Format. No: TSSA - IS - IN - FR - 05 Rev 4 Dated. 15.01.2021

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Continuation sheet of IRN :- IND-021404/AHD/PPL/MSP/23/001, Date: 10.11.

2023
(E) Enclosure:
1. Internal Test report.
2. Bought out item test certificates.
3. Calibration report of measuring instruments.
4. Joint Inspection Report

Detail of Identification TUV SUD soft stamp stickers affixed on witnessed Offered Material

Rubber Stamp :- Die Stamp :-


Inspection Status :- Accept Dispatch
Recomended Action :- (1) Vendor shall take utmost care while handling the product after completion of Inspection .
Distribution : Client Supplier/Sub supplier Contracting office Performing office

Inspection engineer name sign & stamp :-


Manish S.Patel TUV SUD South Asia coordinator/ Client
Manager/Regional Manager:-
Page No 03of 03

Format. No: TSSA_IS_IN_FR_05 Rev 4 Dated. 15.01.2021


Continuation sheet of IRN :- IND-021404/AHD/PPL/MSP/23/001, Date: 10.11.2023
(A) Details of Inspection :
Sr. Offered
Item Description PO Qty. Accepted Qty Balance Qty
No. Qty
PLC Panels For details, please refer attached
1 01 Nos 01 Nos 01 Nos Nil
offered list.

(B) ) Detail of Inspection Activity: - Following Inspection activities done with respect to approved QAP and approved
drawings for
offered materials and results are found satisfactory.

QAP SR. NO.4.0 FINAL INSPECTION for PLC Panel,


Following inspection activities has been carried out on offered panel as per QAP/ Control Philosophy/ GA Drawing and
results found in order except observations,
1) Physical Verification of,
a. Bill of Material checked.
b. General arrangement checked.
c. Power wiring checked.
2) Visual inspection and dimension checked for panels.
3) Loop test checked.
4) Functional testing checked as per approved Control Philosophy.
5) Checking of Logics: Normal Process control: Shutdown / interlock / Sequence Logic.
6) IR- HV-IR for Power Circuit.
(C) Document Reviewed: - Following document reviewed and found in order.
1. Internal Test report.
2. Bought out item test certificates.
3. Calibration report of measuring instruments.
Reviewed of Calibration Certificate

(D) List of Calibration lnstruments: Details as per attached instruments calibration summary sheet

NABL
Instrument /Equipment Sr. No. Range Due Date
Accreditation
Measuring Steel Tape / FAQ-03 0 to 5000 mm 08.08.2024 Yes
Vernier Caliper/OXD-330-7380K 0-200 mm 08.08.2024 Yes
Digital Multimeter (1912060313) As Per Report 08.08.2024 Yes
Coating Thickness Gauge (8340) 0-1250 Micron 13.12.2023 Yes
High Voltage Tester (HVA1424) 0-2.5/5 KV AC 20.07.2024 Yes
Insulation Tester (19202106787) 1000v/200mOH 17.10.2024 Yes

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Format. No: TSSA_IS_IN_FR_05 Rev 4 Dated. 15.01.2021


TÜV SÜD South Asia Off Saki Vihar Road Saki Naka. Andheri (East) Mumbai 400 072

INSPECTION RELEASE NOTE


IRN No. IND-021404/AHD/PPL/MSP/23/001 Date: 10.11.2023

1.0. TÜV SÜD CLIENT DATA

Customer Name M/s Anemo Projects Pvt Ltd


Contract No. (Client to TÜV SÜD) IND-021404
Project Name / No. GAIL PATA
Contact Person of Customer Mr.Khalid Saba

TÜV SÜD Coordinator Mr.Tejpal Singh

2.0. SUPPLIER/ SUBSUPPLIER DETAIL

Name M/s Positronics Pvt Ltd

Location 111, GIDC Pore, Raman Gamdi, District - Vadodara Gujarat, India

P.O.No. & Date RS-R1-621-APPL-PPL-GAIL-PATA DT: 13.04.2023

P.O. Status Part Full

Date of visits 01.11.2023

3.0. REFERENCE DOCUMENT (Drawing/ QAP / Specification)


Sr.
Doc. No. Description Rev Date Approved By
No.
1 INS892 Inspection Call No (W/O No) - 02.10.2023 Anemo
B297-000-BISIL-PATA-SP-APPL-
2 Control Philosophy 00 13.12.2022 EIL
13026
3 RS-R1-621-APPL-PPL-GAIL-PATA PO - 13.04.2023 Anemo
B297-000-BISIL-PATA-GA-APPL-
4 GA Drawing 01 10.07.2023 EIL
10053
5 6-81-2040 Quality Assurance Plan 03 - EIL

4.0. ITEMS INSPECTED


Description Specification Order Quantity
As per Continuation sheet As per approved QAP & GA Drawing As per Continuation sheet
Page No 01 of 03
Disclaimer: IRN is valid with two relevant signature and when received from TUV SUD office only.

Registered Office: Corporate Office: Email: [email protected]


TÜV SÜD South Asia Pvt. Ltd. TÜV SÜD South Asia Pvt. Ltd. www.tuvsud.com/in
TÜV SÜD House, Solitaire, 4th Floor,
Off Saki Vihar Road, ITI Road, Aundh,
Saki Naka, Andheri (East), Pune 411007, India.
Mumbai 400072, India.
Format. No: TSSA_IS_IN_FR_05 Rev 4 Dated. 15.01.2021

For any suggestions/complaint please write to [email protected]

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