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NO:

Unless otherwise approved,this inspection request form shall be submitted during

the daily morning meeting among LTA,Contractor and QP(S)

Contractor: Project:

To: Date:

LTA Time:

The work described below has been inspected by our Site Engineer and is complete

and ready for your inspection. A checklist is attached overleaf.

Location

Checked and Requested By:

Chainage

Activity

Drawings Used for Construction

Other Description

The meeting noted that the information provided by the Contractor is adequate/not adequate*.

QP(S) may proceed Request Rejected

* delete where appropriate

INITIAL INSPECTION DECISION BY QP(S)

We have inspected the above referenced works and found them acceptable. You may proceed.

However, please return the completed checklist upon completion of the remaining work.

You cannot proceed. Please carry out corrective works as noted on the checklist and

submit a fresh request for inspection.

Other comments:

RE/RTO Name & Signature/ Date

FINAL INSPECTION BY QP(S)

Work approved to Start:_________________________ Work Completed on:____________________

LTA

The above process for request for inspection of work by Contractor and approval by QP(S) in noted.

LTA's representative/Date/Time

INSPECTION REQUEST FORM FOR GROUTING WORKS

SAMWOH CORPORATION PTE LTD SK E&C

ER296-CONSTRUCTION AND COMPLECTION OF SENTOSA

GATEWAY TUNNEL FROM TELOK BLANGAH ROAD TO KEPPEL

ROAD / KAMPONG BAHRU ROAD/ LOWER DELTA ROAD AND

ASSOCIATED ROAD WIDENING WORKS INTERCHANGE

Contractor's PM Name & Signature

_____________________________________

QP(S) Name & Signature/Date

7/27/2019 IR for Grouting

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