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-136-R00
Request No.
MOHAMED HARASANI
To Consultant Date 06-12-2018
ARCHITECTS
Date Inspection 06 -12-2018
Requested
‫استالم أعمال نظافة رؤوس الخوازيق في‬
Time Inspection
Description Of Works To Be ‫) لبدأ أعمال‬3010( ‫البدروم الرابع للقطعه‬
Requested
Inspected And / Or Tested ‫صب اإليبوكسي لرؤوس الخوازيق العدد‬
Civil Architectural
)25(
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 Authorized
OSAMA SALEM Date 06-12-2018
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