Qualification report

• Document No.

• Qualification Title

• Item Number

• Supplier / Site

• Conducted on

  Date

• Prepared by

• Location of supplier
  Address

• Collaborators

Sample requirement

• Did the correct amount of samples were provided by the supplier?

  Yes

  No

  N/A

General condition of parts and packaging

• Did the packaging was conforming?

  Yes

  No

  N/A

• Are general condition of parts conforming?

  Yes

  No

  N/A

Dimensional analysis

• Is the dimensional analysis conforming?

  Yes

  No

  N/A

Chemical analysis

• Is the chemical analysis conforming?

  Yes

  No

  N/A

Hardness analysis

• Is the hardness analysis conforming?

  Yes

  No

  N/A

Cut section analysis

• Is the cut section analysis conforming?

  Yes

  No

  N/A

Traction test / Mechanical resistance test

• Is the traction test or mechanical resistance test was conforming?

  Yes

  No

  N/A

Other special requirements

• Is other special requirements are conforming?

  Yes

  No

  N/A

Field test

• Is the field test conforming?

  Yes

  No

  N/A

Drawing revision detail (Information on how specification will be affected by this qualification.)

Results analysis

Conclusion and recommendations

• Signature of evaluator

  Sign