INCOMING MATERIAL INSPECTION
Client /
REPORT Contractor Logo
1-Apr-10 2010A WI-PST-14-01
Date : Page of :
Project Name : Material Request No. :
Project No. :
Supplier :
Material / Specification Quantity Ref. Submittal No. Identification No.
Description of Material Received Location / Where to Use Items
Following Supporting Documents are attached: Other Specified Documents
Material Test Report Techincal Data Report Others
Non Destructive Test Report Certificate
Hydro Test Reference Submital
Physical Condition: Remarks:
Good
Satisfactory
Not Good
Store Condition: Remarks:
Good
Satisfactory
Not Good
Inspection Status: Remarks:
Good
Satisfactory
Not Good
Receiving Inspector (Name / Signature / Date): Remarks:
For Consultant Use
Approved by (Name / Signature / Date): Remarks:
Customer Representative (if required) Remarks:
For Customer
Use