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BLANK TEMPLATE — NOT AN INSPECTION RECORD OR CERTIFICATE. No product has been assessed or approved by this worksheet. Complete it against the actual quotation, specifications and samples. It does not replace applicable regulatory documentation or clinical validation.
| Project / quotation reference | |
|---|---|
| Worksheet revision / date | |
| Instrument SKU / exact option | |
| Kit component schedule and quantities | Attach the itemized bill of materials, including case/accessory counts. |
| Drawing / approved reference revision | |
| Material, finish and dimensions | Record applicable tolerances and the document establishing them. |
| Target market / required documentation |
| Artwork filename / revision | |
|---|---|
| Marking text, size and location | Attach a labeled proof; check product identity and legibility. |
| Label and packaging reference | Record layout, language, quantity per pack and manufacturer identity. |
| Sample / photograph reference | Identify the actual evaluated sample, not a generic catalog image. |
Add one row per agreed inspection criterion. Record the method, acceptance limit, actual result and evaluator. A blank field is not a pass.
| Criterion and acceptance limit | Method / actual result | Decision / evaluator |
|---|---|---|
| Deviations / corrective work | |
|---|---|
| Decision | Approved / rejected / revision required — identify scope and conditions. |
| Authorized approver / date |
Retain the approved SKU, drawing, artwork, component schedule and sample references with the order. Record any change in material, geometry, marking, packaging or component supplier and obtain the required approval before accepting a substitution.
Keep completed records securely. Do not publish customer details or confidential drawings. Discuss the submission method through the quotation form.