F - ABCD - 43FLBLDG - 03

ABC Construction Corporation

Project :
TYPE YOUR PROJECT NAME

Date Prepared RIRF No.

REINFORCEMENT INSPECTION
REQUEST FORM Date of Pouring

REQUESTED BY : Name/ Designation :

Contractor : Signature :

Note : All signatories should print their name and sign.

AREA (Pls. enclose key plan) GRIDLINE/LOCATION LEVEL STRUCTURE

PREPARED BY CHECKED BY INSPECTED BY INSPECTION CERTIFIED & APPROVED BY

CHECK ITEMS
CONTRACTOR PROJECT SUPERVISOR QC VP-CONSTRUCTION OPERATIONS

1.0 Drawing
(Approved & up-to-date)
2.0 Size and Quantity
3.0 Ties / Strirrups
4.0 Spacers
5.0 Spacing
6.0 Termination/Lap Spaces
7.0 Passed Testing
8.0 Cleaning (Loose Conc.)
9.0 Blower Const & Grease

10.0 Others

REMARKS :

CHECKED BY : RECOMMENDING APPROVAL :

PROJECT SUPERVISOR QC

APPROVED BY : NOTED BY:

VP-CONSTRUCTION OPERATIONS x
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 the inspection.

Rev. 0 August 27, 2019