Hazardous Raw Material Inspection Form
Material Name
Batch/Lot No.
Date Received
Supplier
Quantity
Unit
COA/COC Attached
Yes
No
MSDS Attached
Yes
No
Appearance
Odor
Packaging Condition
Conformity to Specification
Conforms
Does Not Conform
Hazard Class
Inspector's Comments
Inspector's Name
Inspection Date