F - ABCD - 43FLBLDG - 50

ABC Construction Corporation

Project :
TYPE YOUR PROJECT NAME

REQUEST FOR SITE DELIVERY INSPECTION Date Prepared Request No.

( FIRE PROTECTION WORKS)

Pumps Valves ( Gate OS & Y, Gate, Alarm Pressure Reducing,

Pipes ( B.I., ASTM, A-53, B.I. ASTM A-120) Pressure Relief Valves, Air Relief, Check & Fire Hose, Roof Manifold )
Pipe Fiitings Instrument/ Devices ( Flow Supervisory Switch Pressure Valves
Pipe Sleeves Switch, Gauges )
Sprinkler Heads Fire Extinguisher
Fire Hose Cabinets Others
Fire Department Connection

REQUESTED BY : Name/ Designation :

Contractor : Signature :

Note : All signatories should print their name and sign.

Item No. Particular Quantity Remarks

REVIEWED BY : INSPECTED BY:

FIREPRO CONTRACTOR
PROJECT SUPERVISOR

APPROVED BY : QC

NOTED BY :

VP-CONSTRUCTION OPERATIONS

NOTE : This form must be submitted to The QC TEAM, duly accomplished and signed by the corresponding
Contractor's Personnel-in-charge at least 24 hours before actual installation.

Rev. 0 August 27,2019