SUPPLIER SOURCE INSPECTION REQUEST
NOTE: Source inspection requests are to be requested by the supplier’s quality department personnel only
and emailed to [email protected].
NOTE: All shaded fields are to be completed by BAE Systems SQA, QA Engineer or Cognizant Quality CAM.
Date requested:
To:
Date ready:
SQA:
Information only
Action required
Procurement:
Information only
Action required
QA Engineer
or Cognizant
Quality CAM:
Information only
Action required
Other:
Information only
Action required
Information only
Action required
Inspector:
Name of requestor:
Phone number:
Purpose of visit:
Source Inspection
Other (see comments)
E-mail:
Comments:
Supplier name:
Security Clearance Required:
Yes
No
Company name of where the source inspection is to take place:
Address for this visit:
Street:
City, State, Zip:
Supplier’s QA contact name:
P.O. number:
Line:
Phone number:
Quantity:
Description:
Inspection type:
Choose one
Part number:
HDW/DWG revision to which it was built:
Special description codes:
New part or RMA:
Choose one
P.O. HDW part revision:
Order quantity:
E-mail:
Witness sample:
Yes
No
P.O. DWG revision:
Balance due:
Was SVR requested:
Yes
No
QA Engineer:
Buyer:
S/N:
Promise date:
Inspection and QA codes:
QA notes:
Project:
Page 1 of 3
PDM HDW part revision:
PDM DWG revision:
SRC, TipQA source/receiver
number:
11-054 (29 Dec 15)
SUPPLIER SOURCE INSPECTION REQUEST
P.O. number:
Line:
Quantity:
Description:
Inspection type:
Choose one
HDW/DWG revision to which it was built:
Special description codes:
New part or RMA:
Choose one
P.O. HDW part revision:
Order quantity:
Part number:
Witness sample:
Yes
No
P.O. DWG revision:
Balance due:
Was SVR requested:
Yes
No
S/N:
QA Engineer:
Promise date:
Buyer:
Inspection and QA codes:
QA notes:
Project:
P.O. number:
PDM HDW part revision:
Line:
Quantity:
Description:
Inspection type:
Choose one
Part number:
SRC, TipQA source/receiver
number:
HDW/DWG revision to which it was built:
Special description codes:
New part or RMA:
Choose one
P.O. HDW part revision:
Order quantity:
PDM DWG revision:
Witness sample:
Yes
No
P.O. DWG revision:
Balance due:
Was SVR requested:
Yes
No
QA Engineer:
Buyer:
S/N:
Promise date:
Inspection and QA codes:
QA notes:
Project:
Page 2 of 3
PDM HDW part revision:
PDM DWG revision:
SRC, TipQA source/receiver
number:
11-054 (29 Dec 15)
SUPPLIER SOURCE INSPECTION REQUEST
P.O. number:
Line:
Quantity:
Part number:
Description:
Inspection type:
Choose one
Special description codes:
New part or RMA:
Choose one
P.O. HDW part revision:
Order quantity:
HDW/DWG revision to which it was built:
Witness sample:
Yes
No
P.O. DWG revision:
Balance due:
Was SVR requested:
Yes
No
QA Engineer:
S/N:
Promise date:
Buyer:
Inspection and QA codes:
QA notes:
Project:
PDM HDW part revision:
PDM DWG revision:
SRC, TipQA source/receiver
number:
BAE Systems SQA
Supplier number:
Open corrective actions:
BAE Systems QA Engineer or Cognizant Quality CAM
BAE Systems QA Engineer or Cognizant
Quality CAM trip approval:
Yes
No
Note: QA Engineer or Cognizant Quality CAM must have Source
Inspection Directions entered into TIPQA for all parts being
inspected if trip is approved.
Project/task code to be charged for labor:
Project/task code to be charged for travel:
Commodity / Part Group (required) and Remarks:
BAE Systems Source Inspector
Note: Inspector is responsible for completeness and accuracy of the completed form prior to scheduling
source inspection with the supplier.
Confirmed by:
Page 3 of 3
Source inspection date confirmed:
11-054 (29 Dec 15)