ALLOT TECH · BUYER RESOURCE

Filling Machine Trial Record

Blank template. Agree the method, sample size, test conditions and acceptance limits before running the trial. This is not a completed FAT, a certificate or a guarantee. Use additional sheets where needed.

1. Identify the equipment and test

Project / RFQ revisionDate / location
Machine / configurationRecipe / tooling revision
Product / batchTemperature / supply state
Container / closure samplesTarget fill and unit
Test product or substituteIf a substitute is used, record which performance claims it cannot establish:

2. Agree the measurement and acceptance basis

CheckMethod / equipment / sample countAgreed limit or criterion
Fill quantity
Visible level, if relevant
Closure and leakage
Good output and run duration
Reject / restart / changeover
Product recovery and cleanout

3. Retain individual observations

Identify the head or lane. Keep raw readings instead of reporting only an average. Do not reuse adjustment samples as the final verification series.

Time / sampleHead / laneMeasured result + unitCondition / defect / action

4. Record the outcome and open issues

Issue / deviationOwner and agreed actionRetest / closure evidence

Observed run time: __________ Total containers: __________ Accepted containers: __________

Document references / raw-data attachments: _______________________________________________

Buyer representative: ___________________ Supplier representative: ___________________

Record status and outstanding conditions: _________________________________________________

Read the RFQ guide · sales@allottech.com

Template revision: 14 September 2026. No information is sent by this page.