You are on page 1of 1

Format No.

: QC-PDS-F01
PRE-DESPATCH INSPECTION REPORT
Issue No. : 04 (01/01/14)
Rev. No. : 01 (05/04/17)
Lot Invoice
Part No. Date
Quantity No.

Drawing No. & Sample Invoice


Sheet No.
Inspected Date
Revision

DRAWING DIMENSION ACTUAL DIMENSION (mm)

Sl. Dimension Size MAX in MIN in MODE OF INSP Sample No. Result REMARKS
No. and features Size Tol. mm mm 1 2 3 4 5

REMARKS:
Inspected By Approved By

Date 30-Dec-99 Date 30-Dec-99

Signature Signature

Remarks : Rev 01 due to Inv # and Inv date Addition.

You might also like