MATERIAL INSPECTION REQUISITION (MIR)

PROJECT NAME : PIRAMAL ARANYA FORMAT NO.:

CONTRACTOR NAME : REV. NO.: 00

Discipline : Civil Mechanical Electrical Plumbing Fire Fighting Architectural Others

MIR Reference: Rev No:

Material Arrival Date at Site: Submission Date:

Material Description Date & Time for inspection:

Approved MSF Reference No: MTC No: Attached

Approved Sample ID Ref No: Delivery Challan No: Attached

Area / Location of
Material Quantity (This Lot) Storage

Material Quantity (As per BOQ)

:
Manufacturer (Name & Address)

:
Supplier And / or Local Agent

Contractor QA/QC Technical Inspection

Name :………………………………………………………… Date:………………………… Time: …………………
Remark:…………………………………………………………………………………………..
……………………………………………………………………………………………………
Signature:

Consultant Inspection Comments :

Name :………………………………………………………… Division:……………………………………………
Comments :………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………
Compliant Rejected Sign :………………….

PRL QA/QC Manager Comments :

Name :………………………………………………………… Division……………………………………………
Comments :………………………………………………………………………………………………………
……………………………………………………………………………………………………………………..
Sign :………………….

Note: The contractor shall be responsible for confirm of the quantity/inventory of the materials.The MIR shall be
submitted for approval with in 2 working days upon delivery.Approved material with valid MIR only shall be used for
project

Distribution :
Client Consultant Contractor

# Classification - Public