NDTS/IS/FM/13 Rev: 02 Page 1of 2

JOB CARD NO.

Site Address Details

Name Customer Name:
Purchase Order No.
Date
Inspection Technique
Pin Code Expected Duration

Contact Person Job Details

Contact No.

Technician Details Equipment Details

Name Manufacturer
NDT Qualification Model
Certificate No. Sr. Number
Validity Calibration

Mandatory Safety gadget/s Safety Gloves Boiler suit Safety Goggles Safety Shoes Safety Helmet Safety belt
Carried by Technician
Provided By Customer
Others (Please specify)
Reasons for not carrying/Using mandatory safety Gears

Time Sheet

Date Start Time Lunch Time End Time No. of Hrs. Over Time (Hrs.) Total No. of Hrs. Customer Initials

How will you rate our Technician? Remarks:

Technician Excellent Good Satisfactorily Poor Kindly put your remarks / Feedback here

Behavior

Knowledge

Punctuality

Safety

How will you rate our equipment performance?

Excellent Good Satisfactorily Poor Name:

Designation: Sign & Stamp

Operations TL Signature

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 NDTS India (P) Limited
619 & 620, The Great Eastern Galleria, Plot No. 20, Sector 4, Nerul, Navi Mumbai - 400 706
Tel.: +91-22-6138 0600, 2770 3913, 2770 3923, 2772 9077 I Fax: +91-22-2770 3903 I E-mail: info@ndts.co.in I Website: www.ndts.co.in

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 Annexure I
Customer Name
Type of service
PO No

Sr. Amount Amount Received Authorised

No. Invoice Date Invoice No Invoice Value Received Pending On Signature