Form :

PAGE : OF
INSPECTION RECORD OF RECEIVING MATERIAL
CUSTOMER : PPB NO :
USER : INSPECTION NO :
PROJECT NAME : DATE OF INSPECTION :
STAGE OF INSPECTION : RAW MATERIAL DATE OF INSPECTION :
RECORD No. : SUPPLIER :
UNIT SIZE : mm / Inch. MEASUREMENT INSTRUMENT : Caliper / Roll metre / Micrometre/Thicknessmeter
IDENTIFICATION ITEM DIMENSION TOL. REMARKS
SPEC. ACTUAL SPECIFICATION:
T PL. Strip
W Matrl. : SS400
L
T
W
T
L
T
W L
L
T
W
W
L reference: dimensional tolerance JIS G 3193
T
W VISUAL CHECK
L STRAIGTNESS :
RESULT OF INSPECTION,
SURFACE CONDITION :

PREPARED BY CHECKED BY APPROVED BY REVIEWED / WITNESSED BY REMARK