NOTE: Non-modified standard catalogue items are listed on Form 1, Number Accountability”. “Part 7. (O) Code: Any required code from the customer for material or process listing, as applicable. 8. (CR) Supplier: Identify supplier name, address, and code performing special processes or supplying material. Supplier name and address may be used, when supplier code is not available or not adequate for identification. 9. (CR) Customer Approval Verification: Indicate if the special process(es) or material sources are approved by the customer. Enter if approved; if approval is required, but process source is not approved; or if customer “Yes” “No” “NA” approval is not required. 10. (CR) Certificate of Conformance Number: The applicable certificate number (e.g., special process completion certification, raw material test report number, modified standard catalogue item compliance report number, traceability number). 11. (CR) Functional Test Procedure Number: Functional Test Procedure number identified as a design characteristic. 12. (CR) Acceptance Report Number: The functional test certification indicating that test requirements have been met. 13. (O) Comments: Provide supporting comments, as applicable. 14. (R) Signature: Printed name or unique identification, and signature of the person who prepared and approved this form. Signature indicates that all applicable materials, special processes, and functional testing are accounted for, meet requirements, are properly documented, and all associated nonconformances are documented on 9102 Form 3, Accountability, Verification, and Compatibility Evaluation”. “Characteristic NOTE: Electronic identification and signature are both acceptable. 15. (R) Date: Date when field 14 was signed. FORM 3 - CHARACTERISTIC ACCOUNTABILITY, VERIFICATION, AND COMPATIBILITY EVALUATION Sheet of 1. Part Number 2. Part Name 3. Serial 4. FAIR Number Number Characteristic Accountability Inspection / Test Results 5. Char. 6. 7. 8. 9. 10. Designed / 11. 14. Additional Data / No. Reference Characteristic Requirement Results Qualified Nonconformance Comments Location Designator Tooling Number
NOTE: Non-modified standard catalogue items are listed on Form 1, “Part Number Accountability”. 7. (O) Code: Any required code from the customer for material or process listing, as applicable. 8. (CR) Supplier: Identify supplier name, address, and code performing special processes or supplying material. Supplier name and address may be used, when supplier code is not available or not adequate for identification. 9. (CR) Customer Approval Verification: Indicate if the special process(es) or material sources are approved by the customer. Enter “Yes” if approved; “No” if approval is required, but process source is not approved; or “NA” if customer approval is not required. 10. (CR) Certificate of Conformance Number: The applicable certificate number (e.g., special process completion certification, raw material test report number, modified standard catalogue item compliance report number, traceability number). 11. (CR) Functional Test Procedure Number: Functional Test Procedure number identified as a design characteristic. 12. (CR) Acceptance Report Number: The functional test certification indicating that test requirements have been met. 13. (O) Comments: Provide supporting comments, as applicable. 14. (R) Signature: Printed name or unique identification, and signature of the person who prepared and approved this form. Signature indicates that all applicable materials, special processes, and functional testing are accounted for, meet requirements, are properly documented, and all associated nonconformances are documented on 9102 Form 3, “Characteristic Accountability, Verification, and Compatibility Evaluation”. NOTE: Electronic identification and signature are both acceptable. 15. (R) Date: Date when field 14 was signed. FORM 3 - CHARACTERISTIC ACCOUNTABILITY, VERIFICATION, AND COMPATIBILITY EVALUATION Sheet of 1. Part Number 2. Part Name 3. Serial Number 4. FAIR Number Characteristic Accountability Inspection / Test Results 5. Char. No. 6. Reference Location 7. Characteristic Designator 8. Requirement 9. Results 10. Designed / Qualified Tooling 11. Nonconformance Number 14. Additional Data / Comments
AS9102_Forms_04FEB2016.docx