Title Page
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Conducted on
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Prepared by
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Location
Material Details
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Supplier Name
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Purchase Order number
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Material Description
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Lot Size
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Sample Size
Visual/Aesthetic Inspection
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Packaging Quality
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Material Condition i.e. Damaged
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Are there any minor defects?
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Photos
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Specify defects
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Minor defects
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Are there any major defects?
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Photos
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Specify
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Major defects
Material specification confirmation
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Does material matches to the description in PO
Dimensional/Functional Characteristics
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Dimensional Characteristics
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Dimensional Difference
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Reason
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Functional Characteristics
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Functional Non-conformity
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Reason
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Other Specifications
This material is tagged as
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Material is
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Quantity
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Reason for Rejection
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Rejection summary report
Signature
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Quality Assurance Executive
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Vendor/Supplier Representative
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Quantity Accepted
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Condition
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Conditional acceptance approval - Quality
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Conditional Rework done - Vondor