Sheet 1 of 11

First Article Inspection Report

Form 1: Part Number Accountability
1. Part Number 2. Part Name 3. Serial/Lot Number 4. FAI Report Number
123 BODY
5. Part Revision Level 6. Drawing Number 7. Drawing revision 8. Additional Changes
level
0
9. Manufacturing Process Reference (WO#) 10. Organization Name 11. Supplier Code 12. P.O. Number
XXXXX
1) Signature indicates that all characteristics areaccounted for; meet drawing requirements or are properly documented for disposition.

2) Also indicate if the FAI is complete per Section 5.4: FAI complete FAI not Complete

19. Report Completed By: 20. Date

21. Report Reviewed by (Quality Representative): 22. Date

23. Customer Approval and Stamp (if applicable): 24. Date

FAI
FAI Status: FAI Pending FAI Rejected
Acceptable

Form QF1439 Rev -

 Sheet 2 of 11
Friday, November 24, 2017
No Results Found

Form QF1439 Rev -

 Sheet 3 of 11
First Article Inspection Report
Form 2: Product Accountability - Raw Material, Specifications & Special Process(es) and Functional Testing
1. Part Number 2 Part Name 3. Serial / Lot Number 4. FAI Report Number
123 BODY 0

5. Material or Process 5a. Customer requirement 6. Specification Number & 7. Code 8. Special Process 9. Customer 10. Certificate of
Name Revision No. Supplier Code Approval Conformance
Verification number

(Yes/No/NA)
No Results Found No Results Found

11. Functional Test 12. Acceptance report number, if applicable

Procedure Number

13. Comments
14. Prepared By 15. Date

Form QF1439 Rev -

 Sheet 4 of 11
First Article Inspection Report
Form 3: Characteristic Accountability, Verification and Compatibility Evaluation
1. Part Number 2. Part Name
123 BODY

Characteristic Accountability Inspection / Tes

5. Char 6. Reference 7. Characteristic 8. Requirement 8a. UoM 8b. Upper 8c. Lower 9. Results
No. Location Designator Limit Limit

1 Length 5 mm 5.03 4.97

2 Length 17 mm 17.03 16.97

3 Length 60 mm NA NA

4 Length 25 mm 25.03 24.97

5 Length 8 mm 8.03 7.97

6 Length 9 mm 9.03 8.97

7 Length 30 mm NA NA

8 Length 12 mm NA NA

9 Length 60 mm NA NA

10 Length 2 mm 2.03 1.97

11 Radial R8 mm 8.001 7.998

12 Radial R 16 mm 16.001 15.998

13 Radial R 150 mm 150.001 149.998

14 Length 26 mm NA NA

15 Radial R 20 mm 20.001 19.998

16 Length 39 mm 39.5 38.5

17 Radial R3 mm NA NA

18 Length 43 mm 43.03 42.97

19 Length 40 mm 40.03 39.97

20 Radial mm NA NA
R10
21 Radial mm 15.001 14.998
R 15
22 Radial mm 8.001 7.998
R8
Blanket statements of conformance are unacceptable for any test results.
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Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 5 of 11
Form 3: Characteristic Accountability, Verification and Compatibility Evaluation
1. Part Number 2. Part Name
123 BODY

Characteristic Accountability Inspection / Tes

5. Char 6. Reference 7. Characteristic 8. Requirement 8a. UoM 8b. Upper 8c. Lower 9. Results
No. Location Designator Limit Limit

23 Radial R 159 mm 159.001 158.998

24 Radial R 16 mm 16.001 15.998

25 Length 28 mm NA NA

26 Length 13 mm 13.03 12.97

27 Length 9 mm 9.03 8.97

28 Radial R 47 mm 47.001 46.998

29 Diameter 38 mm 38.03 37.97

30 Radial mm 5.001 4.998

R5
31 Length mm 60.03 59.97
60
32 Length mm 23.03 22.97
23
33 Length mm 88.53 88.47
88.5
34 Length mm 15.53 15.47
15.5
35 Radial R5 mm 5.001 4.998

36 Diameter 73 mm 73.03 72.97

37 Diameter 101 mm 101.03 100.97

38 Diameter 92 mm 92.03 91.97

39 Length 103 mm 103.03 102.97

40 Radial R8 mm 8.001 7.998

41 Radial R5 mm 5.001 4.998

42 Radial R 15 mm 15.001 14.998

43 Angular 60 deg 60.1 59.9

44 Length 40 mm NA NA

45 Length 3 mm 3.03 2.97

46 Radial R 10 mm 10.001 9.998

Blanket statements of conformance are unacceptable for any test results.

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Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 6 of 11
Form 3: Characteristic Accountability, Verification and Compatibility Evaluation
1. Part Number 2. Part Name
123 BODY

Characteristic Accountability Inspection / Tes

5. Char 6. Reference 7. Characteristic 8. Requirement 8a. UoM 8b. Upper 8c. Lower 9. Results
No. Location Designator Limit Limit

47 Length 17.5 mm 0.0 0.0

48 Radial R 150 mm 150.001 149.998

49 Length 205 mm 205.03 204.97

50 Diameter 51 mm 51.03 50.97

51 Length 17.5 mm 0.0 0.0

52 Length 9 mm 9.03 8.97

53 Length 3 mm 3.03 2.97

54 Radial mm 20.001 19.998

R 20
55 Length mm 26.03 25.97
26
56 Diameter mm 51.03 50.97
51
57 Diameter mm 152.0 150.0
150
58 Diameter mm 92.0 0.0
92
59 Length 9 mm 9.03 8.97

60 Radial R8 mm 8.001 7.998

61 Radial R 12 mm 12.001 11.998

62 Angular 45 deg 45.1 44.9

63 Diameter 04 HOLES.19.05 DRILL mm NA NA

THRU.
ON 120 PCD EQ SP
OFF CENTER LINE
64 Angular 45 deg 45.1 44.9

65 Radial mm 15.001 14.998

R 15

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 7 of 11
Form 3: Characteristic Accountability, Verification and Compatibility Evaluation
1. Part Number 2. Part Name
123 BODY

Characteristic Accountability Inspection / Tes

5. Char 6. Reference 7. Characteristic 8. Requirement 8a. UoM 8b. Upper 8c. Lower 9. Results
No. Location Designator Limit Limit

66 Diameter 04 HOLES. 14.50 DRILL mm 14.501 14.498

THRU
ON 135 PCD.EQ.SP
OFF CENTER LINE
67 Angular 45 deg 45.1 44.9

The signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition.

12. Prepared By

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 8 of 11
rst Article Inspection Report
Accountability, Verification and Compatibility Evaluation
2. Part Name 3. Serial/Lot Number 4. FAI Report
BODY 0

Inspection / Test Results Other Fields

10. Designed Tooling 11. Non- 14. Notes
Conformance
Number

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 9 of 11
Accountability, Verification and Compatibility Evaluation
2. Part Name 3. Serial/Lot Number 4. FAI Report
BODY 0

Inspection / Test Results Other Fields

10. Designed Tooling 11. Non- 14. Notes
Conformance
Number

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 10 of 11
Accountability, Verification and Compatibility Evaluation
2. Part Name 3. Serial/Lot Number 4. FAI Report
BODY 0

Inspection / Test Results Other Fields

10. Designed Tooling 11. Non- 14. Notes
Conformance
Number

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________
 Sheet 11 of 11
Accountability, Verification and Compatibility Evaluation
2. Part Name 3. Serial/Lot Number 4. FAI Report
BODY 0

Inspection / Test Results Other Fields

10. Designed Tooling 11. Non- 14. Notes
Conformance
Number

or are properly documented for disposition.

13. Date

Blanket statements of conformance are unacceptable for any test results.

http://www.inspectionxpert.com
Signature:_______________________________Title:__________________________ Date:_______________