Rin - Audio Intercom For Icu Hdu Ccu

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Form no.

: F/A/08-1

AFTER IMAGE SDN BHD


HOSPITAL TANAH MERAH
REQUEST FOR WORK INSPECTION (RIN)
REF RIN NO: HTM/RIN/ELE/ELV/ Date:

PART A (Main Contractor Submission)


Date & Time for Inspection : Ref. Drawing / Spec etc

The work is ready for inspection on at am/pm.

REFER ATTACHMENT

The work is intended to commence on at am/pm.

Description of work :

Location/Level : MAIN BUILDING LEVEL 3 (ICU HDU CCU)

Grid line : A~G/6~27

Type of work : INSTALLATION OF AUDIO INTERCOM SYSTEM FOR ICU HDU CCU

PART B (Request) by Contractor PART C (Acknowledge Receipt) by Consultant

Name & stamp : MOHD HAKIMIN BIN MALIKI Name & stamp ………………………………..
:

Signature : Signature ………………………………..


:

Date : Date ………………………………..


:

PART D (Inspected By Consultant)

Tick ( √ ) where appropriate

Inspection passed. The contractor is allowed to proceed with works.

Remedial works listed below to be completed and inspection is required afterwards.

Rejected.

** refer to attached inspection checklist

Comments/Remarks:

Inspected by : (RA / ARA / RE / ARE / IOW) Verified By : (RA / RE )

Signature: Signature:

Name: ________________________ Name: ________________________

Date: _________________________ Date: _________________________

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