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[Company Name]

[Company Group, Division, Location]

Final Inspection/Test & Audit Record


PART DATA
PART NO. PART DESCRIPTION PO NO.

INSPECTOR DATE QTY. RECEIVED QTY. INSPECTED QTY. REJECTED


  /  /  
COMMENTS

INSPECTION & AUDIT INFORMATION


SAMPLE CHAR. TOL. INSPECTION/TEST I/T AUDIT OUT OF
SIZE METHOD FINDINGS FINDINGS TOL. BY

AUDIT RESULTS
AUDITOR NAME SIGNATURE DATE
ACCEPT REJECT
  /  /  

Form No. _____ Rev No. _____

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