| FIR No | FIR Date | ||
| FG Name | Batch No | ||
| Customer Name | Manufacturing Date |
Monitoring & Measuring Equipment Details | ||||||
| S.No | Equipment Name | Identification No | Certification No | Calibrated On | Calibrated Due | |
Inspection Details | |||||||
| S.No | Testing parameter | Specification | Results | Inspection Remarks | |||
| |
|||||||
| Department | Authorized Signatory | Authorized On | Authorized By |
| QC | |||
| QA |