MATERIAL INSPECTION REPORT
PROJECT : SHOP DRAWING REF :
LOCATION : MOS REF :
CONTRACTOR : [Link] Construction Yangtze Ri ver Indonesia SPECIFICATION REF :
DATE : PILE NO :
RESULT
NO CHECKLIST ITEM CRITERIA ACTUAL REMARKS
ACCEPTABLE NOT
ACCEPTABLE
1 PREPARATION WORK
As approved by
a Approved Material (on ACC) Approved
consultant
b Check Mill Test Certificate Approved
Submit by supplier
As approved by 12 Meter
c Check All Dimension with Lenght
consultant
As approved by
d Check All Foot Plate No Damage
consultant
As per
e Check The handling MOS
drawing/MOS/Spec
No crack and No No crack and No
f Pile material on site condition
damaged damaged
Minimum :
g Pile material concrete casting age
……7... days
Remark : Description Piling
Comments : (Consultant)
Note :
Request by, Inspected by, Verified by, Acknowledged by,
CM/SM CCYR QA/QC CCYR Resident Engineer CS Eng T&T
Sign: Sign: Sign: Sign:
Name: Name: Name: Name: