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ISO9001:2008 Document No: QO-F-7.1-4 Version No: 3.

0 Date Effective: 21/02/2017


Document Title: RDSO Inspection Certificate

RESEARCH DESIGNS & STANDARDS ORGANIZATION


Manaknagar, Lucknow – 226011

Copy controlled only when viewed on the RDSO ISO Cell Website. Local/printed copies permitted, but are uncontrolled. Check controlled copies before use.
QO-F-7.1-4
RDSO Inspection Certificate

1.0 Amendment History:


S. No. Amendment Date Version Reasons for Amendment
1. 26/09/2011 1.0 First Issue. Approved by MR/ISO Cell on NP-8 of file
MR/ISO9001/App/QMS/Doc on 30/09/2011.
2. 16/02/2012 1.1 Correction of dates for first amendment in para 1.0
3. 30/06/2014 2.0 Changed para 4.0
Approval accorded by DG/RDSO on NP-29 of MR/ISO-
9001/App/Vendor-Interface on 30/06/2014
4. 21/02/2017 3.0 Added work address in IC
Approval accorded by DG/RDSO on 19/01/2017 at SN. 57 of
MR/ISO-9001/App/Vendor-Interface Vol. -III

SSRE/ISO-Cell MR/ISO Cell Printed: 2017-02-21


Prepared By: Issued By: Page 1 of 2
ISO9001:2008 Document No: QO-F-7.1-4 Version No: 3.0 Date Effective: 21/02/2017
Document Title: RDSO Inspection Certificate

2.0 Purpose
This is the format template of the common form for RDSO Inspection Certificate. It is

Copy controlled only when viewed on the RDSO ISO Cell Website. Local/printed copies permitted, but are uncontrolled. Check controlled copies before use.
suggested to print the form using both sides of the paper.

3.0 Scope of Application


Applicable to all directorates of RDSO included under the QMS for the process of item
inspection by RDSO.

4.0 Procedure / Details


The form template is annexed. This template is provided here for reference. The copies of
inspection certificates shall be obtained from the Quality Assurance Directorates for use.
All inspection cells shall send the scanned document of IC immediately to FA&CAO
of concerned Railway for verification with the document presented by vendor before
payment.

5.0 Referenced Documents


None

6.0 Referenced Documents of External Origin


None

7.0 Associated Records


None

8.0 Responsibility and Authority


Activity Responsible Approver Supporting Consulted Informed
Creation, ARE/ISO Cell MR/ISO Staff of ISO Standing All
maintenance of Cell Cell Committee directorates
this document through
intranet
Requirement of Director In- Head of Respective MR/ISO All
deviation from charge of Directorate officer of Cell directorates
this form Directorate directorate through
template. intranet

9.0 Abbreviations
None

SSRE/ISO-Cell MR/ISO Cell Printed: 2017-02-21


Prepared By: Issued By: Page 2 of 2
ISO9001:2008 Document No: QO-F-7.1-4 Version No: 3.0 Date Effective: 21/02/2017
Document Title: RDSO Inspection Certificate

Hkkjr ljdkj jsy ea=ky;


GOVERNMENT OF INDIA MINISTRY OF RAILWAYS

vuqla/kku vfHkdYi vkSj ekud laxBu] y[kuÅ & 226011


RESEARCH DESIGNS AND STANDARDS ORGANISATION, LUCKNOW – 226011
fujh{k.k izek.k i=
INSPECTION CERTIFICATE
lsV u0- izfr u0 ¼ewy½
Set No COPY NO. N = {1,2,3,4,5,6,7} {(ORIGINAL)}

izek.k i= la- % fdLr % fnukad %


Certificate No. : …………...………………………..Instalment : …………..…………………….. Dated……......…
dh vksj ls fujh{k.k %
Inspection on behalf of : ...………………………..…………………………….……………………..….…..…..…….
dz; vkns’k @ fufonk la- % fnukad %
P.O./ Contract No. : ………..…………………………………..…………………………………….. Dated :………..
मू ल izkIrdrkZ %
Consignee : ...…………………………………………..……………………………..…………….……….…..………
}kjk fn;k x;k%
Placed by: ………………………………………………..……………………………..…………….….…….….…….
QeZ dk uke %
Firm’s Name : …………………..……………………………..……………………………………….…
कायालय का पता
Office Address : ………………………………………………………………………………………………………..
काय थल का पता जहां नर ण कया
Work address where inspection carried out: ……………………………………………………………………………
fujh{k.k gsrq lkexzh izLrqr fd;s tkus dh frfFk % fujh{k.k djus dh frfFk %
Stores offered for inspection on : ………………………………………… Date of Inspection : ……………………..
dz; vkns’k @ Bsds ds vuqlkj lkekxzh nsus dh vafre frfFk %
Last date of delivery as per P.O. / Contract: …………………………………………..…………….…….……………
en lkexzh dk fooj.k vknsf'kr Ikgys ikl izLrqr dh vc ikl dh vLohd`r 'ks"k ek=k
Item Description of Stores ek=k dh xbZ ek=k x;h lkexzh xbZ ek=k lkexzh dh Quantity
Quantity Quantity dh ek=k Quantity ek=k still due
on order previously Quantity now passed Quantity
passed offered for rejected
inspection

Printed: 2017/02/21
RESEARCH DESIGNS & STANDARDS ORGANIZATION
Page 1 of 2
ISO9001:2008 Document No: QO-F-7.1-4 Version No: 3.0 Date Effective: 21/02/2017
Document Title: RDSO Inspection Certificate

fujhf{kr lkexzh ij lhy dk izfr:i %


Facsimile of Seal on inspected material:

izekf.kr fd;k tkrk gS fd @Certified that :-


1 fiNys i`"B ij fyf[kr enksa dks vfare :i ls fujh{k.k djds ikl fd;k x;kA
Items mentioned on the reverse were finally inspected and passed.

2 ;s en fu/kkZfjr le; ds Hkhrj vFkok l{ke izkf/kdkjh }kjk c<+kbZ xbZ vof/k esa ns fn;s x;s FksA
These items were tendered within the time stipulated ( or as extended by the competent authority).

3 en fujh{k.k ,oa ikl djus okys vf/kdkjh@deZpkjh ds uke] in ,oa gLrk{kj eksgj lfgrA
Name, Designation & signature of Inspecting official(s) with stamp.

izfr gLrk{kfjr
Countersigned
dzrs egkfuns’kd@ xq0vk0@vkj0Mh0,l0vks0
for Director General ( Q.A. )/RDSO
LVs’ku%
Station
Ekksgj%
Stamp

izzfrfyfi vxzlkfjr @Copy forwarded to:-


1- QeZ dk uke vkSj irk%
Firm’s name and address:

2- for lykgdkjh vkSj eq[; ys[kk vf/kdkjh%


The F.A.&C.A.O.

3- eky izkIrdrkZ%
Consignee

4- izfrfyfi funs’kky; NikbZ ds le; vius vko’;drkuqlkj vafdr djsxsaA


Copies to be marked by Directorate as per their time of printing.

izfr gLrk{kfjr
Countersigned
Ñrs egkfuns’kd@xq0vk0@vkj0Mh0,l0vks0
for Director General(Q.A.)/RDSO
fVIi.kh%
1. Hkqxrku rHkh fd;k tk, tc fd ßfujh{k.k iek.k & i=Þ izkf/kd`r jktif=r vf/kdkjh }kjk izfr gLrk{kfjr g¨ A
Payment should only be made when the inspection certificate is counter signed by an authorized Gazetted
Officer.
2. ;g izek.k i= lkexzh Lohdkj djus gsrw tkjh gksus dh frfFk ls ,d ekg gsrq oS/k gSA
This certificate shall be valid for one month from the date of issue for receipt of material.

Printed: 2017/02/21
RESEARCH DESIGNS & STANDARDS ORGANIZATION
Page 2 of 2

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