INSPECTION FORM FOR RAINWATER WORK REF:NO:

Project: Block

Location: GRID To: (Marked Plan to

DESCRIPTION OF WORK

CHECK 1st 2nd 3rd DESCRIPTION OF DEFECTS, IF AN

(To Be Completed by RTO) (To be completed by RTO)
√=OK X=Not OK
1.Control line Name & Signature of RTO (1st Inspection):
2.Grid Line
OVERALL

3.Dimension
4.Bakau Piling / Thicker Base /
1.Condition/Gaps
2.Position
3.Fixity / Bracing
4.Level
FORMWORK

5.Plumb Date: Time From: Time

6.Storey Height Name & Signature of RTO (2nd Inspection):
7.Cleanliness
1.Position
2.No. & Size
3.Anchorage / Lapping
REBARS

4.Cover
5.Cleanliness
1.Watertightness Test
2.Concrete Haunching Date: Time From: Time
Name & Signature of RTO (3rd Inspection):
& HAUNCHING
WATERTEST

Date: Time From: Time

I hereby certify that I had duly checked and satisfied that all works are constructed in accordance with drawings and Spec

Name & Signature of Contractor's Representative Date

Approve / Disapprove* Remarks By Resident Engineer / RTO

Name & Signature of Resident Engineer / RTO

Date : Time From : Time To

 (Marked Plan to be attached)

F DEFECTS, IF ANY
pleted by RTO)

t Inspection):

om: Time To:

d Inspection):

om: Time To:

d Inspection):

om: Time To:

h drawings and Specification.

Time
INSPECTION FORM FOR MINOR SEWER WORK REF:NO:

Project: Block

Location: GRID To: (Marked Plan to

DESCRIPTION OF WORK

CHECK 1st 2nd 3rd DESCRIPTION OF DEFECTS, IF AN

(To Be Completed by RTO) (To be completed by RTO)
√=OK X=Not OK
1.Control line Name & Signature of RTO (1st Inspection):
2.Grid Line
OVERALL

3.Dimension
4.Bakau Piling
1.Condition/Gaps
2.Position
3.Fixity / Bracing
4.Level
FORMWORK

5.Plumb Date: Time From: Time

6.Storey Height Name & Signature of RTO (2nd Inspection):
7.Cleanliness
1.Position
2.No. & Size
3.Anchorage / Lapping
REBARS

4.Cover
5.Cleanliness
1.Watertightness Test
2.Concrete Haunching Date: Time From: Time
Name & Signature of RTO (3rd Inspection):
& HAUNCHING
WATERTEST

Date: Time From: Time

I hereby certify that I had duly checked and satisfied that all works are constructed in accordance with drawings and Spec

Name & Signature of Contractor's Representative Date

Approve / Disapprove* Remarks By Resident Engineer / RTO

Name & Signature of Resident Engineer / RTO

Date : Time From : Time To

 (Marked Plan to be attached)

F DEFECTS, IF ANY
pleted by RTO)

t Inspection):

om: Time To:

d Inspection):

om: Time To:

d Inspection):

om: Time To:

h drawings and Specification.

Time
INSPECTION FORM FOR SANITARY WORK REF:NO:

Project: Block

Location: GRID To: (Marked Plan to

DESCRIPTION OF WORK

CHECK 1st 2nd 3rd DESCRIPTION OF DEFECTS, IF AN

(To Be Completed by RTO) (To be completed by RTO)
√=OK X=Not OK
1.Control line Name & Signature of RTO (1st Inspection):
2.Grid Line
OVERALL

3.Dimension
4.Bakau Piling / Thicker Base /
1.Condition/Gaps
2.Position
3.Fixity / Bracing
4.Level
FORMWORK

5.Plumb Date: Time From: Time

6.Storey Height Name & Signature of RTO (2nd Inspection):
7.Cleanliness
1.Position
2.No. & Size
3.Anchorage / Lapping
REBARS

4.Cover
5.Cleanliness
1.Watertightness Test
2.Concrete Haunching Date: Time From: Time
Name & Signature of RTO (3rd Inspection):
& HAUNCHING
WATERTEST

Date: Time From: Time

I hereby certify that I had duly checked and satisfied that all works are constructed in accordance with drawings and Spec

Name & Signature of Contractor's Representative Date

Approve / Disapprove* Remarks By Resident Engineer / RTO

Name & Signature of Resident Engineer / RTO

Date : Time From : Time To

 (Marked Plan to be attached)

F DEFECTS, IF ANY
pleted by RTO)

t Inspection):

om: Time To:

d Inspection):

om: Time To:

d Inspection):

om: Time To:

h drawings and Specification.

Time
INSPECTION FORM FOR SANITARY WORK REF:NO:

Project: Block

Location: GRID To: (Marked Plan to

DESCRIPTION OF WORK

CHECK 1st 2nd 3rd DESCRIPTION OF DEFECTS, IF AN

(To Be Completed by RTO) (To be completed by RTO)
√=OK X=Not OK
1.Control line Name & Signature of RTO (1st Inspection):
2.Grid Line
OVERALL

3.Dimension
4.Bakau Piling
1.Condition/Gaps
2.Position
3.Fixity / Bracing
4.Level
FORMWORK

5.Plumb Date: Time From: Time

6.Storey Height Name & Signature of RTO (2nd Inspection):
7.Cleanliness
1.Position
2.No. & Size
3.Anchorage / Lapping
REBARS

4.Cover
5.Cleanliness
1.Watertightness Test
2.Concrete Haunching Date: Time From: Time
Name & Signature of RTO (3rd Inspection):
& HAUNCHING
WATERTEST

Date: Time From: Time

I hereby certify that I had duly checked and satisfied that all works are constructed in accordance with drawings and Spec

Name & Signature of Contractor's Representative Date

Approve / Disapprove* Remarks By Resident Engineer / RTO

Name & Signature of Resident Engineer / RTO

Date : Time From : Time To

 (Marked Plan to be attached)

F DEFECTS, IF ANY
pleted by RTO)

t Inspection):

om: Time To:

d Inspection):

om: Time To:

d Inspection):

om: Time To:

h drawings and Specification.

Time
RECORDS OF WATER TIGHTNESS TEST FOR SANITARY PIPE

Project: _ TAMPINES N8C30

Location

Date of Test

Diameter of Pipe Tested (mm) 150

Length of pipe tested (m)

1500 X Dia(mm) X Length(m) 1500 X 150 X______
100(mm) X 300(mm) 100 X 300

Allowable water loss (ml)

Time Start: _______________________ Time Finish: ______________________________

Water Loss(ml): _______________________ Pass / Fail ______________________________

Remarks: ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Name and Signature Name and Signature

(Contractor's Represntative) (Surbana Consultant Pte Ltd)
______________
______________
______________
______________
INSPECTION FORM FOR UPS / LEAD IN PIPE WORK REF:NO: U

Project: Block

Location: GRID To: (Marked Plan to

DESCRIPTION OF WORK

CHECK 1st 2nd 3rd DESCRIPTION OF DEFECTS, IF AN

(To Be Completed by RTO) (To be completed by RTO)
√=OK X=Not OK
1.Control line Name & Signature of RTO (1st Inspection):
OVERALL

2.Grid Line
3.Dimension
1.Condition/Gaps
2.Position
3.Fixity / Bracing
FORMWORK

4.Level
5.Plumb Date: Time From: Time
7.Cleanliness
1.Position
2.No. & Size
PIPE

3.Material
4. Spacer
5.Cleanliness
1.Concrete Haunching
Date: Time From: Time
Name & Signature of RTO (3rd Inspection):
HAUNCHING

Date: Time From: Time

I hereby certify that I had duly checked and satisfied that all works are constructed in accordance with drawings and Spec
Name & Signature of Contractor's Representative Date

Approve / Disapprove* Remarks By Resident Engineer / RTO

Name & Signature of Resident Engineer / RTO

Date : Time From : Time To

 (Marked Plan to be attached)

F DEFECTS, IF ANY
pleted by RTO)

t Inspection):

om: Time To:

om: Time To:

d Inspection):

om: Time To:

h drawings and Specification.
Time
MECHANICAL AND ELECTRICAL ENGINEERING SERVICES REF:

REQUEST FOR INSPECTION AND TESTING

Contractor: KEN-PAL (S) PTE LTD Project: TAMPINES N8 C30

To: SURBANA Date:

The work described below has been inspected by our supervisory personnel and is complete and ready for your
inspection/testing. We request your inspection/testing of:

Sleeve/Socket Conduits works Underground cabling

Entire System Sub-circuit wiring Earthing System Ceiling fans
Ductwork Main Switchboard Lightning protection system
Equipment Sub-boards Switches, sockets
Material Luminaires

Type of System: Location (to attach plan of site to be inspected:

Date: Time:

Request by:

Name Signature Date

INSPECTION DECISION BY SURBANA:

We have inspected the above mentioned work and found it acceptable. You may proceed.

You may not proceed. Please carry out corrective works as noted on the M&E Work Form / SI
No: ( )* issued.
 Other comments:

Name of Inspector Signature Date

lete and ready for your

Date

M&E Work Form / SI

Date
MECHANICAL AND ELECTRICAL ENGINEERING SERVICES
M&E WORK FORM
Project: TAMPINES N8C30
Location: Date:

Action taken
Results of Inspection Signature/Date
General:

Materials:

Equipment:

Standard of Installation:

Site Safety:

Cleanliness:

Others:

ACTION TAKEN BY CONTRACTOR APPROVAL BY SURBANA

Name: Name:
signature: Signature:
Date: Date:
M&E CLEARANCE FORM
Request clearance for the following activities
( ) - RC Wall / Slab / Column casting Location / Gridline / Part-print
( ) - Wall plastering / Floor screeding
( ) - Closure of Dry wall partition
( ) - Closure of Ceiling
( ) - Others
Date of activity ( ) Attached part-print reference

M&E Sub-Contractor's declaration

(Note: All sub-contractors shall declare even if they have no service in the related are of activity)

Name Signature Date RIW Reference

SHIN CONSTRUCTION

SUN KWEE HOCK

MAIN Contractor's declaration

The related M&E installation had been completed by respective sub-contractors and inspected by
Consultant satisfactorily

Name Signature Date Remark / Comment if any

Copy to SURBANA Consultant's RTO to note and file for record:

Name Signature Date Remark / Comment if any
M&E CLEARANCE FORM
Request clearance for the following activities
( ) - RC Wall / Slab / Column casting Location / Gridline / Part-print
( ) - Wall plastering / Floor screeding
( ) - Closure of Dry wall partition
( ) - Closure of Ceiling
( ) - Others
Date of activity ( ) Attached part-print reference

M&E Sub-Contractor's declaration

(Note: All sub-contractors shall declare even if they have no service in the related are of activity)

Name Signature Date RIW Reference

APP

FIRE-GUARD

POH MENG

SING MOH

MAIN Contractor's declaration

The related M&E installation had been completed by respective sub-contractors and inspected by
Consultant satisfactorily

Name Signature Date Remark / Comment if any

Copy to CPG Consultant's RTO to note and file for record:

Name Signature Date Remark / Comment if any

Eric KOK W M
Leong Weng Khiong
TYPE OF MATERIAL TO BE TESTED TYPE OF TEST TO CARRIED OUT