CWIR Ref. No.D09-C01-XXXX(TOWER NAME)-CWIR-XX(DISCIPLINE)-XXXX(Sequence Number i.e. 0001)

Indicate Nature of Inspection:

Date: Time :

Date: Time :

Date: Time :

POSITION SIGNATURE

Name SIGNATURE

Name SIGNATURE

LEGEND :

CONTRACTOR WORKS INSPECTION REQUEST (CWIR)

Details Of Inspection SECTION A

ALL INSPECTION REQUESTS SHOULD BE SUBMITTED TO PMC, AT LEAST 24 HRS BEFFORE ITS COMMENCEMENT.

Inspection Location :

Description of Works to be Inspected: (attach copy of the approved drawing highlighting the item/area offered for inspection )

Drawing(s) Ref: Specification Ref: IS Code Ref:

Inspection Schedule:

Submitted by:

Received by:

Clearances from various disciplines of the ContractorCOMMENTS DATE & TIME

CIVIL & SURVEY

ARCHITECTURAL

MEP WORKS

OTHERS (Specify)

Confirmation Of Contractor's QA/QC Final Inspection/Certification SECTION BWe certify that the work(s) for which the inspection of witness has beeen sought is being fully coordinated with other disciplines and is in

compliance with project specifications, approved drawings, Method Statement, Contract Documents and ITP. All necesssary action has been

taken to make the area safe. The formwork being used is designed by competent department of L & T, placed after. PMC & Consultants inspection

shall be as a witness to the execution of the works. We understand that checking and approval by the Consultants/PMC shall not relieve the

Contractor from his obligations to perform the work in accordance with the Contract Documents, Requirement of Safety, and Local Authorities

regulations.

If 'No' , report the NCR. NCR ref : ______________

Signed by the Contractor's QA/QC Manager : DATE:

Consultant's Comments: SECTION CCOMMENTS DATE & TIME

PMC (HILL) Comments: SECTION D

NOTES:

Section A to be completed by the Contractor before submission to PMC(HILL).

Consultants to complete Section C and return to PMC(HILL).

PMC(HILL) to complete Section D and return a copy of CWIR to the Contractor.

COMMENTS DATE & TIME

YES NO

H -Hold Point S - SurveillancePoint W -Witness Point

PT - Post-Tensioning

ME - Mechanical

ST - Structural

EL - Electrical

MP - Masonry/plaster AR - Architectural

PL - Plumbing

CI - Civil

LA - Landscaping

ITP Activity Ref :

ONE ICC & TWO ICC

OTH - Others, specify

A B C

A B C

A - Approved B - Approved with Comments C - Not Approved

A B C

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