LOGO ORGANNIZATION NAME ELECTRONICS GROUP R S N N

LOGO ORGANNIZATION NAME ELECTRONICS GROUP R S N N






To be completed by H-XRL, IAEA

LOGO

ORGANNIZATION NAME

ELECTRONICS GROUP



R

S

N

N

Y

Y





Req. Nr

(for EG use only)

Work Assignment Information Form

(EG.OF.03)


SECTION A: Assignment specifications

(to be completed by TL-EG)


Denomination of the instrument to be serviced:


Manufacturer:


Model:


Serial Number:


Type of requested service:


Electrical calibration

Maintenance

Repair


Attached technical information:




Special requirements: (e.g. technical/quality requirements, storage conditions, hazardous properties)










Description of requested service(s):


Electrical Calibration


Selected calibration instruction:


Magnitude

Range

Expected error in indication

Voltage (V)

10E____ 10E____

10E___

Charge (c)

10E____ 10E____

10E___

Current (A)

10E____ 10E____

10E___

Resistance (ohm)

10E____ 10E____

10E___

Capacity (F)

10E____ 10E____

10E___

Time (s)

10E____ 10E____

10E___

Frequency (Hz)

10E____ 10E____

10E___




Maintenance / Repair

Observations from customer's on troubleshooting








Expected quality performance indicators after repair







Results required by date:



Request approved by:

Signature/Date:



Work assignment received by:


Signature/Date:







SECTION B: Control calibration specifications

a) to be completed by QM-EG


LIST OF CONTROL CALIBRATION MEASUREMENTS:

b) results to be filled by the Technician executing the work assignment


CALIBRATOR CONTROL

Magnitude

a) Calibrator Reference value

b) Obtained Zero value

Results b) of ____ a) replicate measurements

b) Calibrator controlled value

Voltage (V)









Charge (c)









Current (A)









Resistance (ohm)









Capacity (F)









Time (s)









Frequency (Hz)









Note: Values measured with: INSERT MODEL OF THE MEASUREMENT INSTRUMENT CERTIFIED FOR CALIBRATION



INSTRUMENT PERFORMANCE AFTER REPAIR / MAINTENANCE

(results to be filled by the Technician executing the quality control after repair/maintenance)

a)Expected quality performance indicators after repair

b) Obtained quality performance





























SECTION C: Obtained results

(to be completed by Electronic Technician EC, EG)

Results (insert lines when required)


ELECTRIC CALIBRATION

Instrument:


Selected calibration method:


Magnitude

Calibrator

Reference Value

Stated uncertainty

Replicate measurements

(Assessment of precision)

Obtained result











Mean of indication

Uncertainty

Voltage (V)

____ x 10E____

10E___













Current (A)

____ x 10E____

10E___













Resistance (ohm)

____ x 10E____

10E___













Capacity (F)

____ x 10E____

10E___













Time (s)

____ x 10E____

10E___













Frequency (Hz)

____ x 10E____

10E___















Instrument:


Selected calibration method:


Magnitude

Calibrator

Reference Value

Stated uncertainty

Replicate measurements

(Assessment of precision)

Obtained result











Calibration factor

Uncertainty

Charge (c)

____ x 10E____

10E___















Notes: The reported expanded uncertainty of mean of indication or calibration factor is stated as the combined standard uncertainty of the calibration multiplied by a coverage factor k=2, which for a normal distribution corresponds to a coverage probability of approximately 95%.


To be completed by Electronic Technician RM, EG



INSTRUMENT INSPECTION

List of additional failures or causes for departures from original task description (if any observed)






MODIFICATIONS IN WORK ASSIGNMENT:









INSTRUMENT REPAIR / MAINTENANCE

Detected reasons of failure

Corrective actions

Replaced components





















INSTRUMENT PERFORMANCE AFTER REPAIR / MAINTENANCE (STATEMENT OF QUALITY OF THE SERVICE)

Expected quality performance indicators after repair

Obtained quality performance

Coments





















SECTION D: Compliance to internal quality control

(to be completed by QM-EG)


Results report received by date:


Internal Quality Control passed?

Yes

No



Comments/remarks:











Signature/Date:





EG.OF.03 Page 3 of 8





Tags: electronics group, organnization, electronics, group