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