Document, Container, Handling, Packing,
RAW MATERIAL INSPECTION REPORT Temperature, Sensory, Physic, Chemical
and Microbiological Parameters
RAW MATERIAL INSPECTION REPORT
Date Inspection : PO Number :
Vendor Name : Packing Type : QA
FORMS
Reference : WI21.04-006-xxx
Type of Raw Material WI21.04-001-xxx
Entry a Inspection List Please entry the code √ for a real inspection condition
Disposition
Description of Activities Inspection Date (Initials)
Accept Reject Hold
Check Quantity Control Certificate of Vendor
Check Document for Raw Material
Check Container Condition Parameters
1. Clean Condition
2. Acceptable Odor
3. Clean for Pest Activity
4. Good Equipment
5. Floor and Walls Condition
6. Temperature Container
Download Data Logger
Heck Primary & Secondary Packing Raw Material Condition
Taken Sample for a Temperature, Sensory, Physical,
Chemical and Microbiological Test (Military STD)
Check samples taken as per pcs for a temperature check
Check samples taken as per pcs for visual, weight and
sensory test
Check samples taken as per pcs for chemical Test
Check samples taken as per pcs for Microbiological Test
Check the Handling Process unloading
Remarks : Description of Raw Material (Please entry a description of raw material check parameters not found in listed)
Checked By: Inspected By: Approved By
Name : Name : Name :
QC Incoming : QC Checking : QC Supervisor:
Distribution Report PPIC Dir & Marketing Production PBB
F-S-21-04-179-00