Hashemite Kingdom of Jordan Ministry of Water and Irrigation

Disi Water Company

Disi Mudawarra to Amman Water Conveyance System

REQUEST FOR INSPECTION (RFI)
To:
Rev No: Inspection Time:

From:
RFI Ref. No:

ICC

Gama G Sistemleri Mhendislik ve Taahht A..

GGS
Date of Submittal : 19.12.2012 9:00 AM
Review Random Inspection

TRM (ICC)-Mec-004

Inspection Date: 20.12.2012

Perform Hold

Witness

Location AL-HASSA TO AIRPORT Reference ITP

Zone Sec-BOO1P

Building System

Level

Drawing No.

ITP Item no. Check List No. CONFIRMATION OF SUB-CONTRACTOR'S QA/QC ENGINEER Details of Inspection : External Final inspection Coating for Repair internal after lining CP works (DFT,H.T) for the joints number Station 1: 97+027 Station 2: 103+030 Station 2:103+072 Inspected by Sub-Contractor QA/QC Engineer The Works are : Name :
Accepted Rejected

Signature:

Date :

Time:

CONFIRMATION OF CONTRACTOR'S QA/QC ENGINEER Details of Inspection :

Inspected by Contractor QA/QC Engineer The Works are : Name :

Accepted

Rejected

Signature:

Date :

Time:

If Rejected by Contractor, it shall not be forwaded to Owner's Engineer for inspection until corrected. OWNER'S ENGINEER REPRESENTATIVE Comments :

Independent Testing Laboratory Performed Test (Yes/ No) : Result of test Finally the works are: Accepted Rejected

Satisfactory

Un Satisfactory

Name, Signature & Date of ARE/Responsible Eng. MWI/WAJ REPRESENTATIVE (If applicable) Comments :

Name, Signature & Date of Resident Engineer

Name, Signature & Date of MWI/WAJ Representative

Checking and Approval by the Owners Engineer/ MWI/WAJ Representative's Assistant, shall not relieve the EPC Contractor from his obligations to perform the work in accordance with the contract documets, requirements of safety & local authority regulations.

DISI-QA-FR-G-HQ-039 Rev 0