RFI NO : …………………………………………………..

RFI DATE : ……………………………………………….

CONSTRUCTION OF ADDITIONAL STRUCTURES UNDER SIX LANNING OF DELHI AGRA SECTION OF NATIONAL HIGHWAY
NO 2 (NEW NH-19) IN THE STATE OF UTTAR PRADESH BETWEEN KM 143.0 AND 195.10 ON EPC MODE

REQUEST FOR INSPECTION

PROJECT DELHI- AGRA ROAD PROJECT
CLIENT NATIONAL HIGHWAY AUTHORITY OF INDIA
INDEPENDENT CONSULTANT URS-SCOTT WILSON INDIA PVT.LTD.
EPC CONTRACTOR ATLAS CONNSTRUCTION PVT. LTD.

REQUEST FOR INSPECTION for the following works, which are/will be ready for inspection at

TIME : …………………………… DATE : …………………………

Survey WMM Reinforcement Signages

Site clearance Kerbs Pile work RRM

Earth work BM/DBM PQC Road Appurtenances

Drainage BC PCC/DLC Others

Sub-Grade LAB Structural Concrete Formwork

GSB QCC Road Marking

Chainage: From ……………………………

To ………………………….. Location ………………………………..

Brief Description of work …………………………………………………..

RFI Placed By : RFI Received By :

SIGNATURE : SIGNATURE :
NAME : NAME :
DESIGNATION : DESIGNATION :
DATE & TIME : DATE & TIME :
REMARKS :

APPROVED NOT APPROVED