Majisa FQCC04

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Field Quality Clearance Certificate Format No: QAG -FQCC-01/R02

Date: 20/06/2023
(To be issued only after completion of activity as per PO and FQP)

Project Name 1000MW SJVNL - BIKANER - Phase-04 Project capacity 1000MW

Name of the MAJISA ENTERPRISES WO/PO/CRO No. 8200120792


Contractor
Work allocated Construction of Inverter Yard Foundation FQCC No: ICR/MAJISA/FQCC-04
Bill Date & No. 24-07-2023 & RA-04 Date of issue: 12/30/2023
FQCC Particulars

S.No Description of the scope of work completed Billing Qty FQA inspected & Balance Remark
cleared Qty Qty

1 Construction of Inverter Yard Foundation Rs.14,66,421 /- Rs.14,66,421 /- - -

Records reviewed for clearance

Sl.no Details of records Report no. Remarks

1 Checklists- Concrete Pourcard Submitted Submitted


2 MTC,Invoice (Raw Materials) Submitted Submitted
3 Test Reports (Raw Materials,Cube Test) Cleared Cleared
4 Punch point / NC closure Closed Closed

5 Other Documents (Royalityes etc.) Cleared Cleared


Checked by FQA Engineer Reviewed & released by FQA Manager / HOF
Name Mr. Anubhav Srivastva Name Mr. GANGA RAM

Signature Signature

Date 12/30/2023 Date

Project Incharge or co-ordinator/ QSD Project Incharge


Name Mr. Chandan Singh

Signature

Date
Remarks for Conditional Approval :- NIL

Note: Reviewed records in original shall be retained at site office for audit review. Copy of review record shall be sent to TPS(QA) HO on monthly
basis (for soft copy documentation).
Field Quality Clearance Certificate Format No: QAG -FQCC-01/R02
Date: 20/06/2023
(To be issued only after completion of activity as per PO and FQP)

Invoice Ammount Rs.14,66,421 /-


FQCC Released ICR/MAJISA/FQCC-04

Sr no. Check
1 TRENCH NA
2 Alignment OK
3 cable laying NA
4 PPs upto this bill OK

Note: Reviewed records in original shall be retained at site office for audit review. Copy of review record shall be sent to TPS(QA) HO on monthly
basis (for soft copy documentation).
Project Name 1000MW SJVNL - BIKANER - Phase-04 Project capacity 1000MW

Name of the M/S JAI MAA BHADARIA RAY CONSTRUCTION WO / PO No. 8200117408
Contractor COMPANY
Work allocated Construction of Approach Road FQCC No: ROAD/BADARIA/FQCC-01
Bill Date & No. 06-02-2023 & RA-01 Date of issue: 9/10/2023
FQCC Particulars

S.No Description of the scope of work completed Billing Qty FQA inspected & Balance Remark
cleared Qty Qty

1 Construction of Approach Road Rs.41,28,431.00 /- Rs.41,28,431.00 /- - -

Records reviewed for clearance

Sl.no Details of records Report no. Remarks

1 Test Reports (Raw Materials,Cube Test) Cleared Cleared


2 Punch point / NC closure Closed Closed

3 Other Documents (Royalityes etc.) Cleared Cleared


Checked by FQA Engineer Reviewed & released by FQA Manager / HOF
Name Mr. ANISH V Name Mr. GANGA RAM

Signature Signature

Date 9/10/2023 Date

Project Incharge or co-ordinator/ QSD Project Incharge


Name Mr. PRADEEP KUMAR

Signature

Date
Remarks for Conditional Approval :-

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