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Objective Evidence Record (OER) - SAE

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APPENDIX F – AUDIT REPORT (Stage 1)<br />

1<br />

Auditing Company<br />

3<br />

Audit Date(s):<br />

Organization<br />

6<br />

Company Name:<br />

Name<br />

AUDIT REPORT (STAGE 1) 2<br />

Auditing<br />

4<br />

Audit Duration<br />

(Auditor days):<br />

5<br />

Report No:<br />

5<br />

Report Date:<br />

7<br />

Contact Details<br />

Company Logo<br />

Address:<br />

Subsidiary of:<br />

Website:<br />

8<br />

Location(s)/Sites Visited:<br />

9<br />

Preferred Language for Stage 2:<br />

Telephone:<br />

Facsimile:<br />

E-mail:<br />

Representative:<br />

Title:<br />

10<br />

Interpreter Needed? (Yes/No):<br />

11<br />

Proposed Certification/Approval Scope:<br />

12<br />

Permitted Exclusions (clauses):<br />

13<br />

Audit Team Leader:<br />

Audit Criterion<br />

14<br />

Standards (): 9100 9110 9120<br />

16<br />

Quality Manual:<br />

15<br />

Version:<br />

17<br />

Revision:<br />

Business<br />

Aviation<br />

Space<br />

Defense<br />

Other<br />

*F=Full time, P=Part Time, T= Temporary<br />

18<br />

Organization<br />

Revenue<br />

Revenue<br />

(optional)<br />

% of Total<br />

Revenue<br />

F/P/T*<br />

19<br />

Personnel<br />

Numbers<br />

% of Total<br />

Workforce<br />

**E= Early Shift, D=Day Shift, L=Late Shift, N=Night Shift<br />

21<br />

List of Major Current(C)/Potential(P) Aviation, Space, and Defense Major Customers<br />

20<br />

Organization Shift<br />

Patterns<br />

Number of Employees<br />

E/D/L/N**<br />

Customer Address Contact % of Business<br />

Page 1

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