PROJECT: EMPLOYER: LTA/SITE CONTRACTOR:

UNDP ENGINEER:
MERP Program

SAMPLE INSPECTION REQUEST

From : To:
SIR Specification ref :
ref :Contractor/Area/Year/SIR/Trade/Seq.#
Rev.#
Area: BOQ division ref :
Location : Schedule ref :
Date: Shop drawing ref:
Trade: Subcontractor:
Material Submittal ref:

Name of the SIR:

Description:

Contractor’s Representative: Signature: Date:

Attachment( Type of Receipt Info

Distribution Acti No s) Attachment(
List on Action s) Received
Yes No By Date Signature

Status
LTA/Engineer’s Comment:
----------------------------------------------------------------------------------------------------- A □
----------------------------------------------------------------------------------------------------- AWC □
-----------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------- RR □
-----------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------- REJ □
-----------------------------------------------------------------------------
Name: Signature: Date:


 A: APPROVED COMMENT
 AWC: APPROVED WITH  RR: REVISE RESUBMIT

UNDP-LHSP Program
PROJECT: EMPLOYER: LTA/SITE CONTRACTOR:
UNDP ENGINEER:
MERP Program

 REJ: REJECTED

UNDP-LHSP Program