Ref No: F/DS/QC

Issue 01 01 Jul 10 Machine Inspection Check List

Inspection Team : 1 Machine under Date of
2 Inspection : Inspection
Sl No Inpection Point Status of Inpection Marks out Whether
10 recommended for Re-
Inspection
1 e'khu ij rsG xzhl ;k feVh
teh gqbZ uk gks
2 e'khu ls Gxh rkj vkSj
ikbZi [kjkc ;k dVh uk gks

3 fctGh ds rkjksa ij rsG vkSj

xzhl uk Gxh gks
4 e'khu ds lHkh uV vkSj
cksGV dls gq, gks
5 e'khu esa bLrsekG
gksuss okGs lHkh ftx vkSj
fQDlpj vPNh gkGr esa gks
6 lHkh bulV#esaUV tSls fd
ehVj izS'kj xSt vPNh gkGr
esa gks
7 lHkh e'khu VwGl xSt
vPNh gkGr esa gks
8 lHkh e'khuks ij ju pkVZ
izkslsl pkVZ vkSj fgnkbrs
9 gks
e'khu dh esUVsusal dh
gks vkSj vxj dksbZ [kjkch
gks rks vkizsVj dks irk
gks
10 e'khu dh izosufVo
esUVsusal dh tkrh gks
vkSj ml ds fjdkMZ gksa
Total Marks out
of 100
Remarks by the Team Leader

Team Member No 01 Name Signature Date

Team Member No 02 Name Signature Date

Remarks by the Director

Director Date: