No.

: 10330-CON-GEN-04
Rev.: 01
MATERIAL RECEIVING INSPECTION Date: 14/05/2021
Page: 1 of 1

PROJECT: SUBCONTRACTOR:
AREA / UNIT / SYSTEM / SUBSYSTEM: ITP/ACTIVITY No.:
QR CODE
ELEMENT / TAG No.: INSPECTION TYPE CONTRACTOR/OWNER:
TEST PACKAGE: REPORT No. / RFI:
This certificate does not exempt the Subcontractor from the Terms of the Contract, Project Specifications or Quality Procedures but confirms
that all these Tests have been performed according to them.

1 GENERAL INFORMATION

ITEM description and identification / TAG:

Supplier:

Purchase Order No.:

Release Note:

Originator:

Material Documentation (Specify):

Others (Specify):

Quantity as per Delivery Note: YES NO

Certificate / Packing List Received: YES NO

COMMENTS:

2 INSPECTION RESULT

All materials checked and verified YES NO

Any damage materials (*) YES NO Overage, Shortage and/or Damage Report (OS&D):

Any Non-Conformity materials (*) YES NO Non-Conformity Report (NCR):

(*) If YES, Report number should be included.

Accepted Accepted with Punch Rejected

Accepted: equipment /material can be use as it is.

Accepted with Punch: Material can be dispatched for construction purposes and shall be repaired/ reworked afterwards.

Rejected: Material can't be used as it is and shall not be delivered to Subcontractor for construction purposes.

COMMENTS:

REMARKS:

Applicable Drawings:

WITNESSED/REVIEWED BY: SUBCONTRACTOR TPI TREUNIDAS CONSTRUCTION OWNER

SIGNATURE:

PRINT NAME:

DATE:

10330-CON-GEN-04
This document is property of Técnicas Reunidas. Its reproduction without a written permission is strictly forbidden