www.Inspection-for-Industry.com ITP No.

:___________________
INSECTION Gr. :___________________
FILED INSPECTION REPORT REPORT No. :___________________
DATE :___________________
Quality Control Form

INSPECTION TYPE: WORK NO.:

ITEM NO.:
APPLAY GROUTING FOR ACC
EQUIOMENT LOCATION:
SIGNATURE
INSPECTION NOTICE NO. : COMPANY CONTRACTOR SUBCONTR.
COMPANY’S INSPECTOR : / / / / / /
CONTRACTOR’S INSPECTOR :
SUBCONTRACTOR’S INSPECTOR:
INSPECTION ACC REJ ACC REJ ACC REJ
1. APPLY GROUTING FOR ACC EQUIPENT

COMMENTS

LEGEND ACC: ACCEPT N.A: Not Applicable REJ: REJECT