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INSPECTION REQUEST (IR)                                   RECEIPT
                                                                                                          STAMP
                                                         …….. PROJECT
    The following to be prepared by contractor requesting inspection                                             Rev 0
    Ref.No.:       IR                                                                   Date:
    TO:                                                         FROM:
    ATTN:
                                                                 SIGN:
    C.C.
    TRADE :             Civil            Architectural       Electrical          Mechanical           Services
    TYPE AND DESCRIPTION OF WORK TO BE INSPECTED:
        DRAWING REF.            :   _________________________________            ITP REF. ________________
                                                                                            _________________
        LOCATION                :   ________________________________________________________________
        QUANTITY                :   _________________________________            BOQ REF. ________________
                                                                                           _________________
    CHECK LIST ATTACHED: YES                      NO         PREVIOUS STAGE INSP CLEARED:             YES          NO
        IF YES, CHECK LIST REFERENCE NO:                                                DATE:
        CHECK LIST INSPECTED BY CONTRACTORS QA/QC:                        YES                    NO
           CONTRACTOR INSPECTOR'S NAME :
    ATTACHMENTS:
        CHECKLIST                     DRAWINGS               SKETCH
        ANY OTHER ITEM                (SPECIFY)
    COMMENTS:
    The following to be completed by Consultant's Inspector
    INSPECTED AND WITNESSED BY
           CONTRACTOR / SUB                                     CONSULTANT'S
            CONTRACTOR'S                                        REPRESENTATIVE
                NAME:                                           NAME:
        SIGNATURE:                                              SIGNATURE:
           DATE:                                                DATE:
    APPROVAL STATUS
                   APPROVED                                                     WORK NOT COMPLETED (REFER CHECK LIST)
                   APPROVED AS NOTED                                             REJECTED
    Note: Approval of the above Forms/Checklists do not relieve the Contractor from the Contractual Obligations.