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-711-R00
Request No.
MOHAMED HARASANI
To Consultant Date 26-09-2019
ARCHITECTS
Date Inspection 26-09-2019
Requested
W15 ‫استالم حديد تسليح حائط المصعد‬ Time Inspection
Description Of Works To Be 03:30 PM
‫بدور الميزانين‬ Requested
Inspected And / Or Tested
part B Civil Architectural
Discipline Mechanical Electrical
Other (specify)
Location ‫بحسب المكان المشار إليه بالمخطط المرفق‬
Block No.
Level
Element
Attachment(s) ‫مرفق كروكي‬
C.M MOSTAFA SABAA Signature

Q.C MOHAMED BAKR Signature

Contractor’s Eng MOHAMED ALNAJAR Signature

Contractor Authorized
OSAMA SALEM Date 26-09-2019
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 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
Received By Contractor
Contractor