Indus Emergency Vehicle Pvt Ltd

#Note:-Make,Order Number and Inspection date of each reciept goods is filled mandatory
Document No- QC/IEVPL/23/003 Scop- Incoming Componenet Inspection Checklist Efective Date: 09/03/2023 Revision Date

Suplier Name__________________________________ Purchase Order___________________ Inspection Date___________________

Make______________________ Model_____________________ Mfg Year__________________ Sr No___________________________

Volt_____________ No Of LED_______________ Manufracture Emblem__________________ Hieght _________________

Pressure _________________ Warning Vhistle Pressure __________________ Fall Down Alarm Second _____________________________

Visual Damage Check_______________ Deflection Test Weight__________ Deflection Test Time Duration____________________

Thraed Condition______________________Male To Female Adaptor Fittings

Pump Type_____________________________ Electricle Van Primer Test________________________Flange Dimesion______________________

# Light Mast Check Point Volt No of LED Hieght Model Sr.No

# BA SET Check Point Pressure Warning Whistle Pressure Fall Down Alarm Second
#Extension Ladder Deflection Test Weight Deflection Test Time Duration
#Fire Tenders Accessories Trhead Condition Male To Female Adaptor Fittings
#Pump Pump Type Electricle Van Primer Test Flange Dimenstion Sr.NO
#PTO Ratio Flange Dimenstion Sr.No

Prepared By ______________________ Inspector Sign And Stamp___________________________ Verified By_______________________

 Indus Emergency Vehicle Pvt Ltd
Document No-
QC/IEVPL/23/003 Title- Incoming Accessories Inspection Checklist Efective Date: 09/03/2023 Revision Date

Accessories Name:- Purchase Order:- Project Name:- Date Of Inspection

Light Customer PO Customer Customer PO

Specification Specification
Observation BA SET Specification
PO Specification Observation Extension Ladder Specification Specification
Observation
Mast

Type
(Roof / Pressure
Locker
Mounted Deflection Test

Power in
Wt. (For Warning Whistle
Each Flood) Second Roller Condition
No.Of Fall Down Alarm
Flood Sec. Visual Damge Check

Height Demand Valve

Working Deflection Test Weight

IN-PUT
Source
(AC/DC) Regulator OK? Deflection Test Time Duration

Facepiece &
Breathing Tube OK?

Entire Apparatus
OK?

Make__________________________________________________

Serial No___________________________________________________________________________________________________

Qty Offered_________________ Test Qty________________ Accepted Qty.____________ Rejected Qty__________________ Hold Qty___________________

Inspector Name Signature Date