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Quality12 checkseach timeabout 5 minutes, estimate; adjust for site

Sample dispatch checklist

This checklist covers samples sent with the right reports, labels and approval request. Tick each item at the point of work and record any failure.

0 of 12 checked

1Identify the lot or issue

  • Customer name and sample request match
  • Sample part revision is current
  • Approved sample quantity is packedMUST
  • Each sample is labelled

2Inspect and control

  • Test or inspection report is attachedMUST
  • Handling instructions are present where needed
  • Customer contact details are checked
  • Packing protects the sample

3Decide and record

  • Courier or transporter reference is saved
  • Approval request is clearly statedMUST
  • Expected feedback date is written
  • Follow-up owner is assignedMUST
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When to use it

The quality inspector uses this list each time this job or event occurs. Allow about 5 minutes for the checks, plus time for any problem found. Work from the inspection register and the identified lot. Look at the actual item before ticking it. Mark No when evidence is missing and explain why.

Its scope is specific: samples sent with the right reports, labels and approval request. First confirm customer name and sample request match, then examine the relevant work before approval or handover. The person named at the top should complete the checks as the work happens. Do not sign a page from memory later.

If an item is a "No"

For a failed (must) check, hold the affected work at its current stage. The quality inspector records the item, current job or lot, time and a clear note. Tell the person authorised to release that work. Do not tick Yes after simply sending a message. Recheck the item and record who accepted it before proceeding.

For this checklist, pay particular attention when test or inspection report is attached cannot be confirmed. Check the supporting record or the actual material. A photo alone may not prove a measurement or approval. Note missing evidence.

For other failures, name an owner and due date. Escalate safety, compliance or customer risks before release.

Common mistakes

  • Ticking sample part revision is current without looking at the actual item or source record.
  • Writing "done" when handling instructions are present where needed has not been checked.
  • Closing the sheet even though courier or transporter reference is saved is still unknown.
  • Filing the page with no name, no date or no owner for failed items.

Make it your own

Print this on A4 or keep it in a shared sheet. Add a column for the person clearing each failed item. In a rubber parts business, adapt the references to the part, lot, machine or delivery document your team actually uses. In pharma packaging, name the local register and sign-off owner. Remove a check only if it truly cannot apply, and write down why. Do not remove critical safety or statutory checks without qualified review.

Try the list on a real job, then ask the quality inspector which records were hard to find. Keep one approved version with a revision date so the team uses the same checks.


A checklist only works if someone ticks it, every time, and someone reads it.

Questions people ask

Who should sign the sample dispatch checklist?

The quality inspector who performed the check signs it. If a different person approves release, capture that name too. Do not use another person’s signature.

What if customer name and sample request match cannot be confirmed?

Mark No, describe what you looked at and hold the affected work if it is a critical item. Ask the authorised owner to decide the next action. Keep the result in the same record.

Can we use the short version instead of the full checklist?

Use the short version for a quick reminder. The full list has the remaining checks, failed-item notes and signature. Keep it for the actual decision and review.

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