Doc. No.

:
COMPANY Revison No. :
Page :

OVERAGE, SHORTAGE AND DAMAGE VOUCHER (OSDV) OSDV No. :

Project : Date Received :

PO NO. :
DO NO. :
Client : Vendor/Supplier :

ABOVE SHIPMENT RECEIVED WITH THE FOLLOWING DEFICIENCY

OVERAGE SHORTAGE DAMAGE

PO ITEM LINE NO. QUANTITY ORDER QUANTITY RECEIVED DESCRIPTION OF MATERIAL AND DEFICIENCY

Prepared by : Reviewed by :
Material Controller/Storekeeper Procurement

CORRECTIVE ACTION (SUPPLIER) Propose Action by;

RETURNED SHORTAGE ITEM SHIPPED REPLACED REPAIRED USED AS IT IS

Propose Action :

Name :
Position :
Date :

VERIFICATION OF CLOSE-OUT (EVC) Verified/Reviewed by;

OVERAGE IITEM RETURNED SHORTAGE ITEM RECEIVED DAMAGE ITEM REPLACED / REPAIRED

Close-Out Comments:

Name :
Position :
Date :