Raw Material - Delivery, Sampling and Disposition Report Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Junior Analyst Section

• Suppliers Name of Material on Goods.

• Material Code

• Batch No.

• Material Global Name

• Name of Manufacturer

• Is it an approved manufacturer

  Yes

  No

  N/A

• Received Certificate of Analysis?

  Yes

  No

  N/A

• Electronic copy of C of A

  Media

• C of A Expiry date

• C of A expiry date match with SAP.

  Yes

  No

  N/A

• Does it match with record on OPC-BT-QA-BT-QA.....

  Yes

  No

• Received Date

  Date

• Condition of the Delivery

  Satisfactory

  Unsatisfactory

• Delivery Quantity

• Number of Pallets

• Number of Containers

• Number of Samples taken

• Micro Samples collected?

  Yes

  No

  N/A

• Analyst's Initials

  Sign

LSO

• 01 - Inspection Lot:

• Analysis Due Date

  Date

• 89 - inspection Lot

• Test required

• External Lab Name