CM/PF/PDW

JAN 2005

BUREAU OF INDIAN STANDARDS

REPORT OF PERIODIC INSPECTION
(Put √ mark on appropriate nature of inspection)
( ___________ inspection since Grant of Licence/Renewal)
CM/L-No ________________ IR No. ________________________
Valid upto _______________ Date of writing IR _______________

1. a) Licensee

b) IS 14543:2004 Packaged Drinking Water ( Other Than Packaged Natural Mineral Water)

Type, Material and capacity of containers covered

Under licence

c) Other licence(s) held CM/L-No IS Product

2. Special inspection charges, if applicable with details of realization

3. Date of inspection

4. Person(s) contacted

5. Change in Management , if any

6. Previous inspection details

a) Date and conducted by

b) Conclusions and recommendations

c) Details of last two factory samples

Sl Date of drawal of Mode and date of Status of sample Pass/Fail

No sample despatch (Whether report received) (if applicable)

7. Action on advice rendered in previous inspection or

otherwise asked for while granting licence/renewal of
the licence

REMARKS OF THE REVIEWING OFFICER ON PERFORMANCE OF LICENSEE KEEPING IN VIEW

THE PAST PERFORMANCE ( ON IRs, TRs, GENERAL, etc.) WITH SIGNATURE AND DATE
1.
2.
3.
4,
Signature of the Reviewing Officer
Designation
Date
 CM/L-No.

8. Source of raw water

a) Own Borewell/Municipality/Other Supply(specify)

b) Whether source changed from declared earlier
c) If yes, compliance to STI
d) Whether records of testing maintained as per STI

9. Packaging material

a) Details of receipt

Container Name of Supplier Whether Whether Whether

Type Material Capacity BIS received tested in-
certified with test house
certificate
Jar
Bottle
Cup
Glass
Pouch
Caps

b) Manner of disposal of sub-standard packaging material

c) Whether packing is done in approved container(s) ?

If not, give details

d) Whether records being maintained in accordance with

STI

10. Production details

a) Whether water being produced/packed at the time of

inspection ?

b) Whether any change in Process of Manufacturing and

Disinfection from that declared earlier? If yes, give
details

c) Production Controls Satisfactory/Unsatisfactory

d) Production and supply since last periodic inspection

(enclose details of completed month)

i) Quantity produced
ii) Quantity marked
iii) Quantity unmarked and manner of disposal
iv) Reasons for not marking
v) Parties supplied to ( Give complete address )
 CM/L-No.

11. Storing, Packing and Marking of BIS certified

material

a) Material held in stock

b) Packing and marking on packages

c) At what stage marking is done

(After or before test results are known)

d) Any change in the marking procedure from approved one

e) Compliance to Labeling Prohibitions

12. Testing arrangements and testing

a) Details of change(s) in Testing Personnel, if any

since previous inspection.

b) Competence of new Testing Personnel

c) Are the frequencies of tests and records testing being

maintained satisfactorily vis-à-vis the STI

d) Variation in test result Enclose Report in Annex 1

e) Details of failure reported, if any and corrective

actions taken for the same

f) Are all required instruments available and in working

order? If No, give details

g) Change/addition in testing facilities

h) Details of calibration of Balance & Incubators

13. Testing in factory

Description of the sample ( Type, Material, Capacity

of Container and Batch No., Mfg. date)

Sl Requirements tested Value obtained Value recorded Remarks

 CM/L-No.
14. Samples for independent tests

a) From where sampled (Stock/Production line )?

b) Details of sample (Batch/Lot No., Date of Mfg.,

Shelf-Life and Type, Material and Capacity

c) Test record of the batch from which drawn Report in Annex 1

d) Details of packing, labeling, coding and sealing of

the sample

e) Details of the counter sample left with the firm

f) Mode of dispatch and Laboratory to which sample

forwarded

15. Hygienic Conditions

a) Availability of responsible/ designated hygiene

control incharge

b) Overall compliance to Annex B of the IS 14543 Satisfactory/Unsatisfactory

(Enclose Report in the prescribed proforma)

16. Conclusions and Recommendations

a) Assessment of performance since last inspection Satisfactory/ Unsatisfactory

b) If operated unsatisfactory, give reasons

(Also indicate whether the reasons were conveyed to
the licensee through D/V Report, if so enclose copy)

c) Any discussion with the firm for difficulties in

production, testing, operation of Scheme and actions
proposed, if any for the discrepancies observed

d) Recommendation for action to be taken

e) Any other observation/comments for better appraisal

of the report

No. of Enclosures : Signature :

Inspected by :
Station : Designation :
Date :
 Annex I

ASSESMENT OF COMPLIANCE TO IS 14543 & STI FOR PACKAGED DRINKING WATER

REQUIREMENT LIMIT VARIATIONS IN BATCH DRAWN

RECORDS FOR
INDEPENDENT
TESTING

FOUR HOURLY TEST

1 Description To comply
2 Colour 2 Max
3 Odour Agreeable
4 Taste Agreeable
[Action Tendency
Scale a),b) or c)]
5 Turbidity 2 Max
6 pH 6.5 to 8.5

EACH CONTROL UNIT TESTS

1 Chloride 200 ppm Max

2 Sulphate 200 ppm Max
3 Alkalinity 200 ppm Max
4 TDS 500 ppm Max
5 Residual Free Chlorine 0.2 ppm Max
6 Escherichia coli Absent
7 Coliform bacteria Absent
8 Sulphite Reducing Anaerobes Absent
9 Pseudomonas Aeruginosa Absent
10 Aerobic Microbial Count
a) 20-22° C 100 per ml Max
b) 37° C 20 per ml Max
11 Yeast & Mould Absent

WEEKLY TESTS

1 Barium 1 ppm Max

2 Copper 0.05 ppm Max
3 Iron 0.1 ppm Max
4 Manganese 0.1 ppm Max
5 Nitrate 45 ppm Max
6 Nitrite 0.02 ppm Max
7 Aluminium 0.03 ppm Max
8 Calcium 75 ppm Max
9 Magnesium 30 ppm Max
10 Anionic Surface Active Agents(MBAS) 0.2 ppm Max
11 Sulphide 0.05 ppm Max
 REQUIREMENT LIMIT VARIATIONS IN BATCH DRAWN
RECORDS/TEST FOR
REPORTS INDEPENDENT
TESTING

MONTHLY TEST

1. Faecal streptococci and Staphylococus Absent

aureus

2. Salmonella and Shigella Absent

3. Vibrio cholera and V parahaemolyicus Absent

4 Phenolic Compounds Absent

5 Mineral Oil Absent

6 Antimony 0.005 ppm Max

7 Borate 5 ppm Max

 CM/L-NO.

DETAILS OF TESTING GOT DONE FROM OUTSIDE LABORATORY

(PROGRESS SINCE LAST INSPECTION)

MONTH & YEAR MONTHLY SIX MONTHLY ANNUAL

MONTH YEAR SENT RESULT SENT RESULT SENT RESULT

JANUARY

FEBRUARY

MARCH

APRIL

MAY

JUNE

JULY

AUGUST

SEPTEMBER

OCTOBER

NOVEMBER

DECEMBER

TWO YEARLY TEST