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SGS Bangladesh Ltd.

Consumer Testing Services

INTERNAL INSPECTOR'S REPORT

tltFormat No: GRDOC/1 5lssue: 06 Rev: 02Page 1 of 5SGS Report ef. tsllDate: I 4

INSPECTION CONCLUSION (in comparison to principal's instructions and reference sample, available)

SGS File No. SGS Reqistration No.

ManufacturerProduct Description JfRfA FL4l0 SS

No CartonsStyle/ltem/Article Declared Qty

lnspection DateI nspection type performed

lnspection location

Confprm Not Conform Reservation Not A,pplicable

lnspection quantities submitted: & n C.No'-- lt) trStyle: l tr trMaterial: l T TCclour: u T n TWorkmanship appearance / fu nctioni ng : I tr f, IPacking: x f f f,Markins / Label: M n n trDate measurement I field tests: iPls ^gEE ,s T trl Effi$tlss

g 0tt t OrTReserva

IE

NOT CONFORM I nESenVAnqUOVERALL INSPECTION CONCLUSION : I coNFoRM

Public Holiday flYest'*}ime Sheet

\, nspection Location Anival Time: , 9o Atl Departure Time:

FOLLOW UP ACTIONS: (as applicable)

fl lnspection certificate will be issued

fl lnspection certificate will be issued after clienfs confirmation/approvalfor reservations.

I Additional SGS services: E Loading supeMsion [ .-l f,tuffing supervision I Testing

Samples drawn by SGS flrorLab testing:-Kor record: l Ft4 Forclient: I Sealed at factory.

Or reason for not taking samples.

flManufacturer's E Supplie/sconfirmation.r I have beeh informed of the inspection conclusion and follow up ac'tion, which I understand are provisional.. SGS lnspecto(s) were present at the inspection location according to the above time sheet.o I have not made any attempt to influence the SGS lnspector-s/staff through gratification, entertainment or payment of hny kind.

o Nq courtesy is being requested by SGS inspector / staff or otherwise, th"e SGS General Manager, has been / will be informed:Name: On:

lnspector's Sig

Name: !ftKl\b [ltN Hlr5tqg,Company I Po5itiopir$'a ;tto.Date: \1-; o

1::':'fs.ag6iigrad6?t Limited I Consumer Testing Servicesi'.iili' : I GrlshrqOlfie:House#37,RGd#24,Gr:isha1-1.Diaka-1212,Bangladesh.t:+88(0)2966?74C,+88(AP9862758

I t: +88 (C)2-9862-o1C. e: i0sreclicn.fsbc@)sgs.ccm, w: trury.bd.sgs.ccf,r

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SGS Bangladesh Ltd.

Consumer Testing Services

INTERNAL INSPECTOR'S REPORT

INSPECTION METHOD APPLIED:

ANSI / ASQ 21 ,4-2008, Single sampling plans for normal inspectior{E :

Format No: GRDOC/1 5

lssue: 06 Rev: A2Page 2 of 5SGS Report Ref. No.:Date:

Level :tl

Major : 2.s Minor' - {. pAcceptance Quality Limit (AOL) for : Critical: 6uSample size insPected :

Samples selected from ca(op numbers :

Data mea$urement / field test on sub-samples :

Re packed cartons indentified by stamps / closing taOe : DA-1. PRODUCT CONFORMITY :

1.1 $tyle ConformitY :

1.2 Material ConformitY :

,.-4.,3 Color ConformitY :

{.1

{eference sample provided

ffi conform

ftruot Applicable

SconformU Not Applicable

tr conform

I ttot Applicable

fl from principal

[ ruot Conform

f| ruot Conform

[ ruot Conform

E No reference sample / specifications available

f Reservation

A&No reference sample / specifications available

Ll Reservation

f] No reference sample / specifications available

X Reservation

I From rn€lnufacturer

f| ttot available (explanation if necmffiry)

Defective sampleslUoA %E

I CftT1Q Jfl seT

ft'rYED 5ttFITT@ sfl Etst

t11+ 4Y -91s8 mt& Atr *tDB s&ffi frtufr

Total Defectives :

Maximum allowed :

PucKg

Requested AQL Critical defective maximum allowed

Major defective maximum allowed

Co I withinAel @I withinAeL OY

Minor defectiVe maximum allowed E within AQL I '

I beyond AQL

I neyond AQL

I ueyond AQL

SGS Bangladesh Limited

Reservation(s) : t'ilt

000113

Format No: GRDOC/15lssue: 06 Rev:02Page 3 of 5SGS Report Ref.Date:

3. PRODUCT SPECIFIC CHECKS ON REDUCED SAMPLE SIZE : (as applicable for specific product / order)

SGS Bangladesh Ltd.Consumer Testing Services

INTERNAL INSPECTOR'S REPORT

For.g?rmentz: o_.r, 3Grfr,Size measure-ment on :{{_ sub-samples : I witnin d"qrond tolerance ctual finding

Measurement Point

PACKING:lndividual packing conformity :

*".form (, fl*ffih.r#H

I Not Applicable

...L2 lnner packing conformity :

{i.,

J4.3 Export packing conformity :

f Not Conform

f, l,tot Applicable

[ ruot Conform

I Not Applicable

No reference sample / specifications available

f, Reservation

fJ No reference sample / specifications available

I Reservation

[| ttto reference sample / specifications available

f] Reservation

4.4 PackingassortmentChecked "n, 91 Cartons H@ [Nolnstructionreceived J.ruvrrvrr rewrYeu tlr(_

DETAILS OF WRONG ASSORTXIENT :

Deviation/Finding Sample(s)

Carton No. Size / Style Colour Deviation (+ / - Sarnples)

,l\

DESCRIPTPNOFACTUALPACKING : *1Q}I J8T Plg&GD tfirO 4 PHATO rAL+/ ttTEEA

r eAcusYt ewc dol

,o*, f e- 9otlD

hrmt T gffBqr,4 flTr@ c$tsryr g{l e-r fiN Fo . ,$rft},4 olygb bcFl 8PPm. ' St,eil oe se1- &f

&to ,tho 9oL"l0 a $tt8 KryfN ,"Wqff ou obP

E(P,A Cq:FP,N d-ogED05

Weight: ( 4s fB*,- Sd(Fq ulD'L ti"r"r*" , o].,ring ,spJtionf

"uppti"r.-*eigt t """1e

has been used, calibration of which beyond of our control)

cARroN uersuReuExr: C,€ & P46Kt tXt''

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Consumer Testing ServicesGulshan ffice : House # 37, RcaC # 24, Guishan - 1, Dhaka-1212, Bangladesh. t: +SB (0)2-9862740,+AS (0)2 gdOZZSO

f : +BB (0)2-98629 1 0, e: i :speetion. ctsbd@sgs.corn, w: lwnw. 5c'.s.qs. ccn

HANGER:

SGS Bangladesh Lirnited

0c0113

SGS Bangladesh Ltd.

Consumer Testing Services

INTERNAL INSPECTOR'S REPORT

5. MARKING / LABEL :

5.1 Bar Code

Other Marks

Side Mark Conformity

ffinform\\-Not Applicable

/ffiConform7 \Not Applicable

rflConform1/ | Not Applicable

/flQonformt/ Not Applicable

frt nform

Not Applicable

JfiQonform

Not Applicable

IconformElNa$eplicable

RConformt/ 'Xot Applicable

I conform

Not Applicable

I conform

Not Applicable

n Not Conform

I Reservation

n Not Conform

n Reservation

I Not Conform

I Reservation

f Not Conform

I Reservation

tr Not Conform

I Reservation

I Not Conform

tr Reservation

I Not Conform

n Reservation

X Not Confom

tr Reservation

tr Not Conform

n Reservation

f, Not conform

tr Reservation

n Not Conform

n Reservation

Format No: GRDOCIlSlssue: 06 Rev: 02Page 4 of 5SGS Report Ref.Date:

No reference sample / specifications available

No reference sample / specifications available

No reference sample / specifications available

No reference sample / specifications available

No reference sample / specifications available

No reference sample / specifications available

No ieference sample / specificatlons available

No reference sample / specifications available

No referene sample / specificatlons available

5.2

5.3

s.3.1

5.3.2 Main Label

{-; 5.3.3 Care / ComPosition Label :.J

(,

5.3.4 Size Label :

5.3.5 Country Origin Label :

5.3.6 Hangrtag :

5.3.7 Poly Bag Printing / Label :

5.3.8 lnner Box Printing / Label :

5.3.9 Other Label :

trf1

€

&No referen@ sample / specificatlons available

[-

;ELNo referince sample / specifications available

llIITltrT

trT

trn

trn

trn

trn

Shippins Mark Conformity: 4:::"t*' Not Applicable

SHIPPING MARK:

Ar ,DhP6. INFORMATIVE OBSERVATION :

lnspection Environment :

Lighting :

lnspection place

lnspection done on

Cleanliness

Weather condition

n Daylight

K sufficient

$.factory workshop

Srrurc$-ctean

Nt--

(noom Lishting

tr lnsufficient

X warehouse

n fop of Cartons

tr Dirty

<'Dry

I otner

fl other

I otrer

I otner

I Other

I otrer

Note

SGS Bangladesh Limited

000113

SGS Bangladesh Ltd'

Consumer Testing Services

NTERNAL INSPECTOR'S REPORT

Format No: GRDOC/15lssue: 06 Rev'. 02

Page 5 of 5SGS RePort Ref'Date:

Test EquiPment Used : GalibratedEquipment owner

Typendentificatiq! I .?ellit I Yes - ExPires

I Ves - ExPires

I Yes - ExPires

7. LoADING suPERvlsloN' YS-Scheduled for I ruot required

Perforrned on

Container No. :

SGS Seal No. :

Shippers Seal :

8.,dtl-l,\E/

ATTACHMENTS:

9. END NOTE:

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