Mould Quality Assurance Sign Off
Use this form to record inspection results, note defects, and capture the final quality assurance sign-off for a mould.
Mould Identification
Mould Name or ID
*
Product or Component Reference
Mould Type
Injection
Compression
Blow
Transfer
Other
Cavity Count
Location or Production Line
Inspection Details
Inspection Date
*
-
Month
-
Day
Year
Date
Inspection Time
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
Department / Team
Shift
Morning
Afternoon
Night
Other
Quality Check Criteria
Quality criteria rating
*
Rows
Rating
Comments
Surface condition
1
Alignment
2
Wear
3
Cleanliness
4
Dimensions / fit
5
Functionality
6
Overall quality rating
*
1
2
3
4
5
Surface condition notes
Alignment notes
Wear notes
Cleanliness notes
Dimensions / fit notes
Defects and Observations
Defect Findings
*
Additional Observations
Corrective Action and Sign-Off
Corrective Action Required
*
None
Minor rework
Major rework
Escalate
Action Owner
Target Completion Date
-
Month
-
Day
Year
Date
Final Sign-Off Decision
*
Approved
Approved with remarks
Rejected
Sign-Off Remarks
Inspector Acknowledgement
Submit Sign Off
Submit Sign Off
Should be Empty: