WORK INSPECTION REQUEST - (WIR)
Project Name WIR/ ITR Ref.No:
Project Code Rev. No:
Client/Employer WIR /ITR Submission
(Date & Time)
PMC/Engineer Inspection
(Date & Time )
Contractor WIR/ITR Submitted To: (Name of the organization)
Vendor Code WIR/ITR Submitted By: (Name of the organization)
Material code
Part A: By the Contractor:
Location Reference for the Inspection : Discipline:
Tower / Block Ref: Surveying Structural /Civil
Floor Level : Room/Area Ref: Mechanical Arch/ Finishing
Grid Reference : Electrical Landscape
Measurement Qty update (Unit: Cum/Sqm/Nos) : Plumbing Facade
Previous Qty : Current Qty: Cumulative Qty: Others(Specifiy) ID
Description of works / activity for which Inspection is requested for:
Drawing attached to show the location(s) Yes No N/A Method statement /ITP attd Yes No N/A
Attached Test Certificates / Reports Yes No N/A Checklist Sheet attached Yes No N/A
Specifiy Drawing Ref No: Yes No N/A Joint Measurement Sheet attd Yes No N/A
Other Sections' Comments & Sign-off: ( Where ever applicable based on scope)
Section Name Date Designation Signature Comment's If Any
MEP Clearance
Surveyor Clearance
Interface Clearance
Contractor Manager / Engineer Comments:
Contractor Manager/Engineer: Ready for
Lodha inspection and/or testing on:
Date: Time: Signed by:
Part B: Lodha/PMC
Received by Lodha/PMC on: Date: Time: Signed by:
Option- A (if Civil / Architectural / Landscaping Inspection) Option- B (if MEP Inspection)
A1) MEP Manager (First Level Approver) For MEP Clearence (B) MEP Manager Comments :
MEP Manager Comments :
A2) Tower /Building In-Charge (Second Level Approver) authorized to give approval status
Comments :
Code 2 Code 3 Code 4
Code 1 Conditionally approved. Work may proceed
Revise & Resubmit. Work may not For information and records only.
Work may proceed and resubmit incorporating comments
proceed. Work may proceed.
indicated
Name: Signature: Date: Time:
Name: Signature: Date: Time:
Template Ref: CO-LOD-GENE-QU-CN-TMT-001, Rev- 01, Date: 04-10-2023