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EEPCA the European Electrical Products Certification Association 17 rue de l Amiral Hamelin F 75783 Paris Cedex 16 Tel 33 140373563 Email secretariat eepca eu Document issued and distributed by EEPCA EEPCA 2014 all rights reserved PERMANENT DOCUMENTCIG 023 Factory Inspection Report WARNING THIS DOCUMENT IS ONLY VALID IF USED BY ECS MEMBERS AND THEIR AUTHORISED AGENTS Approved by ECS General Meeting 8 9 April 2014No of pages 19 Date of issue September 2014 Supersedes PD CIG 023 May 2009Page 1 of 19 NOTE Front pages to be excluded from page numbering This document contains two cover pages excluded from page numbering a report form Inspector s Findings page Inspector s Information page TEST DATA SHEET Product Verification Test TEST DATA SHEET Routine Tests IDENTIFICATION OF SELECTED SAMPLE Reference number of the body carrying out the inspection 34655c3eb0964bc417e90d923b287575 pdfpage 0 of 17 FACTORY INSPECTION REPORT Inspection carried out by Name of Inspection Body Reference number of the Body carrying out the inspection For page control please write this number in the header of each page including the attachments GENERAL GUIDANCE The questions of this factory inspection report are based on the requirements given in Permanent Document CIG 021 Guidance for the Inspector is given in Permanent Document CIG 024 Both documents PD CIG 021 and PD CIG 024 shall be taken into account during inspection Instructions to the Inspector are shown in italics The report shall be completed even if there is no production at the time of the visit For all NO answers details shall be provided on the Inspector s Findings page For all N A answers rationale shall be provided as to why the item is not applicable Details should be given on Inspector s Information page This report as well as objective evidences attached to this report shall be written at least in English 1GENERAL INFORMATION 1 1Manufacturer s registered name and factory location Manufacturer s registered name Street and No Postal code City Province Country GPS coordinates optional N E 1 2Manufacturer s representative name and contact data Manufacturer s representative name Position Telephone Country Code City Code Phone Fax Country Code City Code Phone E Mail Reference number of the body carrying out the inspection 34655c3eb0964bc417e90d923b287575 pdfpage 1 of 17 1 3The names and position held of the main persons involved in the inspection same as mentioned under 1 2 If not the same as mentioned under 1 2 please give details Name Position Telephone Country Code City Code Phone Fax Country Code City Code Phone E Mail 1 4 Pre Licence Routine ENEC HAR EMC Others 1 5Pre Licence only Is the information given in the Questionnaire CIG 022 Sections B 1 and B 2 or provided in another format accurate and complete If NO amend the Questionnaire as appropriate and attach a copy to this report YES N ANO 1 6Inspection Details Certification Body requesting inspection Inspection X of Y File Reference No Product Category Type of Product Date of inspection 1 7Name of Inspector YYYY MM DD Reference number of the body carrying out the inspection 34655c3eb0964bc417e90d923b287575 pdfpage 2 of 17 2Verification of purchased components and materials which have a safety implication on the certified product Incoming Inspection 2 1Are materials components and sub assemblies verified by the Manufacturer as complying with appropriate specification YES N ANO 2 2Does this verification also include the verification of the Certification Marks NOTE There shall be instructions as to which Certification Marks have to appear on the components products in order to accept them YES N ANO Description of the procedure one or more boxes may be ticked Rely on suppliers out going inspection Audit conducted at the suppliers premises Supplier control based on Manufacturer s check list Conduct own incoming inspection Identification check Checked for correct type Comparison to a reference Rating Certification mark Certificate of conformity Others provide details Details given on Inspector s Information page Description of the procedure or ref of documented procedure test program included in equipment certification Internal self test verified by the Inspector Others provide details YES N ANO Reference number of the body carrying out the inspection 34655c3eb0964bc417e90d923b287575 pdfpage 5 of 17 4 5Is there evidence that the simulated failure represents the tripping limits as required NOTE Except for spark testers in cable production YES N ANO 4 6Is there a procedure requiring appropriate actions to be taken by the operator if a functional check is found to be unsatisfactory YES N ANO Description of the procedure or ref of documented procedure R according to records Reference number of the body carrying out the inspection 34655c3eb0964bc417e90d923b287575 pdfpage 16 of 17 IDENTIFICATION OF SELECTED SAMPLESat Manufacturer Date Selected forLabel No QuantityProduct Type Technical dataLicence No Produc
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