REQUEST FOR INSPECTION FORM

Request of Inspection Ref. No. :

To : Date :

The work described below has been inspected by our supervisory personel and is complete and ready for your
inspection. We request your inspection of :

Architectural Others :
Works

Location : Type of
Structure :

Grid Line : Storey :

Activity Quantity

Activity
Time :

Requested by :

Contractor's Site Representative / Date

Inspection Decision By RTO :

We have inspected the above referenced work and found it acceptable.

You may proceed.

Please carry out corrective works as noted on the Inspection Checklist

You may not proceed.

Other comments :

UBLA RTO Name / Signature / Date