Item Tag No., Batch No.

,
Quantity Description
Code Serial No., Cast, Heat No.
Witnessed Burst Test for Cylinders
1 45499
(Batch No. LPG/26.2 L/091 - SR.No: — 45271 to 45773
Witnessed Burst Test for Cylinders
2 45298 & 45711
(Batch No. LPG/26.2 L/091 - SR.No: — 45271 to 45773
Witnessed Burst Test for Cylinders
1 46009
(Batch No. LPG/26.2 L/092 - SR.No: — 45774 to 46276
Witnessed Burst Test for Cylinders
2 45833 & 46200
(Batch No. LPG/26.2 L/092 - SR.No: — 45774 to 46276
Witnessed Burst Test for Cylinders
1 46508
(Batch No. LPG/26.2 L/093 - SR.No: — 46277 to 46779
Witnessed Burst Test for Cylinders
2 46352 & 46712
(Batch No. LPG/26.2 L/093 - SR.No: — 46277 to 46779
Witnessed Burst Test for Cylinders
1 47004
(Batch No. LPG/26.2 L/094 - SR.No: — 46780 to 47282
Witnessed Burst Test for Cylinders
2 46850 & 47199
(Batch No. LPG/26.2 L/094 - SR.No: — 46780 to 47282
Witnessed Burst Test for Cylinders
1 47504
(Batch No. LPG/26.2 L/095- SR.No: — 47283 to 47785
Witnessed Burst Test for Cylinders
2 47336 & 47722
(Batch No. LPG/26.2 L/095- SR.No: — 47283 to 47785
--
Witnessed Burst Test for Cylinders
1 48017
(Batch No. LPG/26.2 L/096- SR.No: — 47786 to 48288
Witnessed Burst Test for Cylinders
2 47861 & 48221
(Batch No. LPG/26.2 L/096- SR.No: — 47786 to 48288
Witnessed Burst Test for Cylinders
1 48513
(Batch No. LPG/26.2 L/097- SR.No: — 48289 to 48791
Witnessed Burst Test for Cylinders
2 48341 & 48717
(Batch No. LPG/26.2 L/097- SR.No: — 48289 to 48791
Witnessed Burst Test for Cylinders
1 49030
(Batch No. LPG/26.2 L/098- SR.No: — 48792 to 49294
Witnessed Burst Test for Cylinders
2 48874 & 49218
(Batch No. LPG/26.2 L/098- SR.No: — 48792 to 49294
Witnessed Burst Test for Cylinders
1 49486
(Batch No. LPG/26.2 L/099- SR.No: — 49295 to 49797
Witnessed Burst Test for Cylinders
2 49363 & 49740
(Batch No. LPG/26.2 L/099- SR.No: — 49295 to 49797
Witnessed Burst Test for Cylinders
1 49979
(Batch No. LPG/26.2 L/100- SR.No: — 49798 to 50300
Witnessed Burst Test for Cylinders
2 49866 & 50222
(Batch No. LPG/26.2 L/100- SR.No: — 49798 to 50300
RESULTS OF Accepted Not Compliant ORDER STATUS: Complete Incomplete
INSPECTION:

L5-FMT-046 Rev. 03
 1.Report Headings: 2.Persons Present 3.Documentation Used /Approval Status 4.Inspection Carried Out 5.HSE Feedback
on the Vendor 6.Results/Conclusions 7.Overall Order Status 8.Next Visit/Exit Call 9.Attachments/Photos

1.0 SUMMARY:

Please refer clause 4.0 of this report for more details.

ATTACHMENTS: NCR Punch list Partial Release Balance Release Full PO Release
RECORD OF HOURS

2.0 PERSONS PRESENT:

3.0 DOCUMENTATION USED / APPROVAL STATUS:
 UAE’S GSO ISO 22991

4.0 INSPECTION CARRIED OUT (reference ITP clause if applicable):

 Witnessed Burst Test for the below mentioned cylinders with Achieved Result :-
Cylinder Capacity Burst Pressure Achieved
Serial No.
(Liter) (Bar)

L5-FMT-046 Rev. 03
 1.Report Headings: 2.Persons Present 3.Documentation Used /Approval Status 4.Inspection Carried Out 5.HSE Feedback
on the Vendor 6.Results/Conclusions 7.Overall Order Status 8.Next Visit/Exit Call 9.Attachments/Photos

26.2 45499 115.62

26.2 46009 117.62
26.2 46508 116.62
26.2 47004 117.12
26.2 47504 116.62
26.2 48017 117.12
26.2 48513 115.62
26.2 49030 114.12
26.2 49486 115.62
26.2 49979 115.62
 Burst test pressure value for above all meets the standard requirements - Found acceptable.
 Witnessed Mechanical Tests and found to be Satisfactory.
 Verified calibration certificates and found valid.

5.0 HSE FEEDBACK ON VENDOR: General HSE is followed by the Client.

6.0 RESULTS / CONCLUSIONS: Satisfactory .

7.0 OVERALL ORDER STATUS: Ongoing.

DELIVERY:
PO Delivery Date Current Scheduled Delivery Delivery Point Comments
N.A N.A N.A N.A

8.0 NEXT VISIT / EXIT CALL (must give estimated date if no fixed date; include stage/activity details): TBA.
9.0 ATTACHMENTS: NA
Photos:

- End of Report –

L5-FMT-046 Rev. 03