ANL-266 JUN-09-2025.pdf
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- Attached to
- Automatic Thin Film Mapping Tool
- Solicitation number
- 6-B187-Q-00311-00
- Issued by
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Department of Energy Office of Science
About this file
This is an Acceptance Criteria Listing form (ANL-266) used for receipt inspection and acceptance of purchased items or services in a federal contracting environment.
The form serves as a standardized checklist for quality assurance and receipt inspection processes. It captures essential procurement information including award number, requisition number, supplier details, item description, part number, serial numbers, and quantities ordered versus received. The form requires inspectors to evaluate items against five basic acceptance criteria: inspection for shipping damage, verification of correct quantity, confirmation that items are not suspect or counterfeit per LMS-PROC-47, verification that items meet purchase requirements, and verification of shelf life requirements where applicable. For each criterion, inspectors must indicate Accept, Reject, or Not Applicable status. The form includes fields for documenting nonconformances with reference to ANL-626A Nonconformance Reports and LMS-PROC-3 Control of Nonconforming Items procedures. Additional sections allow for specific acceptance criteria tailored to individual line items, inspector comments and notes, and approval signatures with dates. The form identifies non-inspectable items such as shipping fees, discounts, or expedite fees that should be skipped during inspection. Associated documents referenced include LMS-PROC-49 Job Aid, LMS-PROC-49 Receipt Inspection, and LMS-PROC-47 Control of Suspect/Counterfeit Items.
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Text version
Acceptance Criteria Listing
Award Number: Requisition Number:
Award Line No: Req Line No:
1 Inspect for shipping damage
2 Verify correct quantity
3 Verify that item is not suspect/counterfeit in accordance with LMS-PROC-47
4 Verify item or service meets purchase requirements
5 If applicable, verify item shelf life requirements ___________________________
NARejectAcceptBasic Acceptance Criteria StatusReference LMS-PROC-3 Control of Nonconforming Items
If yes, Nonconformance Report (ANL-626A) Numbers:
Is there a nonconformance? Yes No
Date Inspected: Date Accepted or Rejected:
Inspection Location: Inspector Name:
Serial Number(s): Quantity Inspected:
Quantity Ordered: Quantity Received:
Part Number: QA Level:
Item Name: Date Received:
Date Promised:Item Description:
Supplier:
Procurement Specialist:
Requestor Division:
QAR Name:
Recipient Name:
Date Created:Requestor Name:
Is this a non-inspectable item (shipping fee, discount, expedite fee, etc.)?
If yes, skip to next purchased line item (if any).
Yes No
Specific Acceptance Criteria Enter specific criteria or check NA
Inspector Signature: Date:
Other Approval (If required): Date:
Inspector Comments / Notes:
LMS-PROC-49 Receipt Inspection,Associated documents: LMS-PROC-49 Job Aid, LMS-PROC-47 Control of Suspect/Counterfeit Items
ANL - 266 (6/9/2025) Page 1 of 2
LMS-PROC-49 Receipt Inspection,Associated documents: LMS-PROC-49 Job Aid, LMS-PROC-47 Control of Suspect/Counterfeit Items
ANL - 266 (6/9/2025) Page 2 of 2
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