JV

INSPECTION REQUEST (IR)

Project: Roads and Infrastructure in Al Kheesa North & East (Rawdat Al Hamama District) Packag
Contract No. C 2013/73
INSPECTION REQUEST REF. NO: IR-

- C-

14

DATE:

WE HEREBY NOTIFY THAT THE FOLLOWING WILL BE READY FOR INSPECTION ON:
TIME:
DATE:

REVISED TIME FOR INSPECTION:

TIME:
DESCRIPTION OF WORKS:

DATE:

ROAD: ____

Road works
Inspection of top level for Sub-grade 2nd layer from chainage
to chainage
Setting out
Excavation (Alignment & Level) Sub-grade

Others
Inspection of

FDT Test (_______ Layer)

Actual Ground (Alignment & level)
Formation (Alignment & level)
Sub-base(Alignment & level)
Specification Ref: Project Specific Specification
Drawings Ref:
BOQ Ref: Bill # 4 ROAD WORKS
ITP-C-16-0-14
INSPECTION RAISED BY:

Standard Ref: QCS 2010 Section 6

Attachments:
Previous IN Ref:
Others: MS-C-16-0-14
REVIEWED BY:

SIGN & DATE:

CONTRACTOR
SIGN & DATE:

CONTRACTOR'S QC COMMENTS:
Ready for Inspection
RECEIVED BY:

DATE:

COMMENTS(IF ANY)

ENGINEER`S COMMENTS:

STATUS:
APPROVED

APPROVED AS NOTED

REVISE AND RESUBMIT

Note: This approval shall not relieve the contractor from any obligation under the contract nor entitle the contracto

Note: This approval shall not relieve the contractor from any obligation under the contract nor entitle the contracto
scheduled completion date, any addition to the contract price or any other claim, lieu, variation or relief.

Checked By:

Verified By:

Approved By:

Sign & Date

Sign & Date

Sign & Date

QMS-F-IR-16-0-14

N REQUEST (IR)

ast (Rawdat Al Hamama District) Package 01

INSPECTION ON:
DATE:

DATE:
ROAD: _________________

CONTRACTOR'S QC ENGINEER:
SIGN & DATE:

TIME:

NOT APPROVED

on under the contract nor entitle the contractor to an extension to the

Approved By:
Sign & Date

22-May-2014