FILED INSPECTION REPORT

ITP No.: _______________________

Inspection GR.: _______________________
Report No.: _______________________
Date: _______________________
Inspection Type : WORK No.:
ITEM No.:
LOCATION:
SIGNATURE

ALIGNMENT(LEVELING)
COMPANY CONTRACTOR SUBCONTRACTOR
INSPECTION NOTICE No.:

COMPANYS INSPECTOR:
CONTRACTOR INSPECTOR:
SUBCONTRACTOR INSPECTOR:






LOCATION & CENTERING
NORTH EAST
SIDE
DESIGN ACTUAL DIFF. DESIGN ACTUAL DIFF.
REMARK
FIXED SIDE

SLIDING SIDE





LEVELING
DISTANCE BETWEEN SADDEL
DESIGN SLOP PERCENT
SLOP

NO. READING ACTUAL SLOP REMARK
A
B




FLANGES LEVELING
NO. DIRECTION REMARK
0
180

1
90
270



0
180


2
90
270






Quality Control Form