Attachment #3

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Attachment #3

OVERAGE, SHORTAGE AND DAMAGE REPORT

PROJECT NAME :
PROJECT NO. : OSD NO. : OSD-
P. O. NO. : DATE :
VENDOR : MRR NO. :
SHIPPER/CARRIER : MRR DATE :
B/L NO. : I/V NO. :
QUANTITY DESCRIPTION OF
L/I CODE/TAG No. REMARKS
Order’d Deliv’d Over. Short Dam’g Wrong MATERIAL

RECOMMENDED □ Repair in field □ Return to Vendor □ Replace


ACTION □ Advise Vendor □ Other :
CLAIM AGAINST □ VENDOR □ CARRIER □ Other : □ N/A
ATTACHED □ MRR REPORT □ PHOTOGRAPH □ NON-CONFORMANCE REPORT

REPLACEMENT / REPAIR / DELIVERY REQUIREMENT

URGENCY □ URGENT : Required by : □ NOT URGENT


SUPPLY SOURCE □ OFF-SHORE □ ON-SHORE
TRANSPORTATION □ AIR □ SEA □ HAND CARRY
METHOD □COURIER SERVICE □ Other :

Prepared by :

Checked by :
Distribution : Approved by :

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