REQUEST FOR OVERTIME INSPECTION

SUPERVISOR BI/WO #: 10-93103-0018

INSPECTION & QUALITY ASSURANCE SECTION Charge Acct. #: 10-93103-011-050
Room – 10, Bldg. 3106, LIP Dhahran Project Title: Voltage Conversion – Phase III
Tel: 013-862-5236
Inspector: Danilo Nonesa

Please provide inspection coverage for the above project. Details of required are given below.

INSPECTOR DATE TIME DESCRIPTION

DISCIPLINE INSPECTION APPROXIMATE OF
REQUIRED REQUIRED FROM TO ACTIVITIES

ELECTRICAL EID HOLIDAY 08 hours overtime for Site

29 June 2023 08:00 AM 04:00 PM Inspection at External work Loop-01, 02,
04 & Villas
ELECTRICAL EID HOLIDAY 08 hours overtime for Site
01 July 2023 08:00 AM 04:00 PM Inspection at External work Loop-01, 02,
04 & Villas

The Construction Agency has verified that the above items are ready for inspection and work
meets Saudi Aramco and industry standards.

I&QAS will evaluate this request to determine the need for Inspector to be present. If an
Inspector does not show up at the requested time, the Construction Agency PE at their
discretion may proceed with the work activity.

Requesting Organization: ______CSPD____________________________

Requestor’s Name : __________________________________

Signature and Date : __________________________________

Telephone Number : __________________________________

Inspection Authorized by : Date: _____________________

(This form should be signed by the Saudi Aramco Project Engineer and submitted to I&QAS at least
24hours in advance of the required inspection or no later than 11:00 AM on Thursday for the Weekend.)

Saudi Aramco: Company General Use