MISSOURI DEPARTMENT OF TRANSPORTATION CONSTRUCTION PROCESS CONTROL

MATERIAL RECEIVING INSPECTION REPORT

Date Shift Test/ Inspec. Primary Spec Name

Structure/ Alignment Location 1:

Location 2:
Element Name or Location Shop Drwaings/ Standard Plands

Work Name Supplier

Weather
Activity Summary

Material Inspection Parameters

(check if acceptable)

1 IDENTIFICATION 6 MATERIAL CLASSIFICATION

2 QUANTITY 7 TEST REPORT/ MILL CERTIFICATIONS
3 DAMAGE 8 DIMENSIONS VERIFIED
4 REQUIRED MARKINGS 9 CLEANLINESS/ GOOD CONDITION
5 CONFORMANCE TO SPECS 10 PROPERLY STORED & PROTECTED

Category # PAL # Material/Equipment Quantity

a na

a na

a na

a na

a na

a na

a na

Remarks

New? Deficient Element, Location, or Test #, D # Deficiency (new) or Resolution (existing) Description

Note: All Activities Mentioned Above, Except As Noted, Were Performed In Accordance With Project Plans, Specs, Special Provisions, and the PMS
Title Signature
 CONSTRUCTION PROCESS CONTROL

ECEIVING INSPECTION REPORT

Report #
Office Use Only
Schedule ID

Photo
na

terial Inspection Parameters

(check if acceptable)

TEST REPORT/ MILL CERTIFICATIONS

Accept Hold
Reject

Deficiency (new) or Resolution (existing) Description