INSPECTION/TESTING CHECKLIST

Part Name Part ID

Fabricator/Assembler Fab./Assy. Date

Inspector Insp. Date

Tester Test Date

1. CUSTOMER REQUIREMENTS I T
a.  
b.  
c.  
d.  
2. REGULATORY REQUIREMENTS I T
a.  
b.  
c.  
d.  
3. OTHER REQUIREMENTS I T
a. Foreign Object Detection  
b.  
c.  
d.  
4. INSPECTION (attach narrative, spreadsheets, charts, etc., as needed)
a. Nature of inspection; technique(s) – describe
b. Inspection conditions
c. Observations/results
5. TESTING (attach information sheets, charts, etc., as needed)
a. Location
b. Restate/specify test requirements
c. Nature, type of testing (lab, simulator, in-flight, nondestructive, etc.); tools, techniques used
d. Test conditions
e. Observations/results
COMMENTS (attach additional sheets, if needed)

INSPECTION Pass / Fail Signature/Date

TESTING Pass / Fail Signature/Date