MATERIAL INSPECTION REQUEST - (MIR)
Project Name Rock Anchor Work at, [Link] 11 Palava 2 MIR [Link] MIR-MLCP-DE-STR-PK
Project Code Material Code
Request submission
Client/Employer 25/04/2025
(Date & Time)
Inspection
PMC/Engineer
(Date & Time) 24/04/2025
Contractor Devansh Enterprises MIR Submitted To Lodha
Vendor Code 30014613 Material code
Civil Arch / Finishing Landscape Mechanical Electrical Plumbing ID Facade Others
Part A: By the Contractor
Material Submittal approved (Yes/NO). if Yes,Approval Reference No: Yes
Description of Supplied Materials: Ultra tech Power Grout Ns2
Quantity: Current : 60 Bag
BOQ Reference :
Manufacturer - Country of Origin: Ultra tech Cement Ltd
Supplier : Ultra tech Cement Ltd
Supplied Quantity and Delivery Note Number: 60 Bags
Date of Receipt of Material On Site: 23/04/2025
Storage Location: MLCP Area
Any material which requires test certificate shall be delivered along with the MTC:
Any material which requires field test is conducted and test results are complying with the
acceptance criteria/values:
Any material which requires third party test, is it under contractor scope? (Yes/No) if
Yes, attach the certiifcate and confirm it is complying with the acceptance criteria/values) :
Any material which requires third party test, is it under Lodha's scope? (Yes/No) if
Yes, attach the certiifcate and confirm it is complying with the acceptance criteria/values) :
Contractor:
Name: Signature: Date:
Part B: By the Engineer (Lodha/PMC)
Inspection Reports:
Physical Damage? Yes No
Details Given in Delivery Note Correct? (Type, Size, Wt., Qty. etc.) Yes No
Conform with Approved Material Submittal Yes No
Any material which requires test certificate shall be delivered along with the MTC: Yes No
Any material which requires field test is conducted and test results are complying with Yes No
the acceptance criteria/values
Any material which requires third party test, is it under contractor scope? (Yes/No) Yes No
if Yes, verify the attached certiifcate and confirm it is complying with the acceptance
criteria/values) :
Any material which requires third party test, is it under Lodha's scope? (Yes/No) if Yes, Yes No
verify the attached certiifcate and confirm it is complying with the acceptance
criteria/values) :
Template Ref: CCO-LOD-GENE-QU-CN-TMT-008, Rev- R1, Date: 09-09-2023
MATERIAL INSPECTION REQUEST - (MIR)
Project Name MIR [Link]
Project Code Material Code
Civil & Finishing Materials - Project Quality Manager Landscape Materials - Landscape Architect
Façade Materials - Façade Manager MEP Materials (MEP Manager)
Comments:
Engineer's Decision (Lodha/PMC)
The above materials have been inspected on site and found, at time of inspection, to be:
A - Approved - Fully satisfactory and can be used for permanent works at site.
B - Approved with Comments - Partially satisfactory and can be used for permanent works after taking into
consideration our comments mentioned in remarks
C - Revise and Resubmit - Correct documents / provide additional information requested
D - Rejected - Can not be used for permanent works at site
Name: Signature: Date:
Distribution: Lodha Contractor Others …………………………
Template Ref: CCO-LOD-GENE-QU-CN-TMT-008, Rev- R1, Date: 09-09-2023
