Assy In-Process Inspection Form
Uploaded by
Hilario AlinabonAssy In-Process Inspection Form
Uploaded by
Hilario AlinabonASSEMBLY PERFORMANCE IN-PROCESS INSPECTION FORM
Product Name:____________________ Prod. No. :________________________ Order No.:_______________________ Order Qty.:_____________________
Production Date :_______________________ Production Date :_______________________ Production Date :_______________________
Lotting
Lotting
Lotting
Sample No.
Sample No.
Sample No.
Leak Test
Leak Test
Leak Test
Aeration
Aeration
Aeration
OX Socket OX Socket OX Socket
Tensile Tensile Tensile
Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile
Strength Test Strength Test Strength Test
Strength Test Strength Test Strength Test
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End-time
End-time
End-time
2 2 2
3 3 3
Production Date :_______________________ Production Date :_______________________ Production Date :_______________________
Lotting
Lotting
Lotting
Sample No.
Sample No.
Sample No.
Leak Test
Leak Test
Leak Test
Aeration
Aeration
Aeration
OX Socket OX Socket OX Socket
Tensile Tensile Tensile
Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile
Strength Test Strength Test Strength Test
Strength Test Strength Test Strength Test
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End-time
End-time
End-time
2 2 2
3 3 3
Time/Date NG Problem Action Taken Disposition Prod Performed by:
Checked by:
ACI-QA-F-26-09 Effectivity Date: December 6, 2013
ASSEMBLY PERFORMANCE IN-PROCESS INSPECTION FORM
Product Name:____________________ Prod. No. :________________________ Order No.:_______________________ Order Qty.:_____________________
Production Date :_______________________ Production Date :_______________________ Production Date :_______________________
Lotting
Lotting
Lotting
Sample No.
Sample No.
Sample No.
Leak Test
Leak Test
Leak Test
Aeration
Aeration
Aeration
OX Socket OX Socket OX Socket
Tensile Tensile Tensile
Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile
Strength Test Strength Test Strength Test
Strength Test Strength Test Strength Test
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End-time
End-time
End-time
2 2 2
3 3 3
Production Date :_______________________ Production Date :_______________________ Production Date :_______________________
Lotting
Lotting
Lotting
Sample No.
Sample No.
Sample No.
Leak Test
Leak Test
Leak Test
Aeration
Aeration
Aeration
OX Socket OX Socket OX Socket
Tensile Tensile Tensile
Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile Length Removal Test Silicone Tensile
Strength Test Strength Test Strength Test
Strength Test Strength Test Strength Test
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End-time
End-time
End-time
2 2 2
3 3 3
Time/Date NG Problem Action Taken Disposition Prod Remarks Performed by:
Checked by:
ACI-QA-F-26-08 Effectivity Date: April 05, 2011
ASSEMBLY PERFORMANCE IN-PROCESS INSPECTION FORM
Product Name:____________________ Prod. No. :________________________ Order No.:_______________________ Order Qty.:_____________________
Production Date :_______________________ Production Date :_______________________ Production Date :_______________________ Production Date :_______________________ Production Date :_______________________
OX Socket Attachment OX Socket Attachment OX Socket Attachment OX Socket Attachment OX Socket Attachment
Lotting
Lotting
Lotting
Lotting
Lotting
OX Socket OX Socket OX Socket OX Socket OX Socket
Leak Test
Leak Test
Leak Test
Leak Test
Leak Test
Aeration
Aeration
Aeration
Aeration
Aeration
Sample Silicone Silicone Sample Silicone Silicone Silicone
Sample No. Sample No. Sample No.
No. Tensile Tensile No. Tensile Tensile Tensile
Strength Test Strength Test Strength Test Strength Test Strength Test
1 1 1 1 1
Start-up
Start-up
Start-up
Start-up
Start-up
2 2 2 2 2
3 3 3 3 3
1 1 1 1 1
End-time
End-time
End-time
End-time
End-time
2 2 2 2 2
3 3 3 3 3
Production Date :_______________________ Production Date :_______________________ Production Date :_______________________ Production Date :_______________________ Production Date :_______________________
OX Socket Attachment OX Socket Attachment OX Socket Attachment OX Socket Attachment OX Socket Attachment
Lotting
Lotting
Lotting
Lotting
Lotting
OX Socket OX Socket OX Socket OX Socket OX Socket
Leak Test
Leak Test
Leak Test
Leak Test
Leak Test
Aeration
Aeration
Aeration
Aeration
Aeration
Sample Silicone Silicone Sample Silicone Silicone Silicone
Sample No. Sample No. Sample No.
No. Tensile Tensile No. Tensile Tensile Tensile
Strength Test Strength Test Strength Test Strength Test Strength Test
1 1 1 1 1
Start-up
Start-up
Start-up
Start-up
Start-up
2 2 2 2 2
3 3 3 3 3
1 1 1 1 1
End-time
End-time
End-time
End-time
End-time
2 2 2 2 2
3 3 3 3 3
Time/Date Problem Action Taken Disposition Prod Remarks Performed by:
Checked by:
ACI-QA-F-26-07 Effectivity Date: February 22, 2011
OX20/28 NASAL OXYGEN CANNULA ASSY IN-PROCESS FORM
Product Type:_______________ Order Qty:________________ Prod. Code:________________
Prod. Lot No.:_______________ Order No. ________________
DATE:____________________ DATE:____________________ DATE:____________________
CONNECTING PVC ATTACHMENT CONNECTING PVC ATTACHMENT CONNECTING PVC ATTACHMENT
LOTTING
LOTTING
LOTTING
Samples
Samples
Samples
Tensile strength test Aeratio Leak Tensile strength test Aeratio Leak Tensile strength test Aeratio Leak
n test Test n test Test n test Test
L R L R L R
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End Time
End Time
End Time
2 2 2
3 3 3
CANNULA ATTACHMENT CANNULA ATTACHMENT CANNULA ATTACHMENT
Aeration test
Aeration test
Aeration test
Leak Test
Leak Test
Leak Test
LOTTING
LOTTING
LOTTING
Samples
Samples
Samples
Tensile strength test Tensile strength test Tensile strength test
L R L R L R
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End Time
End Time
End Time
2 2 2
3 3 3
OX SOCKET/STD. CONN. ATTACHMENT OX SOCKET/STD. CONN. ATTACHMENT OX SOCKET/STD. CONN. ATTACHMENT
Aeration test
Aeration test
Aeration test
Leak Test
Leak Test
Leak Test
LOTTING
LOTTING
LOTTING
Samples
Samples
Samples
Tensile strength test Tensile strength test Tensile strength test
L R L R L R
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End Time
End Time
End Time
2 2 2
3 3 3
FINAL ATTACHMENT FINAL ATTACHMENT FINAL ATTACHMENT
Aeration test
Aeration test
Aeration test
Leak Test
Leak Test
Leak Test
LOTTING
LOTTING
LOTTING
Samples
Samples
Samples
Tensile strength test Tensile strength test Tensile strength test
L R L R L R
1 1 1
Start-up
Start-up
Start-up
2 2 2
3 3 3
1 1 1
End Time
End Time
End Time
2 2 2
3 3 3
OX SOCKET TENSILE STRENGTH TEST OX SOCKET TENSILE STRENGTH TEST OX SOCKET TENSILE STRENGTH TEST
Tensile Strength
Tensile Strength
Tensile Strength
Tensile Strength
Tensile Strength
Tensile Strength
Actual Time
Actual Time
Actual Time
Samples
Samples
Samples
Samples
Samples
Samples
Lotting
Lotting
Lotting
Lotting
Lotting
Lotting
Test
Test
Test
Test
Test
Test
1 1 1 1 1 1
End Time
End Time
End Time
Start-up
Start-up
Start-up
2 2 2 2 2 2
3 3 3 3 3 3
Date / Time NG Problem Lot Affected Action Taken Lot Disposition Prod Remarks Inspected By
Checked By
ACI-QA-F-26-05 Effectivity Date: November 08, 2010
OX 20/28 NASAL OXYGEN CANNULA ASSY IN-PROCESS INSPECTION FORM
Product Type:___________________ Order Qty:________________ Prod. Code:____________
Prod. Lot No. ______________________ Order No. ________________
DATE :___________________ DATE :___________________
CONNECTING PVC ATTACHMENT CONNECTING PVC ATTACHMENT
Visual Inspection Visual Inspection
Aeration Test
Aeration Test
Actual Time
Actual Time
Actual Time
Actual Time
Tensile strength Tensile strength
Leak Test
Leak Test
LOTTING
LOTTING
LOTTING
LOTTING
Samples
Samples
test test
Sampling
Sampling
Qty
Qty
OK NG OK NG
L R L R
6-8 1 6-8 1
Start-up
Start-up
8-10 2 8-10 2
10-12 3 10-12 3
12-2 1 12-2 1
End Time
End Time
2-4 2 2-4 2
4-6 3 4-6 3
CANNULA ATTACHMENT CANNULA ATTACHMENT
Visual Inspection Visual Inspection
Aeration Test
Aeration Test
Actual Time
Actual Time
Actual Time
Actual Time
Leak Test
Leak Test
Tensile strength Tensile strength
LOTTING
LOTTING
LOTTING
LOTTING
Samples
Samples
test test
Sampling
Sampling
Qty
Qty
OK NG OK NG
L R L R
6-8 1 6-8 1
Start-up
Start-up
8-10 2 8-10 2
10-12 3 10-12 3
12-2 1 12-2 1
End Time
End Time
2-4 2 2-4 2
4-6 3 4-6 3
OX SOCKET/STD. CONN. ATTACHMENT OX SOCKET/STD. CONN. ATTACHMENT
Visual Inspection Visual Inspection
Aeration Test
Aeration Test
Actual Time
Actual Time
Actual Time
Actual Time
Leak Test
Leak Test
LOTTING
LOTTING
LOTTING
LOTTING
Samples
Samples
Tensile strength Tensile strength
Sampling
Sampling
test test
Qty
Qty
OK NG OK NG
6-8 1 6-8 1
Start-up
Start-up
8-10 2 8-10 2
10-12 3 10-12 3
12-2 1 12-2 1
End Time
End Time
2-4 2 2-4 2
4-6 3 4-6 3
FINAL ATTACHMENT FINAL ATTACHMENT
Visual Inspection Visual Inspection
Aeration Test
Aeration Test
Actual Time
Actual Time
Actual Time
Actual Time
Leak Test
Leak Test
LOTTING
LOTTING
LOTTING
LOTTING
Samples
Samples
Tensile strength Tensile strength
Sampling
Sampling
test test
Qty
Qty
OK NG OK NG
6-8 1 6-8 1
Start-up
Start-up
8-10 2 8-10 2
10-12 3 10-12 3
12-2 1 12-2 1
End Time
End Time
2-4 2 2-4 2
4-6 3 4-6 3
OX SOCKET TENSILE STRENGTH TEST OX SOCKET TENSILE STRENGTH TEST
Actual Time
Actual Time
Actual Time
Actual Time
Judgment
Judgment
LOTTING
LOTTING
LOTTING
LOTTING
Samples
Samples
Samples
Samples
Tensile
Tensile Tensile Tensile
strength
strength test strength test strength test
test
1 1 1 1
Start-up
Start-up
End Time
End Time
2 2 2 2
3 3 3 3
Date / Time NG Problem Lot Affected Action Taken Lot Dispositiom Prod Remarks Inspected by
Checked by
ACI-QA-F-26-04 Effectivity date: June 15, 2009
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