Figure 6-8.—ALRE Quality Assurance Inspector Recommendation/Designation form

6-16 ALRE QUALITY ASSURANCE INSPECTOR RECOMMENDATION/DESIGNATION CANDIDATE NAME I. WORK CENTER SUPERVISOR RECOMMENDATION In accordance with OPNAVINST 4790.15 the above named person is recommended for: QAI CDQAI CDI RATE FOR: (SYSTEM/SUBSYSTEM, ETC.) W/C SUPERVISOR SIGNATURE II. QUALITY ASSURANCE ENDORSEMENT The candidate has been examined in accordance with OPNAVINST 4790.15 and has passed all requirements satisfactorily. Recommended approval. DATE QA SUPERVISOR TYPED NAME AND RANK SIGNATURE DATE III. ALRE MAINTENANCE OFFICER ENDORSEMENT APPROVAL DISAPPROVAL RECOMMENDED MAINTENANCE OFFICER TYPED NAME AND RANK SIGNATURE DATE IV. V-2 DIVISION OFFICER ENDORSEMENT APPROVAL DISAPPROVAL RECOMMENDED V-2 OFFICER TYPED NAME AND RANK SIGNATURE DATE V. AIR OFFICER ENDORSEMENT/ACTION APPROVAL DISAPPROVAL DESIGNATED NOT DESIGNATED AIR OFFICER TYPED NAME AND RANK SIGNATURE DATE VI. COMMANDING OFFICER ACTION DESIGNATED NOT DESIGNATED COMMANDING OFFICER TYPED NAME AND RANK SIGNATURE DATE VII. DESIGNEE RESPONSIBILITY I understand my responsibility as set forth herein: "When performing inspections, I am considered to be the direct representative of the Commanding Officer for ensuring operational safety of the item concerned. I will not permit factors, such as operational desires, maintenance consideration, personal relations or the approach of liberty to modify my judgement. By signing an inspection report, I am certifying upon my own individual responsibility that the work involved has been personally inspected by me; that it has been properly completed and is in accordance with current instructions and directives; that it is satisfactory; that any related parts or components which may have been removed by the work are properly replaced and all parts are secure; and that the work has been performed in such a manner that the item is completely safe for use." CANDIDATE TYPED NAME SIGNATURE DATE Original to: Quality Assurance Copy to: Branch Officer OPNAVINST 4790.15B 1 FEBRUARY 1995 ABEf608 Figure 6-8.—ALRE Quality Assurance Inspector Recommendation/Designation form.