DESIGN VERIFICATION PLAN AND REPORT Copies must be verified for current revision

DVP&R No: Rev: Date:

System Description: Supplier Name:

Subsystem Description: Supplier Code: Affected Program(s): Team:

Assembly Description: Part Number Rev Design Engineer Supplier Design Engineer (Key Contact)
Supplier
Address:
Name: Name:

City: Zip / Postal

Component Description: Part Number Rev Code:
Title: Title:

State: Country:
Email: Email:

Test Stage ED = Engineering Development Test, DV = Design Verification Test, PV = Production Verification Test, CCT = Continued Compliance Testing Phone: Phone:
Target Requirements. State required probability and confidence of meeting criteria, e.g. R90, C90 or all must pass.
Sample Level A = Prototype (No tooling), B = Prototype (Soft Tooled), C = Production Tooling (Not Process), D = Production Tooling & Process Cell: Cell:

Planned Product Testing Reporting of Results Planned Test Timing & Sample information Actual Timing & Sample Information
Compliance / Scheduled Timing Actual Timing
Test #

Test Results Test Test Location / Source of Sample Size Report or Doc. Sample Size
Regulatory / Specification / Test Name Method or Procedure Duration Acceptance Criteria Test Results / Findings Pass / Fail Test Completed by Notes Stage Target Requirement Verification Resp. Requirement Sample Level or Batch # Number Sample Level Sample ID Tested
SC/CC/KPC
Start End Start End
Utilizar durometro digital de 1
dureza shore A de 0 a 100 HA.
Realizar prueba en ambiente
controlado (dentro de
laboratorio de la empresa)
Tomar una muestra de 5 SE REALIZA LA PRUEBA EN LABORATORIO DE
1.0 1 Prueba de dureza shore D especimenes de plastico ABS. 10 min 65 - 75 HA 69 HA PASA AMM PLANTA, SE LLEVA A CABO EN UN DÍA Y SE
Realizar identación. GENERA EL REPORTE DE RESULTADOS.
Tomar lectuta .

Verification Report Authorization Design Engineer Review / Approval

I affirm that the samples used for verification testing are representative of our parts, and I authorize the use of this data.

Authorized Signature Date Authorized Signature Date

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 DESIGN VERIFICATION PLAN AND REPORT Copies must be verified for current revision

DVP&R No: Rev: Date:

System Description: Supplier Name:

Subsystem Description: Supplier Code: Affected Program(s): Team:

Assembly Description: Part Number Rev Design Engineer Supplier Design Engineer (Key Contact)
Supplier
Address:
Name: Name:

City: Zip / Postal

Component Description: Part Number Rev Code:
Title: Title:

State: Country:
Email: Email:

Test Stage ED = Engineering Development Test, DV = Design Verification Test, PV = Production Verification Test, CCT = Continued Compliance Testing Phone: Phone:
Target Requirements. State required probability and confidence of meeting criteria, e.g. R90, C90 or all must pass.
Sample Level A = Prototype (No tooling), B = Prototype (Soft Tooled), C = Production Tooling (Not Process), D = Production Tooling & Process Cell: Cell:

Planned Product Testing Reporting of Results Planned Test Timing & Sample information Actual Timing & Sample Information
Compliance / Scheduled Timing Actual Timing
Test #

Test Results Test Test Location / Source of Sample Size Report or Doc. Sample Size
Regulatory / Specification / Test Name Method or Procedure Duration Acceptance Criteria Test Results / Findings Pass / Fail Test Completed by Notes Stage Target Requirement Verification Resp. Requirement Sample Level or Batch # Number Sample Level Sample ID Tested
SC/CC/KPC
Start End Start End

Title Time Title Time

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