Work Inspection Request Form

New Inspection Re-Inspection

Project Name KEMPINSKI MADINAH HOTEL Project No 1865

Contractor SARH ATTQNIA CONTRACTION Project Location CENTRAL AREA AL SALAM ST

Work Inspection
Contract No. 012018 ST-WC-784-R00
Request No.
MOHAMED HARASANI
To Consultant Date 27-10-2019
ARCHITECTS
Date Inspection 27-10-2019
‫استالم أعمال تثبيت ألواح الحماية لعزل‬
Requested
‫ على الحائط الساند الجنوبي من‬PVC
Time Inspection
Description Of Works To Be ‫منسوب‬ 11:00 AM
Requested
Inspected And / Or Tested ) - 04.00 ( ‫ ) الي منسوب‬- 06.00 (
Civil Architectural
Part( B)
Discipline Mechanical Electrical
Other (specify)
Location ‫بحسب المكان المشار إليه بالمخطط المرفق‬

Block No.

Level

Element

Attachment(s) ‫مرفق كروكي‬

Q.C MOHAMED BAKR Signature

C.M MOSTAFA SABAA Signature

Contractor Authorized
OSAMA SALEM Date 27-10-2019
Signatory
Signature

MHA Consultant / Engineer Comments

Approved Approved As Noted Not Complete Not Approved

MHA PM
Engineer’s Decision
Ali Hurmuzlu Mohamed A. Abdul Jalil
(the work is)
Date Signature

Signature
A) – Work shall only proceed when action is only approved or approved as noted
B) – Approval of this document does not release contractor of his obligations

Received By Contractor Date