TUV SUD South Asia Pvt. Ltd.

Site Note
Project Date

Package Vendor

Note issued to (Name of Vendor Rep) Site Note No.:

Tick the appropriate one below

□OHSE issue □Quality issue □Other issues (specify)

Observation
Recommended
Action

Issued by Received by

Signature : Signature :

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TUV SUD South Asia Pvt. Ltd.

Name : Name :

Date : Date :

(before closing please record the details that has been checked & whether recommended action was
complied with)
Remarks

Observations Closed by Vendor: Checked & found OK by: TSSA PjM

Signature : Signature :

Name : Name :

Date : Date :

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