Title Page

  • Conducted on

  • Prepared by

  • Project

  • Project No.

  • Customer

  • Model

  • Drawing No.

  • Order No.

  • Order Quantity(s)

  • Revision

Overall Dimensions

  • Type of Seat

Height

Back Height

  • Specification (mm)

  • Actual (mm)

Seat Height

  • Specification (mm)

  • Actual (mm)

Glided Seat Height

  • Specification (mm)

  • Actual (mm)

Depth

Glided Depth

  • Specification (mm)

  • Actual (mm)

Closed Depth

  • Specification (mm)

  • Actual (mm)

Width

Seat Width

  • Specification (mm)

  • Actual (mm)

Centre to Centre

  • Specification (mm)

  • Actual (mm)

Height

Back Height

  • Specification (mm)

  • Actual (mm)

Seat Height

  • Specification (mm)

  • Actual (mm)

Depth

Full Reclined Depth

  • Specification (mm)

  • Actual (mm)

Closed Depth

  • Specification (mm)

  • Actual (mm)

Width

Seat Width

  • Specification (mm)

  • Actual (mm)

Centre to Centre

  • Specification (mm)

  • Actual (mm)

Others Requirements

  • Seat Number

  • Row Plate

  • Aisle Light

  • Tablet Arms

  • Flammability Requirements

  • Fabric

  • Type of Motor

  • Control Button

  • Charging Features

  • Please select

  • Finger Guard

  • Footrest Sensor

  • Autoreturn

  • Type of Power Plug

  • Others (Please list all related accessories)

Remark

  • Please indicate any issue occurred during the inspection

Appearance

  • Please upload all appearances image

Inspection Result

  • Status

  • Product FSC Claim

Acknowledge by Respective Department

Production

  • Signature

  • Date

  • Signature

  • Date

QA

  • Signature

  • Date

  • Signature

  • Date

R&D

  • Signature

  • Date

  • Signature

  • Date

Sales

  • Signature

  • Date

  • Signature

  • Date

Management Approval

  • Signature

  • Date

  • Signature

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.