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DESIGN VERIFICATION PLAN AND REPORT
Supplier Name Part Number Revision Part Description
Specification & Method Test Description Acceptance Criteria Test Stage Target Requirements Sample Type Sample Level Actual Results Additional Notes
Specification Provide a brief desription Specify test targets and/or ED = Engineering Devel't Testing State required probability Describe the A = Prototype (Handmade) List results in terms Describe or
governing test of each test. pass/not pass criteria. DV = Design Verification or reliability and confidence sample to be B = Prototype (Tooled) of reliability or elaborate on
& test method used Include SC/CC/KPC Symbol e.g. cycles, miles, volts, PV = Production Validation of meeting acceptance tested (see C = Production Tool (Not Process) probability as appropriate sub-phases
(if applicable). List the Customer or minimum value, no CCT = Continued Compliance Testincriteria, e.g. R90 C90, or sample level) D = Production Tool and Process
designated symbol breakage, etc. All must pass.
if applic., e.g. KPC
Test Report
Test Specification Acceptance Test Target Test Timing Est. Sample Timing Sample Pass/ Actual Additional
ID & Test Method Criteria Stage Requirements Responsibility Start Comp. Qty Type Act. Comp. No Level Not Pass Results Notes
I affirm that the samples used for verification testing are representative of our parts, and I authorize the use of the desi
Date
Verification Report Authorization
Test Description
Test Plan
Supplier Authorized Signature Title
QMS-F-0674
Rev. 1 Page 1 of 1
Form Printed
8/21/2014

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DESIGN_VERIFICATION_PLAN_AND_REPORT.pdf

  • 1. DESIGN VERIFICATION PLAN AND REPORT Supplier Name Part Number Revision Part Description Specification & Method Test Description Acceptance Criteria Test Stage Target Requirements Sample Type Sample Level Actual Results Additional Notes Specification Provide a brief desription Specify test targets and/or ED = Engineering Devel't Testing State required probability Describe the A = Prototype (Handmade) List results in terms Describe or governing test of each test. pass/not pass criteria. DV = Design Verification or reliability and confidence sample to be B = Prototype (Tooled) of reliability or elaborate on & test method used Include SC/CC/KPC Symbol e.g. cycles, miles, volts, PV = Production Validation of meeting acceptance tested (see C = Production Tool (Not Process) probability as appropriate sub-phases (if applicable). List the Customer or minimum value, no CCT = Continued Compliance Testincriteria, e.g. R90 C90, or sample level) D = Production Tool and Process designated symbol breakage, etc. All must pass. if applic., e.g. KPC Test Report Test Specification Acceptance Test Target Test Timing Est. Sample Timing Sample Pass/ Actual Additional ID & Test Method Criteria Stage Requirements Responsibility Start Comp. Qty Type Act. Comp. No Level Not Pass Results Notes I affirm that the samples used for verification testing are representative of our parts, and I authorize the use of the desi Date Verification Report Authorization Test Description Test Plan Supplier Authorized Signature Title QMS-F-0674 Rev. 1 Page 1 of 1 Form Printed 8/21/2014