JGC TEMPORARY FACILITIES SBC, SBN & SBS

HASSI R’MEL BOOSTING PHASE III,ALGERIA

JOB CODE : 0-7577-20

REQUEST FOR INSPECTION

JOB CODE: 07577-20 Discipline: Electrical

IT E-
RFI No:IT CSSI - # #

Sub-Contractor: CSSI Area/Location : SBC

Intervention SC JGC
Date of Inspection: /10/../2018
/2017 Time of Inspection: H Points H W

ITP No: HRM3-TF1-CSS-ELE-ITP-0003

IT ITP Item No:
Visual Inspection for installation of distribution of panel(cable
Inspection Activity/Description: CABLE DRESSING AND ARRANGEMENT,Insulation rsistance and continuity test and record
& material)(before backfiling)
Inspection Item/Tag Number : RCB (2 panel)
Drawing & Rev No: Refer to attachments

FOR QUALITY CONTROL DEPARTMENT USE ONLY

Subcontractor QC JGC/JALG
Received and Checked by
RECEIVED & CHECKED BY QCI RECEIVED BY
Name Siaci FOUAD
Abdelmadjid
RAGAB

Contact Mobile No:

Signature

Date &Time /..../2017

RFI on HOLD Report : YES □ NO□ Date: Action : YES □ NO□ Date:

INSPECTION RESULTS (Tick as applicable)

ACCEPTABLE (A) □ ACCEPTABLE WITH COMMENT (AC) □ RFI on HOLD (H) □

CANCELLED (C) □ REJECTED (R) □ NOT READY FOR INSPECTION (NR) □
REASON FOR CANCELLATION/NOT READY FOR INSPECTION/REJECTION

1-Incomplete Work 2-Insufficient documents attached 3- Repeated/unnecessary RFI

4-No action for RFI on Hold 5-No Power Supply available at site 6-PTW not available

7- Safety Issues 8- Test Crew not available 9- Test Equipment not available

10- Material not as per data 11-Unacceptable Test 12-Violation of ITP

sheet/drawing Procedure/Result
13-Poor Workmanship 14-Spec. Violation 15-Installation not as per drawing

16- Other Comments/Remarks:

Punch List Number (if any):

Record
Sub-Contractor QC JGC/JALG
Acceptance
Name Siaci Fouad Ragab
Abdelmadjid
Signature

Date .../.../2017