首件样品检验报告.doc

第1 张 共 张Sheet 1 of sheet .供应商编号SupplierID ：名称Name：填写“公司的英文或中文名及相应中文拼音” Write “company name”or in Chinese pinyi地址 Address 填写“公司地址”Write“company adress“首件样品检验报告Initial Sample Inspection Report接收人Recipient 部门Dept: 填写“相关接收样品的部门” write “recipient department name“姓名Name: 填写“ 接收样品的人员姓名” Write “recipient name“外观批准报告（由品质部批准）Appearance Approval Report (AAR by quality)尺寸检验报告Dimension Report材料检验报告Material Report 性能检验报告Function Report供应商 / SUPPLIER购货商(客户)/ BUYER (Customer)零件编号.Part No. 填写“图号” Write “part Code” “cccoe“code“compannanamename零件名称Designation 填写“样品名称” Write “part name”图纸版本 Index:29.04.2010 Write drawing version 零件编号.Part No. 零件名称Designation图纸版本Index签发日期Date issued 填写报告日期 Write report date报告编号Report No. 填写内部报告编号 Write report No参考Reference相关报告同零件的前一次报告或改进前的报告等等Write last FSR No Write last FSR No签发日期Date issued报告编号.Report No.参考Reference模具编号填写模具编号Tool No.write “mould No”模腔数目填写模腔数No. of cavities write “cavity NO”样品数量Quantity of samples备注Remark首件样品检验原因Reason for initial sample inspection新供应商new supplier新零件new part规格更改changed specifications产品加工过程更改changed production process新的制造地new manufacturing location产品长期停产1年extended interruption of production1year由供应商和客户共同核准的首件样品检验的规范，存放在以下文档中The specifications jointly approved by the Buyer and Supplier for the initial sample inspection are contained in the following documents:检验结果见附表实际尺寸见样品检验单不合格的在“AT”栏中注明For inspection results, refer to attached sheets:The actual measurements are given in order of the samples.Non-conforming specifications are indicated in the column AT.违禁物质声明 /Declaration of substances:此产品不含任何欧盟关于在电子电器设备 中禁止使用某些有害物质的指令（简称: ROHS,编号：EC）从2006 年7 月1 日起禁用的物质The parts contain none of the substances prohibited from 1.7.2006 by the EU directive 2002/95/EG (ROHS)是/yes 否/noREACH禁用物质清单REACH candidate list(SVHC):此零件不含有浓度0.1%的SVHC物质 the part contains no SVHC substances in a concentration0.1%,reference 参见:http:/echa.europa.eu/chem_data/authorisation_process/candidate_list_table_en.asp 是/yes 否/no* -*name and concentration of SVHC is required *要求提供SVHC物质名称及浓度签名/ Signature 张三此区域供应商手写签字，根据此样品是否符合，在相应的方框内打叉(是或否)Supplier signature. And cross mark on square . 此标准可从下列链接获取/ Standard available at /supplier 备注 (供应商)/Remarks (Supplier):填写：1此样品第几次送样；2. 所附加其它报告（如材质报告），或其它报告见哪份FSRWrite: 1. Sample delivery times; 2. Attached report name备注/Remarks (CEN):1. Initial samples must be taken from 18 hours production with a minimum 300 consecutive parts, unless otherwise specified by CEN quality rep. . 除非斯易安品质代表特别同意，首件样品必须18小时的量产，且规定的生产数量至少为300件连续生产的零件。条件Conditions ：我们供应商在此声明,1.所提交的样品是完全采用正常生产的原材料，按照正常批量生产的方法生产的;2.样品检验准确结果如报告（偏差见附表）,3.首件样品批准并不免除供应商按适用的图纸和规格交付产品的责任.We hereby certify,1.That samples submitted are completely made with regular production resources following regular series production methods.2.The correct inspections of the samples and their listing in this report (deviations are shown separately).3.That a sample approval does not relieve the supplier of his responsibility to deliver material according to the applicable drawings and specifications. 结论/Decision: 1=接收approved;2. 一定条件下接收approved with concession;3拒收,交新样品rejected new samples required;4.无要求not requested;5.处理中in process.12345尺寸Dimensions材质报告 Material analyse性能测试Eng.Fuction TestRoHSREACH放行Release重新送样new sample needed 是yes日期Date: 部门 Dept：.名字 / 电话号码 (如有疑问以便联系)Name / Telephone No. (in case of queries)日期：填写日期 date责任人签名：签字 signatureDateAccountable Signature正楷填写责任人签字Plain WritingAccountable Signature分发：品质/采购/物流/研发/工艺工程师Distribution: QA/Purchasing/R&D/Logistic/Process Engineering修改日期.Modification No.进料日期Incoming date填表日期Date of Issue首件样品检验报告尺寸检验报告Dimension Report材料检验报告Material Report性能检验报告Funktion ReportInitial Sample Inspection Report检验结果 / Test result 检验结论见表一 / Result report see page 1供应商SUPPLIER报告编号.Report No. 参考Reference供应商 / SUPPLIER填写“公司的英文或中文名及相应中文拼音”Write supplier name in English or in Chinese Pinyi购货商(客户)BUYER (Customer)报告编号.Report No. 参考Reference共张，第张Sheetof Sheet零件编号/名称Part No./Designation 填写“图号”和“零件名称”write code and part name零件编号/名称Part No./Designation供应商/SUPPLIER购货商(客户)/Purchaser (Customer)编号Pos.规格要求Dimensions nominal实测结果(供应商) Actual Results (Supplier)不合格AT实测结果 (客户) Actual Results (Buyer)不合格AT结论DecisionABCD1和图纸上的尺寸或其它要求编号相应；图纸每一个尺寸必须有一个编号（1，2，3，等等）1)The Pos number must be the same as drawing marked number; 2) all the dimension must be checked for the first sample delivery; 3) “AT “column must be marked if the actual result is out of drawing require;填写“图纸尺寸(必须包括公差)或其它要求“填写“实测尺寸或其它要求的结果”Write “dimension require pluge tolerance or other requirement”Write “acutal measured dimension or other requirement result”重量 / Weight备注 (供应商)/Remarks (Supplier): 备注 (客户)/Remarks (Customer):1. For K and A quality dimensions, quality rep reserves the right to require initial process capability. The process with index (Cpk or Ppk )1.33 is not accepted for FSR release.对于K类和A类尺寸，品质代表有权要求供方保证初期过程能力, 指数值小于1.33的过程不符合FSR接受准则。 日期责任人签名DateAccountable Signature日期责任人签名DateAccountable Signature注释:A =必须修改/CorrectionC =考虑修改图纸偏差/Deviations will be considered in the drawingB =允许使用数量/Limited use allowed for 单位/Units D = 可接收的偏差/Acceptable deviation修改日期.Modification No.进料日期Incoming date填表日期Date of Issue外观批准报告 Appearance Approval Report(AAR)首件样品检验报告Initial Sample Inspection Report供应商 / SUPPLIER填写“公司的英文或中文名及相应中文拼音”只有外观件才要求做此报告。（如：机壳，圆盘，手柄等）only appearance part need do AAR(e.g shell, handle)Write supplier name in English or in Chinese Pinyi供应商SUPPLIER报告编号.Report No. 参考Reference采购人员/BUYER购货商(客户)BUYER (Customer)报告编号.Report No. 参考Reference共张，第张Sheetof Sheet零件编号/名称Part No./Designation 填写“图号”和“零件名称”write code and part name零件编号/名称Part No./Designation供应商/SUPPLIER购货商(客户)/Purchaser (Customer)编号Pos.规格要求Kan 082.030Dimensions nominal实测结果(供应商) Actual Results (Supplier)不合格AT实测结果 (客户) Actual Results (Buyer)不合格AT结论DecisionABCD1Surface structure皮纹2Color颜色 P3pos.E3 （D65）DL*（P.w100B0）Da*（+Red / green-）Db*（+Yel / blue-）3sharp edges, esp in the access area 锐边，尤其在接触区P64Incidence points (sink mark) 缩痕评估 P7Visible area A: front and top 能见区A：前面、上面Visible area B: on the sides能见区B：侧面Visible area C: lower side能见区C：较低的表面5Excess spraying at the edges飞边毛刺 P76White break / ejector pressure ma