PABSTA Engineers India Ltd.

INSPECTION VISIT REPORT

32/3T Gariahat Road (South), Kolkata –

700031

1. PABSTA Ref No :
2. PABSTA Customer Name : Hindustan Petroleum Corporation.
3. End User Name : HPCL Siliguri RRO
4. Project :
5. Supplier/Manufacturer : Supplier: M/s NG Brothers
6. Purchase order No :

7. Scope of Inspection : As per PO

8. Material offered : 23.03.21
9. Contacted person : Mr Jitendra Jha
10. Place & Date of Inspection : 25.03.21 , Kolkata
11
12 Calibration Status: -
All Equipment’s/instruments used by customer/vendor during inspection are verified for suitability by having
accreditation to ISO/IEC 17025 for the relevant tests, range accuracy and calibration validity. YES  NO 
OR
Equipment is suitable in Equipment calibrated Facilities & Environmental
Yes/ Yes/ Yes/
terms of range, least count, traceably to national or conditions for measurement are
No No No
accuracy international standards maintained
Unique identification of Yes/ Use of equipment by Yes/ Validity of Calibration Yes/
equipment No competent person No No
* If measuring instrument used during inspection at vendor’s premises comply to requirement of calibration through ISO 17025 accredited
laboratory, this inspection report shall be deemed as accredited.

13. Stamped /Punched / Stenciled /√ Stickered (for identification only) PEIL Stamp Sticker put on inspected

items randomly as for identification with signature on it.

13. Result of Inspection: -

Satisfactory 
Not Conform
X
Accepted under Deviation (with written document from Purchaser mandatory)
X
Pending for Further Work - Testing/Painting / Finishing / Packing / Marking         
X
(A) Reference Document:
1. PO:
Company’s  representative For PABSTA Engineers India Ltd.

Name:
Mobile:
(Name & Signature) Email:

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 PABSTA Engineers India Ltd. INSPECTION VISIT REPORT

32/3T Gariahat Road (South), Kolkata –

700031

(B) Detail of Inspection Activity :-( Sampling Detail: Randomly Selected 10% from Offered Items)

1. Visual Check: Offered items randomly checked for overall finish, workmanship and same was found
satisfactory.
2. Dimension Check: Offered items dimension checked randomly and same was found satisfactory.
3. Light Check Performed on PETG, HP Logo and Spine. Same was found Satisfactory.
4. For Powder Coated Items DFT Checked on Random Surface and same found satisfactory.

( C) Document Reviewed :-Below mentioned documents are reviewed and found in order.

1. Raw material Test Certificates.

2. Internal Inspection Reports.
3. Calibration certificate of measuring instruments.

(D) List of Calibration instruments: -

1. Steel Tape
2. Vernier Caliper

(E) Conclusion: -

1. Offered material are accepted as per check and test performed on Shop.
2. Manufacturer Should take necessary clearance from M/S HPCL for dispatch.

(F) Enclosure: -

1. Raw material Test Certificates.

2. Internal Inspection Reports.
3. Calibration certificate of measuring instruments.

Photographs:

Company’s  representative For PABSTA Engineers India Ltd.

Name:
Mobile:
(Name & Signature) Email:

Page 2 of 3
PABSTA Engineers India Ltd. INSPECTION VISIT REPORT

32/3T Gariahat Road (South), Kolkata –

700031

Company’s  representative For PABSTA Engineers India Ltd.

Name:
Mobile:
(Name & Signature) Email:

Page 3 of 3