WORK INSPECTION REQUEST

WORK INSPECTION REQUEST

Project Title *

Project Code *

Section *

Package/Section Code *

Action *

New Submission

Resubmission

Organization *

Project *

WPC *

Document Code *

Year *

Work Discipline *

Level 1 *

Level 2

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

Reference

Process	Reference No.	Created By	Created Date

Submitted By

Name *

Date *

Time *

Signature

Clear

WIR Validate

Approve? *

Yes

No, more information required

Remarks

Name *

Position *

Company *

Signature

Clear

Time *

Date *

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):

*

Approved

Rejected

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? *

Approved By

Name *

Time *

WIR Approval

Approve? *

Name *

Time *

WIR Close

Remarks

Name *

Time *

Date *

	PROCESS	REF. NO.	CREATED BY	DATE CREATED	SUBJECT	DESCRIPTION	VIEW

	REFERENCE NO.	TYPE	SUBTYPE	DATE	STATUS	CREATED BY	FILE