# Material Examination Log

| Manufacturer | Material or Alloy Type | Sample Description | Heat Number / Heat Code | Wall Thickness | O.D. Tolerance | Surface RA | Visual [Note (1)] | DT-11 Compliant | MTRs Verified | Quantity Received | Quantity Examined | Qty. Accept | Qty. Reject | Examiner's Initials | Date Examined | NCR Number |
|--------------|-----------------------|-------------------|-------------------------|----------------|----------------|------------|-------------------|----------------|----------------|-------------------|------------------|-------------|-------------|---------------------|----------------|-------------|
|              |                       |                   |                         |                |                |            |                   |                |                |                   |                  |             |             |                     |                |             |

## Instructions for Completing the Material Examination Log

| Item | Typical Entry |
|------|---------------|
| Top Left Section  | Job #, Customer Company Name, Job Name, Customer Specification #, and Code of Construction |
| Top Right Section | Page: of: P.O.#: Purchase order number which the material was ordered under PS#: Packing slip identifying number Examiner's Information: The name of the examiner |
| Bottom Section | Manufacturer: Name of manufacturer Material/Alloy Type: Type or grade of material (316L, AL6XN, etc.) Material Description: Size, material product form(tubing,90,45,TEE,ferrule,valve,etc.) Heat Number/Heat code: Record heat number(s) for the sample Wall Thickness: Record Accept or Reject after physical examination of the lot.(if required) O.D.Tolerance: Record Accept or Reject after physical examination of the lot.(if required) Surface RA: Record Accept or Reject after physical examination of the lot.(if required) Visual Examination: Record Accept or Reject after physical examination DT-11 Complaint: Record Accept or Reject after markings verification MTR Verified: Record Accept or Reject for MTR compliance with specifications Quantity Received: Total quantity of material received in the shipment or lot Quantity Examined: Total quantity of material physically inspected(if required) Qty.Accepted: Record quantity accepted Qty.Rejected: Record quantity rejected Examiner's Initials: Initials of examiner who performed the work Date Inspected: Date the examination(s) were performed for the samples listed NCR Number: The NCR report number if needed Comments: Record any notes for inspection area(s) requiring more description |