CHB Laying Request Form

Download as xls, pdf, or txt
Download as xls, pdf, or txt
You are on page 1of 1

PROJECT DATE

CONTRACTOR

REQUEST NO.
CHB LAYING REQUEST

CONTRACT NO. BUILDING / AREA LEVEL

GRIDLINE / AXES (Attach Key Plan if Necessary) STRUCTURE INSPECTION TYPE

¨ Preliminary ¨ Final

SCHEDULE TIME SCHEDULE DATE DESCRIPTION OF WORKS TO BE INSPECTED

Confirmation of request / persons to be present during inspection (route this form to all the people needed during inspection)
NAME COMPANY DESIGNATION DATE

To be filled out after inspection


CHECK LIST Contractor DCMSI Remarks

Line and Grade

Plumb, Level

Reinforcements

Inserts

Sanitary / Plumbing

Mechanical

Electrical

Others

CHECKED AND VERIFIED


TRADE REMARKS
CONTRACTOR DATE DCMSI DATE
Architectural

Structural

Electrical

Mechanical

Sanitary / Plumbing

Fire Protection

Others (Specify)

CQC Recommendation/s
ACTION ü REMARKS / CONDITIONS
For Final Inspection / Testing ¨

Proceed with Work Requested ¨

Do Not Proceed with Work Requested ¨

Others __________________________ ¨

REQUESTED BY: (CONTRACTOR) APPROVED BY: (CONTRACTOR)

CQC Project Manager

NOTED BY (ACSI)

Engineer-in-charge Construction Manager


DATE: DATE:

You might also like