Inspection Report

Contractor: Hemali Electricals, 301, 3rd Manufacturer: Sarovar Polymers pvt. Ltd, 201, Place of Inspection: 27/28 Atul Industrial Estate, Opp. Jyothi CNC, ka
floor, Santram Mall- 1, Santram city, Gautam Commercial Center, Gondal Road, Rajkot, GIDC, Rajkot, Gujarat - 360021
Kalyan pura Road, Nanikadi, Kadi, Gujarat - 360002
Mehsana, Gujarat - 382715

Contract Agreement No. - Inspection Date:

RVNL/CPM/PNU-SIOB/1/6/(Pkg - 3)
Dated 23.06.2016

Consignee : RVNL/ADI Purchasing Authority: CPM/RVNL/ADI

Sr. No. BOQ Item Description of Item Quantity Approved Quantity order Remarks
Code

NS-6 supply of HDPE pipe 110 mm

1 Erection 600 metre 600 metre
nominal dia 6.2 mm thickness
as per IS:4984-1995

Tests Conducted: PIPES

Compoinent/Opera Type/Method of Agency

Extent of Check Format of Record
Sr. No. tion Check Ref. Standard SPPL Customer

1 IS 4984 : 2016 Test report P P

Colour visual

2 IS 4984 : 2016 Test report P P

Colour of Strips Visual

3
Dimension of strips As per Table 7 of IS
4984
IS 4984 : 2016 Test report P W
a Width of strips Measurement
 As per Table 7 of IS
4984

IS 4984 : 2016 Test report P W

b Depth of strips Measurement

4 Visual Appearance & IS 4984 : 2016 Test report P P

Surface finish Visual
 5 Dimention &
Tolerance

Outside Diameter Measurement IS 4984 : 2016 Test report P W

a

Wall Thickness Measurement IS 4984 : 2016 Test report P W

b As per Table 7 of IS
Out of squarness of 4984
IS 4984 : 2016 Test report P W
c pipe end Measurement

6 Marking visual IS 4984 : 2016 Test report P P

7 Length ………. IS 4984 : 2016 Test report P W

Date of Call : 03/05/2019 No. of Visit: One Date of Inspection:

Manufacturer/Dealer representative: Contractor Representative: Inspecting Engineer:
strial Estate, Opp. Jyothi CNC, kalavad Road, Metoda

Remarks

Remarks
Test Result