Quality Control Form - 1 PDF

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AC/MRR/001

Report No.:
Sheet 1 of 1
MATERIAL RECEIVING REPORT Date:

SHIPPING DETAILS

MODE OF SHIPMENT : SEA SUPPLIER : ______________


: AIR
: LAND P.O NO. : ------------------------

Receiving Date:______________ P.O. Date : ------------------------

DESCRIPTION QUANTITY

DELIVERY INSPECTION INSPECTION REPORT

MATERIAL RECEIVED MATERIAL APPROVAL

CORRECT :_______________________ APPROVED IN FULL: ________

SURPLUS :_______________________ APPROVED WRONG QTY.____

SHORTAGE :_______________________ APPROVED WRONG QTY.______

DAMAGED :_______________________ NCR (NO.) ____________________

CERTIFICATE NO.: ______________________ NCR REPORT DATE ____________


(if applicable)
SURPLUS/SHORTAGE /DAMAGED REPORT (SSDR)
ROOT CAUSE /NOTES: _______________________________________________

ENCLUSER/REMARKS:

AYTB/CLIENT COMPANY
ACORTEC
REPRESENTATIVE REPRESENTATIVE
QA/QC
QA/QC QA/QC
Name
Signature
Date

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