Professional Documents
Culture Documents
S.No 1. 2. 3. 4. 5. 6. Particulars Name of Occupier (of factory) Situation and address of Factory Observations / Remarks Mr. S. Bang. M/S Jubilant Life Sciences Ltd .Bhartia Gram Gajraula. J.P.Nagar (U.P) Description, distinctive number and size of S-21-31, Autoclave SV#2S safety valve Name and address of manufacturer SEBIM Nature of process in which safety valve is used New Autoclave Particulars of tests / examination (a) Date of testing 12.4.11 (b) Place of testing Jubilant Life Sciences Ltd (c) Test Pressure i) Opening (kg / cm2) 63.4 kg / cm2 ii) Closing (kg / cm2) 52 kg / cm2 (d) Observations on opening & closing and No leakage. subsequent leakage of valve (e) Condition of safety valve External (state any Satisfactory defects materially affecting the maximum permissible working pressure of the safe working of the safety valve) (f) The history should be briefly given and Yes examiner should state whether he has seen last previous report. Date of last test, if any, and pressure applied As per company record Are all fittings properly maintained and in good Yes. condition? Have the pressure settings been checked and corrected? Other observations Satisfactory
7. 8. 9.
I certify that on 12.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 22.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 22.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
3
7. 8. 9.
I certify that on 22.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
4
7. 8. 9.
I certify that on 22.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 23.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 23.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 25.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 25.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
7. 8. 9.
I certify that on 26.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
10
7. 8. 9.
I certify that on 26.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
11
7. 8. 9.
I certify that on 26.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
12
7. 8. 9.
I certify that on 26.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
13
7. 8. 9.
I certify that on 26.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
14
7. 8. 9.
I certify that on 27.4.11 the safety valves described above were removed from the position thoroughly cleaned as (so far as its construction permits) made accessible and available for thorough examination and for such test as were necessary by the owner and that on the said date, I thoroughly examined / tested these safety valves and that the above is true report of my examination. Signature.. Qualification. Address
15