Title Page

  • Model #

  • Project #

  • Date and Time

  • Molder

  • Prepared by

  • Location
  • INSTRUCTIONS

    1. Please provide the details needed by typing in your responses or clicking "✔" or "✖" on the questions below.
    2. Add Photos and Notes by clicking on the Paperclip icon
    3. To add a Corrective Action click on the Paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Link

Other Information

  • Description

  • Cavitation

  • Tool - #

  • Cav - #

  • HMS Attendees

  • Molder Attendees

Press

  • Press Size (Quoted)

  • Press Size (Actual)

  • Press #

  • Robot

  • Robert Style (Top Entry, 5 Axis)

  • Robot Make (Fanuc, etc)

  • Type of End of Arm Tooling

  • Robot Cycle Time

Part

  • No. Operators (Quoted)

  • No. Operators (Actual)

  • Part Weight (Quoted) Grams

  • No. Operators (Actual) Grams

  • QIS - Low

  • QIS - Normal

  • QIS - High

  • Cycle Time (Actual)

  • Part Weight Comments

  • Cycle Time Comments

Material

  • Resin (Melt Flow Rate)

  • Resin (Brand)

  • Resin Make

  • Resin Type

  • Impact Modifier (Make)

  • Impact Modifier (%)

  • Foaming Agent (if applicable)

  • Filler Type (if applicable)

  • Filler (%)

Issues

  • Product Issues

  • Tooling Issues

  • Required Follow up

QC Items Reviewed

  • Type of Approval

  • Colorant - (note supplier and LDR using paperclip icon)

  • Colorant - (note chip number and date using paperclip icon)

  • Visual Appearance

  • Functional

  • Labels

  • Assembly

  • Packaging

Completion

  • Inspected by: (Name and Signature)

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.