PT.

BINA RASANO ENGINEERING

AWI 2 PIPELINE LANDSLIDE RESTORATION PROJECT
CLIENT : STAR ENERGI GEOTHERMAL SALAK

REQUEST FOR INSPECTION

RFI - Salak
To: DOC NO :

MESSAGE :
PLEASE WITNESS TO INSPECTION

DISCIPLINE : SURVEY MECHANICAL INSTRUMENT SAF

PIPING ELECTRICAL PROCESS COATING
INSULATION VEHICLE/EQPMIN SCAFFOLDING
INSPECTION ITEMS :

LOCATION :
DATE :
TIME : APPR.INSPECTION TIME : HR - MN
CONTACT PERSON :
REMARKS :

Requested by Inspected by Approved by

QA/QC Inspector PM/PE
Print Name
Signature

Date
DISTRIBUTION :-ORIGINAL :-QC :-COPY 2 :-Originating Dept
:-COPY 1 :-Material Controller :-COPY 3 :-Project Control