REQUEST FOR WORK INSPECTION
PROJECT : D'IMMERSIONE PROJECT REF : DUTAMAS 1
ATTN : RE INSPECTION NO : AX/NSC/M&E/CWSP/ /
COMPANY : Dynamic Jaya Plumbing Sdn Bhd REQUEST DATE : / /
PART A
The following works are ready for inspection at :
DATE : TIME :
The work is intended to commence at:
DATE : TIME :
DETAILS OF WORK :
Location : JALAN DUTAMAS 1
Zone : 12 Level :2 Gridline : 6-4/N-P
Drawing Reference :
DESCRIPTION OF WORKS :
1. Installation of 2nos 110mm upvc pipe sleeve for Floor Trap and WC
2. Installation of 1nos 50mm upvc pipe sleeve for Basin
3. Installation of 1nos 200mm upvc pipe sleeve for Main stack Soil Pipe, 2nos 110mm for FT and Stack in HR
Requested by: Reviewed by: Received by:
DYNAMIC JAYA PLUMBING &
CONSTRUCTION SDN BHD AXVENTURE SDN BHD ZEAL PERUNDING SDN BHD
Subcontractor Representative Main Contractor COW /RE/RA
Signature : Signature : Signature :
Name : Name : Name :
Date / Time : Date / Time : Date / Time :
Part B Inspection Response
CODE
Inspection passed . Work is allowed to proceed. A
Remedial work as stated below to be completed but no further inspection required. B
Remedial work as stated below to be completed and further inspection required. C
Inspection is postponed, a new inspection form to be issued. D
Comments:
Inspected by : Verified by :
COW/RE/RA COW/RE/RA
Name : Name :
Date : Date :
Part C Re-inspection Request date :
The following works are ready for re-inspection at, Date :
Time :
____________________________ Pass
COW/RE/RA Rejected
Signature :
Date :
INSPECTION CHECKLIST FOR PIPE SLEEVE INSTALLATION
Project JALAN DUTAMAS 1 Inspection No. AX/NSC/M&E/CWSP/ /
Golden Showcase-Axventure-DJ Location/ 6-4/N-P
Project Ref. Gridline:
DYNAMIC JAYA PLUMBING & CONSTRUCTION SDN BHD
Contractor Drawing Ref.
Level Date & Time
No. Item To Be Checked STATUS Remarks
YES NO
1 Material used according to specification and requirement
2 Position installed according to approved drawing
3 Pipe sleeve installed according to C&S requirement
4 Puddle flange installed according to the approved drawing,
material, specification and requirement
5 Bracing/bonding method accordingly to specification and
requirement.
6 Cleanliness and tidiness done accordingly
STATUS : YES - Acceptable NO – Unacceptable
Non-Conformance : Correction :
Re-inspection : Remarks :
Checked By: [Sub-con's Rep.] Checked By: [Main-con's Rep.] Verified By: [Consultant's Rep.]
DYNAMIC JAYA PLUMBING & AXVETURE SDB BHD ZEAL PERUNDING SDN BHD
CONSTRUCTION SDN BHD
Signature : Signature : Signature :
Name : Name : Name :
Date : Date : Date :
INSPECTION CHECKLIST FOR PIPEWORK INSTALLATION
Project GDP JALAN SETIA BAKTI Inspection No. GDP/NSC/M&E/HYDR/CW/
Project Ref. GDP-ALAMBIA-DJ Location/
Gridline:
Contractor DYNAMIC JAYA PLUMBING & CONSTRUCTION SDN BHD
Drawing Ref.
Level Date & Time
No. Item To Be Checked STATUS Remarks
YES NO
1 Material used according to approved submission
2 Size, type and routing installed according to approved
drawing submission
3 Installation are coordinated accordingly with other services
4 Gradient of pipe followed as per requirement
5 Support/bracket were installed according to the
specification and requirement
6 All pipe joint and connection method done according to the
specification and requirement
7 All fittings such as elbow, tee, valves, strainer, gauges,
accessories ect were installed according to approved
drawing, type and material
8 Insulation of pipe done according to the specification and
requirement
9 Concealed pipe installed according to the approved
drawing
10 Underground pipe installed according to the specification
and requirement
11 Material used for backfilling according to the requirement
12 Identification or painting done according to the
specification and requirement
13 Pipe sleeve and fire seal installed according to the
specification and requirement
14 Cleanliness and tidiness are followed accordingly
STATUS : YES - Acceptable NO – Unacceptable
Non-Conformance : Correction :
Re-inspection : Remarks :
Checked By: [Sub-con's Rep.] Checked By: [Main-con's Rep.] Verified By: [Consultant's Rep.]
Signature : Signature : Signature :
Name : Name : Name :
Date : Date : Date :
Doc. Ref. : CSCEC/GIM/CL/F035 Effective Date : 1 April 2019 Rev. No. :1
