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Client : Doha Metro Phase-1

Engineer : Qatar Rail


INSPECTION REQUEST General Contractor:
MMHKT Consortium
Engineer's Assistant : PMCS
(IRE) Subcontractor: ZITRON

Main Location MSHEIREB STATION Sub Location Code UCST000 Site office: MSHEIREB STATION
Internal IRE Ref. No. ZIT-MSI-MAT-11-IRE-UCST000-000140 Rev. No. 1 Inspection Date:
Issue Date:
ACONEX IRE Ref. No. Rev. No. Inspection Time:
Document Aconex Reference no. Rev Status
Reference Drawing(s):
M010-MSI-CON-11-SPK-61480 1 UNDER REVIEW
Method Statement (MS) M010-MSI-CON-11-MES-51414 3 SONO
Inspection Test Plan (ITP) M010-MSI-CON-11-ITP-51414 3 SONO
Material Submittal M010-MSI-CON-11-MAR-57003 3 SONO
Others
Contact Person: Fernando Mobile No.: 70645852
Details of Inspection
□ Non Specific □ Energy □ Rolling Stock □ SCADA
□ Depot (Building) □ PSD □ AFC □ ICC / ECC
System Technical
□ Depot Maintenance Equipment □ TVS □ Signaling & Train Control
Discipline
□ Stabling Yard (Building) □ Track work □ Telecommunications
□ Stabling Yard Equipment □ MMS □ Value Added Digitisation
Detailed Location : GOLDLINE—EAST INTERMEDIATE LEVEL MUSHEIREB STATION

Details of Item to be inspected : Silencers 2 NOS: TVSF-021 & TVSF-22 (3500MM X 3500MM X 2950MM)

Activities : Material Receiving Inspection & Material Delivery and Hoisting Of Silencers

Inspection Requested By (Subcontractor)


Name Date / Time Designation Signature Remarks
Fernando QA/QC Inspector
Inspection Requested Approved By (MSI)
Section Name Date/Time Designation Signature
QC Department

Survey Department
Interface (E&M/other)
* if applicable
Interface (Other)
* if applicable
MSI Comments Comment Reviewed and Closed
□ Accepted (Details) Name/Signature/Date
□ Accepted w/ comments
□ Rejected

□ Inspection time has


passed, the works can (to be sign by authorized construction in-charge) (MSI QA/QC Dept.)

proceed:
Name: Signature: Date :
Witness Section to be Filled by the Engineer
Name Signature and Date:
Designation
Status □ Accepted □ Accepted with comments □ Failed/Rejected
Right First Time Comments:


Due Date : ______________________
Attachment(s): Musheireb T42 & T41

* Due date of observation raised by PMCS for:


Rectification = 7 days after original inspection
Documentation = 14 days after original inspection

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M010-MSI-QMS-00-FRM-00001_Rev11, 21/08/2017

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