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Xometry QA2F03 Inspection Report

This document is a quality assurance form for a test part produced by Xometry, detailing inspection and test results for various features of the part. Each feature is assessed for compliance with specified requirements, with all results indicating a 'PASS' status. The form includes measurements, tolerances, and notes for further instructions, ensuring all characteristics meet the drawing requirements.

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Nis Patel
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43 views2 pages

Xometry QA2F03 Inspection Report

This document is a quality assurance form for a test part produced by Xometry, detailing inspection and test results for various features of the part. Each feature is assessed for compliance with specified requirements, with all results indicating a 'PASS' status. The form includes measurements, tolerances, and notes for further instructions, ensuring all characteristics meet the drawing requirements.

Uploaded by

Nis Patel
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Sheet 1 of

Form QA2F03 Rev 5


Customer: Xometry Contact: Meredith Jenkins Partner: Cage Code: 74HM3
Part Number Xometry Mill
1 Partner ID: Lot Size: 1
/ Rev: Test Part
Material / Sample
Finish: Standard 1
Lot #: Size:
Sample Results Columns are required to be completed. Min/Max Results will auto-populate.
(Fonts: Green indicates measurement is within tolerance, Red indicates measurement is out Inspection / Test Results Other Fields
of tolerance, Black is for Xometry internal use only. Do not change formatting.)
Sample Measurement
Balloon: Feature: Requirement: Units Upper Limit: Lower Limit: Min Result: Max Result: Tool Type & Notes/ Deviation Case Number:
1 ID # :
1.
MATERIAL:
1 Note
ANY METAL INCH N/A PASS
6061
PREFERRE
D
2 Note
2. FINISH: INCH N/A PASS
STANDARD
3. MACHINE
BREAK
3 Note
SHARP INCH N/A PASS
CORNERS
AND
EDGES.
4.
COUNTERSI
NKING OF
THREADS
4 Note TO MAJOR INCH N/A PASS
DIAMETER
+.010" IS
ACCEPTABL
E
5. REFER
TO MODEL
FOR FULL
PART
5 Note GEOMETRY INCH N/A PASS
, GENERAL
PROFILE
TOLERANC
E +/-.005"
6.
OPTIONAL:
FOR
APPROVAL
TO ACCEPT
XOMETRY
JOBS WITH
INSERTS,
REPLACE
2X 1/4"-20
UNC WITH:
2X 1/4"-20
6 Note
2B STI INCH N/A PASS
THREADS
AND
INSTALL 2X
1/4"-20, 1.0
*D,
STAINLESS
STEEL
HELICAL
INSERT
PER MFG.
INSTRUCTI
ON (NEAR
SIDE)
7. MACHINE
ENGRAVE
OR LASER
MARK
7 Note XOMETRY INCH N/A PASS
PARTNER
ID ON ANY
125RA
SURFACE
8 Diameter Ø.188 ± .001 INCH 0.1890 0.1870
Sheet 2 of

9 Linear 1.205 ± .001 INCH 1.2060 1.2040


10 Linear 1.250 INCH 1.2550 1.2450

11 Thread
2X 1/4-20 INCH N/A PASS
UNC - 2B
12 Surface Finish 16ė INCH 16.0000 0.0000
13 Linear 2.000 INCH 2.0050 1.9950
14 Linear 3.500 INCH 3.5050 3.4950
15 Linear 2.000 INCH 2.0050 1.9950
16 Linear 1.500 INCH 1.5050 1.4950
17 Radial R.500 INCH 0.5050 0.4950
18 Surface Finish 32ė INCH 32.0000 0.0000
19 Surface Finish 125ė INCH 125.0000 0.0000
The signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition.
Prepared by: Date:

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