DOLOMITE ENGINEERING SDN. BHD.

DE/QC/IT/F01

REQUEST FOR INSPECTION / TESTING

Reference No : ____________________________________________________________
Project /Phase : ____________________________________________________________
Contractor : ____________________________________________________________

The following scope of works will be ready for inspection at______am/pm (time)on______(date)

Description of works :
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Submitted by : ____________at___________am/pm (time) on : _______________(date)

Received by : ____________at___________am/pm (time) on : _______________(date)
Inspected by : ____________at___________am/pm (time) on : _______________(date)
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Inspection comments

1.( ) Inspection approved. The contractor is allowed to proceed with the works.
2.( ) Inspection not approved. The contractor is not allowed to proceed with the works.
Listed below to be completed for re-inspection
3.( ) ____________________________________________________________

Remarks
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Contractor’s representative S.O.’s representative Approved by

_____________________ _________________ _________________

Name :_______________ Name:_______________ Name:_______________