DELIVERY CHECK REPORT

Date: No: ______________________

Plant Name:

Invoice No :

Package No. :

Item No & Name :

Date of Package Arrival :

Date of Check :

Result of Check :

Shortage : No Yes

Injury : No Yes

Drench : No Yes

Other Defect : No Yes

Insurance Claim : No Yes

Note :

Person In Charge _____________________________________

Site Manager _____________________________________