Final

REVALIDATION REPORT OK / NG
Result Approved By (Plant Head)

SHOP /
PART NAME Insp Date
PLANT

LINE
PART NO
(Vendor)
Insp Result OK / NG
VENDOR NAME BATCH CODE

Done by Checked by
VENDOR CODE MODEL
(Person I/c) (Quality Head)

For: Appearance check 5 For: Dimensional check 3 For: Material testing and other tests. 1
Observation
OK-O
S.No Inspection Item Specification
NG-X
1 2 3 4 5

Enclosures: (1)…………………………….….………… (2)………………………..………...………… (3)…………………….……...…………… (4)……………………………...…………

 QAPQ -
REVALIDATION REPORT
Observation OK-O
S. No Inspection Item Specification
1 2 3 4 5 NG-X

Format no. - QAPQ/RR/002 1