Packing Material Sampling Record






Company Name:-

Quality Assurance Department


Packing Material Sampling Record


Revision No.:- 
Issue Date:-


Material: __________________________GRN #: ____________________________
Batch / Lot #: ______________________Batch / Lot Size: _____________________
Ref. #: ____________________________No. of Units: ________________________
QA #: _____________________________Status: ______________________________


Physical Inspection by Q.A.


Supplier Name: _________________________________________________________


Mode of Packaging / Status

New
Recycled




Units No. from where sample taken:

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

No. of Sample Taken: ____________________________________________________

Remarks: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________


Sampled by: (Q.A. Officer) (Sign) ______________________ (Date) __________________



Reviewed & Approved by: (Q.A. Manager) (Sign) ________________ (Date)____________

Prepared By:


QA Officer
Reviewed By:


QA Manager
Authorized By:


Director


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