You are on page 1of 1

Megenagna(Adwa Square)--Ayat PAS2 Project (Contract1: Right Half Section)

INSPECTION REQUEST
Pay Item No.:
Request No.: Request Date:
Type of activity Request:
Inspection date & time: Location (station) of inspection:
Request by (name) Sign: Received by (name) Sign:

Responisble Supervision Approval Disapproval


Staff Confirmation Confirmation Date and Time Remarks

Works/ Material Inspector

Surveyor

Lab. Techincian/Material
Inspector

Structural Inspector

Material Engineer

Structural Engineer

Resident Engineer

N.B.
· The contractor's request shall be submitted in three copies and shall frist come the engineer's site office
· This request form shall be submitted to the engineer's office 20hrs before the contrcator intends the inspection to be conducted
· The engineer shall keep filing of the relevant test results and measurements or cross-section data together with the approval request form for the purpose of payment

You might also like