QA510.pd - CERN

CERN
CH-1211 Geneva 23
Switzerland
the
Large
Hadron
Collider
project
LHC Project Document No.
LHC-PM-QA-510.00 rev 1.0
CERN Div./Group or Supplier/Contractor Document No.
-
EDMS Document No.
318653
Date: 2001-07-13
Quality Assurance Template
CERTIFICATE OF CONFORMITY
Prepared by :
P.Lienard
LHC/MMS
M. Mottier
EST/ISS
Marcel.Mottier@cern.ch
Checked by :
LHC Quality Assurance
Working Group
Approved by :
Paul Faugeras
Deputy to LHC Project
Leader for Quality
Assurance

LHC Project Document No.
LHC-PM-QA-510.00 rev 1.0
Page 2 of 2
History of Changes
Rev. No. Date Pages Description of Changes
1.0 2001-07-13 First release

CERN
CH-1211 Geneva 23
Switzerland
the
Large
Hadron
Collider
project
LHC Project Document No.
LHC-XXXXX-QA-123456
EDMS Document No.
666666
Certificate of Conformity
for CERN supplied components
1. Part description 2. CERN Part ID (19 chars)
3. Part No. - 4. Serial No.
(10 chars) (8 chars)
Example to replace with the real data
HCEQUIP0001-XX123456
-to
-
-
-
-
-
-
-
-
5. Other
identification
6. Recipient contractor:
7. Contract / Order No.:
8. Responsible person at CERN:
Tel.
E-mail.
9. Reference specification:
10. Reference drawings:
11. Part manufactured by:
12. Acceptance test refs:
13. Acceptance test results:
14. Comments:
CERN certifies that the supplied material is conform to the reference specification.
Date: Name: Signature:

Page 2 of 2
INSTRUCTION FOR COMPLETING THE CERTIFICATE OF CONFORMITY
1. Part description Name of the part as it appears on the drawing
2. Part number The first 10 chars of the part ID.
3. Part ID The LHC part identifier (see LHC-PM-QA-206.00).
4. Serial number: The last 8 chars of the part ID.
5 Other identification Optional identification of the part, .e.g. the manufacturer serial number.
6. Recipient contractor: Organisation/firm to which the part(s) are supplied.
7. Contract/order No: CERN's contract or order No.
8. Responsible person at CERN: The Project Engineer or a member of his team in charge of the contract/order.
9. Reference specification: A specification or any other document, e.g. a standard, defining the characteristics
of the part.
10. Reference drawings: Drawing number and revision index of related drawings.
11. Part manufactured by: Name of the firm that made/supplied the part.
12. Acceptance test reference: Document number of test procedure.
13. Acceptance test results Results of the tests on reception of parts at the contractor/firm site.
14. Comments: Any other additional information/instruction regarding the part.
Note: Parts should preferably be identified by their full part ID. However for large sets of parts
the use of a range of serial numbers is acceptable. See an example below
1. Part description 2. CERN Part ID (19 chars)
3. Part No. - 4. Serial No.
(10 chars) (8 chars)
Stainless steel collar
HCEQUIP001-XX000001 to
-XX000099
-
-
-
-
-
-
-
-
5. Other
identification
Use the tab key to move in the columns of the table.
Use the macro Update doc. No to complete the LHC project document number and fill-in the
EDMS number. The document type is QA (quality assurance).
Use the macro Remove help to delete the second page (the instructions) before saving the
document.