Date :
Report No.: ACT-IIR-
Incoming Inspection Report Sample size :
Customer Name : Supplier Name : Raw Material Details
Item Name : Part Rev. No. : Lot Qty. : Material/Grade : Heat No. :
Part No. : Lot Size : Ref. No. :
Sample observations Remarks /
Sl No. Characteristics Specification Instrument used
1 2 3 4 5 6 7 8 9 10 Result
Remarks :
Lot Accepted Lot Rejected Concession Accepted
Conclusion
Name : Sign. : Stamp :
Inspected by : Approved by :
Note : 1.Please mention customer name, only if applicable to specific customer.
2. Sampling Size can be formed according to MIL-STD-105E (Table 1 & Table 2 A)