REQUEST FOR SANITARY/ PLUMBING WORK INSPECTION #NAME?

Project : ### Date : Time :

Contractor : RFWI : Ref. Dwgs./Specs. ____

LOCATION :

SGN - SIGN / ACP - ACCEPT / RJT - REJECT

Plumbing ContractorPlumbing Contractor MDC ATMCI
DESCRIPTION OF WORK PIC / ENG Q.A. /Q.C. Q. A. / Q. C. Q. A. / Q. C.
SGN ACP RJT SGN ACP RJT SGN ACP RJT SGN ACP RJT
1.0 RAIN WATER DISPOSAL AND SOIL, WASTE & VENTILATION SYSTEM
1.1 Storm pipe risers/ (From Level - __ to Level - __ )
1.2 Sewer and Vent risers / (From Level-__ to Level-__ )
1.3 Pipe and fittings installation including hanger/ support
1.4 Slope of Sanitary pipeline
1.5 Pipe sleeving through walls
1.6 Pipe sleeving through slab
1.7 Painting of hangers and supports
1.8 Bonding of pipes
1.9 Horizontal cleanout installation
1.10 Vertical cleanout installation
1.11 Plubming fixtures installation
1.12 Drain Installation
1.13 Others (Please Specify)
2.0 HOT AND COLD WATER SYSTEM
2.1 Potable Water Riser/ (from Level-__ to Level- __ )
2.2 Pipe sleeving through slab
2.3 Pipe and fittings installation including hanger/support)
2.4 Pipe sleeving through walls
2.5 Painting of hangers and support
2.6 Pipe insulation for hot water lines
2.7 Bonding of Pipes
2.8 Plumbing fixtures installation

Rev. 0 August 27,2019

 2.9 Valves and metering device installation
2.10 Pumps with contorller setting and insulation
2.11 Pipe hook-ups to pumps
2.12 Pumps testing and commissioning
2.13 Others (Please Specify)
REMARKS : (Those activities which are rejected must be reported within this section, the next activity must not be started until rectification is complete and re-inspected).

PLUMBING CONTRACTOR: INSPECTED BY:

REMARKS
REQUESTED BY : (Print Name) ___________________________
Accept Rejecte
ed d
SIGNATURE : _______________ POSITION : ________________
PROJECT SUPERVISOR
OPERATIONS:
BY : (Print Name)

SIGNATURE : _______________ POSITION :

QC
ACCEPTED REJECTED

APRPOVED BY : NOTED: (Print Name)

BY : (Print Name)
VP-CONSTRUCTION OPERATIONS

Note : This From shall be submitted 24 hrs. before inspection and accompanied with Shop Drawings.

Rev. 0 August 27,2019