CLIENT LOGO ENGINEER LOGO Contractor LOGO

PROJECT TITLE - FIELD OBSERVATION NOTICE

Date: FON No:
To Contractor:
We hereby issue the Field Observation Notice for the following item for your response and action:
Date Response Required (3 Days):
Location: Section: Civil/ STR Arch. Mech Elec Other

FON Type: Quality Safety Progress Process & Procedures

Attachments: Drawing Photo None Specification Clause:

PART 1- FON Subject:

Contract Administrator’s Rep. (Name/ Sign):

Discipline Eng.: QA/QC Manager: Resident Engineer:
To Engineer:
PART 2- To be Proposed by the Contractor for Approval:
Proposed Date for Closure:
Root Cause Analysis(RCA):

Remedial Action:

Corrective Action(CA):

Contractor's Rep. (name): Signature: Date:

Attachments: Sketch Photo Spec Methodology Product Info. Test Reports Other
ISSUE 01 REV 01 08-AUG-2017 MOO-SPCCC-F-038
PART 3- Engineer Approval to proceed:
Status: Not Approved Approved with comments
Approved
Comments:

Contract Administrator’s Rep. (Name/ Sign):

Discipline Eng.: QA/QC Manager: Resident Engineer:
PART 4- Upon Completion of Action by Contractor:

Contractor's Rep. (name): Signature: Date:

Attachments: Sketch Photo IR Test Reports Other

PART 5- Final acceptance by Engineer:
Comments: Ref. No:

Contract Administrator’s Rep. (Name/ Sign):

Discipline Eng.: QA/QC Manager: Resident Engineer:

ISSUE 01 REV 01 08-AUG-2017