INCOMING MATERIAL INSPECTION

Client /
REPORT Contractor Logo

1-Apr-10 2010A WI-PST-14-01

Date : Page of :
Project Name : Material Request No. :
Project No. :
Supplier :
Material / Specification Quantity Ref. Submittal No. Identification No.

Description of Material Received Location / Where to Use Items

Following Supporting Documents are attached: Other Specified Documents

Material Test Report Techincal Data Report Others

Non Destructive Test Report Certificate

Hydro Test Reference Submital

Physical Condition: Remarks:

Good

Satisfactory

Not Good

Store Condition: Remarks:

Good

Satisfactory

Not Good

Inspection Status: Remarks:

Good

Satisfactory

Not Good

Receiving Inspector (Name / Signature / Date): Remarks:

For Consultant Use

Approved by (Name / Signature / Date): Remarks:

Customer Representative (if required) Remarks:

For Customer
Use