Document Number:

Date:
20/Oct/201
4

Revision:
00

Project
Detail
Client Detail:
Delivery
Details
LPO
#

Material Inspection
Report

Job Reference Number:

N/A

N/A

Deliver
y
Order
#
DESCRIPTION OF ITEMS:

Job Description:
Date:

N/A

MATERIAL
Y
N
Does the material match the
Yes
respective Purchase Order?
Has the material been
Yes
received in the right quantity?
Has the material been
Yes
received in good condition?
(Dimension)
Does the material's
Yes
specification match those
stated on the Purchase Order?
Has the supplier provided any
required material certificates
or other documents?
ACTIONS TO BE TAKEN: (for any deviation

Materi
al

Type of Goods

Equipm
ent

EQUIPMENT
Does the equipment match the
respective Purchase Order?
Has the equipment been
received in the right quantity?
Has the equipment been
received in good condition?
Does the equipment's
specification match those
stated on the Purchase Order?
Has the supplier provided any
required operating manuals or
other documents?
found)

N
N/A
N/A
N/A

N/A

N/A

REMARKS:

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Document Number:

Date:
20/Oct/201
4

Material Inspection
Report

Revision:
00

QA-QC REPRESENTATIVE
NAME:
POSITION:
DATE:
SIGNATURE:

Clients QA-QC REPRESENTATIVE

NAME:
SIGNATURE:
DATE:
SIGNATURE:

Page2of2