[go: up one dir, main page]
Scribd
Upload
239 views2 pages

PTH Consultancy Services Sample Request

This document is a service request form for PTH Consultancy Services. It requests information about materials being tested such as concrete cubes, paver blocks, cement, sand, aggregate, bricks and steel. For each material, it asks for the identification mark, quantity, nature of the sample, test description, test method and any remarks. It also includes checklists for sample receiving and reviewing the testing requirements. The form provides spaces for signatures from customers, sample receivers and requirement reviewers.

Uploaded by

Pramukh Test house
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
239 views2 pages

PTH Consultancy Services Sample Request

This document is a service request form for PTH Consultancy Services. It requests information about materials being tested such as concrete cubes, paver blocks, cement, sand, aggregate, bricks and steel. For each material, it asks for the identification mark, quantity, nature of the sample, test description, test method and any remarks. It also includes checklists for sample receiving and reviewing the testing requirements. The form provides spaces for signatures from customers, sample receivers and requirement reviewers.

Uploaded by

Pramukh Test house
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PTH CONSULTANCY SERVICES LLP

FMT-MKT-001 SERVICE REQUEST FORM

SRF No & Lab No:


Date: Time:
(For Office Use only)
Name of Customer
Phone No: Email :
Contact Person: Mobile No:
Name of Work/Project:
Expected Date of Result:

Nature
S.N. Material ID Mark Qty of Test Description Test Method Remark
Sample
1 [Link]

Concrete Paver Block


2

3 Cement

Fine Aggregate
4
(Sand)

5 Coarse Aggregate

6 Bricks

7 Steel

8 Bitumen

Amend No:00 Amend Date: -- Prepared By: Approved By: Issued By:
Issue No:01 Issue Date: 15.02.2020 Quality Manager Director Quality Manager
PTH CONSULTANCY SERVICES LLP
FMT-MKT-001 SERVICE REQUEST FORM

Nature
S.N. Material ID Mark Qty of Test Description Test Method Remark
Sample

9 Bitumen Mix

10 Soil

Customer's Name & Signature:

CHECK LIST-SAMPLE RECEIVING (please tick mark)


Does sample bear proper label? Yes No
Does sample having appropriat quantity? Yes No
Does sample packed/sealed properly? Yes No
Sample condition for Testing at the time of receipt: □ Acceptable □ Not Acceptable
If not acceptable Remarks:
RECEIVER'S SIGNATURE:

REQUIREMENT REVIEW
The requirement,including the test methods to be used are adequately defined,documented and understood by PTH Yes/No
The PTH has the capability and resources to meet the requirement Yes/No
The appropriate test method is selected and is capable of meeting the Customer's requirement Yes/No
Tests are required as per NABL Scope? Yes/No
Test will witness by the customer or its representative? Yes/No

DETAILS OF SAMPLE DISPOSAL


NO TESTING SAMPLES DATE OF RETURN MODE OF RETURN REMARK
1 Returned after testing
2 Returned without testing
3 Scrapped
REQUIREMENT REVIEWER'S SIGNATURE:

Amend No:00 Amend Date: -- Prepared By: Approved By: Issued By:
Issue No:01 Issue Date: 15.02.2020 Quality Manager Director Quality Manager
Page 2 of 2

You might also like