REQUEST FOR INSPECTION

PROJECT :
CLIENT / CONTRACTOR :
CONTRACTOR / SUB CONTRACTOR : JOB NO :
FOR : REPORT NO :
LOCATION : DATE :
WPS / PQR :
WPQT :
WELDING WELDING WELDER RESULT (ACCEPTED
NO DESCRIPTION WELDER NAME WELDING DATE REMARK
POSITION PROCESS STAMP / REJECTED)

NOTE / COMMENT : PREPARED BY, APPROVED BY,

ACCEPTANCE CRITERIA : NAME : NAME :
DATE : DATE :
SIGNATURE : SIGNATURE :

FR/LA/QC/005/REV0