AS9102 Rev A Form 1

Sheet 1 of 3 1. Part Number 2. Part Name 3. Serial Number 4. FAI Report Number 5. Part Revision Level 6. Drawing Number 7. Drawing revision level 8. Additional Changes 9. Manufacturing Process Reference 10. Organization Name 11. Supplier Code 12. P.O. Number Zero Manufacturing, Inc 13. Detail FAI 14. FAI Assembly FAI a) b) Reason for Partial FAI: Full FAI Partial Baseline Part Number including revision level if above part number is a detail part only, go to Field 19 If above part number is an assembly, go to the “INDEX” section below. INDEX of part numbers or sub-assembly numbers required to make the assembly noted above. 15. Part Number 16. Part Name 17. Part Serial Number 18. FAI Report Number 1) Signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition. 2) Also indicate if the FAI is complete per Section 5.4: 19. Signature 21. Reviewed By 23. Customer Approval FAI complete FAI not Complete 20. Date 22. Date 24. Date Form 1 Date: Oct 31, 2003 AS/EN/SJAC 9102 Rev A First Article Inspection Part Number Accountability FZ4-AS9102 Sheet 2 of 3 1. Part Number 2 Part Name 3. Serial Number 4. FAI Report Number 5. Material or Process Name 6. Specification Number 7. Code 8. Special Process Supplier Code 9. Customer Approval Verification (Yes/No/NA) 10. Certificate of Conformance number 11. Functional Test Procedure Number 12. Acceptance report number, if applicable 13. Comments: 14. Prepared By 15. Date: Date: Oct 31, 2003 AS/EN/SJAC 9102 Rev A First Article Inspection Form 2: Product Accountability – Raw Material, Specifications & Special Process(s), Functional Testing FZ4-AS9102 Sheet 3 of 3 1. Part Number 2. Part Name 3. Serial Number 4. FAI Report Characteristic Accountability Inspection / Test Results Optional Fields 5. Char No. 6. Reference Location 7. Characteristic Designator 8. Requirement 9. Results 10. Designed Tooling 11. NonConformance Number 14.[Insert columns, etc, as required by Organization or Customer] The signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition. 12. Prepared By: 13. Date: Date: Oct 31, 2003 AS/EN/SJAC 9102 Rev A First Article Inspection Form 3: Characteristic Accountability, Verification and Compatibility Evaluation FZ4-AS9102

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