No.

Formulir
KENERTEC FML-QCWT-06
LAPORAN INSPEKSI DIMENSI Form No.
FORMULIR DIMENSION INSPECTION REPORT Tgl & Rev
31-Jan-2017 Rev. 0
FORM Date & Rev
Page :
Client Report No
Project & Lot Drawing/ Doc. Reff
Secttion No Equipment No

1. Total Length section

Nominal Dimension (Dwg) :

Measured at axes 0˚ Max length deviation :

Measured at axes 90˚
Measured at axes 180˚ Demanded tolerance :
Measured at axes 270˚

Inspection Result : Accepted

2. Ovality of Flange

Top Flange Btm Flange A

No Inspection Point
Dwg (3529) Dwg (3700) B
A 0º ~ 180º
B 45º ~ 225º C
C 90º ~ 270º
D
D 135º ~ 315º

Inspection Result : Accepted

3. Tilt of Flanges

Tiltness
Description
Top Flange Btm Flange
0º
45º
90º
135º
180º
225º
315º

Inspection Result : Accepted

3. Dimension of Bracket

Brackets Pass Fail See Note

Ladder bracket locations
Platform bracket locations
Other internal attachment locations

Inspected by : ______________ Reviewed by : ______________

Date : Date :
Inspected by : ______________ Reviewed by : ______________
Date : Date :