WORK INSPECTION REQUEST
WORK INSPECTION REQUEST
Project Title
*
Project Code
*
Section
*
Please Select
Package/Section Code
*
Please Select
Action
*
New Submission
Resubmission
Organization
*
Project
*
WPC
*
Document Code
*
Year
*
Work Discipline
*
Please Select
Level 1
*
Please Choose
Level 2
Please Choose
Serial
*
WIR Ref. No.
*
Revision No.
*
Part A - Inspection Request
Description of Work
*
Date of Inspection
*
Time of Inspection
*
Permit to Work (PTW)
Yes
No
Location
Chainage
+
Gridline
Structure Element
Others
Supporting Document
File
*Accept multiple files with 60MB limit
Document
Reference No.
Type
Sub Type
Date
File
add
Reference
Process
Reference No.
Created By
Created Date
add
Submitted By
Name
*
Date
*
Time
*
Signature
Clear
Review for Submission
Action
*
Please Select
Verify
Resubmission Required
Remarks
Confirmed By
*
Date
*
Time
*
Signature
Clear
Remarks
WIR Validate
Approve?
*
Yes
No, more information required
Remarks
Name
*
Position
*
Company
*
Signature
Clear
Time
*
Date
*
Part B - Inspection
Type of Work Inspection
*
Please Select
Inspection
Survey
Testing
Remarks
Name
Position
Date
Part C - Inspection Approval
Your request to proceed with the above mentioned work (tick item applicable):
*
is Approved
is Not Approved due to the following reasons and re-inspection is required
Remarks (please state reasons)
*
Attachment
*Accept multiple files with 60MB limit
Approved Date
*
Issued By
Name
*
Time
*
Provide Evidence
Attachment(s)
*
*Accept multiple files with 60 MB limit
Remarks
Submitted By
*
Time
*
Date
*
Evidence Approval
Evidence Complete?
*
Please Select
Yes
No, evidence incomplete
Approved By
Name
*
Time
*
WIR Approval
Approve?
*
Name
*
Time
*
WIR Close
Remarks
Name
*
Time
*
Date
*
Submit
10
20
30
40
50
100
Process
DCR
INC
LA
LE
LI
MS
MA
NCR
NOI
PUBC
RFI
RR
RS
RSDL
SA
SD
SDL
SMH
WIR
Show
PROCESS
REF. NO.
CREATED BY
DATE CREATED
SUBJECT
DESCRIPTION
VIEW
10
20
30
40
50
100
Type
Sub Type
Show
REFERENCE NO.
TYPE
SUBTYPE
DATE
STATUS
CREATED BY
FILE