Material Inspection Checklist
A material inspection report form is used by material controllers to properly document the acceptance or rejection of purchased materials through defined characteristics such as visual test, functional test, and verification of source.
Employee Name
*
First Name
Last Name
Supplier
*
Supplier Phone #
*
Time
Hour Minutes
AM
PM
AM/PM Option
Date
-
Month
-
Day
Year
Date
Location
*
Please Select
Culpeper
Fredericksburg
Jamison
Item Name
*
Quantity
Purchase Order #
Origin
*
Inspection
*
Accept
Reject
N/A
Material: Conformity/Non Conformity between purchase requirements and the quality record received
1
2
3
Material: Purchase order and description of material matches
4
5
6
Material: Identification of material is legible (stamp, label, etc.)
7
8
9
Material: Packaging and sealing is in good condition
10
11
12
Material: Missing paint or sealant on product
13
14
15
Material: No visible damage to product
16
17
18
Equipment: All safety features included: seat belts, horns, alarms, etc.
19
20
21
Equipment: Tested it to ensure normal start-up (maintenance personnel only or department representative only)
22
23
24
Equipment: All fluids were level were normal
25
26
27
Equipment: Signal lights, wipers, emergency flashers function
28
29
30
Overall Rating
1
2
3
4
5
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Inspector Signature
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