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DOC# issued or REF#

Date and Time of Inspection Request

Company Requesting Inspection

Requesting Company Name

Contact Name

Contact Email

Contact Phone

Manufacturer Information

Manufacturer Company Name

Contact Name

Contact Email

Contact Phone

Inspection Location Information

Location Name

Contact Name

Contact Email

Contact Phone

Part and Defect Information

Part Numbers

Defect Descriptions

Defect Locations i.e. All over, specific welds, etc.

Tools Needed for Inspection

Blueprint Tolerance Specs

Manning Needed?

Handling Concerns?

Packaging Concerns?

Verification Mark Allowed?

If so, where and with what writing instrument?

Sort Exit Criteria

Sort Method detailed description of sort method including any special considerations (i.e. full functions of lever from base to top bracket in constant motion (no flipping of lever) to check for sticky function / do not function lever with hand holding mechanism to ensure movement is detected while checking looseness)

Rework Required?

Additional Comments

DXE Quality Portal - Start New Sort

Company Requesting Inspection

Manufacturer Information

Inspection Location Information

Part and Defect Information

Rework Considerations