings (dimensions, text,…), for material (material certificates) and for other agreed characteristics (appearance, haptics,
surface, function, reliability, approval tests …).
20. Machine capability analysis
BSH presumes a machine capability index (Cmk) ≥ 1, 67
BSH requirements for process capability specifics can be found in the Leaflet on sampling on the BSH Homepage.
https://www.bsh-group.com/de/unternehmen/global-supply-chain/dokumente
To determine the machine capability index, the template Optional template for cpk calculation posted on the BSH homepage www.bsh-group.com can be used.
https://www.bsh-group.com/de/unternehmen/global-supply-chain/dokumente
21. Preliminary process capability analysis
For regular production, BSH expects a process capability index (cpk) ≥1,33 and optional for release of production
a preliminary process capability index (ppk) ≥1,67
BSH requirements for process capability specifics can be found in the Leaflet on sampling on the BSH Homepage
https://www.bsh-group.com/de/unternehmen/global-supply-chain/dokumente
To determine the process capability index, the template optional template for cpk calculation posted on the BSH homepage can be used.    
https://www.bsh-group.com/de/unternehmen/global-supply-chain/dokumente
22. Reference Samples
At least one sample fulfilling BSH Quality requirements must be kept by the supplier during the product life.
Limit samples e.g. for colors, surface etc. must be marked in a traceable way.

678836396.xlsx BSH SIR V16.0 Dec. 2018

Date of print: 07/14/2023 Measuring Report V14.8
List of Factories (Reference to Sheet "MPB coversheet Deckblatt" coulumns X to AA)

Px Address Applic. Abbrv.

PCG BSH Ikiakes syskeyes ABE Cookers FCGA

8 Parnassou,
GR 18233 Athens,
Greece
PCG Neff GmbH Cookers / Extractor FCGB
Ruiterstr. 8, Hoods
75015 Bretten,
Germany
PCG BSH Electrodomésticos S.A.C. , Cookers FCGCa
Av. Elmer Faucett no. 3551,
C01 Callao-Lima,
Peru
PCG BSH Home Appliances Corporation Cookers FCGF
130 Memorial Drive,
La Folette, TN 37766,
USA
PCG BSH Ev Aletleri Sanayi ve Ticaret A.S. Cookers FCGI
Fevzi Pasa Mah. Batur Sokak,
59501 Cerkezkoy,
Turkey
PCG Gaggenau Industrie S.A.S. Cookers FCGL
Rue Baudelaire - Lipsheim,
F-67412 Illkirch Cedex,
France
PCG BSH Electrodomésticos España S.A. Cookers FCGM
Avda. de la Industria 49,
50016 Montanana,
Spain
PCG BSH Electrical Appliances (Jiangsu) Co. Ltd. Hobs / Extractor FCGNa
No. 1 Ximenzi Road, Nanjing, Hoods
210046 Jiangsu,
P.R. China
PCG BSH Home Appliances Corporation Ranges FCGNb
100 Bosch Blvd, New Bern, NC 28562,
USA
PCG BSH Home Appliances Corporation Cook Tops / FCGNb (2)
100 Bosch Blvd, New Bern, NC 28562, Ventilation
USA
PCG BSH Electrodomésticos España S.A. Cookers FCGS
Avda. Eduardo Garcia 30,
39011 Santander,
Spain
PCG BSH Hausgeräte GmbH Cookers / FCGT
Werner-von-Siemens-Str. 200, Microwaves
83301 Traunreut,
Germany
PCG BSH Sprzet Gospodarstwa Domowego Sp. z o.o. Cookers FCGWr
ul. Żmigrodzka 143,
51-130 Wrocław,
Poland

PCP BSH Hausgeräte GmbH Small Appliances FCPB

Industriestr. 1,
97616 Bad Neustadt,
Germany
PCP BSH Ev Aletleri Sanayi ve Ticaret A.S. Small FCPI
Fevzi Pasa Mah. Batur Sokak, Appliances
59501 Cerkezköy,
Tekirdag-Turkey
PCP BSH Hišni Aparati, d.o.o. Nazarje Small Appliances FCPN
Savinjska cesta 30,
SLO-3331 Nazarje,
Slovenia
PCP BSH Electrical Appliances (Jiangsu) Co. Ltd. Small Appliances FCPNa
No. 1 Ximenzi Road, Nanjing,
210046 Jiangsu,
P.R. China
PCP BSH Hausgeräte GmbH Hot-water FCPT
Werner-von-Siemens-Str. 200, Appliances
83301 Traunreut,
Germany
PCP BSH Electrodomésticos España S.A. Small FCPV
Vitorialanda, 14 Polig. Ali-Gobeo, Appliances
01010 Vitoria,
Spain
PCP BSH Sprzęt Gospodarstwa Domowego Sp. z o.o._x000D_ Small Appliances FCPR
Rogoźnica 300
36­060 Głogów Małopolski_x000D_
Poland

PCP BSH Hausgeräte GmbH Beverage PCP/TE-TPB

Werner-von-Siemens-Str. 200,
83301 Traunreut,
Germany
PDC Dishwasher PDC
BSH Hausgeräte GmbH
Robert-Bosch-Straße 16
89407 Dillingen a.d.Donau,
Germany

PDC BSH Hausgeräte GmbH Dishwasher FDCD

Robert-Bosch-Str. 16,
89407 Dillingen,
Germany
PDC BSH Electrodomésticos España S.A. Dishwasher FDCE
Camino de Mendi s/n,
31191 Esquiroz,
Spain
PDC BSH Ev Aletleri Sanayi ve Ticaret A.S. Dishwasher FDCI
Fevzi Pasa Mah. Batur Sokak,
59501 Cerkezkoy,
Turkey
PDC BSH Sprzet Gospodarstwa Domowego Sp. z o.o. Dishwasher FDCL
ul. Papiernicza 7, 92-312 Lodz,
Poland
PDC BSH Electrodomésticos España S.A. Dishwasher FDCM
Avda. de la Industria 49,
50016 Montanana,
Spain
PDC BSH Home Appliances Corporation Dishwasher FDCNb
100 Bosch Boulevard, NC 28562 New Bern,
USA
PDC BSH Home Appliances Co., Ltd. Dishwasher FDCCh
No. 1 Century Avenue,
Chuzhou Economic & Technological Development Zone,
Chuzhou, Anhui,
P.R. China
EDS BSH Drives and Pumps s.r.o. Drives FEDM
Továrenská 2,
SK-07190 Michalovce,
Slovakia
EDS BSH Electrical Appliances (Jiangsu) Co. Ltd. Drives FEDNa
No. 129 Zhongshan Road, Nanjing,
210005 Jiangsu,
P.R. China

EDS BSH Hausgeräte GmbH Drives PED

Im Gewerbepark B30/B35,
93059 Regensburg,
Germany
PLC Laundry PLC
BSH Hausgeräte GmbH
Wohlrabedamm 15
13629 Berlin,
Germany

PLC BSH Electrodomésticos España S.A. Laundry FLCC

Crta. Castellón s/n,
50720 La Cartuja,
Spain
PLC BSH Household Appliances Manufacturing Private Ltd. Laundry FLCCn
Plot No: S 45, SIPCOT Industrial Park, Pillaipakam,
Vengadu Village, Kanchipuram,
Tamilnadu - 602 105.
India
PLC BSH Sprzet Gospodarstwa Domowego Sp. z o.o. Laundry FLCD
ul. Wedmanowej 10,
93-228 Lodz,
Poland
PLC BSH Ev Aletleri Sanayi ve Ticaret A.S. Laundry FLCI
Fevzi Pasa Mah. Batur Sokak,
59501 Cerkezkoy,
Turkey
PLC BSH Sprzet Gospodarstwa Domowego Sp. z o.o. Laundry FLCL
ul. Papiernicza 7,
92-312 Lodz,
Poland
PLC BSH Hausgerätewerk Nauen GmbH Laundry FLCN
Siemensring 5-9,
14641 Nauen,
Germany
PLC BSH Electrical Appliances (Jiangsu) Co. Ltd. Laundry FLCNa
No. 1 Ximenzi Road, Nanjing,
210046 Jiangsu,
P.R. China
PLC Laundry FLCP
OOO BSH Bytowije Pribory
198515, -Saint.- Petersburg
Peterhof, Karl Siemens st., 1,
build., -A
Russia
PLC BSH Electrical Appliances (Jiangsu) Co. Ltd. Laundry FLCW
No.3 Wanh Zhuang Road, Wuxi,
214028 Jiangsu,
P.R. China
PLC Development Laundry Care Esquiroz Laundry DLCE
Camino de Mendi s/n,
31191 Esquiroz,
Spain
PRF BSH Home Appliances Co. Ltd. Refrigeration FRFC1
No. 1 Siemens Road, 239016 Chuzhou, Anhui,
P.R. China
PRF BSH Home Appliances Co. Ltd. Refrigeration FRFC2
No. 1 Siemens Road, 239016 Chuzhou, Anhui,
P.R. China
PRF BSH Electrodomésticos S.A.C. Refrigeration FRFCa
Av. Elmer Faucett no. 3551,
C01 Callao-Lima,
Peru
PRF BSH Electrodomésticos España S.A. Refrigeration FRFE
Camino de Mendi s/n,
31191 Esquiroz,
Spain
PRF BSH Hausgeräte GmbH Refrigeration FRFG
Robert-Bosch-Str. 100,
89537 Giengen,
Germany
PRF BSH Ev Aletleri Sanayi ve Ticaret A.S. Refrigeration FRFI1
Fevzi Pasa Mah. Batur Sokak,
59501 Cerkezkoy,
Turkey
PRF BSH Ev Aletleri Sanayi ve Ticaret A.S. Refrigeration FRFI2
Fevzi Pasa Mah. Batur Sokak,
59501 Cerkezköy,
Tekirdag-Turkey
PRF OOO BSH Bytowye Pribory Refrigeration FRFP
198515 St.Petersburg,
Petrodvorets, Karl Siemens St.1, bld. А ,
Russia
PRF BSH Sprzet Gospodarstwa Domowego Sp. z o.o. Refrigeration FRFWr
ul. Żmigrodzka 143,
51-130 Wrocław,
Poland
 Change history
Revision Revision
MPP register card single page where what when who
V9.2 CQP coversheet 1 V7.0 L17 new column "production location" PLC/PD-QMS
E71 e-mail added
V9.3 all footer change; comments added; 1/15/2014 PLC/PD-QMS
auto. fill-in-function; first letter capitalized Pöhler, Frank
CQP coversheet 1, Measuring Report 2a, Measuring Report 2b, Process capability 6 V8.0 L17 1 - change field to "Supplier Production Location";
2a;2b - change field to "part weight (measured)"
Confirmation 5, Declaration RoHS 5.1, Declaration REACH Art.33 5.2, V6.0 new version added
Components list 3 V2.0 Line 22 information added "only to fill out for assembly parts"
V9.4 System material report 4 V4.0 G; I; Y change column from "BSH material nr." to "Remarks"; add new column "no. of raw material" 1/15/2014 PLC/PD-QMS
Pöhler, Frank
V9.5 System material report 4 V5.0 H remove column "no. of cavities" 1/15/2014 PLC/PD-QMS
Components list 3 V3.0 Y;Z column "no. of cavities" added Pöhler, Frank
V9.6 Measuring Report V9.0 T-AA Split actual value into min value and max value 2/17/2014 PLC/PD-QMS
Pöhler, Frank
V9.7 Measuring Report I,II V10 O23, CW change column from "comment" to "additional information" 3/6/2014 PLC/PD-QMS
add new column "Remarks / No. of Measured Parts" Pöhler, Frank
BCT-Inspector ready
change "page 2" to "page Measuring Report I"
Measuring Report II V10 line 63
Tool Report new version
all change to ActiveX checkboxes for forcont pdfa export support
System material report Change tab name to Material Report
V9.9 SIR coversheet V9.0 new column: Rev., BSH Change No., Change Part 4/30/2014 PLC/PD-QMS
column Drawing Status move up to Drawing No. Pöhler, Frank
Change name: Fertigungsverlagerung to Produktionsverlagerung, geänderte
Fertigungsbedingungen to Produktionsbedingungen

Update Factory List

V9.901 Material report V5.1 A-D7/8 hint: Used Raw Materials have to be blue highlighted! 4/14/2014 PLC/PD-QMS
Pöhler, Frank
V9.902 SIR coversheet V9.0 E15 fixed deleting PLZ/ZIP-Field 26.04.2014 PLC/PD-QMS
P54-70 add sideline Pöhler, Frank
V10.0 Measuring Report I,II V11 G23-N23 upper/lower tolerance (obere/untere Toleranz) to upper/lower allowed deviation 11/18/2014 PLC/PD-QMS
C23 characteristc target value (Sollwert) to nominal value (Nennmaß) Pöhler, Frank
AC possibility for third value
AH
Material report V5.2 hint: New Raw Materials, but not used for this SIR/MPP have to be yellow highlighted!

SIR coversheet V9.0 N2-N4 Font size from 18 to 16

V11.0 BSH check list V1.0 new sheet 1/20/2015 PLC/PD-QMS
SIR coversheet V10.0 CQP items, Decision Status Pöhler, Frank
Measuring Report 1 V12.0 endless sheet; field remark moved up
Process Capability V9.0 V24 and following "Capability Index"

all new check boxes

V12.0 Measuring Report 2 V12.0 endless sheet; field remark moved up
V12.9 Other Reports V1.0 new sheet;
PLC-QMS
SIR coversheet V10.0 Line 61, 98 groubing (MPP only or with CQP Items) 4/19/2015
Pöhler, Frank
all delete check boxes
V12.91 BSH check list V2.0 OPQ13 Filter function; CQP-No. PLC-QMS
5/5/2015
SIR coversheet V11.0 CDE48 CQP-No. Pöhler, Frank
V13.0 BSH check list V3.0 Final decision of GPT-QMS PLC-QMS
5/28/2015
SIR coversheet V12.0 new order of Items Pöhler, Frank
PLC-QMS
V13.1 Measuring Report und Other Report V13 und V2 AH34-AJ34 Zellenumbruch 6/10/2015
Pöhler, Frank
Coversheet / Address list V13 BSH address list updated CTE-QM
V13.2 BSH check list V3.0 small changings on formate 7/6/2015 PLC-QMS
V13.21 SIR coversheet V12.0 Pöhler, Frank
V13.3 Measuring Report 1 V13.3 P27-AJ32 column formate change from text --> standard 7/30/2015
Other Reports V2.3 P27-AJ32 column formate change from text --> standard PLC-QMS
Measuring Report 1 and Measuring Report 2 V13.3 CA bug fixed (write protection off) Pöhler, Frank
BSH check list V3.3 V60 correction of date column (from U60 to V60)
V13.3 SIR coversheet V13.3 I103 shortcut "limited release until" fixed 9/22/2015 PLC-QMS
all change of print area (footer overlaid) Pöhler, Frank
V13.4 SIR coversheet V13.4 E41-X45 case sensitivity
C36 add letter "Q", now: Level of Component "Q"-Qualification
R89 add word "final"
BSH Check List V3.4 A10 remove "BSH Part Classification"

678836396.xlsx BSH SIR V16.0 Dec. 2018

Date of print: 07/14/2023 Measuring Report V14.8
 all/sheet margin of sheet set to 1 (left and right)
S58/60 case sensitivity
B11 add letter "Q", now: Level of Component "Q"-Qualification
B sideline corrected
Measuring Report 1 V13.4 AI5/AH5 "of" change column AI to AH
AC17 Signature change to "Name"
all/sheet print area adapted (remove column A, scale adapted)
AX41ff column "Name" PLC-QMS
10/2/2015
V34 change design Name/ Part Responsible Pöhler, Frank
Measuring Report 2 V13.4 AI5/AH5 "of" change column AI to AH
AC17 Signature change to "Name"
AG5 remove "1"
all/sheet print area adapted (remove column A, scale adapted)
AX32ff column "Name"
Other Reports V13.4 AI5/AH5 "of" change column AI to AH
AC17 Signature change to "Name"
all/sheet print area adapted (remove column A, scale adapted)
AX41ff column "Name"
V34 change design Name/ Part Responsible
all footer updated
V13.5 Measuring Report 1 V13.5 AD34 Protection deleted 3/10/2016
Material Report V5.5 Z9-13 Change of naming and descriptions (D13-E14, Z9-13 / AA3-14),
AA3-14
V13.5 D13-E14 New column: BSH name / date E12/13
V13.5 F1-F54 New column 6/13/2016
V13.5 C13-C14, Change of naming and description 6/13/2016
G9-G14 PLC-QMS
Measuring Report 1 and Measuring Report 2 V13.5 AH44-AH1000 Change format formating 3/16/2016 Pöhler, Frank
AT, AV, AW Correction of formating
Measuring Report 1 V13.5 B36-AJ42 Quality decision added 4/18/2016
Other Reports V13.5 B36-AJ42
SIR coversheet V13.5 O36 column "Level of Qualification " empty
C39 Items added 7/5/2016
S45, AA41, AA43 Items added
SIR coversheet (Factory Address List) V13.5 B25 PDC Address added
BSH Hausgeräte GmbH; Robert-Bosch-Straße 16;89407 Dillingen a.d.Donau, 7/28/2016 PDC/PLC Pöhler, Frank
Germany
Cookers FCGWr

Dishwasher FDCCh PLC-QMS

8/5/2016
Pöhler, Frank
Refrigeration FRFWr

V13.6 Measuring Report 1 V13.6 G44; R44; AA44 additional column for charge weight
PLC-QMS Pöhler Frank
Measuring Report 2 V13.6 G30; R30; AA30 additional column for charge weight
PCG-DESP Perschl, Franz
Components list V13.6 V23 additional column for charge weight 11/23/2016
R66 PLC-QMS Pöhler Frank;
SIR coversheet V13.6 Is also valid for BSH Serial No.: 12/15/2016 Michael Hoeck
V13.7 SIR coversheet (Factory Address List) V13.7 B25 PCP Address added; BSH Sprzęt Gospodarstwa Domowego Sp. z o.o. PLC-QMS Pöhler Frank;
Rogoźnica 300, 36­060 Głogów Małopolski Poland 3/20/2017 GIT-PLTO Krakowiak, Marcin
PLC-QMS Pöhler Frank;
V13.8 SIR coversheet V13.8 B25/26-Z25/26 E-Mail address field added for new RFO Process 4/26/2017
Michael Hoeck
Measuring Report 1 PLC-QMS Pöhler Frank;
Line 32, 41 date column for decision 5/25/2017
V13.9 Other Reports V13.9 (Ertl, Christian)
SIR Coversheet C23/24 SIR recipients 6/1/2017 Michael Hoeck
SIR Coversheet V14.0 AA2 Ordering No. changed to RFO-No.+ Rev.
AS61 Tool no. Changed to BSH Tool No.
AA10 Is also valid for BSH Serial No.: deleted, BSH Serial no. bigger PLC-QMS Pöhler Frank;
V14.0 6/1/2017 PCG-DESP Michael Hoeck,
AS63 Number of Tools changed to Number of Tool
PRF-QMS Michael Buehler
Quantity Ordered deleted? Info from RFO
AA44 Injection process specification sheet added to CQP item 19h?
V14.1 SIR Coversheet AI3 Correction of type of column (Namensmanager) Ordering No.
Measuring Report 1
V14.1 8/20/2017 PLC-QMS Pöhler Frank
Measuring Report 2 charge weight column from V13.6 deleted
Components list
V14.2 SIR Coversheet AG22 change formate font size 18 ->11 PLC-QMS Pöhler Frank
V14.2
new tab "Measuring Report Master" needed for introduction of PMI 9/28/2017 Rodriguez, Gaetan (GIT-EUCS2)
V14.3 SIR Coversheet V14.3 AA24 toAO24 change Column BSH Change No to Change Request (BSH) 10/4/2017 PLC-QMS Pöhler Frank
AA24 Quantity Ordered again implemented Rodriguez, Gaetan (GIT-EUCS2)
V14.4 SIR Coversheet V14.4 AG15 Correction of type of column (Namensmanager) Desigantion 10/12/2014 PLC-QMS Pöhler Frank
V14.5 SIR Coversheet V14.5 Add in "Namensmanager Change_Request, bigger column "Company Name"
V14.5 B29-Z33 BSH Hausgeräte GmbH PLC-QMS Pöhler Frank,
Measuring Report 2; Measuring Report Master, Other Reports V14.5 Line 16-19 corrected Incoming No., Date, Quantity, Drawing Status., Date/ Name PCG-DESP Michael Hoeck,
10/23/2017 PRF-QMS Michael Buehler,
PRF-DETP Bormann, Marietta,
678836396.xlsx
Date of print: 07/14/2023
PRF-QMSQ Eberhard,
BSH SIR Stefan
V16.0 Dec. 2018
Measuring Report V14.8
 10/23/2017 PRF-QMS Michael Buehler,
Measuring Report 1+2; Measuring Report Master, Other Reports V14.5 B Column B bigger (from 39 to 45 Pixel); Incoming No. for 10 digits
PRF-DETP Bormann, Marietta,
Components List, Process Capability V14.5 Line 16-19 corrected Date/ Name PRF-QMSQ Eberhard, Stefan

V14.5 IT-file All sheets checked. 11/20/2017 PLC-QMS Pöhler Frank,

V14.6 CQP description links to BSH Hompage SIR, CMK and CPK corrected 11/20/2017 PLC-QMS Pöhler Frank,
V14.7 SIR Coversheet V14.7 all checkboxes corrected; X available 1/22/2018 PLC-QMS Pöhler Frank,
V14.8 Measuring Report 1 V14.8
single columns connected in the areaof development decision and
Measuring Report Master V14.8 U27; U36 2/7/2018 PLC-QMS Pöhler Frank
quality decision
Other Reports V14.8
V14.9 Coversheet / Address list V14.9 BH, BI, BJ FLCC, FLCCn, FLCD was missing 3/19/2018 PLC-QMS Pöhler Frank
V15.0 Coversheet / V15.0 BZ26;+OP36 OP36 now yellow 6/18/2018 PLC-QMS Pöhler Frank
Factory List Line 28 was deleted, line 27 new address, new line for PLC ,
V15.0 Coversheet / V15.0 line 48-58 Check boxes line 48-58 were corrected 8/8/2018 PLC-QMS Pöhler Frank
V15.0 Coversheet / V15.0 R-BD 67-70 format changed to left side 8/21/2018 PLC-QMS Pöhler Frank
V16.0 Coversheet / V16.0
BSH CQP check list V16.0 update of CQP Process, CQP-Items, RoHS + REACH SAP declaration (+ link deleted) 1/11/2019 PLC-QMS Pöhler Frank
CQP description V16.0
V16.1 Measuring Report 1 V16.1 X-AA32 and 41 adapt format
Measuring Report Master V16.1 AD/AE32 and 41 1/20/2020 PLC-QMS Pöhler Frank
Other Reports V16.1 AH/AI32 snd 41
BSH CQP check list V16.1 AL6 BSH Depository-link to Coversheet was deleted
V16.2 Coversheet / V16.2 I90 change from standart to text format 6/9/2020 PLC-QMS Pöhler Frank
V16.3
V16.4 All sheets V16.4 change format, font size, columns size, row size … 1/22/2021 PRF-QMSQ Eberhard, Stefan
V16.4.1 All sheets V16.4 change all Date format to Text 5/18/2021 PRF-QMSQ Eberhard, Stefan
V16.4.2 All sheets after testing this version will be renamed to V16.5 V16.5 change all Date format from Text to Englisch (Vereinigte Staaten) DD-MMM-JJJJ 5/18/2021 PRF-QMSQ Eberhard, Stefan
V16.5 All sheets V16.5 change all Date format from Text to Englisch (Vereinigte Staaten) DD-MMM-JJJJ 5/18/2021 PRF-QMSQ Eberhard, Stefan

678836396.xlsx BSH SIR V16.0 Dec. 2018

Date of print: 07/14/2023 Measuring Report V14.8