Formats  › Stores & Materials  › Issue Voucher
Form · FMT-STR-003
Issue Voucher
5 fields across 3 sections. Physical issue confirmation — basis for bin card update + stock reconciliation.
5 Fields
3 Sections
Per issue
Storekeeper, Site Engineer

Format Preview

S.No.Field / CheckpointReferenceStatus
A. ISSUE DETAILS
A1Issue voucher no. + date + linked MIR no.
Acceptance: Match
Sequential, cross-referenced
OK
NC
NA
A2Element / location of use
Acceptance: Traceable
Per MIR
OK
NC
NA
B. MATERIAL ISSUED
B1Item + qty + unit + bin / yard from
Acceptance: Counted at issue
Match MIR
OK
NC
NA
B2Returns / shortages noted (if any)
Acceptance: Tolerance per material
Within tolerance per spec
OK
NC
NA
C. SIGNATURE
C1Storekeeper sign + receiver sign + Site Engineer sign
Acceptance: Receiver acknowledges
Triple sign
OK
NC
NA
A. ISSUE DETAILS
A1Issue voucher no. + date + linked MIR no.
Sequential, cross-referenced
Match
OKNCNA
A2Element / location of use
Per MIR
Traceable
OKNCNA
B. MATERIAL ISSUED
B1Item + qty + unit + bin / yard from
Match MIR
Counted at issue
OKNCNA
B2Returns / shortages noted (if any)
Within tolerance per spec
Tolerance per material
OKNCNA
C. SIGNATURE
C1Storekeeper sign + receiver sign + Site Engineer sign
Triple sign
Receiver acknowledges
OKNCNA
Approval / Sign-Off
APPROVED
HOLD — REVISIONS REQUIRED
REJECTED
Overall Verdict
Name / Sign / Date
Prepared By — Name / Sign
Name / Sign / Date
Reviewed By — Name / Sign
Name / Sign / Date
Approved By — Name / Sign
Name / Sign / Date
Date & Time
Name / Sign / Date
Remarks
Name / Sign / Date