Cig 023 Form – Fill Out and Use This PDF

CIG 023

Factory Inspection

Report

Factory Inspection Report

WARNING:

THIS DOCUMENT IS ONLY VALID IF USED BY ECS MEMBERS

AND THEIR AUTHORISED AGENTS

UL does not endorse any vendors or products referenced herein.

UNDERWRITERS LABORATORIES INC. ASSUMES NO RESPONSIBILITY FOR ANY OMISSIONS OR ERRORS OR INACCURACIES WITH RESPECT TO THIS INFORMATION. UL MAKES NO REPRESENTATION OR WARRANTY OF ANY KIND WHATSOEVER, WHETHER EXPRESS OR IMPLIED, WITH RESPECT TO THE ACCURACY, CONDITION, QUALITY, DESCRIPTION, OR SUITABILITY OF THIS INFORMATION, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE AND EXPRESSLY DISCLAIMS THE SAME.

Copyright Underwriters Laboratories Inc. All rights reserved. May not be reproduced without permission. This document is controlled and has been released electronically. The version on the UL intranet is the up-to-date document. Hard copies are uncontrolled and may not be up-to-date. Users of hard copies should confirm the revision by comparing it with the electronically controlled version.

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CIG 023

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PD CIG 023 reports shall not contain any unauthorised modifications which change the

original meaning or the requirements.

Any additions created to any document in the series shall be shown in an Appendix.

This document contains:

∙two cover pages

∙a report form of 14 pages

∙Inspector’s Evaluation – Findings

∙Inspector’s Evaluation - Informative

∙TEST DATA SHEET- Product Verification Test

∙TEST DATA SHEET Routine Tests

∙IDENTIFICATION OF SELECTED SAMPLE

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Reference number of the body carrying out the inspection:

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 INSPECTORS EVALUATION-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 EVALUATION-Informative page.

1.0 GENERAL INFORMATION

1.1Manufacturer's registered name and factory location

Manufacturer’s registered

name:

Street address of the factory and Number:

Postal code:

City:

County:

Country:

GPS-coordinates: (optional)

1.2Manufacturer's representative name and contact data

Manufacturer's representative name:

Position:

Position:

Telephone:

Fax:

E-Mail:

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Reference number of the body carrying out the inspection:

1.3Record below the names and position held of the main people 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:

Fax:

E-Mail:

1.6Inspection Details:

1.7

Name of Inspector

Date of inspection:

(YYYY – MM – DD )

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Reference number of the body carrying out the inspection:

2Verification of purchased components and materials which have a safety implication on the certified product (Incoming Inspection)

2.1 Are materials, components and sub-assemblies verified by the	YES	N/A	NO
manufacturer as complying with appropriate specification?
2.2 Does this verification also include the verification of the Certification	YES	N/A	NO
Marks?
Description of procedure (one or more boxes may be ticked)
Rely on suppliers’ out-going inspection / Suppliers’ quality plan
Audit conducted at the suppliers’ premises
Supplier control based on manufacturers’ check list
Conduct own incoming inspection
Identification check
Checked for correct type
Comparison to a reference
Rating
Certification mark
Certificate of conformity
Others
Details given on INSPECTOR’S EVALUATION-Informative page

Description of the procedure or ref. of documented procedure & revision or issue date:

Details are given on INSPECTOR’S EVALUATION-Informative page.

2.3	If the manufacturer relies on Certificates of Conformity, do they clearly	YES	N/A	NO
	identify the product, quantity of items covered, the specification to which
	the products conform, the production date and are they properly issued?
2.4	Is there a procedure covering the way to handle non-conforming	YES	N/A	NO
	components and materials?

Description of the procedure or ref. of documented procedure & revision or issue date:

Details are given on INSPECTOR’S EVALUATION-Informative page.

2.5	Is the procedure and the way in which it is applied satisfactory?	YES	N/A	NO
	(e.g.: components and materials clearly identified and/or segregated to
	prevent unauthorised use?)
2.6	Are records of the incoming inspection maintained and satisfactory?	YES	N/A	NO

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Reference number of the body carrying out the inspection:

	2.7	Are records kept at least for the period between two inspection visits?	YES	N/A	NO
	3	Production Control, Inspection and Routine Tests
3.1		Are the Quality Assurance and manufacturing Personnel adequately	YES	N/A	NO
		briefed on their duties?
3.2		Do they have readily available up-to-date documents, manufacturing and	YES	N/A	NO
		test instructions, photographs, drawings or samples on all those parts
		which have an impact on the safety of the finished products?
3.3		Is there evidence that the production process ensures that the final	YES	N/A	NO
		product is identical to the reference version as described in clause 15.1?
3.4		Is there a procedure to ensure that all products will be tested or inspected	YES	N/A	NO
		according to the manufacturer’s requirements?
	Description of the procedure or ref. of documented procedure & revision or issue date:
		Details are given on INSPECTOR’S EVALUATION-Informative page.
3.5		Is the production process controlled at appropriate stages?	YES	N/A	NO
3.6		Are products inspected at appropriate stages of manufacture	YES	N/A	NO
		(Production Line Inspection)?

Give details of all tests and inspections performed by the manufacturer and enter in the routine test table on the TEST DATA SHEET

3.7	Do the Routine Tests entered on the TEST DATA SHEET sufficiently	YES	N/A	NO
	cover all the Certification Bodies’ requirements?
3.8	Is there a procedure covering the way to handle non-conforming	YES	N/A	NO
	products?

Description of the procedure or ref. of documented procedure & revision or issue date:

Details are given on INSPECTOR’S EVALUATION-Informative page.

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Procedure of handling non-conforming products (one or more boxed may be ticked)

Automated segregation process

Manual segregation process

Non-conforming products are destroyed

Non-conforming products are repaired Others (please give details)

Details given on INSPECTOR’S EVALUATION-Informative page

3.9	Is the procedure and the way in which it is applied satisfactory?	YES	N/A	NO
	(e.g. non-conforming products clearly identified or segregated to prevent
	unauthorised use?)
3.10	Are repaired and reworked (corrected) items again subjected to	YES	N/A	NO
	appropriate tests/inspections in accordance with procedures?

Description of the procedure or ref. of documented procedure & revision or issue date:

Details are given on INSPECTOR’S EVALUATION-Informative page.

3.11 Are test records of the routine tests maintained and satisfactory?

YES N/A NO

3.12 Are records kept at least for the period between two inspection visits?

YES N/A NO

4Functional Check on Test and Measuring Equipment used for Safety Tests (Dummy Test)

4.1 Is there a procedure describing how the functional checks shall be	YES N/A NO
conducted?
Automated process
Manual process

Description of the procedure or ref. of documented procedure & revision or issue date:

Details are given on INSPECTOR’S EVALUATION-Informative page.

4.2	Is there evidence that the functional check of the equipment is conducted	YES	N/A	NO
	properly, even if certified products were not in production?
4.3	Is a functional check conducted with intervals which will allow previous	YES	N/A	NO
	production to be retested if incorrect functioning is detected before it
	leaves the factory?

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Reference number of the body carrying out the inspection:

4.4		Is the proper function of the test equipment verified with a simulated failure	YES	N/A	NO
		(dummy) or by other equivalent means?
		simulated failure (dummy)
		Test procedure according to the equipment manual
		Internal self test; test program included in equipment certification
		Internal self test; verified by the inspector
4.5		Is there evidence that the simulated failure (dummy) (if used) represents	YES	N/A	NO
		the tripping limits?
4.6		Is there a procedure requiring appropriate actions to be taken by the	YES	N/A	NO
		operator if a functional check is found to be unsatisfactory?
	Description of the procedure or ref. of documented procedure & revision or issue date:
	Details are given on INSPECTOR’S EVALUATION-Informative page.
4.7		Is this procedure appropriate to ensure that improperly checked products	YES	N/A	NO
		are re-tested?
4.8		Are subsequent corrective actions taken recorded in all cases?	YES	N/A	NO
4.9		Are the test records of results of functioning checks of test and measuring	YES	N/A	NO
		equipment maintained and satisfactory?
4.10		Are records kept at least for the period between two inspection visits?	YES	N/A	NO
	5	Products seen in Production during visit

Identify type number and any certification mark that appeared on products seen in production at the time of the visit. If no certified products were seen, indicate what kinds of products were manufactured at the time of visit.

The manufacturing process should nevertheless be examined.

At least one kind of product per product category and electrical insulation class shall be listed.

No production

Production seen

Complete TEST DATA SHEET for each kind of product per product category and electrical insulation class even if there is no production.

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Reference number of the body carrying out the inspection:

6 Calibration of Safety Test and Measuring Equipment

6.1 Is test and measuring equipment used calibrated or verified?

YES N/A NO

(several boxes may be ticked)

Verification done by the manufacturer by means of calibrated reference equipment

Calibration done by:

Laboratory accredited according to ISO/IEC 17025

Test equipment manufacturer/supplier

National metrology institute

Other (please provide details):

Provide details for at least one electrical measuring equipment:

Kind of equipment:

Type reference:

Calibration reference number:

Date of last calibration:

Calibration due date:

6.2	Is reference equipment (used for verification) calibrated?	YES	N/A	NO
(several boxes may be ticked)
Calibration of reference equipment done by:
	Laboratory accredited according to ISO/IEC 17025
	Test equipment manufacturer/supplier
	National metrology institute
	Other (please provide details):
6.3	Is the equipment provided with a label or similar indicating the next	YES	N/A	NO
	calibration/verification due date?
6.4	Do the calibration/verification records indicate that calibration is traceable	YES	N/A	NO
	to national/international standards of measurement?
6.5	Are the records for calibration/verification of test and measuring	YES	N/A	NO
	equipment maintained and satisfactory?
6.6	Are records kept at least for the period between two inspection visits?	YES	N/A	NO

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7	Handling and Storage
7.1	Are the components and materials to be used for production stored and	YES	N/A	NO
	handled in such a way as to ensure that they will continue to comply with
	the applicable standards?
7.2	Are the finished products stored and handled in such a way as to ensure	YES	N/A	NO
	that they will continue to comply with the applicable standards?

8	Product Verification Tests / Periodic Tests (PVT)
8.1	Are required PVT conducted? (one or more boxes may be ticked)	YES N/A NO
	NO PVT required, all questions of this section shall be marked with ‘N/A’
	PVT conducted at the factory location
	PVT conducted at a external laboratory owned by the manufacturer
	PVT conducted at a external laboratory owned by the license holder
	PVT conducted by independent external laboratory
	PVT conducted by certification body’s laboratory
	Others (please provide details):
	Details are given on INSPECTOR’S EVALUATION-Informative page.

If conducted at a location other than the manufacturers premises, then specify where performed:

Details are given on INSPECTOR’S EVALUATION-Informative page.

Note: Product Verification Tests shall be conducted under the responsibility of the manufacturer and may be named also as Periodic Tests or Sample Tests depending on the certification scheme.

Describe which tests(required by the Certification Body/certification scheme) are conducted and at what sampling rate on TEST DATA SHEET – PRODUCT VERIFICATION TESTS

Note: Details of any additional product verification tests should be entered by the Inspector on the INSPECTOR’S EVALUATION instead of the TEST DATA SHEET

8.2 Are the tests conducted in accordance with procedures?

YES N/A NO

Description of the procedure or ref. of documented procedure & revision or issue date:

Details are given on INSPECTOR’S EVALUATION-Informative page.

8.3 Is appropriate equipment that is required for conducting tests available?

YES N/A NO

8.4 Are the tests described in TEST DATA SHEET – Product Verification	YES N/A NO
Tests in compliance with the requirements of the Certification Schemes
and/or the requesting Certification Body?

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Reference number of the body carrying out the inspection:

8.5		Is there a procedure requiring actions to be taken if PVT are found to be	YES	N/A	NO
		unsatisfactory?
	Description of the procedure or ref. of documented procedure & revision or issue date:
		Details are given on INSPECTOR’S EVALUATION-Informative page.
8.6		Are the records of product verification tests maintained and satisfactory?	YES	N/A	NO
8.7		Are records kept at least for the period between two inspection visits?	YES	N/A	NO
	9	Void
	10	Corrective actions in response to inspector’s evaluation
	If there were any unsatisfactory findings entered in the previous inspection		YES	N/A	NO
	report, have these been corrected?
	Provide details of each unsatisfactory finding and how each has been resolved
	11	Quality Management System

If the manufacturer has a Quality Management System certified or assessed by an accredited Body, provide details of QMS standard, scope, name of certification body and certificate expiry date.

or provide copy of the certificate.

Quality Management System NOT certified

Quality Management System certified by an accredited Body

Quality Management System certified by a non accredited Body

Copy of the certificate provided as appendix to this report

Details of QMS standard:

Does the scope covers the production of the certified product: YES NO Name of certification body:

Certificate no.: Certificate issued date: Certificate expiry date:

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12Manufacturer’s self assessment of the manufacturing- and control process of certified products (Former: Audits of the Quality System)

12.1	Does the manufacturer regularly check that all procedures as required by	YES	N/A	NO
	the Certification Body(ies) and the harmonised inspection scheme
	(PD CIG 021) are followed?
12.2	Are records regarding results and actions taken available?	YES	N/A	NO
	Note: The use of PD CIG 023 to document the results of the self
	assessment is acceptable
12.3	Are the personnel carrying out above required checks appropriately	YES	N/A	NO
	trained and independent of the process being assessed?
13	Void

14 Customer Complaints

The Manufacturer shall record any technical complaint regarding the certified product. The questions in this section shall be answered even if no customer complaints have been received. In this case the questions should be applied to the process

14.1 Is there a procedure regarding how to handle customer complaints?

YES N/A NO

14.2	Are the received complaints reviewed on a regular basis regarding	YES	N/A	NO
	whether they are related to single errors or system errors?
	Actual case checked
	Procedure checked
14.3	Are corrective actions and decisions regarding customer complaints	YES	N/A	NO
	recorded?
	Actual case checked
	Procedure checked
14.4	Is the originator of the complaint informed about the handling and the	YES	N/A	NO
	result of the complaint?

Actual case checked

Procedure checked

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14.5		Are the records of customer complaints maintained and satisfactory?	YES	N/A	NO
14.6		Are records kept at least for the period between two inspection visits?	YES	N/A	NO
	15	Changes to Certified Products
15.1		Is reference about the certified version available?	YES	N/A	NO
		(one or more boxes may be ticked)
		Set of drawings
		Parts list
		Product description
		Reference sample
		Photo-documentation
		Other specification (Please provide details):
		Details are given on INSPECTOR’S EVALUATION-Informative page.
15.2		Is this reference under control of the licence holder?	YES	N/A	NO
15.3		Is there a procedure ensuring that no changes to the construction of	YES	N/A	NO
		certified products will be implemented prior to acceptance by the License
		Holder?
	Description of the procedure or ref. of documented procedure & revision or issue date:
	Details are given on INSPECTOR’S EVALUATION-Informative page.
15.4		If the manufacturer is also the licence holder:	YES	N/A	NO
		Is there a procedure ensuring that constructional changes of the certified
		product will be made only after approval by the Certification Body?
	Description of the procedure or ref. of documented procedure & revision or issue date:
	Details are given on INSPECTOR’S EVALUATION-Informative page.
15.5		Are any changes made to the certified version since the last inspection?	YES	N/A	NO
		no changes
		changes authorised by the license holder
	16	Selection and Shipping of Re-Examination Sample(s)

Regarding samples requested by the Certification Body(ies) please refer to the table IDENTIFICATION OF SELECTED SAMPLES and enter details as appropriate

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Reference number of the body carrying out the inspection:

16.1Please give reasons why no samples were selected during the inspection: (one or more boxes may be ticked)

None required by the certification body:

No production, no stock:

Build to clients’ order

No access to warehouse

Warehouse not at manufacturer’s location

Manufacturer has been instructed to send re-examination samples:

Others (Please provide details):

Details are given on INSPECTOR’S EVALUATION-Informative page

16.2If the selected sample(s) do not bear the Certification Mark then provide the reason for selection in the table IDENTIFICATION OF SELECTED SAMPLES

(one or more boxes may be ticked)

Type reference is mentioned on the certification bodies certification list

Mark is applied on the package, catalogue or by other means

Special sample selection order Others (Please provide details):

Details are given on INSPECTOR’S EVALUATION-Informative page.

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17 Inspector’s Evaluation

17.2Give your recommendations by ticking the appropriate box

1

No unsatisfactory findings.

Grant or continue certification.

2Minor unsatisfactory finding(s). Manufacturer’s corrective action(s) will be checked at next visit. Grant or continue certification.

3Major unsatisfactory finding(s). Manufacturer shall confirm corrective

Safety not directly affected. action(s). Grant or continue certification.

Special or early routine inspection recommended for checking corrective action(s).

4Critical unsatisfactory finding(s), Certification refused/suspended and

Safety directly affected.	repeated factory inspection recommended
	after the manufacturer has confirmed
	implementation of corrective action(s).

A copy of this report shall be provided to the undersigned contact person who should be aware of the contents and sign for its receipt.

Printed copy provided

Electronic copy provided

Inspection duration:

hours.

The responsibility for ensuring that a product is manufactured in accordance with the standard to which it was originally approved rests with the licence holder

Date:	Date:
Inspector’s name (printed letters):	Contact person’s name (printed letters) :

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Reference number of the body carrying out the inspection:

For signature see attached signature page

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Reference number of the body carrying out the inspection:

Inspector’s Evaluation

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Reference number of the body carrying out the inspection:

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Reference number of the body carrying out the inspection:

Inspector’s Evaluation

Informative

Use separate Supplementary Page for different Certification Bodies if necessary

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Reference number of the body carrying out the inspection:

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Reference number of the body carrying out the inspection:

TEST DATA SHEET - Product Verification Tests / Periodic Tests (PVT)

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Reference number of the body carrying out the inspection:

eIndicate method used (hot/cold, at mains voltage, low voltage resistance check, etc.). f Are all controls and components checked during the test ?

W Test witnessed by the inspector, R = according to records

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IDENTIFICATION OF SELECTED SAMPLES				at manufacturer::			date
Selected for	Label No.	Quantity	Product/Type/Technical data		Licence No.	Production period		Code
								letters
								P	F
								S	T
									A
								P	F
								S	T
									A
								P	F
								S	T
									A
								P	F
								S	T
									A
								P	F
								S	T
									A
								P	F
								S	T
									A
								P	F
								S	T
									A

Code letters: P = Sample from Production or S = Stock; F = Forwarded by the Manufacturer; T = Transported to the Certification Body by the Inspector; A = Shipped by the Inspection Agency —

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Reference number of the body carrying out the inspection:

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