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[COMPANY NAME HERE]

Quality Plan / Inspection and Test Plan
KEY TO INSPECTION CODES
A1 A2 W1 W2 S R1 R2 AP IN X H 100% ACTUAL INSPECTION/TEST SAMPLE INSPECTION/TEST 100% WITNESS INSPECTION/TEST SAMPLE WITNESS INSPECTION/TEST OPERATION SURVEILLANCE 100% DOCUMENTATION REVIEW SAMPLE DOCUMENTATION REVIEW SUBMIT CONTROL DOCS FOR APPROVAL SUBMIT CONTROL DOCS FOR INFO. SUBMIT VERIFYING DOCS FOR RECORDS HOLD POINT

KEY TO INSPECTION AUTHORITY CODES A B C [COMPANY NAME] [CLIENT NAME] [THIRD PARTY NAME]

ISSUE

DATE

BY

ISSUE NOTES

QUALITY PLAN NO.

CLIENT LOCATION REF. NO. PLANT/COMPONENT/EQUIPMENT SPEC.

QA STD. ISO 9001

Stage Description

Control Doc./ Acceptance Criteria

Verifying Document

Stage

A
Code

INSPECTION AUTHORITY B
Date
Code

C
Sig. Date

Sig.

Sig.

Date

Code

Instructions / Remarks

DOCUMENT REF:

Rev No: 0

Page 2 of 2 KEY TO INSPECTION CODES

A1 A2 W1 W2 S R1 R2 AP IN X H 100% ACTUAL INSPECTION/TEST SAMPLE INSPECTION/TEST 100% WITNESS INSPECTION/TEST SAMPLE WITNESS INSPECTION/TEST OPERATION SURVEILLANCE 100% DOCUMENTATION REVIEW SAMPLE DOCUMENTATION REVIEW SUBMIT CONTROL DOCS FOR APPROVAL SUBMIT CONTROL DOCS FOR INFO. SUBMIT VERIFYING DOCS FOR RECORDS HOLD POINT

KEY TO INSPECTION AUTHORITY CODES A B C [COMPANY NAME] [CLIENT NAME] [THIRD PARTY NAME]

ISSUE

DATE

BY

ISSUE NOTES

QUALITY PLAN NO.

CLIENT LOCATION REF. NO. PLANT/COMPONENT/EQUIPMENT SPEC.

QA STD. ISO 9001

Stage Description

Control Doc./ Acceptance Criteria

Verifying Document

Stage

A
Code

INSPECTION AUTHORITY B
Date
Code

C
Sig. Date

Sig.

Sig.

Date

Code

Instructions / Remarks

DOCUMENT REF:

Rev No: 0