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Document Number: Material Inspection Report Date: 20/Oct/ 2014 Revision: 00 Project Detail Client Detail: Job Reference Number: Job Description: Delivery Details N/A Date: LPO # N/A Delive ry Order # N/A Type of Goods Materi al Equipme nt DESCRIPTION OF ITEMS: MATERIAL Y N EQUIPMENT Y N Does the material match the respective Purchase Order? Yes Does the equipment match the respective Purchase Order? N/A Has the material been received in the right quantity? Yes Has the equipment been received in the right quantity? N/A Has the material been received in good condition? (Dimension) Yes Has the equipment been received in good condition? N/A Does the material's specification match those stated on the Purchase Order? Yes Does the equipment's specification match those stated on the Purchase Order? N/A Has the supplier provided any required material certificates or other documents? Has the supplier provided any required operating manuals or other documents? N/A ACTIONS TO BE TAKEN: (for any deviation found) Page1of2

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Material Inspection Report for Vendor/Supplier

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Document Number:

Material Inspection Report

Date:20/Oct/2014Revision:00

Project Detail

Client Detail:Job Reference Number:Job Description:

Delivery DetailsN/ADate:

LPO #N/ADelivery Order #N/AType of Goods

Material Equipment

DESCRIPTION OF ITEMS:

MATERIALYNEQUIPMENTYN

Does the material match the respective Purchase Order?YesDoes the equipment match the respective Purchase Order?N/A

Has the material been received in the right quantity?YesHas the equipment been received in the right quantity?N/A

Has the material been received in good condition? (Dimension)YesHas the equipment been received in good condition?N/A

Does the material's specification match those stated on the Purchase Order?YesDoes the equipment's specification match those stated on the Purchase Order?N/A

Has the supplier provided any required material certificates or other documents?Has the supplier provided any required operating manuals or other documents?N/A

ACTIONS TO BE TAKEN: (for any deviation found)

REMARKS:

QA-QC REPRESENTATIVEClients QA-QC REPRESENTATIVE

NAME:POSITION:DATE:SIGNATURE:NAME:SIGNATURE:DATE:SIGNATURE:

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