Cover Sheet: VDA Initial Sample Inspection Report
Cover Sheet: VDA Initial Sample Inspection Report
Cover Sheet: VDA Initial Sample Inspection Report
Name: Name:
Part number: Part number:
Drawing number: Drawing number:
Status / Date: Status / Date:
Delivery note no. / date: Goods receipt no. / date: To be completed by customer
Supplier confirmation:
We confirm that the sample inspections were performed in accordance with VDA Volume 2, Chapter 4.
The IMDS data report was created under IMDS-ID-No.: ___________________________
Name: Comments:
Department:
Phone / Fax / E-Mail:
Date: Signature:
Customer decision Total Single releases
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Approved
Approved with conditions,
resampling required
Rejected, resampling required
Deviation approval no.: Valid until: Quantity Resampling due date
For returns, delivery note no. / date: /
Name: Comments:
Department:
Phone / Fax / E-Mail:
Date: Signature:
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