No.

Formulir
FML-QCWT-01
CATATAN INSPEKSI PELAT Form No.
FORMULIR PLATE INSPECTION RECORD Tanggal & Rev.
31-Jan-2017 Rev. 0
FORM Date & Rev.

Client : Record No. :

Project & Lot : Drawing/ Doc. Reff :
Part Name : Equipment No :

Dimension Thickness
Material Visual Chemical Result of
No. (Thk' * width * Heat No. Product No. (Average of Width Length Mill Cer no.
Spec Inspection Composition Inspection
Length) 5 places)

<Remarks>

Inspected by : Reviewed by :
Date : Date :
Prepared By Approved By