Part Number :Supplier :Date:
New: Part Description :
ISR No :Cavity / Tool # :
Revised:Revision :
Material Spec:
Inspector:
Resubmission:
MOI-Method of inspection abbreviation: HG = Height gauge, MIC = Micrometer, DC = Dial Caliper, P = Protractor, OC = Optical Comparator, CG = Checking Gauge, CMM = Coordinate Measuring Machine,OMM = Optical Coordinate Measuring Machine, HT = Hardness Trester, TG = Thickness Gauge, VIS = Visual, PG = Plug Gauge, OTHER:
DRAWING SPECIFICATIONS
INSPECTION RESULTS
INSPECTION ANALYSIS
Inspection
% Tolerance Alert/Rej Supplier RD Engineering ITEM LOCATION
NORMAL
+TOL
-TOL
Method
1
2
3
1
2
3
Mean
UPPER
LOWER
HIGH
LOW Remarks
Disposition
1 2 3 4 5 6 7 8 9 10
NO SAMPLE#1SAMPLE#2SAMPLE#3SAMPLE#4SAMPLE#5Dimensional Evaluation Data Reporting Sheet
Sample Number
Deviation from Nominal
NOTES Remarks Customer Disposition
P P