Job Number Project Page of
Quality Inspection Report 1/1
CONTRACTOR: _____________________________________________ REPORT NUMBER: ________________
TYPE OF INSPECTION: Preparatory Inspection. Initial Inspection. Follow-up Inspection. Completion Inspection.
DESCRIPTION/INTENT OF INSPECTION: _____________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
COMPONENTS/MATERIALS REVIEWED: ____________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
CONTRACTOR PERSONNEL CONTACTED: __________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPLICABLE CONTRACTOR PROCEDURES, CHECK LISTS, INSTRUCTIONS: ____________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
RESULTS OF INSPECTION: _________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
DEFICIENCIES NOTED: ____________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
RECOMMENDED CORRECTIVE ACTION: ____________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
NON-CONFORMANCES: ___________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
QA Inspector Signature: Date:
D-2