DD MM YY

CAL ON 13 10 16
DUE ON 13 10 19

CERTIFICATE OF GUAGE INSPECTION

Gauge ID QBSM01 MODEL SL-4040
DESCRIPTION Sound Meter MAKE BEE TECH

TYPE OF Gauge Digital CHARACTERISTICS 30~130dB

MPTB TO COMPLETE BELOW
NAME OF THE SUPPLIER ---- GRN NO & GRN DATE ----
PURCHASE ORDER NO ---- PURCHASE ORDER DATE ----
PRODUCT PART NO ---- PRODUCT PART DATE ----
DRAWING REVISION NO ---- DRAWING REVISION DATE ----
Gauge DRAWING NO ---- Gauge DRAWING DATE ----
Gauge DRG REVISION NO ---- Gauge DRG REVISION DATE ----
INSTALLATION & COMMISSIONING DATE

CHECK POINTS (TICK a IN BOX, IF OK) REMARKS

CHECK FOR SAFETY ASPECTS OF THE GAUGE

CHECK FOR ANY DAMAGES

CHECK FOR THE MOVEMENT OF SLIDERS

CHECK FOR RUST

CHECK FOR LABELS

CHECK FOR CONNECTIONS

CHECK FOR ERGNOMICS

CHECK ALL THE ACCESSORIES AS PER THE PO

CHECK FOR ANY OTHER THINGS

GAUGE MASTER INSPECTION DETAILS

DIMENSION &
MASTER Gauge ID MASTER TYPE ACTUAL SIZE REMARKS
TOLERANCE

GAUGE STUDY DETAILS

ACCEPTANCE
STUDY TYPE RESULT CONCLUSION
CRITERIA
Gauge R&R ( Parameter vies) <10% Preferred

>20% <30% can be

accepted based on
case to case study

Gauge R&R ( Attribute gauges) >90%

Remarks

Refer Operating Instruction FPC-BNG-06-P-0101.

Disposition: Accepted Rework Rejected

Checked by: Approved by :

 HBO DOCUMENT REVISON TRACKING SHEET

Revision Number Revision date Changes done

0 Jul-15 Initial release
01 10.01.2018 Form identification done as per new logic

Company Logo and Name changed (Hanon Bangalore Operations

02 16.07.2019 Private Limited (Formerly Known Magna Powertrain Bangalore Private
Limited)
Doc No FPC-BNG-21-F-0001
Rev No. 01
Rev Date: 15.7.2019
Change updated by Remarks
Sunil Kumar MB-QM-QF-01

Sunil Kumar FPC-BNG-06-F-0101

Sunil Kumar FPC-BNG-06-F-0101