Development of Muscat International and Salalah Airports

INSPECTION REQUEST FORM

IR no:SA-LTG-05EL-INR-73464Rev.no: 02Date:27.04.2015

Contract no.:MC- 5Contractor:LTG

Originator :Suresh BalakrishnanSubmitted to:Hill International

Inspection Date/ Time:28.04.201511 AMSub-Contractor:

Discipline:ELArea:Grid-105

Type of workPermanent/External/OtherSite:Onsite/Offsite

Location & Elevation :- Document Reference No. & Rev No.

Zone-16

MST:SA-LTG-05EL-MST-0129 Rev 02

ITP:SA-LTG-05CW-ITP-014 Rev 01

IFC Drawing:SA-LTG-LPLA-P-020GOXX-04044-BSA-LTG-LPLA-P-020GOXX-04025-D

Other: eg Spec

Item to be inspectedType of inspection

Installation of land scape lighting luminaries Type A1

Witness

Hold

Contractor Representative

Sub-Contractor Initiator:Sign.:Date:

Sub-Contractor Quality :Sign.:Date:

Contractor Initiator: SalimSign.:Date: 27.04.2015

Contractor Quality :MinojSign.:Date: 27.04.2015

Engineer Inspection comments

InspectiondateDesignationCommentsSignature

Site Surveyor

Site Inspector/ Engineer

MaterialInspector/Engineer

Remarks:

FINALSTATUS CODE

EngineerRepresentativeName:Date:

Signature:

Notes: Engineer inspection shall only occur after the Inspection File is signed off by the Contractor QC Representative confirming the acceptance of the work.STATUS CODE: A- Approved : B-Approved with comments : C- Rejected : W-Witness

SA-LTG-05AP-TEM-0015_Rev04 dt. 07.01.2013