PESTECH SDN BHD                                                                                                                        Form No.
: P15-1N
                                                                                                                                            Rev. No. : 0
Project         : Sibiyu 132/33 kV Substation Project                                            Contract No.        : PLS 150129
Client          : Sarawak Energy Berhad                                                          Date                :
                                                          REQUEST FOR INSPECTION FORM
To              : Sarawak Energy Berhad
Requested by :                                                                           Received by :
Date/Time :                                                                              Date/Time :
The following works are/ will be ready for inspection at ______________________ (time) on _____________________ (date)
                                                  INSPECTION CHECKLIST - SEWERAGE
Zone            :                                                                                Structure           :
Gridline        :                                                                                Element Level       :
      A         Inspection Items
                                                                                 Acceptability
     Item No.                           Description                                                              Remarks & Rectification
                                                                                Yes            No
       1        Material
       2        Setting out
       3        Excavation and leveling
       4        Shoring/Slope
       5        Pipe handling/Laying/Cutting
       6        Pipe joint
       7        Backfilling and compacting
            B Inspection Response
                             Inspection passed, works are allowed to proceed.
                             Remedial work listed to be carried out. No further inspection required.
                             Remedial work listed to be carried out. Re-inspection required.
            C Remedial Action
                    Inspected By :                             Review/Surveillance By :                                  Witness By:
         Site Supervisor / Site Engineer              Clerk of Work (C.O.W) / QAQC Engineer                       Client Representative
Name:                                             Name:                                                  Name:
Date:                                             Date:                                                  Date:
Effective Date: 1/12/2014