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REQUEST FOR INSPECTION

(PRIOR TO CONCRETING WORK)

PROJECT TITLE:
REFERENCE NO: DATE:
LOCATION/ GRID LINE :

COMPLIANCE
ITEM DESCRIPTION COMMEN
YES NO
A FORMWORK
1 Cleanliness
2 Alignment
3 Integrity
4 Water Tightness
5 Dimension
B REINFORCEMENT
1 Size
2 Type
3 Number
4 Joint
5 Spacer
6 Link
7 Lapping
8 Anchorage
9 Cleanliness

REMARKS :

JOINTLY INSPECT BY

CONSULTANT REP. CLIENT REPRESENTATIVE

Signature: Signature:
Name : Name :
Date : Date :
COMMENTS

CONTRACTOR REP

Signature:
Name :
Date :