Inspection Work Request

EASTGLORY CENTER & SUITES

#2318 T. Alonzo cor Roxas Blvd.,
Brgy. Tambo, Paranaque City

IWR no. Date requested:

Work to be done: Concrete Supplier:
Slab, Beam, Girder and Column at HT Titans
Location / Area: Inclusive date & time:
For Preliminary ( ) Inspection ( ) Testing Proceed with the work requested
For Final ( ) Inspection ( ) Testing Do not proceed with the work requested

checked and verified

trade /discipline Remarks
contractor date DAAA date
Civil
Structural
Architectural
Glass & Aluminum
Mechanical
Sanitary / Plumbing
Fire Protection
Electrical
Auxiliary
Elevator

confirmation of request / persons to be present during inspection

company print name signature date

Requested by:
Project Manager: safety officer:

__________________ __________________
sign over printed name sign over printed name
date: date:
Approved by: D.A. ABCEDE & ASSOCIATES
Project Manager Engineer-in-Charge:

__________________ __________________
sign over printed name sign over printed name
date: date:

Note: Inspection of requested work items shall be from 8:00 am to 8:00 pm ONLY

C:\Users\DAN\Documents\JOVY\6.FORMS\Inspection-Work-Request-FACC.xlsSheet1