Contractor’s Logo

Name of the Contractor

Pune Metro Rail Project

Reach X
Inspection and Test Plan for Name of the process
Name of the structure (Stations/Viaduct)

Document No. M-NCC-PR2-VDU-ITP-000004 Rev 00A

Document Status: Issued for Review

Document Submittal History:

Prepared Checked Approved

Rev.: Date: Doc Status:
(Contractor) (Contractor) (Contractor)
DD-MMM- Name of the Personnel Name of the Personnel
00A For Review Name of the Personnel
YYYY
00B 28-MAR-2019 For Review Name of the Personnel Name of the Personnel Name of the Personnel

Signature Signature Signature

Document Review Status Date: Name: Name of the

Reviewer from GC
Code-A/B/C/D DD-MMM-YYYY
Code A - Reviewed; Work may proceed

Code B - Revise and resubmit; Work may proceed subject to resolution of comments

Code C - Revise and resubmit; Work may not proceed

Code D - Review not required; Work may proceed

Document No. M-NCC-PR2-VDU-ITP-000004 Rev 00A Page 1 of 6 Printed: 16 Oct. 19

Inspection and Test Plan for Name of the process Name of the structure (Stations/Viaduct)

Electronic documents once printed, are uncontrolled and may become out-dated. Refer to 5DBIM for current revision.