Sheet 1 of 6

No Results Found
Form 1: Part Number Accountability
1. Part Number 2. Part Name 3. Serial/Lot Number 4. FAI Report Number
297mm*420mm 297mm*420mm
5. Part Revision Level 6. Drawing Number 7. Drawing revision 8. Additional Changes
level

9. Manufacturing Process Reference (WO#) 10. Organization Name 11. Supplier Code 12. P.O. Number
XXXXX
13. Detail FAI 14. Full FAI ✘
Baseline Part Number including revision level
Partial FAI

Assembly FAI Reason for Partial FAI:

a)       if above part number is a detail part only, go to Field 19

b)       if above part number is an assembly, go to the “INDEX” section below.

INDEX of part numbers or sub-assembly numbers required to make the assembly noted above.
15. Part Number 16. Part Name 17. Part Serial Number 18. FAI Report
Number
No Results Found No Results Found No Results Found No Results Found

1) Signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition.

2) Also indicate if the FAI is complete per Section 5.4: FAI complete FAI not Complete

19. Report Completed By: 20. Date

21. Report Reviewed by (Quality Representative): 22. Date

23. Customer Approval and Stamp (if applicable): 24. Date

FAI Acceptable FAI Pending FAI Rejected

Form QF1439 Rev -

 Sheet 2 of 6
FAI Status: FAI Acceptable FAI Pending FAI Rejected

Form QF1439 Rev -

 Sheet 3 of 6
Wednesday, September 14, 2022
No Results Found

Form QF1439 Rev -

 Sheet 4 of 6
First Article Inspection Report
Form 2: Product Accountability - Raw Material, Specifications & Special Process(es) and Functional Testing
1. Part Number 2 Part Name 3. Serial / Lot Number 4. FAI Report Number
297mm*420mm 297mm*420mm 0

5. Material or Process 5a. Customer requirement 6. Specification Number & 7. Code 8. Special Process 9. Customer 10. Certificate of
Name Revision No. Supplier Code Approval Conformance
Verification number

(Yes/No/NA)
No Results Found No Results Found

11. Functional Test 12. Acceptance report number, if applicable

Procedure Number

13. Comments
14. Prepared By 15. Date

Form QF1439 Rev -

 Sheet 5 of 6
First Article Inspection Report
Form 3: Characteristic Accountability, Verification and Compatibility Evaluation
1. Part Number 2. Part Name 3. Serial/Lot Number 4. FAI Report
297mm*420mm 297mm*420mm 0

Characteristic Accountability Inspection / Test Results Other Fields

5. Char 6. Reference 7. Characteristic 8. Requirement 8a. UoM 8b. Upper 8c. Lower 9. Results 10. Designed Tooling 11. Non- 14. Notes
No. Location Designator Limit Limit Conformance
Number

1 Diameter Ø 30.00 mm 30.20 29.95

2 Concentricity  0.2 0
3 Radial R 1.0 mm 1.03 0.97
4 Length 2.0 mm 2.03 1.97
5 Length 6.0 mm 6.03 5.97
6 Diameter Ø 20.0 mm 20.03 19.97
7 Diameter Ø 42.0 mm 42.03 41.97
8 Length 63.0 mm 63.03 62.97
9 Length 35.0 mm 35.03 34.97
10 Length 9.0 mm 9.03 8.97
11 Radial R 16.0 mm 16.03 15.97
12.1 Chamfer 1.0 mm 1.03 0.97
12.2 Chamfer 45.00° deg 45.001 44.999
13 NA Minimum Roughness: 3.2 um
14 Diameter Ø 106.0 mm 106.03 105.97
15 Diameter Ø 28.0 mm 28.03 27.97
16 Length 8.0 mm 8.03 7.97
17 Length 6.0 mm 6.03 5.97
18 Radial R 16.0 mm 16.03 15.97
19 NA SEE DRAWING FOR SF SYMBOL um
20 Length 10.0 mm 10.03 9.97
21.1 Chamfer 1.0 mm 1.03 0.97
21.2 Chamfer 45.00° deg 45.001 44.999
22 Diameter Ø 24.0 mm 24.03 23.97
23 Length 12.0 mm 12.03 11.97
24 Diameter Ø 6.0 mm 6.03 5.97
25 Radial R 1.0 mm 1.03 0.97
26 Length 8.0 mm 8.03 7.97
27 Diameter Ø 6.0 mm 6.03 5.97
28 Diameter Ø 50.0 mm 50.03 49.97
29.1 TapDrillDiameter Ø 3.30 mm 3.33 3.27
29.2 TapDrillDiameter Ø 3.3 mm 3.33 3.27
29.3 TapDrillDiameter Ø 3.3 mm 3.33 3.27
29.4 TapDrillDepth  12.00 mm 12.03 11.97
29.5 TapDrillDepth  12.0 mm 12.03 11.97
29.6 TapDrillDepth  12.0 mm 12.03 11.97
29.7 ThreadDescription M4 - 6H mm NA NA
29.8 ThreadDescription M4 mm NA NA
29.9 ThreadDescription M4 mm NA NA
29.1 ThreadDepth  10.00 mm 10.03 9.97
29.11 ThreadDepth  10.0 mm 10.03 9.97

Blanket statements of conformance are unacceptable for any test results.

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Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 6 of 6
Form 3: Characteristic Accountability, Verification and Compatibility Evaluation
1. Part Number 2. Part Name 3. Serial/Lot Number 4. FAI Report
297mm*420mm 297mm*420mm 0

Characteristic Accountability Inspection / Test Results Other Fields

5. Char 6. Reference 7. Characteristic 8. Requirement 8a. UoM 8b. Upper 8c. Lower 9. Results 10. Designed Tooling 11. Non- 14. Notes
No. Location Designator Limit Limit Conformance
Number

29.12 ThreadDepth  10.0 mm 10.03 9.97

30 Diameter Ø 90.0 mm 90.03 89.97
31 Angular 30.0° deg 30.01 29.99
32 Length 19.1 mm 19.13 19.07
33 Radial R 4.0 mm 4.03 3.97
34 Length 19.1 mm 19.13 19.07
35 Length 36.0 mm 36.03 35.97
36 Length 19.1 mm 19.13 19.07
37 Length 19.2 mm 19.23 19.17
38.1 Chamfer 2.0 mm 2.03 1.97
38.2 Chamfer 45.00° deg 45.001 44.999
39 Diameter Ø 54.0 mm 54.03 53.97
40.1 TapDrillDiameter Ø 3.30 mm 3.33 3.27
40.2 TapDrillDiameter Ø 3.3 mm 3.33 3.27
40.3 TapDrillDiameter Ø 3.3 mm 3.33 3.27
40.4 TapDrillDiameter Ø 3.3 mm 3.33 3.27
40.5 TapDrillDepth  12.10 mm 12.13 12.07
40.6 TapDrillDepth  12.1 mm 12.13 12.07
40.7 TapDrillDepth  12.1 mm 12.13 12.07
40.8 TapDrillDepth  12.1 mm 12.13 12.07
40.9 ThreadDescription M4 - 6H mm NA NA
40.1 ThreadDescription M4 mm NA NA
40.11 ThreadDescription M4 mm NA NA
40.12 ThreadDescription M4 mm NA NA
40.13 ThreadDepth  10.00 mm 10.03 9.97
40.14 ThreadDepth  10.0 mm 10.03 9.97
40.15 ThreadDepth  10.0 mm 10.03 9.97
40.16 ThreadDepth  10.0 mm 10.03 9.97
41 Length 19.1 mm 19.13 19.07
42 Diameter Ø 50.0 mm 50.03 49.97

The signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition.

12. Prepared By 13. Date

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________