UME BUILDERS SDN BHD
REQUEST FOR INSPECTION (RFI)
Contractor's Company Name : UME BUILDERS SDN BHD Document Reference No. :
Revision No. : 0
Title of Document : Request for Work Inspection
Page No. : 1
Works :
Title of project with
PIPE JACKING (PJ) / OPEN CUT (OC),
the Contract
PUMP STATION (PS) / DECOMMISION (D)
Package no. :
Attention to : Requested No. :
Distribution List : Day :
Date :
Time :
Inspection Date :
Inspection Time :
Details of Work
Description of Works to be Inspected :
Location of Works to be inspected :
Attached Relevant Approved Construction Drawing :
Attached Inspection Forms :
Inspection requested by :
Sub Contractor : (if applicable) Contractor :
Signature : Signature :
Name: Name:
Date : Date :
Acknowledgment response Received and Acknowledgment by :
Consultant's RE :
Request for Inspection incomplete -
resubmit Request for Inspection Signature :
Inspection is postponed, resubmit Request Name :
for Inspection Date :
Time :
Inspection date acknowledgment and
distribution to:
Other consultants (if applicable)
Client / ERA
Inspection response Refer Inspection Forms :
Inspection passed. Work allowed to proceed
Inspection failed. Rectification required.
See NCR ____. New Request for Inspection to be submitted
Inspection date acknowledgment and distribution to :
Consultant's : Witness : Witness :
Signature : Signature : Signature :
Name : Name : Name :
Date : Date : Date :
Acknowledgment by :
Sub Contractor : (if applicable) Contractor :
Signature : Signature :
Name : Name :
Date : Date :