INSPECTION REPORT

SECTION 1 - REPORT DETAILS

Inspection report no.:
Submitted by:
Project:
Requisition no:
Project P.O. no.:
Supplier:
Supplier location:
Supplier contact:
Last report no:
Check by agency:

Assignment no.:
Visit date (dd-mmm-yy):
Sub project:
Client:
Sub-supplier P.O. no.:
Sub-supplier:
Sub-supplier location:
Sub-supplier contact:
For the attention of:
Agency name:

Conn. string:
Req. rev. no:
Change no:

Please mark as applicable:

Pre-inspection meeting

Interim Report

Final Report

Attendees:
Name

Company

SECTION 2 - ITEM NUMBER/EQUIPMENT DESCRIPTION

PO item
number

Tag number

Description

Quantity

SECTION 3 - VISIT PURPOSE AND APPLICABLE INSPECTION AND TEST PLAN ACTIVITY
ITP
item
number

Inspection and test activity description

Inspection
point
(H/W/SW/R)

Page 1 of 4

ITP
item
number

Inspection
point
(H/W/SW/R)

Inspection and test activity description

SECTION 4 - AREAS OF CONCERN AND CLOSE OUT OF PRE-INSPECTION MEETING ACTIONS

Use sequential numbering (e.g. 1, 2, 3, etc) and do not repeat numbers.
No.

Area of concern

Description, last update and action required

Responsible
party

Date action
closed
(dd-mmm-yy)

SECTION 5 - APPLICABLE DOCUMENTS FOR THIS VISIT

Document
number

Rev.

Document title

SECTION 6 - DETAILS OF THE INSPECTION PERFORMED

Include digital photographs where applicable.

SECTION 7 - INSPECTION VISIT RESULTS/CONCLUSIONS

SECTION 8 - NON CONFORMANCE REPORTS (NCRs)

Approval
status

INSPECTION REPORT
NCR number

Status of NCR (open/closed)

SECTION 9 - CONCESSIONS REQUESTS

Concession request number

Status of concession (open/closed)

SECTION 10 - MANUFACTURING DATA RECORD COMPILATION PROGRESS

SECTION 11 - INSPECTION RELEASE CERTIFICATES (IRCs)

Percentage of PO items released to date?
IRC Number

%
Comments/Conditions of release

SECTION 12 - PACKING AND MARKING

Inspection of packing and marking performed during this visit?

Yes

No

If yes, please provide at least one photo of packing and marking with this report:
Observations

SECTION 13 - MATERIAL CERTIFICATES FOR BULK PARTIAL SHIPMENTS

Have copies of applicable material certificates been included with shipment?

Yes

No

If multiple shipping crates, unique identification number of the crate containing the necessary certification to be referenced below:
Observations

SECTION 14 - SAFETY OBSERVATIONS

Have unsafe incidents being noted during the visit?

Yes

No

Observations

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SECTION 15 - ATTACHMENTS
HSE observation record

Non-conformance report(s)

Project specification checklist

Shop survey close-out form

Punch list

Digital photograph(s)

Carry-over work list

Packing and Marking photograph(s)

Inspection release certificate(s)

Other

SECTION 16 - MAN HOURS

Total man hours allocated
Man hours used for this visit/report
(excluding travel)
Man hours used for travel (include return
trip)
Man hours used to date
Balance of man hours
Mileage
SECTION 17 - NEXT VISIT
Predicted next visit date (dd-mmm-yy):
Anticipated activities

SECTION 18 - SIGNATURE

Inspectors Signature

...

Stamp