Cover Sheet 初始样品检验报告封面.docx

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1、SenderCoverSheetVDAInitia1Samp1eInspectionReportProductionprocess&productre1easereportIDwSpASubmission1eve1:Initia1samp1eIINewcomponentProductmodification(specificationmodification)Productionre1ocationModificationinproductionprocessAddresseeProductionsuspension1ongerthan12monthsBeijingBenz-Daim1erCh

2、rys1erToo1modification/correctionAutomotiveCo.,1tdModificationinpurchasedpartsNo.8BoxingRd.Bui1dingNo.4,Changeofsupp1iers51h.F1oor,Economica1-OthersTechno1ogica1Deve1opmentResamp1ingAreaBeijingChina,100176Newsamp1ingReportsothersamp1esEndOSIIreS/InSPeCtedO1Dimensioncheck07Appearancetest13Process-FME

3、AJ19EU-Safetydatasheet02Functioncheck()8Surfacetest14Processf1owchartZ20Materia1datasheet/IMDS03Materia1tests09EMC-test15Productioncontro1p1an-121Meansoftransport/packaging04Haptictest10Re1iabi1itytest16Processcapabi1ityverificationZ)22Certificates05Acousticstest11Design-FMEA17Testequipment1istZ123P

4、rocessacceptance06Odor1est12Constructionre1ease18Inspectiondevicecapabi1ityverification24OthersSupp1ier/Production1ocation:Customer：BeijingBenz-DaimIerChrys1erAutomotiveCo.,1tdCust.No./DUNS-Code:IDnumbe亡Reportno./Index:/Rcptn./Index：TObCeomPICICdbyCUJitOnKrName:Partnumber:Drawingnumber:Status/Date:N

5、ame:Partnumber:Drawingnumber:Status/Da1e:De1iverynoteno./date:GdSCCCiptO/date：Tobecomp1etedbycustomerDe1iveryquantity:piecesOrderno./date:Batchnumber:Un1oadingsite:Samp1eweight:Supp1ierconfirmation:Weconfirmthatthesamp1einspectionswereperformedinaccordancewithVDAVo1ume2.Chapter4.TheIMDSdatareportwas

6、createdunderIMDS-ID-No.:Name:Department:Phone/Fax/E-Mai1:Comments:Date:Signature:CustomerdecisionTota1SiIIgre1easesO10203040506070809IOI112131415161718192021222324ApprovedApprovedwithconditions,resamp1ingrequiredRejected,resamp1ingrequired1Deviationapprova1no.：Va1idunti1:QuantityResamp1ingduedateFor

7、returns,de1iverynoteno./date:/Name:Department:Phone/Fax/E-Mai1:Comments:Date:SignatUre:Status:ContentsoftheVDAreportofSupp1ier/Production1ocation:Customer:IDNo./DUNS-CodeIDnumber:Reportno./Index:/ReportHO./Index：/Tobecomp1etedbycustomerName:Partnumber:Drawingnumber:Status/Date:Name:Partnumber:Drawin

8、gnumber:Status/Date:Enc1osureStatus/Date:Type,extentanddescriptionoftheenc1osures口O1Dimensiontest口02Functiontest口03Materia1stest口04Haptictest口05Acousticstest口06Odortest口07Appearancetest口08Surfacetest09EMC-test口1()Re1iabi1itytest11Design-FMEA口12Constructionre1ease口13Process-FMEA口14Processf1owchart口15

9、Productioncontro1p1an口16Processcapabi1ityverification口17Testequipment1ist口18Inspectiondevicecapabi1ityverification口19EUSafetydatasheet口2()Materia1datasheet口21Meansoftransport/packaging口22Certificates口23Processacceptance24OthersCommentsofsupp1ierName:Department:Phone:Fax:E-Mai1:Date:Signature:1JO1Dim

10、ensiontest02Functiontest03Materia1s1est04Haptictest305Acousticstest06Odortest07Appearancetest08Surfacetest09EMC-test10Re1iabi1itytestSupp1ier/Production1ocation:Customer:IDNo./DUNS-Code:IDnumber:Reportno./Index:/RcptHO./Index：/Tobecomp1etedbycustomerName:Partnumber:Drawingnumber:Status/Date:Name:Par

11、tnumber:Drawingnumber:Status/Da1e:Ref.No.Requirements/specificationsSupp1ieractua1va1uesSpecifYescationit?NoCommentsConfirmationsupp1ier:Decisioncustomer:Comments:Approved:Rejected,resamp1ingrequiredComments:Name:Department:Phone:Fax:E-Mai1:Name:Department:Phone:Fax:E-Mai1:Da1eSignatureDa1eSignature

12、Product-re1atedtestresu1tsStatusDate:Sheet:ofStatusProcess-re1atedandotherdocumentsof11Design-FMEA18Inspectiondevicecapabi1ityverification12Constructionre1ease19EUSafetydatasheet13Process-FMEA20Materia1sdatasheet14Processf1owchart21Meansoftransport/packaging15Productioncontro1p1an22Certificates16Processcapabi1ityverification23Processacceptance17Testequipment1ist24OthersSupp1ier/Production1ocation:Customer:IDno./DUNS-Code:IDnumber:Reportno./Index:/ReptHO./Index：/TObCCOmPktCdbyCMOn1CrDesignation:Partnumber:Drawingnumber:Status/Date:Designation:Partnumber:Drawingnumber:Status/Da1e:Confirm