Date :

Report No.: ACT-IIR-

Incoming Inspection Report Sample size :

Customer Name : Supplier Name : Raw Material Details

Item Name : Part Rev. No. : Lot Qty. : Material/Grade : Heat No. :

Part No. : Lot Size : Ref. No. :

Sample observations Remarks /

Sl No. Characteristics Specification Instrument used
1 2 3 4 5 6 7 8 9 10 Result

Remarks :

Lot Accepted Lot Rejected Concession Accepted

Conclusion

Name : Sign. : Stamp :

Inspected by : Approved by :
Note : 1.Please mention customer name, only if applicable to specific customer.
2. Sampling Size can be formed according to MIL-STD-105E (Table 1 & Table 2 A)