MATERIAL INSPECTION REQUEST

PROJECT # DOCUMENT TYPE TRADE CODE RUNNING NUMBER REV. DATE AUTHOR
DOCUMENT CODE
P 404 MIR CS
DETAILS OF MATERIAL TO BE INSPECTED
Name of the Sub Contractor Date of delivery :
Name of the Supplier Source & Place of Origin:
Area of Use Delivery Note No :
Approval
Sr.No Description of the Material Inspection Location Quantity Status

DETAILS OF APPROVED Submittal No. Approval Status/ Ref.:

MATERIAL: Specification Ref. Drawing ref.
Attachments: Submittal copy Delivery Note Test certificates Prepared by:
Country of Origin Others (Specify)....................................... Signature Date:
INSPECTION BY CONTRATOR QC / SITE/ DECIPLINE ENGINEER
No. Items Inspection Discipline ENGR QA/QC
1 Material delivered is same as approved/specified (req. attachment) Y N Y N
2 Any damage on receivable Y N Y N
3 Identified supplier specification for storage and made arrangement for t Y N Y N
4 Required/Ordered quantity received Y N Y N
Comments:

Inspection Date : Time:

Subcontractor(if applicable) QA/QC Engineer
Name: Sign: Name: Sign:
MAIN CONTRACTOR CONSULTANT RECEPIENT (A&B) CR/ PM RECIPIENT (AMS)
Name : Charbel Saad Name : Name :
Signature: Date: Signature: Date: Signature: Date:
CONSULTANT'S (ACG) COMMENTS:

CR/ PM (AMS) COMMENTS:

Approval Status: A Approved B Approved as Noted C Rejected, Revise & Resubmit

For CONSULTANT (A&B) For CR/ PM (AMS) RECEIVED BY CONTRACTOR (DDC)
Name: Name: Name:

Sign & Stamp: Date: Sign: Date: Sign: Date:

Form # QC01/3(PS), Rev 0, Apr'11