2024年4月22日发(作者：联想win10专业版)

FACTORY INSPECTION REPORT　工厂检验报告

Inspection carried out by (Name of Inspection Body):检验执行机构（检验机构名称）：

Reference number of the Body carrying out the inspection:　检验执行机构参考号：

L.C.I.E

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For page control, please write this number in the header of each page (including the attachments)

　请将参考号写在

各页页首，以便进行页面管理（包括附件）

GENERAL GUIDANCE　总纲

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The questions of this factory inspection report are based on the requirements given in Permanent Document CIG

021.

　本工厂检验报告的问题是在永久性文件

CIG 021

特定要求的基础上提出的。

Guidance for the inspector is given in Permanent Document CIG 024.

永久性文件

CIG 024

给出了检验员指南。

Both documents, PD CIG 021 and PD CIG 024 shall be taken into account during inspection.

检验中应同时考虑

PD

CIG 021

和

PD CIG 024

文件。

Instructions to the Inspector are shown in italics

斜体字部分为检验员指南。

The report shall be completed even if there is no production at the time of the visit.

即使在检验时未生产，仍应填写报

告。

For all ‘NO’ answers details shall be provided on the INSPECTORS EVALUATION-Findings page

　所有选择

“

否

”

的项目详情，请参见

“

检验员评估－－结果

”

页。

For all ‘N/A’ answers rationale shall be provided as to why the item is not applicable

　应提供所有选择

“

不适用

”

项

目不适用的理论依据。

Details should be given on INSPECTOR’S EVALUATION-Informative page.

　检验员评估－－资料页应给出详情。

1.0 GENERAL INFORMATION

Manufacturer’s registered name:

制造商注册名称：

Street address of the factory and

Number: 街道与编号：

Postal code: 邮政编码：

City: 城市

County: 县：

Country: 乡：

GPS-coordinates(optional):

全球定位系统坐标（可选）

概要

1.1 Manufacturer's registered name and factory location制造商注册名称与地址

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1.2 Manufacturer's representative name and contact data制造商代表姓名和联系资料

Manufacturer's representative

name:制造商代表姓名：

Position: 职务：

Telephone:电话：

Fax:传真：

E-Mail:电子邮件：

PD CIG 023 May 2009 CN V1.1Page 1 of 13

检验执行机构参考号：-

Record below the names and position held of the main people involved in the inspection

本审核涉及主要人员姓名与职务下的相应记录

same as mentioned under 1.2同1.2所述

If not the same as mentioned under 1.2 please give details如与1.2所述不同，请提供详细资料

Name:姓名：

Position:职务：

Telephone:电话：

Fax:传真：

E-Mail:电子邮件：

1.3

1.4

Pre-Licence

HAR

Routine

EMC

ENEC

Others:

1.5

Pre-Licence only: Is the information given in the Questionnaire CIG 022 Section B

accurate and complete?

If 'no', amend the Questionnaire as appropriate and attach a copy to this report.

仅适用于发证前：CIG 022调查表B部分是否准确、完整？

YESN/ANO

如选择“否”，适当修改调查表，并将其附在本报告上。

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1.6

Inspection Details:　审核明细：

Inspection

X of Y

File ReferenceProduct Category

No.

产品类别

Type of Product

产品类型

Certification Body

requesting

inspection

1.7

Name of Inspector:

审核员姓名

Date of inspection:

审核日期：

PD CIG 023 May 2009 CN V1.1

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