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INSTITUT "VIN^A"- CENEx ZP.3.030.01(strana 1)
ZAHTEV ZA ISPITIVANJE
broj _________
PODACI O PODNOSIOCU ZAHTEVA ZA ISPITIVANJE
KORISNIK:
Naziv:..............................................................................................................................
Adresa:............................................................................................................................
Telefon/Fax:.....................................................................................................................
Lice za komunikaciju:.......................................................................................................
VRSTA I NA_IN ISPITIVANJA:........................................................................................
UZORCI ZA ISPITIVANJE:
Vrsta:...............................................................................................................................
Broj: ................................................................................................................................
Prate}a dokumentacija:...................................................................................................
Na~in prijema:.................................................................................................................
IZLAZNA DOKUMENTACIJA:..........................................................................................
USLOVI PLA]ANJA:........................................................................................................
ZAHTEVANI ROK ZAVR[ETKA ISPITIVANJA: ......................
Datum: ____________ Direktor CENEx-a: ___________________
NAPOMENE:
Ref. QP.2.030.02
INSTITUT "VIN^A"- CENEx ZP.3.030.01(strana 2)
ZAHTEV ZA ISPITIVANJE
broj _________
PREISPITIVANJE ZAHTEVA
Radna jedinica CENEx-a:..................................................................................................
Vode}i ispitiva~/ispitiva~i:..............................................................................................
Metoda ispitivanja:...........................................................................................................
Standard/propis ispitivanja:..............................................................................................
Merna i ispitna oprema:...................................................................................................
Potro{ni materijal:...........................................................................................................
Predkalkulacija tro{kova:.................................................................................................
Rok zavr{etka ispitivanja: .......................
Ponuda za ispitivanje br. ________ od __________
Datum: __________ Rukovodilac radne jedinice: _______________
NAPOMENE:
Ref. QP.2.030.02
INSTITUT "VIN^A"- CENEx ZP.3.030.02
PONUDA ZA ISPITIVANJE
broj _________
A. Korisnik: ...................................................................................................................................
B. Predmet ponude:
Opis ispitivanja:...............................................................................................................
C. Cena i uslovi pla}anja
1. Cena....................................................................................................________________
2. Pla}anje
Rok pla}anja................................................................................________________
Na~in pla}anja............................................................................________________
3. Kalkulacija / specifikacija br.................................................................________________
D. Izve{taj i rok zavr{etka ispitivanja:
1. Izve{taj........................................................................................................................
2. Rok zavr{etka ispitivanja.....................................................................________________
3. Rok predaje izve{taja..........................................................................________________
E. Va`enje ponude:
Ponudu sastavio: Ponudu odobrio: Datum:
........................... .............................. ..............
Ref. QP.2.030.02
INSTITUT "VIN^A"- CENEx ZP.3.030.03
UGOVOR ZA ISPITIVANJE
broj: -------- od ----------
sa~injen izmedju Instituta za nuklearne nauke "VIN^A", Centar za protiveksplozionu za{titu (CENEx), kao Izvr{ioca,
i,
......................................................................................................................................................../ naziv/
......................................................................................................................................................../adresa/
kao Naru~ioca.
PODACI O ISPITIVANJU
Vrsta i na~in ispitivanja:..................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
Uzorci za ispitivanje (vrsta, broj i prijem):.........................................................................................
........................................................................................................................................................
Kori{}ena oprema:
........................................................................................................................................................
........................................................................................................................................................
Prate}a dokumentacija:...................................................................................................................
........................................................................................................................................................
CENA I ROK ISPITIVANJA
Cena: ..............................................................................................................................................
Rok zavr{etka ispitivanja:................................................................................................................
USLOVI PLA]ANJA ........................................................................................................................
Naru~ilac: Izvr{ilac:
Datum: .......... Datum: ..........
Ref. QP.2.030.02
INSTITUT "VIN^A"- CENEx ZP.3.030.05
SVESKA FAKTURA(list sveske)
Rednibroj
Brojfakture
DPO Korisnik(naziv i adresa)
Iznos Datumizdavanja
Datumpla}anja
Ref. QP.2.030.02
INSTITUT "VIN^A"- CENEx ZP.3.030.24
ZAHTEV ZA PODUGOVARANJE
PODACI O ZAHTEVU ZA ISPITIVANJE
Radna jedinica CENEx-a:. . . . . . . Podugovara~:..............................................
Ugovor za ispitivanje br. ________ od __________
Ispitivanja koja radi podugovara~:...................................................................................
Vrsta i na~in ispitivanja:..................................................................................................
Uzorci za ispitivanje:........................................................................................................
Datum: __________ Rukovodilac radne jedinice: ___________________
Datum: __________ Direktor CENEx-a: ___________________
SPECIFIKACIJA ISPITIVANJA
Metod ispitivanja:.............................................................................................................
Standard/propis ispitivanja:..............................................................................................
Merna i ispitna oprema:...................................................................................................
Potro{ni materijal:...........................................................................................................
Rok zavr{etka ispitivanja:................................................................................................
Datum: __________ Rukovodilac radne jedinice: _______________
NAPOMENE:
Ref. QP.2.030.03INSTITUT "VIN^A"- CENEx ZP.3.030.25
UGOVOR ZA ISPITIVANJE SA PODUGOVARA~EM
broj: -------- od ----------
sa~injen izmedju Instituta za nuklearne nauke "VIN^A", Centar za protiveksplozionu za{titu (CENEx), kao Naru~ioca,
i,
......................................................................................................................................................../ naziv/
......................................................................................................................................................../adresa/
kao Izvr{ioca.
PODACI O ISPITIVANJU
Vrsta i na~in ispitivanja:..................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
Uzorci za ispitivanje (vrsta, broj i prijem):.........................................................................................
........................................................................................................................................................
Kori{}ena oprema:
........................................................................................................................................................
........................................................................................................................................................
Prate}a dokumentacija:...................................................................................................................
........................................................................................................................................................
CENA I ROK ISPITIVANJA
Cena: ..............................................................................................................................................
Rok zavr{etka ispitivanja:................................................................................................................
USLOVI PLA]ANJA:........................................................................................................................
Naru~ilac: Izvr{ilac:
Datum: .......... Datum: ..........
Ref. QP.2.030.03
INSTITUT "VIN^A"- CENEx ZP.3.030.08
ZAHTEV ZA NABAVKUMERNE I ISPITNE OPREME
broj _________ od _________
PREDLOG ZA NABAVKU
Instrument/oprema:....................................................................................................................
...................................................................................................................................................
Proizvodja~:................................................................................................................................
...................................................................................................................................................
Tehni~ke karakteristike:.............................................................................................................
...................................................................................................................................................
...................................................................................................................................................
Razlog nabavke:..........................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
Datum:________ Predlaga~: _________________
VERIFIKACIJA PREDLOGA
Ocena zahteva:...........................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
Datum: ________ Rukovodilac radne jedinice: _______________
Datum: ________ Direktor CENEx-a: ______________
NAPOMENE:
Ref. QP.2.030.04
INSTITUT "VIN^A"- CENEx ZP.3.030.09
NALOG ZA NABAVKUMERNE I ISPITNE OPREME
broj ________ od __________
PREDLOG ZA NABAVKU
Instrument/oprema:....................................................................................................................
...................................................................................................................................................
Proizvodja~:................................................................................................................................
...................................................................................................................................................
Tehni~ke i metrolo{ke karakteristike:.........................................................................................
...................................................................................................................................................
...................................................................................................................................................
Tehni~ki uslovi prijema:..............................................................................................................
...................................................................................................................................................
...................................................................................................................................................
CENA I ROK ISPORUKE:
Cena: .........................................................................................................................................
Rok isporuke:..............................................................................................................................
Datum: ________ Direktor CENEx-a: _______________
PRIJEM MERNE I ISPITNE OPREME
Rezultati prijema:........................................................................................................................
...................................................................................................................................................
Reklamacije dobavlja~u:.............................................................................................................
Datum prijema: __________
Komisija: 1.__________________ 2.__________________ 3.__________________
Ref. QP.2.030.04
INSTITUT "VIN^A"- CENEx ZP.3.030.10
UGOVOR ZA NABAVKU
broj: -------- od ----------
sa~injen izmedju Instituta za nuklearne nauke "VIN^A", Centar za protiveksplozionu za{titu (CENEx), kao Naru~ioca,
i,
......................................................................................................................................................../ naziv/
......................................................................................................................................................../adresa/
kao Izvr{ioca,
za nabavku:
Instrument/oprema/materijal:..........................................................................................................
........................................................................................................................................................
Proizvodja~:....................................................................................................................................
........................................................................................................................................................
Tehni~ke i metrolo{ke karakteristike:..............................................................................................
........................................................................................................................................................
Tehni~ki uslovi prijema:...................................................................................................................
........................................................................................................................................................
Monta`a i pu{tanje u rad: ...............................................................................................................
........................................................................................................................................................
CENA I ROK ISPORUKE
Cena: ..............................................................................................................................................
Rok isporuke:...................................................................................................................................
USLOVI PLA]ANJA
........................................................................................................................................................
Naru~ilac: Izvr{ilac:
Datum: .......... Datum: ..........
Ref. QP.2.030.04
INSTITUT "VIN^A"- CENEx ZP.3.030.15
NALOG ZA NABAVKU MATERIJALA
broj ________ od __________
[ifra i naziv materijala Kvalitet Roknabavke
Koli_ina Usloviprijema
Izradio: __________ Odobrio:__________
Datum: __________ Datum: __________
Ref. QP.2.030.05
INSTITUT "VIN^A"- CENEx ZP.3.030.16
SVESKA PRIJEMA MATERIJALA
Godina: ___________
Dobavlja~:.......................................................................................................................................
Adresa:............................................................................................................................................
........................................................................................................................................................
[ifra Naziv materijala Datumporud`bine Koli~in
a
Datum
prijema
Ocena prijema
Brojporud`benice
Srednja ocena prijema:
Ocena prijema: 1 - ne zadovoljava2 - zadovoljava3 - dobar
Izradio: ______________________ Verifikovao: ___________________
Datum: __________ Datum: __________
Ref. QP.2.030.05
INSTITUT "VIN^A"- CENEx ZP.3.030.19
PREDLOG KOREKTIVNE/PREVENTIVNE MERE1
PREDLAGA^
Broj predloga: Datum prijave:
Predlaga~:
OPIS PROBLEMA (dokumentacija, postupak, metoda, oprema)
PREDLOG KOREKTIVNE/PREVENTIVNE MERE:
RUKOVODILAC
ZA
KVALITET
SPROVODJENJE KOREKTIVNE/PREVENTIVNE MERE
Odgovoran: Rok zavr{etka:
Korektivna/preventivna mera:
Tro{kovi:
VERIFIKACIJA KOREKTIVNE/PREVENTIVNE MERE
Datum: __________ Potpis: _______________
OCENA EFEKATA KOREKTIVNE/PREVENTIVNE MERE
Datum: __________ Potpis: _______________
Ref. QP.2.030.07
1 ? Potrebnu dokumentaciju staviti u prilog
INSTITUT "VIN^A"- CENEx ZP.3.030.20
IZVE[TAJ O SPROVEDENOJ KOREKTIVNOJ/PREVENTIVNOJ MERI
PREVENTIVNA/KOREKTIVNA MERA
Opis: ....................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Po~etak: ____________________ Zavr{etak: _____________________
OCENA EFEKATA
.............................................................................................................................................
.............................................................................................................................................
IZMENE
Postupci/metode ispitivanja: ................................................................................................
.............................................................................................................................................
Merna i ispitna oprema ........................................................................................................
.............................................................................................................................................
Materijali .............................................................................................................................
.............................................................................................................................................
Dokumenti
Procedure..................................................................................................................
.................................................................................................................................
Radna uputstva.........................................................................................................
.................................................................................................................................
Zapisi i obrasci..........................................................................................................
.................................................................................................................................
TRO[KOVI ______________________________________
Datum: __________ Odgovorno lice: _______________
Ref. QP.2.030.07
INSTITUT "VIN^A"- CENEx ZP.3.030.22(strana 1)
IZVE[TAJ O KVALITETU USLUGA
broj _________ od ___________
Predlog preventivnih i korektivnih mera
Merna/ispitna oprema:..........................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Metode i postupci:................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Obuka saradnika:..................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Unapredjenje saradnje sa JUAT, SZS i drugim ispitnim laboratorijama:..................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Rukovodilac za kvalitet: Rukovodilac radne jedinice: Direktor CENEx-a:
Datum: __________ Datum: __________ Datum: __________
Ref. QP.2.030.09
INSTITUT "VIN^A"- CENEx ZP.3.030.22(strana 2)
IZVE[TAJ O KVALITETU USLUGA
broj _________ od ___________
Obim i tro{kovi
Broj uradjenih ispitivanja:.....................................................................................................
Ugovorena vrednost:............................................................................................................
Fakturisana vrednost:...........................................................................................................
Napla}ena vrednost:............................................................................................................
Tro{kovi ispitivanja (ukupno):...............................................................................................
Analiza prigovora/`albi korisnika
Ukupan broj: _________ Osnovano: ________ Neosnovano: __________
Identifikovani uzroci prigovora/`albi:
metoda/postupak: ___________ uslovi ispitivanja:_____________________merna/ispitna oprema: _______ rezultati ispitivanja: ___________________rok ispitivanja: _______________ cena:________________________________
Tro{kovi prigovora/`albi:......................................................................................................
Analiza obu~enosti osoblja
Obuka novih radnika:............................................................................................................
Periodi~ne obuke: ...............................................................................................................
Ocena opreme i metoda
Neodgovaraju}a/zastarela oprema:......................................................................................
.............................................................................................................................................
Predlozi za novu opremu ili metodu ispitivanja:.....................................................................
.............................................................................................................................................
Rukovodilac za kvalitet: Rukovodilac radne jedinice:
Datum: __________ Datum: __________
Ref. QP.2.030.09
INSTITUT "VIN^A"- CENEx ZP.3.030.17
ZAPISNIK O PRIJEMU UZORKA
broj ________ od _____________
PODACI O UZORKU
[ifra:.....................................................................................................................................
Naziv:...................................................................................................................................
Broj uzoraka: .......................................................................................................................
Pogodnost za ispitivanje:......................................................................................................
.............................................................................................................................................
O{te}enja:...........................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Dorada uzoraka:...................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
PODACI O ISPITIVANJU
Vrsta ispitivanja:...................................................................................................................
.............................................................................................................................................
Metod ispitivanja:.................................................................................................................
.............................................................................................................................................
Standard/propis za ispitivanje: .............................................................................................
.............................................................................................................................................
ROK ZAVR{ETKA ISPITIVANJA: ______________________
Korisnik: ______________ Ispitiva~: _______________
Datum: ________________ Datum: _____________
Ref. QP.2.030.11
INSTITUT "VIN^A"- CENEx ZP.3.030.18
RADNI NALOG ZA ISPITIVANJE
broj _________ od ____________
Korisnik:...........................................................................................................................................
Adresa.............................................................................................................................................
Ispitiva~:.........................................................................................................................................
Predmet ispitivanja:.........................................................................................................................
........................................................................................................................................................
Datum po~etka ispitivanja: . . . . . . . . . . Datum prijema uzorka: . . . . . . . . . .
Uzorak ({ifra, broj uzoraka):.............................................................................................................
Rok zavr{etka ispitivanja: ...............................................................................................................
Metod ispitivanja:.............................................................................................................................
........................................................................................................................................................
Standardi/propisi:.............................................................................................................................
........................................................................................................................................................
Merna i ispitna oprema:...................................................................................................................
........................................................................................................................................................
Datum: __________ Izdao: _______________ Datum: __________ Primio:_______________
Potro{ni materijal:...........................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
Datum: __________ Izdao: _______________ Datum: __________ Primio: _______________
Posebni zahtevi:...............................................................................................................................
........................................................................................................................................................
Rukovodilac radne jedinice: _______________ Ispitiva~: _______________
Datum: __________ Datum: __________
Ref. QP.2.030.11
INSTITUT "VIN^A"- CENEx ZP.3.030.12
EVIDENCIONI KARTON INSTRUMENTA/OPREME
Naziv instrumenta/opis:
[ifra:
Proizvodja~:
Tip/model/ser.broj: Etaloniranje: DA NE
Datum nabavke:Datum stavljanja u rad:
Lokacija instrumenta:Zadu`eno lice:
Inventarski broj:
E T A L O N I R A N J E
Rednibroj
Datum predajejedinice
Overa Datumprijemajedinice
Overa Napomene Terminslede}eg
etaloniranja
Potpisovla{}eno
glica
O P R A V K E
Rednibroj
Datumpredajejedinice
Overa Datumprijemajedinice
Overa Napomene
Ref. QP.2.030.12INSTITUT "VIN^A"- CENEx ZP.3.030.13
GODI[NJI PLAN ETALONIRANJA MERNE I ISPITNE OPREME
Godina: _________________
Instrument/oprema I II
III IV V VI VII VIII IX X XI XII
Izradio: _______________ Odobrio: _______________
Datum: _______________ Datum: _______________
Ref. QP.2.030.12INSTITUT "VIN^A"- CENEx ZP.3.030.14
KARTON O REMONTU ISPITNE OPREME
Evidencioni karton opreme za ispitivanje:
PODACI O REMONTU:
Opis radova Materijal/delovi Napomena
Datum remonta: .................................................................................................................
Radove izveo: ......................................................................................................................
Verifikovao: .........................................................................................................................
Ref. QP.2.030.12
INSTITUT "VIN^A"- Laboratorija “Gama” ZP.3.030.23
PROGRAM OBUKE
Broj _________ od _________________
PREDLAGA^
Prezime i ime: .....................................................................................................
CILJ OBUKE:
Datum: __________ Predlaga~: _______________
IZVODJA^ OBUKE / PREDAVA^
PROGRAM OBUKE:
OPIS TEME:......................................................................................................................................................................................................................................METOD:...........................................................................................................................................................................................................................................VREME TRAJANJA: . . . . . . . . . . SREDSTVA: . . . . . . . . . . . . .
POTREBNA MATERIJALNA SREDSTVA:
Datum: __________ Izvodja~ obuke: __________
KOORDINATOR OBUKE
IZVODJENJE OBUKE:
DATUM IZVODJENJA OBUKE: ...............................................................................
METOD PROVERE OBU^ENOSTI: .........................................................................
BUD@ET OBUKE:.................................................................................................
ANALIZA OBUKE:Datum: __________ Rukovodilac radne jedinice: _______________
Ref. QP.2.030.13
INSTITUT "VIN^A"- Laboratorija “Gama” ZP.3.030.26(strana 1)
KARTON RADNIKA
OP[TI PODACI
Prezime i ime:......................................................................................................Ime roditelja:.......................................................................................................Mesto i datum rodjenja:.......................................................................................Li~ni broj:............................................................................................................Adresa:................................................................................................................
PODACI O OBRAZOVANJU
Stru~na sprema:.................................................................................................Fakultet/{kola:.....................................................................................................Zvanje:................................................................................................................Magistarski rad:...............................................................................................................................................................................................................................Doktorska disertacija:......................................................................................................................................................................................................................
PODACI O RANIJEM RADNOM ODNOSU
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
PODACI O STRU^NOM USAVR[AVANJU
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................Ref. QP.2.030.13
INSTITUT "VIN^A"- Laboratorija “Gama” ZP.3.030.26(strana 2)
KARTON RADNIKA
PODACI O EKSTERNIM OBUKAMA
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
PODACI O INTERNIM OBUKAMA
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
Ref. QP.2.030.13
INSTITUT "VIN^A"- Laboratorija “Gama” ZP.3.030.21
ZAPISNIK O PRIGOVORU KORISNIKA
Broj: ________ od ______________
PODACI O PRIGOVORU/@ALBI:
Korisnik:...............................................................................................................................
Ugovor:................................................................................................................................
Predmet ispitivanja:..............................................................................................................
.............................................................................................................................................
OPIS PRIGOVORA/@ALBE:
.............................................................................................................................................
.............................................................................................................................................
Datum: __________ Rukovodilac za kvalitet: _______________
PREDLOG RE[ENJA PRIGOVORA/@ALBE:
Uzrok..............................................................................................................................................................................................................................................................................................................................................................................................................................
Dopunska ispitivanja..........................................................................................................................................................................................................................................................
Provera merne i ispitne opreme.........................................................................................................................................................................................................................................
Potro{ni materijal..............................................................................................................................................................................................................................................................
Rok za re{avanje prigovora (datum):...................................................................................
Datum: __________ Rukovodilac radne jedinice: _____________________
Datum: __________ Direktor Laboratorije “Gama”: __________________
TRO[KOVI PRIGOVORA/@ALBE....................................................................................................
Datum: __________ Rukovodilac za kvalitet: _______________
Ref. QP.2.030.15
