CLIENT: National High-Speed Rail

Corporation Limited
(NHSRCL) REQUEST FOR INSPECTION (RFI)

PACKAGE NAME CONTRACTOR REQUEST NO. REQUEST DATE

C4 Larsen & Toubro RFI-0000043278 13-Jun-22
SUBMITTALS/DRAWING NO. APPROVED METHOD STATEMENT NO. SPECIFICATION NO.
SBMTR-0000005718 O20361-S-VIA-01-DC-03001-R2
STRETCH DETAILS
Stretch ID: Section 3 Milestone: MS-20
Chainage Start: 241.77 KM Chainage End: 297.027 KM
Chainage Start (Location) in m: 270.707 Structure ID: BCIS PILE ID
270P18-5
Chainage End (Location) in m: 270.707 Stretch (m): 0

Location: (Latitude); (Longitude)

Person In-Charge of Works SIVARAM K
(PICOW)
TITLE: Viaduct
RFI Description of Works
Civil-Pile Foundation-Cast-in-situ bored pile concrete-NA-NA-Start
RFI Subject
BCIS PILE
ID 270P18-5
CH 270.707
Contractor Uploaded Site Engineer Uploaded Site Image Employer Uploaded Site Image
Image

CONTRACTOR QA/QC SIGNATURE PROJECT MANAGER SIGNATURE

DATE: DATE:
NAME: NAME:
POSITION: POSITION:
ENGINEER INSPECTION CHECKS EMPLOYER INSPECTION CHECKS
RESULT: RESULT:
DETAILS: DETAILS:

ENGINEER SIGNATURE EMPLOYER SIGNATURE

NHSRCL® RFI FORMAT REV.0 PAGE 1 of 2

CLIENT: National High-Speed Rail
Corporation Limited
(NHSRCL) REQUEST FOR INSPECTION (RFI)

DATE: DATE:
NAME: NAME:
POSITION: POSITION:
DISTRIBUTION
1. Original RFI: To be submitted By contractor along with interim Payment Request/Invoice
2. Duplicate RFI: To be submitted to engineer for records
3. Triplicate RFI: to be retained by contractor for records

NHSRCL® RFI FORMAT REV.0 PAGE 1 of 2