Production Part Approval Dimensional Results Form

Supplier Name: Page: OF:

Part Number Drawing Number Casting or Mold Number

Part Revision Drawing Revision Cavity # of Cavities

Item Supplier Measurement Results SC/ OK/ Measurement

Location Drawing Specification
Number CC NOK Method
1 2 3 4 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
 27
28
29
30
31

Inspected By: Date:

FOR HUSQVARNA USE ONLY

QE Reviewed By: Date:
R&D Reviewed By: Date:
ECO #

Approved Rejected Interim Approved Date Interim Expires:

Disposition Codes Description - (1) Approved without exception (2) Rejected: Fix to print dimension
(3) Acceptable: Dimension not to print but will be accepted as is on this tool only. (4) Print Change
required. Dimension not to print but print will be revised to match part.
umber

of Cavities

Instrument
Least Code
(for Husqvarna use only)
Count
 Production Part Approval Dimensional Results Form
Supplier Name: Page: OF:

Part Number Drawing Number Casting or Mold Number

Part Revision Drawing Revision Cavity # of Cavities

Item Supplier Measurement Results SC/ OK/ Measurement

Location Drawing Specification
Number CC NOK Method
1 2 3 4 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
 27
28
29
30
31

Inspected By: Date:

FOR HUSQVARNA USE ONLY

QE Reviewed By: Date:
R&D Reviewed By: Date:
ECO #

Approved Rejected Interim Approved Date Interim Expires:

Disposition Codes Description - (1) Approved without exception (2) Rejected: Fix to print dimension
(3) Acceptable: Dimension not to print but will be accepted as is on this tool only. (4) Print Change
required. Dimension not to print but print will be revised to match part.
umber

of Cavities

Instrument
Least Code
(for Husqvarna use only)
Count