Reduced Inspection

Sender
Reason
Production freeze exceeding 3 years
Part family inspection with reference after consultation*
Recipient
Rolls-Royce Solutions GmbH
Wareneingangsprüfung
88040 Friedrichshafen	* Inital sample approval according to MTQ 5003:
Mat.-No.:.
Date:
Supplier/Production plant::	Customer:
Report No.:	Report No.:
Description:	Description:
Material number:	Material number:
Drawing No.:	Drawing No.:
Status/Date:	Status/Date:
Delivery note no. / Date::
Delivery quantity:
Batch number:
Sample weight:
Supplier confirmation
01	The material corresponds to specifications (analysis, purity, homogeneity, strength, etc. )
02	The machinery, devices, tools, pattern equipment and core boxes used have not changed since the last production series which was delivered.
03	The machinery, devices, tools, pattern equipment and core boxes were properly stored and are in perfect condition.
04	The change status of devices, tools, pattern equipment and core boxes corresponds to the change status currently registered.
05	Any faults which were the subject of complaints regarding previous deliveries have been permanently corrected.
06	With respect to dimensions, cleanness, surface properties and function, the newly manufactured parts display no irregularities and meet the specifications.
Name:	Remarks:
Dept:
Phone:
Fax:
E-Mail:
Date:	Signature:
Customer decision	Overall	Remarks:
Approved
Approved with conditions, re-sampling required
Rejected, re-sampling required
Name:
Dept.:
Phone:
Fax:
E-Mail:	Date:	Signature:

Product-related test results	Status	/ Date

01 Dimensional check 02 Function check 03 Material test 04 Haptics test 05 Acoustics test	06 Odors test 07 Visual test 08 Surface test 09 EMC test 10 Reliability test
Supplier / production plant:	Customer:
Test report no.:	Index:	Test report no.:	Index:
Description:	Description:
Item number:	Item number:
Drawing number:	Drawing number:
Status / Date:	Status / Date:

Ref.- No.	Requirements Specification	Actual values Supplier	Specification fulfilled	Remarks
Yes	No

Supplier confirmation:	Customer decision:
Remarks:	Approved
Approved with conditions, re-sampling required
Rejected, re-sampling required
Remarks:
Name:	Name:
Dept.:	Dept:
Phone:	Phone:
Fax:	Fax:
E-Mail:	E-Mail:
Date	Signature	Date	Signature