CS / RIR / C- /

Receipt Inspection Report

Date:

Job No. Item Description Rubber Sleeve Flange Type

Vendor Name Drg No.

GRN No. Qty recd.

Sl. No. Description Specified Dim. Dim. Observed Remarks

Applicable Standard : Purchase Spec./Drg./Data Sheet

A Dimension Inspection (1 Sample/ Lot each type)

1 Outer Diameter Checked as per plan

and found satisfcatory
2 Inner Diameter

3 Height

4 No. of Holes

5 Hole CD

6 Diameter of Hole

7 Material EPDM

1 Outer Diameter

2 Inner Diameter

3 Height

4 No. of Holes

5 Hole CD

6 Diameter of Hole

7 Material EPDM

Visually OK/ Not OK

D TC Verification
TC. No.
Date TC Reviewed
Material Found in order
TC FOUND IN ORDER (Y/N)

Observation :-____________________________________________________________________________
________________________________________________________________________________________

________________________________________________________________________________________

Inspected By:
QAF:QC:10
REV:01
 Remarks

ed as per plan
und satisfcatory

ually OK/ Not OK

iewed
Found in order
 CS / RIR / C- /
Receipt Inspection Report
Date:

Job No. Item Description: Elastomer Spring Head EPDM

Vendor Name: Drg No.

GRN No. Qty recd.

Sl. No. Description Specified Dim. Dim. Observed Remarks

Applicable Standard : Purchase Spec./Drg./Data Sheet

A Dimension Inspection (1 Sample/ Lot each type)

1 Fitment

2 Dimension

3 Visually

4 Material

1 Fitment

2 Dimension

3 Visually

4 Material EPDM

C Make/ Visual/Aesthetics (Inspection Plan 100%)

D TC Verification
TC. No.
Date
Material
TC FOUND IN ORDER (Y/N)

Observation :-____________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Inspected By: Signature HOD (QA)

QAF:QC:10
REV:01
 Remarks

QA)
 CS / RIR / C- /
Receipt Inspection Report
Date:

Job No. Item Description: Rubber Bellow (Rectangular Type)

Vendor Name: Drg No.

GRN No. Qty recd.

Sl. No. Description Specified Dim. Dim. Observed Remarks
Applicable Standard : Purchase Spec./Drg./Data Sheet
A Dimension Inspection (1 Sample/ Lot each type)

1 Length (In mm) Checked as per

drawing and plan
2 Width (In mm)
and found
3 Thickness (In mm) satisfactory
4 Height (In mm)

5 Hole Dia. & No. of Holes

6 Hole CD (LxW) / PCD

7 Material EPDM

8 Hole Alignment Visually

1 Length (In mm)

2 Width (In mm)

3 Thickness (In mm)

4 Height (In mm)

5 Hole Dia. & No. of Holes

6 Hole CD (LxW) / PCD

7 Material EPDM

8 Hole Alignment Visually

C Make/ Visual/Aesthetics (Inspection Plan 100%)

United Rubber Industries Visually OK/ Not OK

D TC Verification
TC. No. TC Reviewed
Found in order
Date
Material
TC FOUND IN ORDER (Y/N)
Observation :-____________________________________________________________________________
________________________________________________________________________________________

Inspected By:
QAF:QC:10
REV:01
 Remarks

ked as per
ng and plan
ound
actory

ually OK/ Not OK

iewed
Found in order
 CS / RIR / C- /
Receipt Inspection Report
Date:

Job No. Item Description: Rubber Bellow (Circular Type)

Vendor Name: Drg No.

GRN No. Qty recd.
Sl. No. Description Specified Dim. Dim. Observed Remarks

Applicable Standard : Purchase Spec./ Drg./ Data Sheet

A Dimension Inspection (1 Sample/ Lot each type)

1 Diameter (In mm) Checked as per drawing

and plan and found
2 Height (In mm) satisfactory

3 Hole Dia. & No. of Holes

4 Hole CD (LxW) / PCD

5 Hole Alignment

1 Diameter (In mm)

2 Height (In mm)

3 Hole Dia. & No. of Holes

4 Hole CD (LxW) / PCD

5 Hole Alignment

C Make/ Visual/Aesthetics (Inspection Plan 100%)

United Rubber Industries Visually OK/ Not OK

D TC Verification
TC. No. TC Reviewed
Date
Material
TC FOUND IN ORDER (Y/N)

Observation :-____________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Inspected By:
QAF:QC:10
REV:01
 CS / RIR / C- /
Receipt Inspection Report
Date:

Job No. Item Description: Rubber Gasket

Vendor Name: Ajit Rubber Gasket/ NPS Drg No. As per PO requirement

GRN No. Qty recd.

Applicable Standard : Purchase Spec./Drg./Data Sheet
Sl. No. Description Specified Dim. Dim. Observed Remarks

A Dimension Inspection (1 Sample/ Lot each type)

Checked as per sampling
1 Width (In mm)
plan & found satisfactory
2 Thickness (In mm)

3 Materials

1 Width (In mm)

2 Thickness (In mm)

3 Materials

C Make/ Visual/Aesthetics (Inspection Plan 100%)

Ajit Rubber/ NPS Visually OK/ Not OK

D TC Verification
TC. No.
Date TC Reviewed
Material Found in order

TC FOUND IN ORDER (Y/N)

Observation :-______________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Inspected By:
QAF:QC:10
REV:01
 Remarks

d as per sampling
ound satisfactory

ually OK/ Not OK

iewed
Found in order

____________

_______________

_______________
 CS / RIR / C- /
Receipt Inspection Report
Date:

Job No. Item Description: Rubber Pad

Vendor Name: Ajit Rubber Gasket/ NPS Drg No. As per PO requirement

GRN No. Qty recd.

Applicable Standard : Purchase Spec./Drg./Data Sheet
Sl. No. Description Specified Dim. Dim. Observed Remarks

A Dimension Inspection (1 Sample/ Lot each type)

Checked as per sampling
1 Diameter
plan & found satisfactory
2 Thickness (In mm)

3 Hole Diameter

4 Hole CD

1 Diameter

2 Thickness (In mm)

3 Hole Diameter

4 Hole CD

C Make/ Visual/Aesthetics (Inspection Plan 100%)

Ajit Rubber/ NPS Visually OK/ Not OK

D TC Verification
TC. No.
Date TC Reviewed
Material Found in order

TC FOUND IN ORDER (Y/N)

Observation :-______________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Inspected By: Signature HOD (QA)

QAF:QC:10
REV:01
 Remarks

d as per sampling
ound satisfactory

ually OK/ Not OK

iewed
Found in order

____________

_______________

_______________

QA)