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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
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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
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