Third Party Quality Audit (TPQA12)

1.Hub Name :
2.Spoke Name :
3.Type :
4.Beneficiary Details
Name :
Father/Husband Name :
Gender :
Caste :
Dr. No :
Street Name :
Village/Ward Name :
Secretariat Name :
Mandal/Municipality Name :
District Name :
Aadhaar Number :
PAN Number :
Mobile Number :
5.Spoke Postal Address
Survey No./ Plot No. /Door No. :
Village /Ward Name :
Mandal /Municipality Name :
District :
Pincode :
Landmark :

6.Material Installation Status :

5. Item wise Inspection Status:

 ITEM NAME STATUS

1. Fish Display Unit

2.Retail Store Checkout

Counter
3.Fish Filleting Table with
Waste Hole
4.Preparation Table

5.Over Head Wall Mounted

Shelf
6.Waste Bin

7.Chopping Blocks

8.SS Sink With Long Arm -Floor

Mounted
9.Cafe Table

10.Stackable Chair

11.Online Counter

12.A. Live Fish Tank

12.B. Live Fish Tank

12.C. Live Fish Tank Round

1800 Ltr
12.D. Live Fish Tank Round
1200 Ltr

13.Landing Net Rod

14.Multideck Vertical Chiller

15.Supermarket Display Rack

16.R.O. System

17.RO Water Storage Tank

19.A. Gas Fryer

19.B. Gas Fryer (Double)

20. Stove With Griddle Plate

21.Table Top Weighing

Machine
22.Bluetooth Printer

23.Rotomould Ice Boxes

24. Waste Bin with Lid

25.Flake Ice Machine with

Refrigerator Unit and
Accessories
26.Air Curtain

27.Tv Display

28. Electric Insect Killer

Machine
29. Led Flood Light

30. Led Spotlight

31. Butchery and Fillet Knife

32.Fire Extinguisher 5 kg

33. Fire Extinguisher 5 kg

34.1.8.TR AC

35.1.5 KVA Inverter with

Tubular Battery
36.Dome Camera

37.Bullet Camera

38. DVR/NVR

39. 8 Port Poe Switch

40. CAT 6 Cable

41. 4U Rack

42. Monitor

43. Cover Net

53. Manual Fish De-

scaler/Remover
54. Water Tank