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Inspection Release Note

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Inspection Release Note

IRN No.: Date :


Project/Customer: Place of Issue :
Vendor : Location :
Purchase Order No. : Dated :
Item Code/Material P.O Quantity Quantity Quantity Qty complete as
PO Item No.
Description (Unit) Offered Accepted per PO

REFERENCE DOCUMENTS:

1. Approved Spec. No. :


2. Approved Drawing Nos.:
3. Approved QAP/ITP No:

STAGES WITNESSED:
DOCUMENTS/RECORDS REVIEWED:

NCR/WAIVER (If Any):

IDENTIFICATION: 10% witnessed identified with hard/soft (Double) & balance with
Hard/soft (Single) “(COMPANY NAME)” Stamp besides SR. No. for Identification.

ORDER STATUS: Complete/Incomplete

DATE (s) OF INSPECTION :

CONCLUSION: All items were inspected within the scope defined in approved QAP/ITP & found to meet
the requirements of purchase order & specification.
All measuring Instruments/Equipment were verified for continued suitability for intended use, proper
identification & maintenance & calibration status & found satisfactory.

Disclaimer: The issue of this Inspection Release Note/Certificate does not relieve the
supplier/manufacturer from his/her responsibility towards the Client to supply item(s) concerned, in full
compliance with the requirements of the Purchase order & Project Specifications.

FOR (COMPANY NAME)

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