MATERIAL RECEIVING REPORT A01 (Apr 05 Rev 0)

REPORT NUMBER: PURCHASE ORDER NUMBER: PACKING SLIP NUMBER: REQUISITION NUMBER: FREIGHT BILL NUMBER: TYPE OF SHIPMENT: PARTIAL? ITEM PURCHAS E ORDER # FINAL? DATE RECEIVED (mm/dd/yy): VENDOR: SHIPPER: SHIPPED FROM: DELIVERED TO: STATUS OF PO: INCOMPLETE? BACK ORDER QUANTIT Y COMPLETE? SHEET: OF:

MATERIAL DETAILS
QTY RECD QTY ORDERED DESCRIPTION COLOR CODE/ HEAT # (IF REQUIRED) STORAGE LOCATION

MATERIAL CHECKLIST * MATERIAL TEST REPORTS (MTR) RECEIVED AND CHECKED AGAINST MATERIAL? Y N N/A REMARKS:

OTHER MATERIAL INSPECTION (Specify):

FLINT QUALITY REPRESENTATIVE PRINT / TYPE NAME: TITLE:

* NOTE: 1. 2. 3. 4.

DATE (mm/dd/yy)

SIGNATURE

MATERIAL TEST REPORTS (MTRS) ARE REQUIRED TO BE RECEIVED WITH EACH ORDER AND REVIEWED FOR COMPLIANCE TO MATERIAL SPECIFICATIONS AS ORDERED IF SPECIFIED IN THE CONTRACT DOCUMENTS. CONSULT THE FLINT QUALITY MANUAL. COMPLETE OVER / SHORT / DAMAGE REPORT IF REQUIRED AND MAKE NOTE IN REMARKS. ATTACH OR REFERENCE ALL SUPPORTING DOCUMENTATION FOR TRACEABILITY (i.e. PO, PACKING SLIPS etc.).