REQUEST FOR INSPECTION

PROJECT FORM NO: Q20273-ITP-GE-002

ATTN : PROJECT NAME : S1 PROJECT
PLANT : SHTP, HCM, VIET NAM
N/A REPORT NO. :
INSPECTION DATE :
INSPECTION NOTIFICATION :

We would like to have your presence for inspection according to the following schedule.
Requirement witness of the concerned local authority (ies) ( ) Yes ( ) No

Date : Time : Duration :

Work Area : SUBCONTRACTOR Company :

Category : ( ) Civil ( ) Steel Structure ( ) Electrical

( ) Building ( ) Tank Erection ( ) Instrument
( ) HVAC ( ) Equipment Installation ( ) Painting
( ) Fire Protection ( ) Piping ( ) Insulation
( )

ITP No. Commodity/Item No. Inspection Activities

Sub-contractor Contractor
POSUNG CONSTRUCTION SGC ETEC E&C
Sign: Sign:

Full name: Full name:

Date: Date:

ACKNOWLEDGEMENT OF OWNER

Kindly put in [ ] as [ X ] where applicable and return this sheet with information of your inspector,
and with your signature.
[ ] 1. We will attend the above inspection.
[ ] 2. We will waive the above inspection.
[ ] 3. We will postpone the above inspection to
Date
Owner's Inspector Name
1 OWNER's Signature

2 Date :