Nothing Special   »   [go: up one dir, main page]

FM-16 Material Verification Record

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

CONSULTANT: CONTRACTOR: -

Project Title: Project No:

Material Inspection Record (MIR)


(Material Procured By CONTRACTOR)
MIR Ref. No.: Date:
Time:
Material Description: Supplier: Discipline
Cement Plaster Render- DP210/1
Material Approval
No.
Manufacturer: Dubai Plaster Dry Mix Co Origin:

Attached Documentation with delivery: - Yes / No Document Identification No.


Approval of MAR (Material Approval Request)
Sub-Contractor / LPO / LC (Priceless)
Delivery Note / Store Issue Voucher
Site Receipt
Manufacturer’s Test Certificates
Certificate of Origin incase of Foreign Materials
Any other Document
Receiving Inspection/Verification of Compliance By Storekeeper / Discipline Engineer
Received materials are in good condition and quantity as per attached delivery note.

NAME: SIGNATURE: DATE:

Inspection / Verification (By CONTRACTOR QA/QC)


Conforming / Accepted Accepted
Material has been inspected and as per
approved material submittal
Non-Conforming / Rejected
Inspection / Verification (By MANAGER) For Major Items
Conforming / Accepted

Non-Conforming / Rejected
Comments (If any):


SIGN AS ACCEPTED / REJECTED 
CONSULTANT (For Major Items)
SUB-CONTRACTOR CONTRACTOR QA/QC

Name: -------
Signature: -------
Date: -------

FM-16 / REV.0

You might also like