Factory Acceptance test

FAT - TK - 011 - A - CHK

Check sheet No.

HCMC Urban Railway Construction Project Ben Thanh

Shipping out of PC Sleepers Suoi Tien Section (Line 1)
/ Biên bản bàn giao tà vẹt. Contract Package-3: E&M, Rolling Stock, Track Work,
Maintenance

Sub - System Name Trackwork Quantity of sleeper:

Supplier/ Manufacturer: P.S. Mitsubishi Construction Elevated: No.:

Manufacturing quality plan No. MQP-TK-001-A Ballast: No.:

Shipping out date: Underground: No.:

No. Item Method Conclusion

STT Hạng mục Phương pháp Kết Luận

I Sleepers appearance
Cracks (if any) Visual □ Passed □
Spalling and other damages (specify if any) …………………… Visual □ Passed □
Twist or Torsion Visual □ Passed □
Sleepers alightment Visual □ Passed □
Cleanliness condition of appearance Visual □ Passed □
Chip at the corner or edge Visual □ Passed □
Color variations on concrete surface Visual □ Passed □
Sleepers No./ID clearly marked Visual □ Passed □
II Loading conditions
Adequate packing or protection to the edges of sleepers Visual □ Passed □
Permissable layers of sleepers Visual □ Passed □
Upright position with proper supports, cushing and tie-downs Visual □ Passed □
Adequate fastening and securing sleeper elements to trailers Visual □ Passed □
2. Remark/ Ghi chú:

3. Conclusion/ Kết Luận:

Overall acceptance (Nghiệm thu): □ Accepted (Chấp thuận) □ Not accepted (không chấp thuận)
MAIN-CONTRACTOR P.S.MITSUBISHI CONSTRUCTION
 Position Carry out Checked Approval

Date: Date: Date: Date:

011 - A - CHK

n Project Ben Thanh –

Stock, Track Work,

Conclusion
Kết Luận

Failed

Failed

Failed

Failed

Failed

Failed

Failed

Failed

Failed

Failed

Failed

Failed

TION
Approval