Doc. No.

: MMP01-…-…-…-00000

Job No. : ----- Rev.000

EXCAVATION WORK
REPORT
Project : Report No. :

DWG No. : Date :

Location : Subcontractor :

Result
No Check List
Accept Reject N/A

1 Demolition or protection of existing facilities

2 Investigation of existing underground facilities
3 Line and slope according to approved drawings
4 Depth of excavation
5 Condition of compaction on the bottom surface
6 (If necessary) The result of compaction test
7 Cleaning condition
8 (If necessary) Temporary drainage
9 Other
Note:

Inspection Result: □ Accept □ As noted □ Reject

Inspected by Subcontractor Contractor Company

Name

Signature

Date
ITR-CV-003
 Doc. No. : MMP01-…-…-…-00000

Job No. : ----- Rev.000

BACKFILLING WORK
REPORT
Project : Report No. :

DWG No. : Date :

Location : Subcontractor :

Result
No Check List
Accept Reject N/A

1 Materials for backfilling are suitable and approved

2 No boulders and rock fragment are included
3 The layer of thickness is adequate
4 Adequate water sprayed when compacting
5 (If necessary) The result of compaction test
6 Cleaning condition
7 Other
Note:

Inspection Result: □ Accept □ As noted □ Reject

Inspected by Subcontractor Contractor Company

Name

Signature

Date

ITR-CV-004