UNITATEA ________________________________________________________________

ANTIER ___________________ PUNCT DE LUCRU _____________________________

OBIECTUL _________________________________________________________________
PROCES-VERBAL DE RECEPIE LA TERMINAREA LUCRRILOR
Nr. _________ Data ___________
Investitor: __________________________________________________________
privind lucrarea: _____________________________________________________
executat n cadrul contractului nr. ___________________ data _______________
ncheiat ntre executant: ___________________________
i investitor: ____________________________________
pentru lucrrile de: ____________________________________________________________________________________
1.
2.

Lucrrile au fost executate n baza autorizaiei nr. _________________ eliberat de _____________________________ la

data ____________________ cu valabilitate pn la data ______________________
Comisia de recepie i-a desfurat activitatea n intervalul ______________ - ______________ fiind format din:
Nr.
Numele i prenumele
Calitatea
Denumirea unitii
crt.
de care aparine
1.
2.
3.
4.
5.

3.

Au mai participat la recepie:

Nr.
Numele i prenumele
crt.

Calitatea

1.
2.
3.
4.

5.

6.

7.

8.

Constatrile comisiei:
4.1. Din documentaia scris i desenat necesar a fi prezentat, au lipsit sau sunt incomplete urmtoarele piese:
______________________________________________________________________________________________
______________________________________________________________________________________________
4.2. Urmtorarele cantiti de lucrri nu au fost executate:
______________________________________________________________________________________________
______________________________________________________________________________________________
4.3. Urmtoarele lucrri nu respect prevederile proiectului:
______________________________________________________________________________________________
______________________________________________________________________________________________
n urma constatrilor fcute, comisia propune:
______________________________________________________________________________________________
______________________________________________________________________________________________
Comisia motiveaz propunerea fcut prin:
______________________________________________________________________________________________
______________________________________________________________________________________________
Comisia recomand urmtoarele:
______________________________________________________________________________________________
______________________________________________________________________________________________
Prezentul proces-verbal, coninnd ____file a fost ncheiat astzi _________________ la locul:
_______________________ n _____ exemplare.
COMISIA: PREEDINTE
Numele i prenumele
MEMBRI:
Numele i prenumele

Specialist

Semntur

Specialist

Semntur