Inspection Request ( IR )
Employer Consultant Contractor
PROJECT : SOUTH Road OF SIRT
To be filled by Arabella
Libya-N.D.A-ARK
Rev:- BOQ Item No:- Shop Drawing Ref#:- Attachement :-
-ROAD-SOUTH-MAR
We Certify that the following work has been constructed in accordance with the contract requirements, specifications and is available for inspection:
item: Insp. Date 03 /09 /2025 Insp. Time:
We request to inspect the following section works :-
TYPE OF WORKS:-
1 - Survey 5 - Sub Base
2 - EarthWorks 6- Sub Grade
3 - Base corse 7- EMB
4 - MC 8 - Others
Description of works to be inspected :- ) إحالل صخري ( االتجاه األيمن Site Engr:
from st 37+540 to st 37+690 Const. Manager :
To be filled by the Consultant
Received by:- Eng. / Date Received: - - 2024
Comments
Section Signature :
A-Approved B -Approved as noted C -Rejected
vision inspection
Mat Engr
Survey Engr:
CONTRACTOR CONSULTANT
Received: Department Head:
Signature and Date: Signature and Date: