REQUEST FOR INSPECTION - Verify and Close

REQUEST FOR INSPECTION

Project Title *

Action *

Work Package *

RFI Ref. No. *

Revision No. *

Work Discipline *

Utility Provider *

Other (Please Specify) *

Part A - Inspection Request

Description of Work *

Date of Inspection *

Time of Inspection *

Permit to Work (PTW)

Permit to Work for Third Party (PTW)

Location of Work (CH No. / gridline / structure element/etc.) *

Method Statement for work has been approved?

Inspection & Test Plan for work has been submitted and approved?

Supporting Document

File

*Accept multiple files with 2 GB limit

Document

Reference No.	Type	Sub Type	Date	File

Reference

Process	Reference No.	Created By	Created Date

Correspondence Reference

Reference No.	Type	Sub Type	Date	File

Submitted By WPC

Name *

Date *

Time *

Confirmed By

Signature

Clear

RFI Received By Consultant RE

Acknowledge *

Name *

Position *

Company *

Signature

Clear

Time *

Date *

Attachment *

Remarks *

Applicable for RE? *

RFI Approval

RFI Accepted for Inspection? *

File

*Accept multiple files with 60 MB limit

Remarks

Part B - Inspection

Type of Work Inspection? *

Remarks

Name *

Position

Date *

Part C - Inspection Approval

Your request to proceed with the above mentioned work (tick item applicable):

Remarks (please state reasons)

Attachment

Supporting Document

Require Supporting Document?

Approved Date

Issued By

Time

Attachment

Remarks

Recommendation

Recommend?

Remarks

Recommended By *

Date *

Acknowledge By SOR

Verify?

Yes No, Provide Supporting Document Reject

Attachment

Remarks

Verify By

Signature

Clear

Date