Doc.

No: AG/FRM/INS/002
T.M.AI.0064.V1 Page 1 of 1
DEFECT REPORT

Certificate No: AG/TPI/****1/** Date of Inspection: **/**/****

Name & Address of the Owner: Place of Inspection:

Colour code: Black

Inspection Standard: SP2275 Rev.01:2019
Condition found at
ID No.: Qty. Description SWL
the time of Inspection

Equipment Name
Make :
Type: Not Satisfactory

Defect / Observations : During inspection

observed *****

Date of Last Examination Date of Next Examination / Test

**** After repair / Rectification

The above item has been thoroughly examined and the results of the examination are as shown.

Inspected by: ******** Authenticated by: *****

Signature: Signature:
Date: ****** Date: ****