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Visual Inspection Report Form

A visual inspection report form is completed by quality assurance inspectors to document pass/fail decisions on visually inspected products based on set defect criteria. Use this checklist to effectively indicate product ID and location, capture photo evidence of products and/or defects, determine pass/fail decisions based on a reference image, identify visual defects based on defect criteria, and complete the visual inspection with a digital signature.

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Visual Inspection Report Form


Visual Inspection Report Form

Instructions: 1. List all the parts to be visually inspected by tapping “Add Part” 2. Indicate its ID and location and take/attach photos of the part. 3. Select pass or fail based on the part’s defect criteria below:
(This is an example of how you can use Lumiform to include best practice reference images in your templates to assist with inspections.)
4. For parts with visual defects, choose from the dropdown menu the exact failed item/s based on defect criteria. 5. You may put additional observations, then digitally place your signature to finish the visual inspection.
ID & Location
Take/attach photos
Defect Criteria
Identify visual defect/s.


Additional Observations
Quality Assurance Inspector Name & Signature
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