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Inspection Work Request (IWR) Form

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0% found this document useful (0 votes)
190 views

Inspection Work Request (IWR) Form

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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M : +63 928-507-1740 / +63 939-924-

LGB ECBS Inc. 6040


T : +632 835-23409 / +632 8352-3407
E : [email protected]
Unit 506, 105 Prince Gregory Condominium, 12th Avenue, : [email protected]
Brgy. Socorro, Cubao, Quezon City, Philippines 1109 : [email protected]

Reference No.:

Project Name:

From: Position/Company:

Date of Request: Date and Time of Inspection:

Type of Inspection: (PFT, FPT, PCO) System ID/Location:

IWR requirements checklist:


 Approved submittals (equipment, materials, etc.)
 Approve shop drawings (equipment layout setting, schematic dwgs, control diagrams, etc.)
 Testing instruments list
 Testing instruments calibration certificate
 Testing methodology
 Test forms
 Factory test report, Start-up test report, etc.
 Others (specify)

Remarks:

Requested by (Contractor):

____________________________
Signature over Printed Name/Date
Approved by RLC:

____________________________
Signature over Printed Name/Date
Noted By (LGB ECBS INC.):

_____________________________
Signature over Printed Name/Date
Note:
All documents needed must be provided prior to inspection commencement.

 Commissioning  Testing Adjusting & Balancing  Commissioning Management  Equipment Performance  MEPF Condition
 MEPF (TAB)
AgentConstruction Management  DALT (Duct Air Leakage  Fire & Life Safety Testing  IAQ (Indoor Air Quality Survey
 Thermal
Test) Test) Imaging
OP form#1 / Rev.05 / February 2023

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