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Material Inspection Request

This document is a Material Inspection Request (MIR) for the project 5218794-MBS City Non-Profit, detailing the material specifications, delivery information, and required approvals. It includes sections for contractor certification, inspection by the consultant, and comments from the engineer. The document emphasizes that approval does not relieve the contractor of their obligations under the contract and local regulations.

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Huan Phung Quang
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13 views1 page

Material Inspection Request

This document is a Material Inspection Request (MIR) for the project 5218794-MBS City Non-Profit, detailing the material specifications, delivery information, and required approvals. It includes sections for contractor certification, inspection by the consultant, and comments from the engineer. The document emphasizes that approval does not relieve the contractor of their obligations under the contract and local regulations.

Uploaded by

Huan Phung Quang
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Supervision Consultant: The Employer: The Contractor:

Project: 5218794-MBS City Non-Profit - ilmi Main Works

Ref. [Link]/EW/<XXX>
Material Inspection Request Rev. No.

Originator of MIR Date:

Location of storage/Insp. [Link]:

Authorised Sign: [Link]

Type of Material Architectural Structural Electrical Mechanical HVAC

Infrastructure Landscape Interior Design Others (Specify)………………………

Material Details Manufacturer /Supplier Details


Material Description: Manufacturer:
Material Submittal Ref: Manufacturer Date:
Material Approval Code Batch No:
Specification Ref: Country of Origin:
Drawings Ref: Supplier:
BOQ Ref: Delivery Note No:
Area of Use: Delivery Date:
Storage Requirements: Quantity Delivered:
Attachments: Contractor's QA/QC Checklist Delivery Note Material Submittal Others (Specify)……………

The Contractor hereby certifies that the material delivered is in accordance with the approved material submittal, drawings , specification and local authority
regulations.

Contractor's QA/QC Engineer Sign: Date:

Contractor's PM Sign: Date:

AtkinsRéalis Received Sign: [Link] 5218794/R13-

AtkinsRéalis
Engineer's comments

Inspected By: Date:


Checking and approval by the Consultant / Sub consultant / Employer shall not relieve the Contractor of his obligation to per form the work in accordance with the
Contract Documents, Requirement of Safety, and Local Authorities regulations.

AtkinsRéalis Resident Engineer's Comments:


Code A - Approved
Code B - Approved with Comments

Code C - Revise and Resubmit

Code D - Rejected

Code E - For Information

AtkinsRéalis RE Sign: Date:

Ref. No 5218794/R12-

Contractor Received Sign: Date:

SITE OPERATIONS Form No.SQP09/FM/003, Rev 00

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