Doc. No.

:
Rev. No.: 00
INSPECTION REPORT Issue date:
Page: 01 of 01
PART NUMBER SUPPLIER NAME

PART NAME INSPECTION DATE

REV. NO./DATE LOT SIZE

MODEL NO./Project SAMPLE SIZE

SR. DRAWING MEASURING OBSERVATION

PARAMETERS Range (mm) STATUS REMARKS
NO. SPECIFICATION (mm) INSTRUMENT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
A VISUAL INSPECTION

B DIMENSIONAL INSPECTION

1
2
3

10

11

12

13

14

15
Remarks: -
C MATERIAL C Mn S P Si

Grade

PLEASE TICK THE APPROPRIATE

ACCEPTED REJECT REWORK

REMARKS/COMMENTS (IF ANY) :-

INSPECTED BY :- APPROVED BY:-