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of
PROJECT No. :
W.O. No. :
Identification No. :
Actual Value
( in mm )
Concession
Page No. :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Check list - Completion of stage Inspection ( as Drg. / QAP / Parts list ) to be filled by supplier.
Status
Sl.
Stages
Witnessed by-L&T(Ref IR No.& Dated)
No.
Acc. NA
Remarks
Others
Note :
( i ) We have checked machining allowance and verified stage inspection as per above checklist - found satisfactory.
( ii ) If any deviation/defects noticed during machining / assembly will be recitified by us.
Name:
Date:
Signature:
Desired Value
( in mm )
Actual Value
( in mm )
Concession
Continuation - Page 2
Report No. & Dated
Supplier
:
50
Name:
Date:
Signature:
of
o. :
n No. :
Remarks
r.
Remarks
found satisfactory.
Signature:
Remarks
Signature:
Desired Value
( in
Page No. : 01 of 02
PROJECT No. :
93283
W.O. No. :
98185
Identification No. :
V V E / 01
Actual Value
( in mm )
mm )
D7
3300
3300
D7
2330
2338
D7
2330
D10
E8
240
241
E9
81
81
E7
649
650
D4
640
638
E11 ( Sec-X-X)
878
885
10
C10
130
130
11
A9
190
190
12
C9
685
685
13
B9
605
605
14
B4
40
40
15
B5 / F12
1472
1472
Concession
Check list - Completion of stage Inspection ( as Drg. / QAP / Parts list ) to be filled by supplier.
Status
Sl.
Stages
Witnessed by-L&T(Ref IR No.& Dated)
No.
Acc.
NA
Remarks
a Identification / Match Marking
Acc.
Acc.
IR 1976 / KS Dt.:15/03/13
Acc.
IR 1976 / KS Dt.:15/03/13
Acc.
VVE/HS/001Dt.:15/03/13
Acc.
f DP Test ( If any )
IR 1901 / KS Dt.:04/02/13
Acc.
g MPI ( If any )
IR 1887 / SD Dt.:09/03/13
Acc.
IR 1887 / SD Dt.:09/03/13
Acc.
---
NA
----
NA
Acc.
Others
Note :
( i ) We have checked machining allowance and verified stage inspection as per above checklist - found satisfactory.
( ii ) If any deviation/defects noticed during machining / assembly will be recitified by us.
Name:
XXXXXXX
Date:
Actual Value
( in mm )
mm )
16
F8
120
121
17
E5
68
68
18
B9
605
605
19
G1
23
23
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
xxxxxxxx
Concession
20
xxxxx
xxxxxxxxxxx
Continuation Sheet 2
Report No. & Dated
Signature:
Supplier :
Name:
xxxxxxxxx
Date:
xxxxxxx
xxxxxx
Signature:
xxxxxxxxxx
01 of 02
.:
n No. :
Remarks
decision pending
supplier.
Remarks
- found satisfactory.
Signature:
xxxxxxxx
Remarks
Signature:
xxxxxxxxxx