QF/5267/QC/10/00

EMPLOYER CONTRACTOR

EPC Contract for Permanent Anticipated Works between KP24 and KP105 of Transgabonaise National Road located in the Republic of Gabon

REQUEST FOR INSPECTION (RFI)

Discipline: Survey Materials Highway Structure Others

RFI No.: Date of Submission:

Chainage: Date of Inspection: / Time:

BOQ Item No.:

Work Description:

Requested by Contractor's Representative Received by ICO's Representative

Name: Name:

Signature: Signature:

Date: Date:

Inspection Note by ICO's Representatives

Site Inspector:

Material Engineer / Highway Engineer / Structure Engineer

Remarks of Contractor's ICO

Remarks:

Approved For Information Not Approved

Contractor's ICO Signature:

Remarks of Employer's PMC

Remarks:

Approved For Information Not Approved

Employer's PMC Signature: