Project :
Jabatan Kerja Raya SARAWAK
Contract No. :
APPROVAL CHIT IT NO. :
(EARTH WORKS / PAVEMENT WORKS / DRAINAGE WORKS / BRIDGE WORKS / OTHER WORKS)*
PART A : (To be filled by Contractor)
From : PROJECT MANAGER / CONSTRUCTION MANAGER / SITE AGENT * (Contractor)
To : RESIDENT ENGINEER / ASSISTANT RESIDENT ENGINEERQUALITY ASSURANCE ENGINEER *
We request for inspection and permission to proceed with the following
work;
Submitted by :- Signature : Checked by :- Signature :
( ) Project Manager/Construction Manager/Site Agent*
Time : Date : / /
PART B : (To be filled by Consulting Engineer/Engineer's Staff)*
Received by:- Signature : Time : Date : / /
Name :
Comments :-
Survey & Setting Out : Inspection of Prior Work : Testing of Prior Work :
Signature : Signature : Signature :
(Survey Technician/COW) (Clerk of Works) (Laboratory Technician)
PART C : (To be filled by Engineer / Quality Assurance Engineer)*
From : RESIDENT ENGINER/ASSISTENT RESIDENT ENGINEER / QUALITY ASSURANCE ENGINEER *
To : PROJECT MANAGER / CONSTRUCTION MANAGER / SITE AGENT * (Contractor)
Your request to proceed with the above mentioned work IS APPROVED
*
IS NOT APPROVED
Remarks :
Received for Contractor ; Signature :
PM/RE/ARE/QAE *
Time : Date : / /
Signature :
Project Manager/Construction Manager/Site Agent*
Neither the endorsement of this Form nor anything written on it is intended to convey final approval for
Time : Date : / / any part of the Works, nor does it relieves the Contractor of his responsibility to comply with the quality
requirements of the Works.
* select as appropriate