DGS&D - QA
Inspection Report for Life Jacket
(To be prepared separately for each lot inspected.)
QA Office File no. RC no. Order no.
Inspection Call No and date Quantity ordered Place of Inspection Qty. offered
Name of Supplier Description of Stores
Quantity Inspected
Date(s) of Inspection I/Call Specifications Type Approval Certificate IRS approval Certificate TTC as per LSA & SOLAS PARAMETER
1
2
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1.Colour (Orange) 2.Construction & workmanship 3. Accessory 4.Performance Tests as per SOLAS specification i)Temperature cycling Test (Cl. 2.1) ii)Buoyancy Test (Cl.2.2) iii)Fire Test (Cl.2.3) iv)Test for components other than buoyancy materials (Cl.2.4) v)Strength Test (2.5) vi)Test for Life Jacket buoyancy material (Cl.2.6 a. Stability under temperature cycling b. compression and water absorption c. Tensile strength vii) Donning Test (Cl.2.7) viii)Water Performance Test (Cl.2.8) ix)Infant children’s Life Jacket Test (Cl.2.9) x) Inflatable Life Jacket test (Cl.2.10) xi) Floatability 16 .5kg (Min.) Notes: *Use extra sheets if required. All parameters as per IS/RC shall be tested. *Number of specimen to be tested for each sample and test methods adopted for different tests, values and tolerances of different parameters and criteria for conformity shall be as specified in the IS. *Results on all specimens to be reported on separate sheets and only the final value as applicable shall be reported in the table above. 1. Any other requirements as per governing specification mentioned in schedule above for each item. 2. Any other test as per governing specification. Note: - IR format has been devised for convenience of stake holders to assess acceptability. Otherwise for the lot under inspection. However, during inspection it should be ensured that all parameter are assessed as per contractual requirements and accordingly if need arise. IR may be augmented by user/authorized QA agency. Conclusion: Quantity accepted
Quantity rejected
How I Mark put
Facsimile of I mark Name, Designation and seal of supplier
Date Place
Name, designation, seal of Inspector
