WORK INSPECTION REQUEST

FO-QMG-WIR-001
ATTENTION: PROJECT DETAILS:
ATI-CM REPRESENTATIVE 001 DATE PREPARED:
Engr. Caesar Caminero 8/9/2023
DESIGNATION PROJECT TITLE
ATI-CM Project Civil Engineer Tagoloan New 60 TPH Feed Mill (Greenfield)
ATI-QMG REPRESENTATIVE PROJECT LOCATION
Tagoloan, Misamis Oriental
DESIGNATION PROJECT SCOPE/AREA
Ancillary Building
DETAILS
Inspection Coverage
Site Development Works Electrical Works Piping Works
Architectural Works Mechanical Works Fire Protection Works
Civil / Structural Works Instrumentation Works Static / rotating Equipment
Plumbing / Sanitary Works HVAC Other Essential Works
Requested Date & Time of Inspection: Actual Date & Time of Inspection:
8/9/2023 10:00am
Exact Location of Work Inspection (Grid & Line): Purpose of Request & Type of Inspection:
See Attached Drawing CONCRETE TRIAL MIXING OF ONE BAGGER MIXER
PRINT NAME & SIGN / INDICATE DATE SIGNED
REQUESTED BY:
NAME & SIGNATURE DESIGNATION COMPANY NAME & DEPARTMENT DATE
Engr. E. Cubillas Site Engineer RTQcc – Engineering Department 8/9/2023
Note: We certify that these works have executed in accordance with the Contract Specification and Approved Drawings. The subject works
were also subject to quality control inspection and have been coordinated with future works of other trades.
WITNESSED & INSPECTED BY:
NAME & SIGNATURE DESIGNATION COMPANY NAME & DEPARTMENT DATE
J.Villa / C. Caminero CM-OIC / CM ENGR. ATI-CM
NAME & SIGNATURE DESIGNATION COMPANY NAME & DEPARTMENT DATE

QC ENGINEER
NAME & SIGNATURE DESIGNATION COMPANY NAME & DEPARTMENT DATE

CONSULTANT
Note: We hereby return this actioned WIR. Approval does not in any way relieve the Contractor's responsibility for compliance with the
specified provisions as per contract requirements.
REJECT/ REPLACE REPAIR/RECTIFY RE-WORK USE AS-IS
Reason/s for Rejection:
Site not yet ready for inspection Less than 3 working days’ notice
given Methodology not approved No Contractor Superintendence
Materials and / or Equipment not avail Others
ATTACHMENTS

DOCUMENT DISTRIBUTION
CM QMG QS SPM A&E Proponent Contractor Others
ArchEn Technologies. Inc. SMFI R.T.Quiogue Const. Corp.

FO-QMG-WIR-001AUTHOR: JENNEL E. DEANG / QMG ARCHITECT WORK INSPECTION REV00 8/9/23

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