Serial No.

Job No.
Customer Name
Item

GE07M126/B
GE07M126/B
PTTUT

RELEASE NOTE FOR DELIVERY

BOILER

Description of production

Model
Delivery Date

Production
Signature
Date

F-QA-004 Rev.1

Page 1
October 27, 2007

QC/QA
Signature
Date

Remark

1 Drawing approval
2 Material verification & identification stamp
3 Boiler body fabrication (pressure part)
4 Boiler body fabrication (non pressure part)
5 Radiography Test
6 Heat Treatment
7 Pressure test of boiler body
8 Pumps and valves installation
9 Refractory, painting, insulation and cladding
10 Burner installation
11 Electrical and instrumentation wiring
12 Function testing of control system
13 Boiler accessories
14 Boile Manual and Manufacturing Data Record
15 Packaging for transportation
Approval
Completed
Incompleted
Completed
Incompleted
Signature
Date
Position
Production Manager
QC/QA Manager
Note : This release note shall be completed at least one day before delivery this boiler.

...

Serial No.
Job No.
Customer Name
Item

GE07M126/B
GE07M126/B
PTTUT

RELEASE NOTE FOR DELIVERY

BOILER
Model
Delivery Date

Incompleted remaining

Description

Delivery condition :
Contract delivery date:
On time
Late
days
Reason in case of late delivery is

F-QA-004 Rev.1

Page 2
October 27, 2007

Completed by

Date

RELEASE
RELEASE NOTE
NOTE FOR
FOR DE
DE
Equipment Name

S.No./Model

Job No.

Delivery Date(

Customer Name

Delivery Date(

Result
Item

Acc
1

Drawing Approved

Internal Inspection before insert Tubes (Attach Photos)

Tube damage Inspection (before insert)

Check for No.of holes on End plate

Check for elbow to tube and and header opening (Attach photos)

Internal Inspection of header before closing end plate(Attach Photos)

Nozzle Orientation and Elevation

Saddle/Lug support Dimension/BCD

Review Name Plate details and its Position

10

Final Inspection for any damage on shell,tube,header etc.,(Attach Photos)

11

Heat treatment

12

All NDE done as per Drawing and Code

13

Pressure Test

14

Check edge preparation of header after partition and Internal Inspection before
closing (Attach Photos)

15

Refractory, painting, insulation and cladding(as applicable)

16

Check Parts list as per drawing

17

Check Name Plate and Accessories (If any)

18

Packaging for transportation

Approval

Completed

Incompleted

See back page for Incomplete details (if any)

Signature
Date
Position

Production

Description of production

Production Manager

Note : This release note shall be completed at least one day before delivery this boiler.

Rej

N/A

Signature

Date

RELEASE
RELEASE NOTE
NOTE FOR
FOR DELIVERY
DELIVERY
S.No./Model

Delivery Date(Contract)

Delivery Date(Actual)

Production

Page

QC/QA
Remark
Date

Signature

Completed

Date

Incompleted

QA/QC Manager

of

RELEASE
RELEASE NOTE
NOTE FOR
FOR DELIVERY
DELIVERY
Incomplete Items/Activity
Production
Item

Description

Finished on
Acc

Re-Verification Record
Approval

Applicable
Completed

Not Applicable
Incompleted

Signature
Date
Position

Production Manager

Note : This page shall be filled and signed off only if there is any Incompleted items or activities.

Rej

N/A

Signature

Dat

E NOTE
NOTE FOR
FOR DELIVERY
DELIVERY

e Items/Activity

Page

Production

of

QA/QC
Remarks
Date

Signature

Completed

Date

Incompleted

QA/QC Manager