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-204-R00
Request No.
MOHAMED HARASANI
To Consultant Date 12-1-2018
ARCHITECTS
Date Inspection 12-1-2018
Requested
‫استالم حديد تسليح حوائط السلم‬
Time Inspection
Description Of Works To Be ‫ ) في البدروم الرابع بين محاور‬W3 (
Requested
Inspected And / Or Tested ) B13&B14(
Civil Architectural
PART A
Discipline Mechanical Electrical
Other (specify)
Location ‫بحسب المكان المشار إليه بالمخطط المرفق‬

Block No.

Level

Element

Attachment(s) ‫مرفق كروكي‬

C.M ADEL ALI ABUELEZ Signature

Q.C MOHAMED BAKR Signature

Contractor’s Eng ELSAYED SOLIMAN Signature

Contractor’s SURVEYOR MAHMOUD ISMAEIL Signature

Contractor Authorized
OSAMA SALEM Date 12-1-2018
Signatory
Signature

MHA Consultant / Engineer Comments

Approved Approved As Noted Not Complete Not Approved

Engineer’s Decision (the
work is) Signature

MHA PM Ali Hurmuzlu Date

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