Ceiling fan sample and repeat-order approval record

Blank template for the buyer and supplier to complete. It is not an inspection report or product certificate.

Use this template to record the sample, product requirements and approval results, with drawings, photos and test records attached. Refer to it when agreeing specifications or changes for a bulk or repeat order.

1. Project, model and sample ID
Buyer and project name, supplier, model, sample ID, specification and drawing revision, review date.
To complete: ______________________________
Identify the physical sample and its matching documents.
To complete: ______________________________

2. Appearance and installation
Blade material and construction, finish reference, dimensions, mounting, downrod and installation instructions.
To complete: ______________________________
Record differences from the requirements and attach photos or drawings.
To complete: ______________________________

3. Electrical, lighting and controls
Sales country or region, voltage and frequency, motor, lighting, control functions and approved component references.
To complete: ______________________________
Record the approved configuration and any unresolved issues.
To complete: ______________________________

4. Tests and certification documents
Test item, method, conditions, instrument, acceptance criteria, measured result and report reference.
To complete: ______________________________
Record whether each result meets the agreed criteria and check the model and configuration on the documents.
To complete: ______________________________

5. Branding, packaging and spares
Logo, labels, manual language, carton artwork, packing list and spare-part arrangements.
To complete: ______________________________
Save the approved artwork and packaging specification.
To complete: ______________________________

6. Issues and changes
Issue description, photo reference, required change, responsible person, completion date and revised documents.
To complete: ______________________________
Record the recheck results and any issues still preventing sample approval.
To complete: ______________________________

7. Sample approval status
Approval status, outstanding actions, buyer and supplier approvers, approval dates and attachment list.
To complete: ______________________________
Both parties confirm the status: approved, changes required or pending.
To complete: ______________________________

8. Changes for a repeat order
Previous approved specification, proposed component, finish or packaging changes, documents to update and whether a new sample is needed.
To complete: ______________________________
Confirm the specification for the new order and save the agreed changes.
To complete: ______________________________

Status: [ ] Approved  [ ] Changes required  [ ] Pending