Issue Date: RS/C&S/RE/030

3.Jan.2020
Royal Signature Engineering Co., Ltd Effective Date: ISSUE: 1.0
3.Feb.2020

STRUCTURAL CLEARANCE CHECKLIST (BUILDING) Page 1 of 1

Owner/Client Name : .......................................................................................................

Project Name : .......................................................................................................
Company Name : .......................................................................................................

Requested By:

.................................................................................................. ....................................
Name / Designation / Signature Date
(Contractor Representative)

SrN Not
Particular Satis:
Satis:
NA Remark
o.
1 Contract
1.1) Contract Copy with Owners
1.2) B.E and B.Q Copy with Endorsement

2 As-Built Plan (with Endorsement)

2.1) Layout Plan
2.2) Architectural Plan
2.3) Structural Plan
2.4) MEP Plan

3 Building Dimension
3.1) Plinth Dimension
3.2) Rooms Dimension
3.3) Storey Height

4 Material Test Result and Checklists

4.1) Tensile test result
4.2) Compression test result
4.3) Checklists

5 MEP Clearance
5.1) Electrical
5.2) Water Supply
5.3) Sanitary

Checked By:

.................................................................................................. ................................
Name / Designation / Signature Date
(Contractor Representative)

Inspected By:

.................................................................................................. ...................................
Name / Designation / Signature Date
(Third Party Representative)