Plug Quality Assurance Sign Off
Complete this form to document the inspection and quality assurance checks for plug components. Ensure all required fields are filled before final sign-off.
Product/Plug Identification
*
Batch or Serial Number
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Inspection Checklist
*
Rows
Pass
Fail
Visual Inspection
1
2
Dimensional Check
3
4
Material Integrity
5
6
Electrical Continuity
7
8
Labeling and Markings
9
10
Functionality Test
11
12
Additional Comments or Notes
Supervisor Name
*
First Name
Last Name
Supervisor Review
*
Approved
Requires Rework
Final Disposition
*
Accepted
Rejected
Other
Inspector Signature
*
Submit Sign Off
Submit Sign Off
Should be Empty: