ABCDEFGHIJKLMNOPQRSTUVWXYZ
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company name
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company detail
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REQUEST FOR INSPECTION - TESTING & COMMISSIONING
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Project:
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Project No.
:Date:
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Client:Ref. No.:
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Consultant:Rev. No.:
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To the Consultant Engineer`s Attn.:
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 We request your attendance to inspect the below mentioned works:
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ElectricalELVHVACPlumbing/DrainageFire Fighting
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1. Inspection Level:6. Inspection Date:
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2. Type:7. Inspection Time:
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3. Works Involve:8. Location:
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4. Drawing Ref.:9. Specification:
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5. Const. Zone:
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Description of Work:
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For the Contractor:
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Name:
Designation:
Signature:Date:
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Engineer`s Action/Comments:
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The above mentioned installation is checked based on the following check list criteria:
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a) Material used as per approved submittal
YesNo
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b) Any kind of physical damage
YesNo
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c) Size / Model no as per approved shop drawings
YesNo
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d) Installation carried as per approved shop drawing
YesNo
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The above material has been inspected on site and found at time of inspection to be:
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SatisfactoryUnSatisfactory
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for incorporation in the permanent works.
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Remarks:
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Inspected By:
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Name:Signature:Date:
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Action Code:
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□ Approved □ Approved as Noted □ Revised -Resubmit □ Rejected□ Receipt for Acknowwledge
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Received by Contractor:
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Name:
Signature:
Date:
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