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The Work Inspection Request (WIR) Form details inspections for the construction of the access road 15W, focusing on embankment filling and compaction. The contractor has confirmed the work's compliance with specifications and is ready for QA/QC inspection. The document includes signatures from relevant engineers and managers, indicating the inspection process and necessary approvals.
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Work Inspection Request (WIR) Form
Contractor
i Revs
ork specton | 10.65261-11000ne-tAC-cW. wR. | EO" | Re.0,
Ragusa No, 9900099 cate | OBOOIL
s Site Preparation Framework/Temporary | Contract
Project Name | access Road 15W (0-10 KM) Number. imac
Contractor | ALAyunt investment & Contrading
as Company (Ate Region Western Road -15
Description of Date oF
works to be | Filling to Embankment (2% layer) & | Inspection Oe eel
inspected compaction to 95% Modified proctor Time OF | 9. 30AM
and/or testing Inspection
Location ‘STA 0+400 TO STA 0+550
Weivit [Architectural [J Mechanical [1] Electrical
Discipline
other (speciy)
prawings [2] inspection Test Plan De|check list [“] Method Statement [_] Calibration
Attachment(s) _| [_]survey Report [_] As-Built Drawings ["] Material inspection Request [_] Material Submittal
I [other (specify)
Point oF
inspect & vol Clwitness
‘Site Engineer (ready for QA/QC Engineer's inspection and/or
testing) Eaves Ono a
1
Adham Magdy oz op-20ek
Signature Date
Qc Engineer
Comments. _
‘QC Engineer (ready for inspection and/or testing) ves Ono
Irfan Ullah 07-09-2021 09:15
senate OPO Dae Tine
The contractor has verified that the work to be inspected is complete and in compliance with specifications,
Approved Drawings, Method Statement and Quality Control Plan, IT & Quality Checklist.
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Manager's Muhammad Siddique Malik Date 07-09-2021,
[Bevin He8
Work Inspection Request (WIR) Form
Project Management Consultant (PMC) Enterprise Project Management Consultant (EPM)
spector/Engineer
Signature
PMC/EPM Comments
PMC/EPMs Decision | [_] Works ready for inspection Dork is not ready for inspection
PMC/EPM —
eee [one |
Signature |
ETSD (Q&E)
Received by,
SA Prov |
Date
Comments
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QA/QC Specialist / Supervisor
‘Comments
QA/QC Specialist /
Supervisor Name
Signature
Received by Contractor (In case of hard copy)
Name Date
Signature|
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Work inspection Request (WIR) Form
Contractor
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Request No. | 0000101 Date | 08-09-2028
. Site Preparation Framework/Temporary | Contract
Project Name «| socess Road 15W (0-10 Mh Number | [Link]-005
Contractor ALAyuni Investment & Contracting | »
Nama: Company (AICC) Region ‘Western Road -15
Description of Date of
| works to be| Checking of survey works for | Inspection _| 08-09-2021
inspected Embankment 2» layer Time of
and/or testing Inspection _|.09:45 4M
Location ‘STA 0+400 TO STA 0+550
Bi civ 2 architectural [] Mechanical [] Electrical
Discipline
. Cother (specify)
Drawings [X] inspection Test Plan Px|Check list [] Method Statement [[] Calibration
Attachment(s) | Dxlsurvey Report [_] As-Built Drawings [] Material inspection Request [_] Material Submittal
Coother (specify)
Point of
eee Holt Lwitness : ;
Site Engineer (ready for QA/QC Engineers nspecion and/or | ra v.- Ono
testing)
‘Adham Magdy
Signature Date 07-09-2021 Time 09:30
QC Engineer
Comments =
‘QC Engineer (ready for inspection and/or testing) Dives Ono
Irfan Ullah all
signature OD Date 07-09-2021 Time 09:45
‘The contractor has verified that the work to be inspected is complete and in compliance with specifications, |
Approved Drawings, Method Statement and Quality Control Plan, IT & Quality Checklist
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Manager's Muhammad Siddiqye Malik Date 07-09-2021
Name :
Signature
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PMC/EPM Comments
PMC/EPM's Decision | [<}wWork is ready for inspection Di workis not ready for inspection
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Representative Name
Signature
ETSD (Q&E)
Received by QC Inspector/Engineer
Signature Date
‘Comments
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Decision (A Work May Proceed ‘ond Bi at ea
Date
‘QC inspector /
Engineer Name
Signature
QA/QC Specialist / Supervisor
‘Comments
QA/QC Specialist 7
‘Supervisor Name
Signature
Received by Contractor (In case of hard copy)
Name Date
Signature
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TEST REPORT FOR IN-PLACE DENSITY AND WATER CONTENT OF SOIL AND
SOIL AGGREGATE TEST BY NUCLEAR METHOD (ASTM D 6938)
in ;_ ho
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|Project Name: |Neom Temporary Road RD 15W(0-10km) ‘Sample Details
[cent Iva seares Stockpile
ATL-21-8000585, |Material Type Embankment |
RELNamber WTR-0000099 sampled by: NA
Sample Receved Dates [WA esting Method ASTM Da
[Test Starting Date: [08-Sep-21 [Testing Location: ‘Sta (0400 10 04550)
fest Competing Date [oe p21 esp ancl nar NA
Report sue Date: _[ossep2i [Customer Request Nos WA
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‘Notes The copyright of hs docuneat I owned By Atallah Ta Banyan Al Salam Baling Mansa Ta Fash
re
‘ith ioe writen approval ofthe company. The et els represent the suited sump only ATCO i fly cw
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