Material Request For Approval (MRA)

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Form of Material Request for

Contractor’s logo
Approval (MRA)

PROJECT NAME : RECTIFICATION OF CATEGORY-1


DEFECTS Purpose
 For Information
DOCUMENT NO.
 For Review
TITLE : Form of Material Request for Approval (MRA)  For Approval

TOTAL 2 PAGES  For Construction


(Including Cover)  As Built

0 14-Nov-2019 For Approval Bamo Alin Gharbi Gharbi


Rev.
DATE DESCRIPTION PREPARED CHECKED REVIEWED APPROVED
No.
Contractor’s logo Project Title
Total Pages: Material Request for Approval Doc.:
Date: (MRA) Rev.

1. Name & Description of Material 2. Manufacturer / Supplier


Example 1 Example (Sika)

3. Material to be Used for:


Name of Defects which requires this material – Name of Station

4. Material Sample 5. Attachments (Data sheet, Technical Specification


Available / Not Available etc.)
Data sheet

Contractor site Engineer Contractor QA/QC


Name: Name:

Date: 01. Jan.2019 Sign.: Date: 01. Jan.2019 Sign.:


Date Received Date Reviewed Approved By Date Returned to
Contractor
KPC’s Reviewed by:
Supervisor
Response

Sign.: Sign.:
ITE
DESCRIPTION RESPONSE
M
1 (APPROVED) The submission package does not require resubmission
(APPROVED with Comment) The submission has been reviewed, the Contract
2
shall incorporate the comment as noted below. No requirement of resubmission.
(Not APPROVED (This submission requires correction, see below comments and
3
please resubmit for approval.
Comment:

Form #: KPC1901-0000-QAL-FM-0001 Rev.0

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