Client: (PMC) : PD Contractor:

MATERIALS INSPECTION REQUEST

TRADE : Arch Civil Mech ✘ Elect Landscape Others

PROJECT Ref : MIR NO. :

PROJECT : DATE :

QUANTITY : UNIT : DATE OF DELIVERY :

SPECIFICATION :

REFERENCES :

SOURCE & PLACE OF ORIGIN :

MATERIAL SUBMITTAL REF. NO. :

ACTIVITY :

LOCATION / SCOPE OF WORK :

REMARKS:

CONTRACTOR'S REPRESENTATIVE : DATE :

APPROVAL STATUS COMMENTS :

1 APPROVED
2 APPROVED AS NOTED
3 RESUBMIT AFTER CORRECTIONS
4 REJECTED

CONSTRUCTION MANAGER DATE :

PROJECT MANAGER DATE :

Notes:
A- Installation shall proceed only when Action Code is 1 / or 2.
B- Quantity verification to be substantiated by the Contractor.
C- Inspection does not relieve the Contractor from responsibility of compliance with all requirements of Contract documents.
D- Contractor must mention the delivered materials at suitable stores as per manufacturer recommended conditions.

RECEIVED BY CONTRACTOR : DATE :

Ref: PD.SF010.R1
472103967.xls
Date: Jan, 1st, 2011