Work Inspection Report Format

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C5 SOUTH LINK DCCD TRB

FFCCI EXPRESSWAY PROJECT

Cavitex Infrastructure WORK INSPECTION REQUEST


Corporation

Construction Process: WIR No.: WIR-CW-


Location/Stationing: Date:
Inspection Request
Pay Item No. Pay Item Description
Date/Time

DETAILS OF WORK TO BE DONE:

Notes:
1) Work Inspection Request (WIR) shall be valid 24 hours past the work inspection request date/time upon approval of client.
2) Works associated with this WIR will be checked by Contractor's Quality Control/Assurance Team and Supervisor-in-Charge prior to the requested
inspection time to ensure that works are in accordance with the drawings and specifications.
3) WIR is subject to disapproval once (site) circumstances will not enable the activity to proceed.
Requested by: Noted by: Received by:

Richard Canapi Raymond V. Tinio __Tara Bautista___


Construction Manager VP for Construction Project Control Staff Date/Time

REMARKS / OBSERVATION
Before After Signatures
ESH:

RGCamano
LINES AND GRADES:

G.Bruan G.Bruan NSSilvino


QA/QC:

J.Gatchalian/V.Ramos/ D. A. J.Gatchalian/V.Ramos/ D. A.
Barcenas Barcenas CRDunque
STRUCTURAL WORKS:

J.F.J.Co J.F.J.Co BGPorquiado


ROAD WORKS:

Y.Samparani Y.Samparani ARSoriano


CIVIL WORKS / FOE / NON-FOE:

K.Oliver/J. Tabamo /E.Wakat K.Oliver/J. Tabamo /E.Wakat DADeluna


Employer’s Comments Concurred by: Noted by:
APPROVED APPROVED WITH COMMENTS/ INSUFFICIENT ATTACHMENTS DISAPPROVED RESUBMIT

Raymond V. Tinio _______________________


Contractor’s Representative/DATE Employer’s Representative/DATE

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