REPORT # _____
CUSTOMER FIRST ARTICLE
FIRST ARTICLE IN-HOUSE
FINAL INSPECTION REPORT
INCOMING INSPECTION
CUSTOMER RETURN
INSPECTION RESULTS
CUSTOMER: DATE: PO#
PART # REV: DATE CODE: WO#
QTY RECEIVED QTY ACCEPTED QTY REJECTED
REWORK RE-INSPECTION QTY ACCEPTED QTY REJECTED
LEAD ASSEMBLER SAMPLING PLAN USED INSPECTOR TICKET#
DWG DIM. & ACTUAL DWG DIM. & ACTUAL
ITEM NOTES ZONE TOL Dimensions ITEM NOTES ZONE TOL Dimensions
1 11
2 12
3 13
4 14
5 15
6 16
7 17
8 18
9 19
10 20
Inspections Performed
Mandatory Acc Rej N/A Additional Information Acc Rej N/A
1. Workmanship 6. Part # label and date code
2. Identification labels 7. Pin-out
3. Configuration & writing 8. Traveler notes
4. BOM correct parts used 9. Special test
5. Dress & orientation 10. Rework
COMMENTS
CUSTOMER APPROVAL: Yes No By:
Form 8.2.5 Rev 4/8/05