INSPECTION RELEASE CERTIFICATE (IRC)

This is to certify that the equipment / material mentioned hereunder has been released for shipment, subject to satisfactory
compliance with PACKING, MARKING AND DOCUMENTION (P.M.D.) INSTRUCTIONS.

IRC DETAILS
IRC No.:
Project No.:
Purchase order No.:
Name of Supplier:
Location:
Date: (dd-mmm-yy)
% Released by this IRC:

Inspection Report No.:

Project Name:
Sub-Order No. (if any):
Name for Sub-Supplier:
Shipment No:
Inspected / Waived:
% Released to Date:

If Inspection has been waived, the Supplier is still responsible for ensuring that the correct material is supplied and is fully compliant
with the Purchase Order requirements. A copy of all relevant material / test certificates shall be shipped with the supplied items.

PO Item No.

Tag No.

Quantity
Previously
Released

PO
Quantity

Description

Quantity
This
Release

Supplier to complete the following items prior to shipment.

Carry Over Work - If applicable include item details or attach Carry Over work list as detailed below.

Ready for Shipment Verification.

Identify all openings such as pipe flanges, nozzles, hatches,
manholes, vessel manways/skirts and ducting.

Checked

N/A

Quantity of Openings

IRC ATTACHMENTS
The following documents have been checked and are attached to the IRC where indicated. (N/A = Not Applicable)
Documents
Packing List (hard copy from
supplier)
Certificate of Compliance.

Checked

Attached

N/A

Comments

C of C shall include the following statementSupplier certifies that the equipment (inclusive of
temporaries and packing) does not contain hazardous
materials where prohibited by Australian Customs as
detailed in the Australian Customs Border Protection
Service website for Prohibited and Restricted Imports
(www.customs.gov.au/site/page 4369.asp). For example,
asbestos-containing materials including Compressed
Asbestos Gaskets (CAF), mercury, lead or lead-based
paints, and PCBs.

(Supplier to provide C of C for

materials used to cover openings
identified during Ready for shipment
Verification inspection).

Material test Certificates

Carry Over Work List
Manufacturing Data Record (MDR)
Other

SIGNATURES
Print Name

Project Inspection representative

Signature

Date

Supplier QA/QC representative

Print Name

Signature

Date

FAT verified to PO requirements by

Package Engineer
No outstanding CR & NCR verified
by QC Coordinator
This certificate is issued without prejudice and does not relieve the above mentioned Supplier from the guarantees and obligations
set forth in the Purchase Order, subsequent Change Orders and attachments.