DESIGN VERIFICATION PLAN AND REPORT

CUSTOMER: DVP&R NUMBER: DEPT.

PART NAME: REPORT DATE: PLAN ORIGINATOR:
PART NUMBER: COMPONENT / ASSEMBLY: MANAGER:
MODEL YEAR: REPORTING ENGINEER:

TEST PLAN TEST REPORT

Item Specification or Acceptance Test SAMPLES TESTED TIMING TEST RESULTS
No Clause Reference Test Description Responsibility Test Stage NOTES
Criteria Quantity Type Start date Finish date Test Result Quantity Pass Quantity Fail
Low Temperature
1 Exposure
High Temperature
2 Exposure

Performance/Functional
3 Evaluations

Inspections
4

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29
 30

31

Explain: Specification or Clause Reference : Internal and / or Customer Specification Reference

Test Description : From Specification clause description of test being undertaken

Person responsible

DV= Design verification (part tooled)

PV= Product and Process validation
Annual Layout= Continuing conformance
Sample type : A = Concept verification
B = Design verification
C = Product validation
Annual Layout = Continuing Conformance
Test Result : Record actual value of result

Where failures occur for Annual Layout for customer approved product, the QA Manager is to be informed for possible stop shipment actions