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PHARMACEUTICALS

Document
PHYSICAL INSPECTION OF INCOMING Number

CONSIGNMENTS
Revision Number
(RAW & PACKING MATERIALs) 000

Material: No. of containers: Quantity:

GRN #: Lot #:

Origin: Date:

S. # Descriptions Specifications Observations Remarks

 Containers must be intact Intact


Physical condition of and sealed.
1 Sealed
containers  Damaged containers should
be recorded separately. Damaged

Must be pasted on each


2 Label
container.

3 Vendor Must be approved

4 Batch No. Must be printed

Mfg. Date
5 Mfg. Date / Exp. Date Record from the label
Exp. Date

6 Certificate of analysis Must be enclosed

Raw & packing Supervisor Q.A.I.

NOTE: The duly filled in form must be submitted by QAI to Q.C. Department along with the sample.

White: QC copy, Green: Store Copy

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