MATERIAL INSPECTION REQUEST - (MIR)
Project Name MIR Ref.No
Project Code Material Code
Request submission
Client/Employer
(Date & Time)
Inspection
PMC
(Date & Time)
Contractor MIR Submitted To
(Name of the organization)
Vendor Code Material code
Structural / Civil Arch / Finishing Landscape Mechanical Electrical Plumbing Facade Others
Part A: By the Contractor
Material Submittal approved (Yes/NO). if Yes,Approval Reference No:
Description of Supplied Materials:
Previous Quantity: Current Qty: Cumulative Qty:
BOQ Reference :
Manufacturer - Country of Origin:
Supplier :
Supplied Quantity and Delivery Note Number:
Date of Receipt of Material On Site:
Storage Location:
Any material which requires test certificate shall be delivered along with the MTC: Yes No NA
Any material which requires field test is conducted and test results are complying with the
acceptance criteria/values: Yes No NA
Any material which requires third party test, is it under contractor scope? (Yes/No) if
Yes, attach the certiifcate and confirm it is complying with the acceptance criteria/values) : Yes No NA
Any material which requires third party test, is it under Lodha's scope? (Yes/No) if
Yes, attach the certiifcate and confirm it is complying with the acceptance criteria/values) : Yes No NA
Contractor:
Name: Signature: Date:
Template Ref: CO-LOD-GENE-QU-CN-TMT-004, Rev- 02, Date: 08-02-2024
MATERIAL INSPECTION REQUEST - (MIR)
Project Name MIR Ref.No
Project Code Material Code
Part B: Lodha/PMC
Inspection Reports:
Physical Damage? Yes No NA
Details Given in Delivery Note Correct? (Type, Size, Wt., Qty. etc.) Yes No NA
Conform with Approved Material Submittal Yes No NA
Any material which requires test certificate shall be delivered along with the MTC: Yes No NA
Any material which requires field test is conducted and test results are complying with Yes No NA
the acceptance criteria/values
Any material which requires third party test, is it under contractor scope? (Yes/No) Yes No NA
if Yes, verify the attached certiifcate and confirm it is complying with the acceptance
criteria/values) :
Any material which requires third party test, is it under Lodha's scope? (Yes/No) if Yes, Yes No NA
verify the attached certiifcate and confirm it is complying with the acceptance
criteria/values) :
CM Team PMO Team
Name: Signature: Name: Signature:
Comments:
Lodha/PMC
The above materials have been inspected on site and found, at time of inspection, to be:
Code 1 - Approved -Material can be used
Code 2 - Conditionally approved. Material can be used, Resubmit incorporating comments indicated
Code 3 - Revise & Resubmit. Material may not be used
Code 4 - For information and records only.
Civil & Finishing Materials - Project Quality Manager Landscape Materials - Landscape Architect
Façade Materials - Facade Manager MEP Materials (MEP Manager)
Name: Signature: Date:
Template Ref: CO-LOD-GENE-QU-CN-TMT-004, Rev- 02, Date: 08-02-2024
