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SRIPELANGI CONSTRUCTION SDN BHD PROJECT:

Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,


44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

AIR-CONDITIONING & VENTILATION SERVICES


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARK

1 Vibration isolator
2 Electric motor
3 Housing
4 Housing support
5 Bearing support
6 Motor base frame
7 Impeller
8 Drive shaft
9 Bearing
10 Fan drive
11 Belt guard
12 Casing
13 Mounting
14 Noise level
15 Axial flow
16 Conduits
17 Wiring
18 Flexible connection

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

AIR-CONDITIONING & VENTILATION SERVICES (Fan coilunit & air- cooled condensing unit)
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION REMARKS OK NOT OK

1 Material of refrigerant pipe


2 Material of condensate drain pipe
3 Pipe handling
4 Jointing of refrigerant pipe
5 Jointing of condensate drain pipe
6 Fittings
7 Pipe support
8 Pipe bracket
9 Pressure test
10 Insulation of pipework
11 Painting
12 Filter dryer
13 Sight glass

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

AIR-CONDITIONING & VENTILATION SERVICES (Fan coilunit & air- cooled condensing unit)
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Casing
2 Drain pan
3 Blower
4 Cooling coils
5 Filters
6 Compressor
7 Coating of units
8 Bolt and nuts
9 Insulation of pipework
10 Fins
11 Installation of FCU
12 Hanger
13 Brackets
14 Refrigerants used

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

AIR-CONDITIONING & VENTILATION SERVICES (Starter Panel)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Incoming isolator
2 Circuit breaker
3 Phase indicating lights
4 Starter
5 Contractor indicating light
6 Fuses
7 Current transformer
8 Relay fo fore mode
9 Weatherproof panel
10 Cable gland
11 Push buttons control
12 Auto / manual selector switch
13 Ammeter
14 Cables connections
15 Conduit installation
16 Trunking and trays installation
17 Thermostat relay
18 Timer switch

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

COLD WATER & SANITARY


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Material of cold water pipe


2 Material of sanitary pipe
3 Material\of vent pipe
4 Pipe size
5 Setting out / alignment
6 Verticality of pipe
7 Gradient of pipe
8 Pipe hangers
9 Pipe brackkets
10 Pipe sleeves
11 Cold water pipe joints
12 Sanitary pipe joints
13 Gaskets / seals
14 Pressure test
15 Water / smoke test
16 Gate valve
17 Ball valve
18 Dilution traps
19 Grease traps
20 Paintings
21 Excavation works
22 Bedding for pipe
23 Backfilling / compacting

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

COLD WATER & SANITARY (Manhole / Inspection chamber)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Setting out / alignment


2 Excavation work
3 Bedding / base
4 Laying of brickwork
5 Cement mortar mix
6 Plastering work
7 Shoring / slopes
8 Step iron
9 Manhole / inspection chamber cover
10 Sanitary pipe connection
11 Backfilling / compaction
12 Flow test
13 Finished level of manhole / inspection chamber

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

COLD WATER & SANITARY (Water storage tanks)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Dimension
2 Material
3 Plinths positions
4 Inlet pipe size
5 Inlet pipe position / location
6 Outlet pipe size
7 Outlet pipe position / location
8 Warning pipe size
9 Warning pipe position / location / discharge
10 Overflow pipe size
11 Overflow pipe position / location / discharge
12 Scour pipe sie
13 Scour pipe position / location / discharge
14 Manhole opening
15 Gaskets
16 Bolting
17 Non-toxic epoxy resin coating
18 Water level indicator
19 Vent
20 Ball float valve
21 Internal support
22 Internal and external cat-ladders
23 Leak test
Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

COLD WATER PLUMBING (INTERNAL)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Submission of shop drawing


2 Cold water concealed layer
3 Cold water pipe dropper
4 Cold water pipe riser
5 Cold water pipe (type & size)
6 Connection to sanitary fittings
7 Pumpset
8 Pump control panel & wiring
9 Water tank
10 Pressure test result (attached)
11 Valve, fittings and accessories
12 Testing & commissioning

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

SANITARY (INTERNAL)
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Submission of shop drawing


2 Typical floor soil and waste pipe
3 Underground soil and waste pipe
4 Internal reticulation to suction tank
5 Pipe connection (socket)
6 Sanitary fittings (elbow,floor-gully,gully-trap)

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

SEWERLINE CONNECTION
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Material of external sanitary pipe


2 Pipe size
3 Setting out / alignment
4 Verticality of pipe
5 Gradient of pipe
6 Sanitary pipe joints
7 Gaskets / seals
8 Excavation works
9 Bedding for pipe
10 Backfilling / compacting

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Hose reel installation)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Wall mounted swing type


2 Material of hose
3 Length of hose
4 Hose drum
5 Nozzle
6 Height of installation
7 Painting

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Pipework)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Material of pipe
2 Pipe size
3 Setting out / alignment
4 Verticality of pipe
5 Pipe hangers
6 Pipe brackets
7 Pipe sleeves
8 Pipe fittings
9 Pipe jointing
10 Pressure test
11 Gate valve
12 Ball valve
13 Painting
14 Excavation work
15 Bedding for pipes
16 Shorinf / slopes
17 Backfilling / compacting

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Water storage tank for hose reel system)
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Dimension
2 Material
3 Pinths positions
4 Inlet pipe size
5 Inlet pipe position / location
6 Outlet pipe
7 Outlet pipe position / location
8 Warning pipe size
9 Warning pipe position / location
10 Overflow pipe size
11 Overflow pipe position / location / discharge
12 Scour pipe size
13 Scour pipe position / location / discharge
14 Manhole opening
15 Gaskets
16 Bolting
17 Non - toxic epoxy resin coating
18 Water level indicator
19 Vent
20 Ball float valve
21 Internal support
22 Internal and external caat-ladders
23 Leak test

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Hose Reel Pumpsets)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Pump manufacturer
2 Pump characteristic (base plate)
3 Vibrator isolator
4 Plinth
5 Pump casing
6 Pump impeller
7 Shaft
8 Shaft sleeves
9 Shaft seal
10 Wear ring
11 Bolts, nuts and fasteners
12 Flexible coupling
13 Bearing
14 Electric motor
15 Diesel engine
16 Painting
17 Drain pipe
18 Labelling

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Carbon dioxide system)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Door indicating lights


2 Carbon dioxide cylinders
3 Material of pipework
4 Automatic heat detectors
5 Automatic smoke detectors
6 Alarm bell
7 Discharge nozzle
8 Control panel
9 Panel indicating lights
10 Battery
11 Battery charger
12 Manual release device
13 Fire curtains
14 Solenoid release device
15 Solenoid actuator
16 Weighing device for C02 cylinders
17 Wiring
18 Conduits
19 Painting
20 Labelling

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Motor control panel/ Fire alarm panel)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Assembly of panel
2 Material used for construction the panel
3 Paint work
4 Indicating lights
5 Phase indicators
6 Motor starter
7 Pump selector switch
8 Automatic / manual mode selector switch
9 Stop / start button
10 Main isolating switch fuses
11 Voltmeter
12 Ammeter
13 Fuse switch unit
14 Contractors
15 Relays
16 Terminal blocks
17 Battery & battery charger
18 Mimic diagram
19 Cable gland
20 Wiring / cabling
21 Terminations
22 Conduits / trunking / cable tray
23 Labelling
24 Fault / alarm test
25 Fault alarm
Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Fire alarm system)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Automatic heat detector


2 Automatic smoke detector
3 Alarm bell
4 Breakglass
5 Height of alarm bell and breakglass
6 Wiring / cabling
7 Conduits / trunking / cable trays
8 Fireman's intercom
9 Painting of conduit / trunking
10 Labelling

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

FIRE PROTECTION SERVICES (Main Switchboard and Sub-Switchboard)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Mounting - Angle iron support


2 Busbar
3 Cable arrangement
4 Air circuit breaker
5 Busbar coupler
6 Mechanical & Electrical interlock
7 Moulded case circuit breaker (MCCB)
8 Protection rely
9 Current transformer
10 Indication lamps
11 Anti- condensation heaters
12 Metering panel
13 Power factor correction capacitor
14 Earthing
15 Labels and drawings
16 Test certificate
17 Signages
18 Tools
19 Danger chart
20 First aid chart
21 Rubber mat

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

ELECTRICAL FITTING
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Emergency light
2 Wall light
3 Down light
4 Ceiling fans
5 Ceiling light
6 Ceiling fan regulator
7 Fluorescent fitting
8 Water heater
9 Power outlet
10 Light switches
11 Light fixture installation
12 Final position of outlet and lighting points

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

ELECTRICAL SERVICES (General lighting, power & light fitting)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Cable - 1.5mm x 2.5mm


2 Wiring method
3 Conduit wiring
4 Wiring cable trunking
5 Final position of outlet and lighting points
6 Light fixture installation
7 Light switches
8 Power outlet
9 Wiring for emergency lighting
10 Final sub-circuit
11 Fireman switch
12 Control wiring
13 Segregation of circuits
14 Underfloor trunking
15 Underfloor junction box
16 Underfloor service outlet boxes
17 Fluorescent fitting
18 High intensive discharge lamps
19 Exit sign
20 Emergency light
21 Exterior light
22 Ceiling fans
23 Ceiling fan regulator
Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

ELECTRICAL SERVICES (External Lighting)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Compound lighting
2 Street lighting
3 Weatherproof nature
4 Armoured cable & cable sizing
5 Anti rust primer
6 Type of pole (planted type / concrete)

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

ELECTRICAL SERVICES (Lightning protection & Earthing system)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Green PVC cable


2 Earthing conductor connecting
3 Earthing electrodes
4 Label 'Safety Earth'
5 Label 'Do Not Disconnect'
6 Test clamps
7 Clips
8 Saddles
9 Ohms reading
10 Air terminal system
11 Down conductors
12 Conductor support
13 Bondings
14 Earth chamber
15 UPVC conduit

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

ELECTRICAL SERVICES (External Works)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Manholes
2 Underground ducts
3 Duct seal
4 Underground cables
5 Finished level of manhole
6 Depth of trench
7 Cable marker
8 Sand bedding

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

ELECTRICAL SERVICES (Distribution Board and Meter Panel)


Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Rust or scale
2 Angle frame
3 Concealed type
4 Baked powder paint
5 Busbar and cable ducts
6 Circuit brakers
7 HRC fuses
8 On-load isolator
9 Balancing of load
10 Labels
11 Earth leakage circuit breakers (ELCB)
12 Control relay
13 Terminal block
14 Magnet coil
15 Vacum impregnated contractor
16 Type of distribution board

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

TELEPHONE SERVICES
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Main distribution frame


2 Cable trays
3 Trunking
4 Telephone distribution board
5 Terminal blocks
6 Underfloor trunking
7 Conduit
8 Wiring
9 Cabling
10 Duct seal
11 Telephone pits
12 Telephone manholes
13 Telephone outlets
14 Junction boxes
15 Fire barriers
16 Earthing
17 Finished level of manhole

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD PROJECT:
Lot 41, Tingkat 1, Jalan Dato' Muda Jaafar,
44000 Kuala Kubu Bharu,
Hulu Selangor, Selangor.

REQUEST FOR INSPECTION FORM M&E

To : Ref. No :
Attention : Date :

Request by : Received by :
Name : Name :
Company : Company :
Time : Date : Time : Date

The following works are/will be ready for inspection at (time) on (date)

MATV
Location
Block : Structure/
Zone / grideline : Element :
Level :

NO DESCRIPTION YES NO N/A REMARKS

1 Channelised antena
2 Amplifier c/w power supply
3 Channel mixer
4 4 way splitter
5 2 way splitter
6 4 way tap off
7 2 way tap off
8 Cabling
9 TV/FM wiring c/w socket outlet
10 75 ohm terminator
11 Test system function

Inspection response : Remarks:

Inspection passed, works are allowed to proceed

Remedial work listed to be carried out. No further Inspection Required

Remedial work listed to be carried out. Re-inspection required


Contractor's rep M&E RE / COW
Date : Date:
SRIPELANGI CONSTRUCTION SDN BHD

REQUEST FOR INSPECTION

REF NO :

To

Scope of works

Location

Drawing Ref.

The works will be ready for inspection on Time

Requested By Received By

Date Date / Time

Signature Signature

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