RECORD OF POPULA

DRAWING/PART
NUMBER: REVISION: DESCRIPTION:

WORKMANSHIP
CONFORMS TO:
Component Marking
Reference Designator Description Part No (where applicable)

Test Software Used:

Has the unit been tested?
Test Specification Used:

Comments:

Inspected By:
Verified By:
 RECORD OF POPULATED PCB CHECKS

SERIAL
DESCRIPTION: NO:

Yes
Component Marking Check Check
(where applicable) Measured Value Polarity ü Soldering ü Remarks

Software Revision Level:

Test Specification Revision Level:

Title: Date:
Title: Date:
 No

Remarks

Software Revision Level:

cification Revision Level: