[Company Logo] MATERIALS INSPECTION REPORT (MIR) MIR No. ________________
Work Name :______________________________ Location : _______________
Client : ______________________________ Date : _______________
Consultant : ______________________________ Transmittal Ref. No : _______________
Contractor : ______________________________ Spec / Drwg Ref. No : _______________
Date of Inspection : ______________________________ Purchase Order No : _______________
Item(s) Ordered Item(s) Received
S. No Status* Comments
Specification Qty Specification Qty
* A (Approved ), R (Rejected), D (Damaged / Defective), P (Partial), H (On Hold)
Inspection Location: _____________________ Delivery Date: ______________ Delivery Note No.: _________
Supporting Documents
□ Test / Mill Certificates □ Copy of Packing List □ Copy of Invoice Stamped by Customs Other: _______________
Comments
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QC Manager: _________________________ Date: ________________
Inspection Comments by Consultant
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Test Required □ Yes □ No No. of Samples Required __________
Confirm compliance with approved transmittal □ Yes □ No
Consultant Representative: _________________________ Date: ________________
Distribution: □ Contractor □ Client □ Consultant □ Others
[Document No]