Form :

PAGE : OF
INSPECTION RECORD OF RECEIVING MATERIAL
CUSTOMER : BBI JOB No. :
USER : P.O/B.Q/ SPPB No. :
PROJECT NAME : LPB No. :
STAGE OF INSPECTION : RAW MATERIAL DATE OF INSPECTION :
RECORD No. : SUPPLIER :
UNIT SIZE : mm / Inch. MEASUREMENT INSTRUMENT : Caliper / Roll metre / Micrometre / Thicknessmetre
IDENTIFICATION ITEM DIMENSION TOL. REMARKS
No. SPEC. ACTUAL SPECIFICATION:
A SIKU. __________
B Matrl. : _________
t1
t2
L
t1
T A
A
L
B
t1 t2
t2 B
L
T reference: dimensional tolerance JIS G 3192

T
T
VISUAL CHECK
RESULT OF INSPECTION, STRAIGTNESS :

SURFACE CONDITION :

PREPARED BY CHECKED BY APPROVED BY REVIEWED / WITNESSED BY REMARK