Document Title: MATERIAL RECEIVED INSPECTION REPORT

Project Name:

Project Number: Project Consultant:

FIR Document Ref.

Project Contractor:
Consultant Number:
Contractor

MATERIAL DELIVERED BY MATERIAL RECEIVED BY

Supplied By Received By

Company Position

Signature Signature

Date Date

SUPPLIER DETAILS
P.O. No Invoice No.

Storage Location

Material Description

Specs, Reference
DATE RESPONSE
PURPOSE FOR DOCUMENT SUBMISSION REQUIRED BY
Indicate Date
FOR REVIEW & OTHER ( As Noted)
FOR INFORMATION AS REQUESTED ______________
APPROVAL ___________
TESTING STATUS
SN DESCRIPTION ACCEPT UNACCEPT DATE
Shipping Damage Inspection:
1 Item(s) do not exhibit signs of fire, excessive
exposure, rough handling, tie down failure,
environmental damage
Documentation review:
Compliance of the above details.
2
Required documentation provided for the received
material (Invoice/MTR/COC).
Identification and marking:
Seal number, lot of mark numbers on container or
3
material and corresponds to supporting
documentation
Material Inspection:
Spot-check to shop drawings and purchase order
4
requirements. Material is properly protected and has
no physical Damage
Remarks:
RESPONSE STATUS
APPROVED AS NOTED REJECTED / RE- SUBMIT
APPROVED AS
(APN) (RRS)
SUBMITTED
(APP)
CM COMMENTS

RESPONSE ISSUED BY RESPONSE RECEIVED BY

Issued By Received By
Position /
Position
Company

Signature Signature

Date Date

Date Date Date Date CM Target

Action 1 Action 2 Action 3 Action 4
CM Team Response
(Initials) Time (Initials) Time (Initials) Time (Initials) Time
- Work Days

Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-REP-0177-00

Revision Number: 00
Date: Dec 2016 Page: 1
Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-REP-0177-00
Revision Number: 00
Date: 31 March 2016 Page: 2