Inspection Report

Report Ref. No.:

To : Fax / E-mail :
At t :
Cc : Fax / E-mail :
At t :
From : Fax / E-mail :
File No.: Dat e: Regist rat ion No.:
Buyer :
Agent :
Supplier :
Manuf act urer :
Product descript ion:
St yle Number : Not Available
P.O. Number: Not Available
Service perf ormed : Inspect ion Dat e :
Inspect ion Locat ion :

REFERENCE SAMPLE PROVIDED:

By Principal By Supplier By Manuf act urer Not Available

OVERALL INSPECTION CONCLUSION:

Conform Not Conform Subject To Client ’s Decision

(in comparison t o principal’s inst ruct ions and ref erence sample, as available)
INSPECTION SUMMARY:
1.Workmanship appearance: Conf orm Not Conf orm Not Applicable Subject to client
’s evaluation
2. Quant it y : Conf orm Not Conf orm Not Applicable Subject to client
’s evaluation
3. St yle, mat erial , color : Conf orm Not Conf orm Not Applicable Subject to client
’s evaluation
4. Packing : Conf orm Not Conf orm Not Applicable Subject to client
’s evaluation
5. Marking / label : Conf orm Not Conf orm Not Applicable Subject to client
’s evaluation
6. Dat a measurement / Conf orm Not Conf orm Not Applicable Subject to client
’s evaluation
f unct ion / f ield t est s :
Reservat ion:

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INSPECTION METHOD APPLIED:
Inspect ion met hod: P-INSP- WI - (version )
ANSI / ASQ Z1.4- 2003, Single sampling plans f or normal inspect ion, Level I or II or ot hers____:
Accept able Qualit y Level (AQL) f or: Crit ical: Major: Minor:
Sample size inspect ed:
Samples select ed f rom cart on numbers:

1. WORKMANSHIP APPEARANCE / FUNCTION INSPECTION FINDINGS:

Def ect descript ion Crit ical Major Minor

T ot al def ect ives:

Maximum allowed:

Request ed AQL Crit ical def ect ive maximum allowed: _________ Wit hin AQL Beyond AQL
Major def ect ive maximum allowed: _________ Wit hin AQL Beyond AQL
Minor def ect ive maximum allowed: _________ Wit hin AQL Beyond AQL

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2. QUANTITY:
St yle / It em/ P.O. No. Order Qt y. Inspect ion Qt y. (pieces/ set s) Number of Cart ons
Art icle (pieces/set s) ( Present ed Qt y f or inspect ion)
Packed Not Packed Packed Not packed

T ot al:
3 . PRODUCT CONFORMITY:
3 .1 Style conformity: Conf orm Not Conf orm Not applicable Subject to client’s evalu
ation

3 .2 Material conformity: Conf orm Not Conf orm Not applicable Subject to client’s evaluation

3 .3 Color conformity : Conf orm Not Conf orm Not applicable Subject to client’s evaluatio
n

Note: Two color shading lots in one color within g rade 4 are acceptable commercially.

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4 . PACKING:
4.1 Individual packing Conform Not Conform Subject to client’s evaluation
conf ormit y :
Det ails please see phot o.

4.2 Inner packing conf ormit y : Conform Not Conform Subject to client’s evaluation
Det ails please see phot o.

4.3 Export packing conf ormit y : Conform Not Conform Subject to client’s evaluation
Det ails please see phot o.

4.4 Packing assort ment : checked on cart ons, Conf orm .

Not Conf orm

Carton No. Size/ style Color Deviation ( +/ - samples)

5 . MARKING / LABEL:
5 .1 Export Carton Marking Conform Not Conform Subject to client’s evaluation
A. Shipping mark conf ormit y: Printed/written/stuck on one/two long/short side
Details please see photo.

B. Side mark conf ormit y: Printed/written/stuck on one/two long/short side

Details please see photo.

5 .2 Label / Hang tag Conform Not Conform Subject to client’s evaluation

A.

B.

C.

D.

E.

F.

G.

5 .3 Bar code content Conform Not Conform Subject to client’s evaluation

5 .4 . Others Conform Not Conform Subject to client’s evaluation

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6. PRODUCT-SPECIFIC DATA MEASUREMENTS/ FIELD TESTS ON REDUCED SAMPLE SIZE (as
applicable f or specif ic product /order)
6.1 Size measurement check on ____ sub-samples: within beyond tolerance actual finding,
Details please see attached size measurement chart.

Product weight check on 3 pieces per size: within beyond tolerance actual finding. (unit: gm/piece)
Factory scale: brand _______ _____________ ; calibration record: yes or no, period:_______
Size/ color

6.3 Function or assembly test: check on _____ sub-samples, found _____ .

Factory equipment: brand _________________; calibration record: yes or no, period: ______

6.4 Thickness: ________

6.5 Carton Information:

Carton weight: ________ kgs/ carton
Carton size: L x W x H = ______ x _______ x _______ cm
Carton with Metal Staple: Yes No
Carton with Nylon Band: Yes No

7. FOLLOW UP ACTIONS: (as applicable)

Inspect ion cert if icat e will be issued
Supplier advised shipment scheduled f or
Manuf act urer / supplier comment ed on inspect ion result as f ollow:
Please inst ruct regarding issuance of inspect ion cert if icat e.
We sent you def ect ive samples by AWB. No.: on Please advise your evaluat ion.
We recommend t he f ollowing correct ive act ion
Addit ional SGS service result s due by

8. Informative Remark:

8.1 Inspection Environment:

Light ing : Daylight Room light ing
Suf f icient Insuf f icient Ot her:
Inspect ion place : Fact ory workshop Warehouse Ot her:
Inspect ion done on: T able T op of cart ons Ot her:
Cleanliness : Clean Dirt y Ot her:
Weat her condit ion: Rainy Dry Ot her:

8.2 Grey Scale

GB 250-1995(ISO 105 A02-1993 ) standard g rey scale is applied for color shade checking in nature
environment.
The result is only for reference (Color variation evaluation: refer to P-INSP- WI-SL-001-01).

8.3 . Others.

9. Attachments:
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