FORM

FQ 28-02

AS 9102 SUPPLIER FAIR

(SM F09-00)

AS9102 - First Article Inspection Report (Rapport Revue 1er Article) - FORM 1 : PART NUMBER ACCOUNTABILITY (Formulaire 1 : Vrification rfrence article)
1. Part Number P/N (Rfrence article)

2. Part Name (Dsignation de larticle)

3. Serial Number (S/N) (Numro de srie)

4. FAI Report Number (N du Rapport)

5. Part Revision Level (Indice de larticle)

6. Drawing Number (Rfrence du plan)

7. Drawing Revision Level (Indice du plan)

8. Additional Changes (Modifications supplmentaires)

9. Manufacturing Process Reference (Rfrence

10. Organisation Name (Nom du fournisseur)

11. Supplier Code (Code fournisseur)

12. P.O. Number (N de commande)

14. Full FAI (complet)

Base line Part Number including revision level (Rfrence de larticle de rattachement comprenant lindice de

du Dossier de fabrication)

13.
Details FAI
(Revue premier article dune pice lmentaire)

Assembly FAI

Partial FAI (partielle)

modification) :

Reason for Partial FAI (Motif de la Revue premier article partielle)

(Revue 1er article : ensemble)

a) if above part number is a detail part only, go to box 19 (si la rfrence article ci-dessus n'est qu'un article lmentaire, aller au Champ 19)
b)if above part is an assembly, go to the INDEX section below (si la rfrence article ci-dessus est un ensemble, renseigner le TABLEAU ci-dessous)
INDEX of part numbers or sub-assembly numbers required to make assembly noted above
15. Part
16. Part Name (Dsignation de larticle)
17. Part Serial Number (Numro de srie de larticle) :
Number (Rf

18. FAI Report Number (N Rapport 1er article

composant)

article)

1. Signature indicates that all characteristics are accounted for: meet drawing requirements or are properly documented for disposition
(La signature indique que toutes les caractristiques sont prises en compte, satisfont les exigences de dfinition ou sont correctement documentes pour suite donner.)

2. Also indicate if the FAI is complete per section 5.4

(Indiquer galement si la Revue premier article est termine conformment au paragraphe 5.4) :

FAI complete

FAI not complete

19. Supplier Approval (Approbation fournisseur)

21. Esterline Advanced Sensors Approval

20. Date

22. Date

(Approbation Esterline)

AUXITROL S.A. , 5 alle Charles Path , 18941 Bourges Cedex 9 , France

Auxitrol S.A. is part of Esterline Advanced Sensors,a wholly owned platform of Esterline Technologies Corporation.
AUXITROL S.A. PROPRIETARY INFORMATION THIS DOCUMENT AND ALL INFORMATION CONTAINED THEREIN IS THE PROPERTY OF AUXITROL S.A. IT IS CONFIDENTIAL AND CANNOT BE USED,
COPIED OR DISCLOSED IN ANY WAY WITHOUT AUXITROL PRIOR WRITTEN AUTHORIZATION.

FORM
AS 9102 SUPPLIER FAIR

FQ 28-02
(SM F09-00)

AS9102 - First Article Inspection Report - FORM 2 : PRODUCT ACCOUNTABILITY RAW MATERIAL, SPECIAL PROCESS, FUNCTONAL TESTING
(Formulaire 2 : Vrification produit Matires premires, spcifications et procds spciaux, essais fonctionnels)
1. Part Number P/N (Rf. article)

2. Part Name (Dsignation de larticle)

5. Material (Nom de la matire)

6. Specification Number
(N spcification)

3. Serial Number (S/N) (Numro de srie)

7. Code

8. Special Process Supplier

(Nom du fournisseur)

9. Customer Approval Verification

(Yes/No/NA)
Vrification de lapprobation client

4. FAI Report Number (N Rapport)

10. C of C Number (N CC)

Process Name (Nom du process)

11. Functional Test Procedure Number

(N procdure dessais fonctionnels)

12. Acceptance report number, if applicable (N rapport d'acceptation, si appropri)

13. Comments (Commentaires)

14. Prepared By (tabli par)

15. Date

AUXITROL S.A. , 5 alle Charles Path , 18941 Bourges Cedex 9 , France

Auxitrol S.A. is part of Esterline Advanced Sensors,a wholly owned platform of Esterline Technologies Corporation.
AUXITROL S.A. PROPRIETARY INFORMATION THIS DOCUMENT AND ALL INFORMATION CONTAINED THEREIN IS THE PROPERTY OF AUXITROL S.A. IT IS CONFIDENTIAL AND
CANNOT BE USED, COPIED OR DISCLOSED IN ANY WAY WITHOUT AUXITROL PRIOR WRITTEN AUTHORIZATION.

FORM

FQ 28-02

AS 9102 SUPPLIER FAIR

(SM F09-00)

FORM 3 : CHARACTERISTIC ACCOUNTABILITY, VERIFICATION AND COMPATIBILITY EVALUTATION

Formulaire 3 : Vrification des caractristiques et valuation de la compatibilit
1. Part Number (Rf. article)

2. Part Name (Dsignation de larticle)

5. Part Revision Level

6. Drawing Number

(Indice de larticle)

(Rfrence du plan)

8. Organisation Name

9. Supplier Code

(Nom du fournisseur)

(Code fournisseur)

Characteristic Accountability (Vrification des caractristiques)

11. Characteristic No*
(N Caractristique)

12. Reference Location

(Localisation sur plan)

13. Drawing Requirement

(exigences du plan)

3. Serial number (Numro de srie)

4. FAI Report ( N Rapport)

7. Drawing Revision Level (Indice du plan)

10. P.O. Number (
N de commande)
Inspection / Test Results (Rsultats de contrle/dessais)

14.Results (variable data)

(Rsultats)

15. Designed Tooling

(Outillage Spcifique)

16.Non Conformance Number

(Numro de non-conformit)

The signature indicates that all characteristics are accounted for: meet drawing requirements or are properly documented for disposition
( La signature indique que toutes les caractristiques sont prises en compte, satisfont les exigences de dfinition ou sont correctement documentes pour suite donner)
17. Prepared by (tabli par)

18. Signature

19. Date

* Note : Identifiy Key Characteristics (KC) with an asterisk (les caractristiques cls (KC) sont identifies par un * )

AUXITROL S.A. , 5 alle Charles Path , 18941 Bourges Cedex 9 , France

Auxitrol S.A. is part of Esterline Advanced Sensors,a wholly owned platform of Esterline Technologies Corporation.
AUXITROL S.A. PROPRIETARY INFORMATION THIS DOCUMENT AND ALL INFORMATION CONTAINED THEREIN IS THE PROPERTY OF AUXITROL S.A. IT IS CONFIDENTIAL AND CANNOT BE USED, COPIED OR
DISCLOSED IN ANY WAY WITHOUT AUXITROL PRIOR WRITTEN AUTHORIZATION.