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

Factory Inspection

Report

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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CIG 023

Factory Inspection

Report

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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CIG 023

Factory Inspection

Report

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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CIG 023

Factory Inspection

Report

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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