SORIK MERAPI Project No.

GOTHERMAL Document No. DOC-QA/QC-SMGP-0012

PROJECT Revision 0
Page 1 of 1
MATERIAL RECEIVING INSPECTION REPORT
Issue Date October 28 th, 2016
CONTRACTOR : PKG SLIP NO :
SUPPLIER/VENDOR : DATE RECEIVED :
SHIPPED BY : INSPECTED DATE :
MRIR No. :
DELIVERY CARRIER :
YES NO N/A

O,S & D REPORT ISSUED & ATTACHED

NCR’(s) ISSUED & CLOSED
SPECIAL HANDLING & STORAGE PROCEDURE REQUIRED & IMPLEMENTED
VENDOR INSPECTION RELEASE CERTIFICATE ISSUED

Item Inspection Checklist Item Inspected By Date ACC REJ

1 Overall Condition
2 Dimensions Verified With Drawings
3 Manufacturing Data Reports / Data Sheets
4 Nameplate Attached / Data Verified
5 Appurtenance Orientation / Elevation
6 Openings Correctly Covered
7 Surface Coating Condition
8 Storage / Packing Condition

Quantity
NO Material and Description Packing Remarks
Actual
List

RESPONSIBILITY NAME SIGNATURE DATE

Supplier / Contractor
HDEC Quality Control
MSGP Material Handling
SMGP Quality Control