| Supplier Name | |
|---|---|
| Report No. | |
| Date | |
| Part Number |
| Part Description | |
|---|---|
| Revision | |
| Quantity Inspected | |
| PO Number |
| Manufacturing Process | |
|---|---|
| Inspection Date | |
| Inspector Name | |
| Inspection Location |
| No. | Characteristic | Specification | Measurement | Result | Remarks |
|---|---|---|---|---|---|
| Document Name | Description |
|---|---|
| Inspection Result | |
|---|---|
| Remarks |
| Supplier Representative | |
|---|---|
| Date | |
| Customer Representative | |
| Date |