NOTE: Source inspection requests are to be requested by the supplier’s quality department personnel only and emailed to .
NOTE: All shaded fields are to be completed by BAE Systems SQA, QA Engineer or Cognizant Quality CAM.
Date requested: / Date ready:
To: / 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
Inspector: / Information only Action required
Name of requestor: / Phone number: / E-mail:
Purpose of visit:
Source Inspection
Other (see comments) / Comments: / Security Clearance Required:
Yes No
Supplier name: / Company name of where the source inspection is to take place:
Address for this visit:
Street:
City, State, Zip:
Supplier’s QA contact name: / Phone number: / E-mail:
P.O. number: / Line: / Quantity: / Part number: / HDW/DWG revision to which it was built:
Description: / Special description codes:
Inspection type:
Choose oneFinalPre-capIn process / New part or RMA:
Choose oneNew partRMA / Witness sample:
Yes No / Was SVR requested:
Yes No / S/N:
P.O. HDW part revision: / P.O. DWG revision: / QA Engineer: / Promise date:
Order quantity: / Balance due: / Buyer: / Inspection and QA codes:
QA notes:
Project: / PDM HDW part revision: / PDM DWG revision: / SRC, TipQA source/receiver number:
P.O. number: / Line: / Quantity: / Part number: / HDW/DWG revision to which it was built:
Description: / Special description codes:
Inspection type:
Choose oneFinalPre-capIn process / New part or RMA:
Choose oneNew partRMA / Witness sample:
Yes No / Was SVR requested:
Yes No / S/N:
P.O. HDW part revision: / P.O. DWG revision: / QA Engineer: / Promise date:
Order quantity: / Balance due: / Buyer: / Inspection and QA codes:
QA notes:
Project: / PDM HDW part revision: / PDM DWG revision: / SRC, TipQA source/receiver number:
P.O. number: / Line: / Quantity: / Part number: / HDW/DWG revision to which it was built:
Description: / Special description codes:
Inspection type:
Choose oneFinalPre-capIn process / New part or RMA:
Choose oneNew partRMA / Witness sample:
Yes No / Was SVR requested:
Yes No / S/N:
P.O. HDW part revision: / P.O. DWG revision: / QA Engineer: / Promise date:
Order quantity: / Balance due: / Buyer: / Inspection and QA codes:
QA notes:
Project: / PDM HDW part revision: / PDM DWG revision: / SRC, TipQA source/receiver number:
P.O. number: / Line: / Quantity: / Part number: / HDW/DWG revision to which it was built:
Description: / Special description codes:
Inspection type:
Choose oneFinalPre-capIn process / New part or RMA:
Choose oneNew partRMA / Witness sample:
Yes No / Was SVR requested:
Yes No / S/N:
P.O. HDW part revision: / P.O. DWG revision: / QA Engineer: / Promise date:
Order quantity: / Balance due: / 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: / Source inspection date confirmed:
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