Delivery Inspection Report for Infant Incubator Parts
Part code 0C121331
Part name Treatment Window Lock Shaft
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 18.0 ± 0.2
B = 6.5 ± 0.2
Illustration:
n=3 A B A = 18.0 ± 0.2
1
2
3
Ave.
B = 6.5 ± 0.2
Max.
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C501451
Part name Wall Catch ( R)
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 25.0 ± 0.2
B = 18.0 ± 0.2 Illustration:
n=3 A B B = 18.0 ± 0.2
1
2
3
Ave.
Max.
A = 25.0 ± 0.2
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C501361
Part name Wall Catch (L)
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 25.0 ± 0.2
B = 18.0 ± 0.2 Illustration:
n=3 A B B = 18.0 ± 0.2
1
2
3
Ave.
Max.
A = 25.0 ± 0.2
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C501841
Part name Door Shaft Holder
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 7.9 + 0 / - 0.1
B = 5.0 ± 0.1 Illustration:
n=3 A B
1
1 0.
-
2
/
0
+
3 9
7.
Ave.
=
A
Max.
Min.
Stdev.
B = 5.0 ± 0.1
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C503081
Part name Reinforcement Stick L
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 17.8 ± 0.2
B = 5.5 ± 0.1 Illustration:
n=3 A B
1
2
0.2
±
8
3 17.
=
Ave.
A
Max.
Min.
Stdev.
B = 5.5 ± 0.1
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C505132
Part name Innerwall Shaft
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 24.5 ± 0.1
B = 10.0 ± 0.2
Cavity 1 Cavity 2 Illustration:
n=3
A B A B
B = 24.5 ± 0.1
1
2 2
0.
3
±
Ave.
10
=
A
Max.
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C551460
Part name Hole Plug
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 28.0 ± 0.2
B = 14.0 ± 0.2
Cavity 1 Cavity 2 Illustration:
n=3
A B A B A = 28.0 ± 0.2
1
2
3 2
0.
Ave.
±
.0
Max. 14
=
Min.
B
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code 0C551641
Part name Inner Wall Shaft Stopper
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 21.0 ± 0.2
B = 20.0 ± 0.2 Illustration:
n=3 A B
1
2 0.2
3
±
0
21.
Ave.
A=
0.2
±
Max. 20.0
B=
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code C6513250
Part name Bubble Tube Holder
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 36.5 ± 0.3
B = 11.0 + 0 / - 0.1 Illustration:
A = 36.5 ± 0.3
n=3 A B
1
1 0.
-
2
/
0
+
3 0
1.
Ave.
1
=
B
Max.
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code C6513270
Part name LED Front Panel
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 178.0 ± 0.3
B = 110.0 ± 0.3 Illustration:
A = 178.0 ± 0.3
n=3 A B
1
2 3
3
0.
±
0
Ave. 0.
11
Max.
=
B
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013
Delivery Inspection Report for Infant Incubator Parts
Part code
Part name Block Seal E
Order No.
Order quantity
Inspection date
Company name
Inspector Name
Checked by
Approved by
Target New part, Recovery part for noncompliant, 4M changed part, Change notice
Inspection item Appearance check, dimension
Inspection Result
Dimension Result
Measuring Equipment: Caliper
Standard Dimension:
A = 256.0 ± 0.5
B = 159.0 ± 0.5 Illustration:
B = 159.0 ± 0.5
A = 256.0 ± 0.5
n=3 Cavity 1 Cavity 2
1 A B A B
2
3
Ave.
Max.
Min.
Stdev.
Product Appearance Inspection Result Packaging Inspection Result
n=3 Result n=3 Result
1 1
2 2
3 3
Final Judgment: ______________
Remarks:
ACI-QA-F-441-01 Effectivity date: January 28, 2013