Checking Report Format

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CHECKING REPORT FOR PRITHLA P HIN EX 35 11-1

MACHINE / EQUIPMENT LOCATION


MACHINE CODE DAILY CHECKING REPORT FOR THE MONTH OF …………. OF YEAR ………

SL.NO. TYPE OF CHECK POINT NO POINT NAME 1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

SIGNATURE OF MACHINE OPERATOR

SIGNATURE OF SHOP SUPERVISOR

REMARKS HOS (SHOP)

DISTRIBUTION: HOS ( MAINTENANCE)

10-Aug-2010 (C) ANDRITZ HYDRO 1 of 1

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