DOC. No.

:
STERLING AND WILSON GOODS RECEIPT CUM SW-SEPC-MHS-ICL-001
PVT. LTD. REV. No.: 01
MATERIAL INSPECTION
Page No: 1 of 1
PROJECT:

GRN No. : Date:

Site :

Job Ref. : P.O. No. / Date:

Freight: To Pay / Paid
Item : Rs.______________

Challan / Invoice No : LR No.____________

Date : Vehicle No._________

Supplier Name/Address: GPI: Recd. / Not Recd.

GPI No.___________

Inspection / Quality Checks:

1. Physical condition of packing -- Good/ Damaged

2. Dimension check, O.K. -- Yes/ No

3. Check items for damages -- Yes/ No

4. Check for Make of Material (As per approved Make list) -- Yes/ No

5. Quantity verification as per Challan enclosed -- Yes/ No If No Diff.:__________

6. Quantity verification as per part list enclosed -- Yes/ No If No Diff.:__________

7. Visual Check for Finishing/Painting/

Galvanizing (as applicable) -- Yes/ No

8. Whether factory test certificate is

received with the consignment -- Yes/ No

9. Material Accepted / Rejected -- Accepted/ Rejected

10. Checked on Dated --

11. Comments if any --

PREPARED BY - (Store In-Charge) CHECKED BY - (Site Quality Engineer) AUTHORIZED BY - (Site In-Charge)
(Date & Sign) (Date & Sign) (Date & Sign)
STERLING AND WILSON