Passed
Failed
On Hold
Failed / On Hold
Mis-Inspection
INSPECTION REPORT
Example Company
CLIENT
XXX00039258E
1
OF
5
QC Engineer
Technical Supervisor
REPORT NUMBER
ATTENTION
PAGE
TITLE
Quality Manager
Inspector / Reviewer
FAX NUMBER
INSPECTION DATE
CC TO
VENDOR
TITLE
MANUFACTURER
FAX NUMBER
INSP LOCATION
THIS DOCUMENT SERVES AS EVIDENCE THAT PRO QC INTERNATIONAL LIMITED HAS PERFORMED THE INSPECTION SERVICES DETAILED HEREIN.
TYPE OF
X
SERVICE
REFERENCE
PRODUCT
DESCRIPTION
FINAL PRE-SHIPMENT INSPECTION
1ST RE-INSPECTION
2ND RE-INSPECTION
OTHER:
Page
2~5
Page
2~5
Page
2~5
Page
2~5
Page
2~5
Stethoscope
Stethoscope
Stethoscope
Stethoscope
Stethoscope
1
2
3
4
5
Blue
Yellow
Yellow
Red
Blue
PART NUMBER
COLOR / FINISH
SPEC / REV
P.O. NUMBER
736
736
736
736
736
UNIT OF MEASURE
pcs.
pcs.
pcs.
pcs.
pcs.
BOOKING
QTY. / CARTONS
3,000
30
5,000
50
500
5
500
5
500
5
ACTUAL
QTY. / CARTONS
3,000
30
5,000
50
500
5
500
5
500
5
INSPECTED
QTY. / CARTONS
15
4
25
3
2
1
2
1
2
1
INSPECTION RESULT
Passed
Passed
Passed
Passed
Passed
SEE NOTE NUMBER
REFERENCE
PRODUCT
DESCRIPTION
Page
2~5
Page
Page
Page
Page
Stethoscope
PART NUMBER
6
COLOR / FINISH
Black
SPEC / REV
P.O. NUMBER
736
UNIT OF MEASURE
pcs.
BOOKING
QTY. / CARTONS
1,000
10
ACTUAL
QTY. / CARTONS
1,000
10
INSPECTED
QTY. / CARTONS
4
1
INSPECTION RESULT
Passed
SEE NOTE NUMBER
Number
APPLICABLE REMARKS
THE RESULTS DETAILED AND DETERMINATION JUDGED IN THIS DOCUMENT REFLECT THE FINDINGS OF PRO QC INTERNATIONAL AT THE TIME AND PLACE OF INSPECTION
ONLY. EVIDENCE OF ACTUAL SHIPMENT IS NEITHER OFFERED NOR IMPLIED. THIS REPORT DOES NOT RELEASE THE VENDOR OR MANUFACTURER FROM ANY OBLIGATIONS,
CONTRACTUAL OR OTHERWISE, IN EFFECT WITH THE CLIENT TO REPAIR, REPLACE, OR COMPENSATE FOR ANY PRODUCT OR PART THEREOF IN WHICH DEFECTIVE
CONDITIONS MIGHT HEREAFTER BE FOUND OR SUBSEQUENTLY DEVELOP. PRO QC INTERNATIONAL ASSUMES NO RESPONSIBILITY, AND SHALL IN NO WAY BE HELD LIABLE,
FOR ANY DEFECTIVE CONDITIONS BEYOND THOSE CLEARLY DETECTABLE WITHIN THE LIMITS OF THE SPECIFIC INSPECTION SERVICES ORDERED BY THE CLIENT.
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Gage or Test Equipment
Measurement
Range/Size
Resolution
/Type
Calibration
Date
Owned by
N/A
Photograph of Special Gages
REFERENCE PHOTOS FOR JOB # XXX00039258E
Photo Removed
Signed report showing the inspection results were reviewed with the factory.
The signed “Integrity Declaration” OP-01-42
A. Product Storage and Packaging Conditions
Photo Removed
Product Storage
Photo Removed
Master carton
B. Product Labeling and Logo
Photos of product and labeling have been removed from this example report.
C. Product View
Photos of the product have been removed from this example report.
D. Testing
Photo Removed
Sound transmission testing
Sound transmission testing
Photo Removed
Sound transmission testing
Photo Removed
Selector valve rotation testing
Selector valve rotation testing
Selector valve rotation testing
Photo Removed
Selector valve rotation testing
Selector valve rotation testing
Selector valve rotation testing
Accessory component fit testing
Accessory component fit testing
Binaural connecting spring construction testing
Binaural connecting spring construction testing
E. Mechanical Dimensional Measurements
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
Y-tubing measurement
---End---