FORM No.: QC/QIR/06/VEN/A1 PAGE No.

: OF

QUALITY INSPECTION REPORT

SUPPLIER NAME : GANESH ENGINEERING WORKS RPT No.: DT:
VENDOR CODE: MCR No:
VENDOR NAME: PO. NO.:
PART No.: PO. QTY.:
DESCRIPTION: INS.QTY.:

SPECIFIED INSTRUMENT OBSERVED DIMENSION

S.N RANGE ZONE
DIMENSION SERIAL No. 1 1A 2 2A

10

11

12

13

14

15

REMARKS:

ADD. PROCESS :

SUPPLIER VENDOR
SEAL & SIGN. SEAL & SIGN.