Material Inspection Request (MIR)
Contract Title:            Block Work Package A of Al-Khiran Outlet Mall
Contract No.:              Plot No. (4151)
Sub Contract No.:
Employer:                  Tamdeen Al-Khiran Co.
Supervision
                           SSH Engineering Consultant Group.
Consultant:
Contractor:                Alghanim International General Trading & Contracting Co.
Sub Contractor:            Al-Kalah Al-Kuwaitiya General Trading & Contracting Co.
                                               Revision
Reference No.:             MIR/KOM/AR/                    0                Date:     XX-XX-XXXX
                                               :
Note: Copies of all documents referenced below are to be attached with this Inspection Request.
Description of Material:
Material Approval No.:
Material Quantity:
Technical Submittal No.:
Specification or Contract Document
Reference:
Manufacturer (Name & Address):
Supplier and / or Local Agent:
Area / Location of Use:
Inspection by Sub Contractor’s QA/QC Remarks:
                                               Signatur
Project Manager:                                                             Date:       XX-XX-XXXX
                                               e:
Action Code:
☐ A - Approved                                     ☐ D – Additional Information Required
☐ B - Approved As Noted                            ☐ E – Information Required
☐ C – Rejected                                     ☐ BR – Approved with Comments – Resubmit
Supervision Consultant Comments:
Supervision Consultant: ________________                                           Date: _______________
Distribution:
To                                                     Original                          Copy
Employer (optional)      ☐   ☐
Supervision Consultant   ☐   ☐