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PROJECT :

CONTRACT NO.:

MODEL:

DATE:

ORIGINAT
OR:

CHECKED
:

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(Note: Originator/Checker to tick each point of check list appropriately as per
Legend given below)

Sl.
No.
1
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
2.10
2.11
2.12
2.13
2.14
2.15
2.16

2
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8

3
4.1
4.2
4.3

LEGEND:
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Not Applicable

X
N.A

COMMENTS INCORPORATED:

Originat
or

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Sl.
No.
4.4
4.5
4.6
4.7
4.8
4.9

4
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
5.10
5.11

5
6.1
6.2
6.3
6.4
6.5

LEGEND:
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Not Applicable

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N.A

Originat
or

Checke
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Legend given below)

Sl.
No.
6.6
6.7
6.8
6.9
6.10
6.11
6.12
6.13
6.14
6.15
6.16

6
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
7.10
7.11
7.12

LEGEND:
Checked
Not checked
Not Applicable

X
N.A

Originat
or

Checke
r

Remark
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