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Test-report · QC-GEN-TST-001
Generic Lab Test Report
33 checkpoints across 6 sections. Issued by testing laboratory upon completion of material testing. Received by QA/QC for verification against sample and against IS code limits. Mandatory for all samples sent to lab.
33 Checkpoints
6 Sections
Once per sample batch tested
Testing Laboratory, QA/QC Manager

Checklist Preview

S.No.CheckpointIS RequirementStatus
S1. Sample Details
S1_01Sample Description (appearance, color, texture)
S1_02Sample Size/Weight/Volume
S1_03Supplier/Source
S1_04Date Received by Lab
S1_05Storage Condition at Lab
S1_06Sample Condition Upon Receipt
S1_07Lab Sample Reference Number
S2. Test Conditions and Equipment
S2_01Testing Standard/IS Code
S2_02Test Method Clause Number
S2_03Date of Testing
S2_04Testing Ambient Temperature (°C)
S2_05Testing Ambient Relative Humidity (%)
S2_06Equipment/Apparatus Used (with make and model)
S2_07Equipment Calibration Status and Date
S2_08Calibration Certificate Reference
S2_09Sample Preparation Method
S2_10Pre-testing Conditioning (if applicable)
S3. Test Results
Showing 17 of 33 checkpoints ·
S1. Sample Details
S1_01Sample Description (appearance, color, texture)
()
S1_02Sample Size/Weight/Volume
()
S1_03Supplier/Source
()
S1_04Date Received by Lab
()
S1_05Storage Condition at Lab
()
S1_06Sample Condition Upon Receipt
()
S1_07Lab Sample Reference Number
()
S2. Test Conditions and Equipment
S2_01Testing Standard/IS Code
()
S2_02Test Method Clause Number
()
S2_03Date of Testing
()
S2_04Testing Ambient Temperature (°C)
()
S2_05Testing Ambient Relative Humidity (%)
()
S2_06Equipment/Apparatus Used (with make and model)
()
S2_07Equipment Calibration Status and Date
()
S2_08Calibration Certificate Reference
()
S2_09Sample Preparation Method
()
S2_10Pre-testing Conditioning (if applicable)
()
S3. Test Results
Showing 17 of 33 ·
Inspection Sign-Off
Material Tested and Passed
Material Tested but Failed
Material Tested with Conditional Pass
Testing Incomplete — Retest Required
Report Prepared By (Technician Name)
Name / Sign / Date
Technician Signature
Name / Sign / Date
Checked By (Senior Technician/Quality Officer)
Name / Sign / Date
Checker Signature
Name / Sign / Date
Approved By (Lab Manager)
Name / Sign / Date
Lab Manager Signature and Seal
Name / Sign / Date
Lab Accreditation Number (NABL/ISO)
Name / Sign / Date
Lab Contact for Clarification
Name / Sign / Date

Related Templates — Generic Master Forms