INSPECTION AND TESTING REPORT (ITR)12
Project Title/ Work Title Please write here
Contract No. Please write here
Employer Please write here
Contractor Please write here
Date/ Time IT requested Please write here ITR Please write ITR no. Please write
for Issued here here
Work Item Quality acceptance inspection and/or testing for Flooring
Reference Contract
Clause/Section/Drawing BOQ item 24.03 and Drawing no.XXX - Ceramic tile flooring
no./BOQ item no.
Inspection and Testing
ITP item no.
Plan reference no.
Brief status of The workmanship have been routinely inspected by the works inspector and
preceding work the NC issued previously had been addressed and Closed out
Location/Work Item 2nd floor – Columns @ Axis D-F,D-E
1 Request for Inspection and Testing should be submitted well ahead of the planned time for inspection/testing –
typically 24 hours prior.
2 This template serves or the same as the common Request for Inspection and Testing (RFIT) template.
INSPECTION AND TESTING REPORT 1 of 2 XXXXX
Employer’s Representative’s Assistants’ Inspection/Testing comments
Role/ Function Comments Signatures
The measurement and visual inspection satisfies the
QA Team Lead requirements. Measurement and inspection result
attached herewith.
Surveyor The level satisfies the requirement
Laboratory
Minor corrections are needed at the finishing edge
Technician
Material
Okay… approved material is used
Inspector
HSSE officer Okay…adequate HSSE observance
The work/ materials are:
Approved
Approved as
noted
Rejected
(The inspection and testing conducted indicates satisfactory result)
Employer’s Representative (or authorized Employer’s Representative’s Assistant)
comments:
Name
Signature
Date
The contractor’s representative
Name
Signature
Date
INSPECTION AND TESTING REPORT 2 of 2 XXXXX