WORK INSPECTION REQUEST

WIR
Project Title: TOLL PLAZA CANOPY REPAINTING
Signature Above Printed Name No. Signature Above Printed Name
Contractor's Project Manager ER's Project Supervisor
Contractor: Southbend Express Services Inc.
Construction Process:
Location: Karuhatan Toll Plaza Canopy
Requested Date and Time: September 17,2020 06:00 am
Pay Item No.:
DETAILS OF WORK TO BE DONE:

Canopy repainting
1st Coat and 2nd Coat Painting works

NOTES: 1) Work shall proceed past the above Work Inspection request (WIR) unless the Contractor is instructed otherwise.
2) Works associated with this WIR will be checked by Contractor's staff prior to the requested inspection time to ensure that works are in
accordance with the approved drawings and specification
 

Requested by:           Approved by:        

 Joh Anthon  
n y Villanueva   09/17/2020                
Signature Above Printed Name  
Contractor's Site Representative Date/Time Signature Above Printed Name
Date/Time
    Contractor's Project Manager  
ESH: REMARKS/ OBSERVATIONS

Date: Section Head/Date/Time

INES/GRADES: REMARKS/ OBSERVATIONS

Date: Section Head/Date/Time

QA/QC: REMARKS/ OBSERVATIONS

Date: Section Head/Date/Time

STRUCTURES: REMARKS/ OBSERVATIONS

Date: Section Head/Date/Time

ROADWORKS: REMARKS/ OBSERVATIONS

Date: Section Head/Date/Time

FOE/NON-FOE : REMARKS/ OBSERVATIONS

Date: Section Head/Date/Time

ER’s Comment Concurred by: Noted by:

CMT-FO01/R01/16 September 2019

 WORK INSPECTION REQUEST

TO BE MARKED WITH ACTUAL DATE OF COMPLETION AND ATTACHED TO APPROPRIATE REPORT

CMT-FO01/R01/16 September 2019