Attachment_J.6_Anomaly Report Template.pdf
PDF 41 KB Posted
- Attached to
- New Car Assessment Program (NCAP) Dynamic Rollover Tests Federal contract opportunity
- Solicitation number
- 693JJ920R000019
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Text version
ATTACHMENT-ANOMALY REPORT
SAMPLE NCAP ANOMALY FORM
LABORATORY NOTICE OF TEST FAILURE TO NCAP
Type Test.: ______ TEST DATE: ___________ _
LABORATORY: ____________________ _
CONTRACT NO.: _________ ; DELV. ORDER NO.: ____ _
LABORATORY PROJECT ENGINEER'S NAME:
TEST SPECIMEN DESCRIPTION
VEHICLE NHTSA NO.: ____ ; VIN: ________ _
PART NO.: ___ _ MFR:
TEST FAILURE DESCRIPTION:
I.
FMVSS REQUIREMENT?, PARAGRAPH §___: ________ _
NOTIFICATION TO NHTSA (COTR):
DATE: BY:
REMARKS:
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