Format No: MES/RTK/BTP /IMIR-061

Rev. No: 00
MINING INGINEERING SERVICES
Dated :

INCOMMING MATERIAL INSPECTION REPORT

HEAT OBSERVATION/
SOR MATERIAL REF.
SL DATE OF QTY. QTY. MANUFACTURER/ MTC/IRN No. WITH DATE / No. REMARKS/STO
ITEM DESCRIPTION / UNIT INVOICE/
NO RECEIPT RECEIVED ACCEPTED VENDOR FIELD LAB. TEST ETC. /BATCH RAGE
No. TAG. No. CHALLAN No.
No. INSTRUCTION
1
2      
3    
4    
5    
6                      
7                      
8                      
INSPECTION ACTIVITY AT SITE

Heat No. /Batch No. /Tag. No.

1 Qty. Verified and found in order   2 Material Condition appears to be good   3 Mentioned on the material  
Correlation w.r.t IRN/MTC/LAB.
4 Colour Coding done applicable   5 Site Identification Mark on material   6 Test Report  

7 TC Verification w.r.t IRN/SPEC/QAP, etc.   8 Check for Vendor/Source approval   9 Special requirement, if any  

Representative 1

Representative 2

Representative 3

Name Designation Signature Date (dd/mm/yy)

 Format No: MES/RTK/BTP /IMIR-061

Rev. No: 00
MINING INGINEERING SERVICES
Dated :

INCOMMING MATERIAL INSPECTION REPORT

Representative 1

Representative 2

Representative 3

Name Designation Signature Date (dd/mm/yy)