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INSPECTION REQUEST FORM FOR SITE CLEARANCE

(DEMOLITION OF BUILDINGS & STRUCTURES)

Unless otherwise approved,this inspection request shall be submitted during the daily mor

meeting among LTA,Contractor and QP(S)

Contractor: Project:

To: Date:

LTA Time:

The work described below has been inspected by our Site Engineer and is complete

and read for our ins ection. A checklist is attached overleaf.

Location

Checked and Requested By:

Chainage

Type of Structure

Activity

Other DescriptionContractor's PM Name & Signature

The meeting noted that the information provided by the Contractor is adequate/not adequate*

*delete where appropriate

INITIAL INSPECTION DECISION BY QP(S)

We have inspected the above referenced works and found them acceptable. You may proceed.

You cannot roceed. Please carr out corrective works as noted on the checklist andsubmit a fresh request for inspection.

Other comments:

LTA's RE/RTO Name & Signature/ Date

FINAL INSPECTION DECISION BY QP(S)

work approved to start:__________________ work completed on:______________________

________________________________

QP(S) Name & Signature/Date

LTA

The above process for request for inspection of work by Contractor and approval by QP(S) is noted.

LTA's representative/Date/Time

NO.

SAMWOH CORPORATION PTE LTD SK E&C

ER296-CONSTRUCTION AND COMPLECTION OF SENTOSA

GATEWAY TUNNEL FROM TELOK BLANGAH ROAD TO KEPPEL

ROAD / KAMPONG BAHRU ROAD/ LOWER DELTA ROAD AND

ASSOCIATED ROAD WIDENING WORKS INTERCHANGE

QP(S) may proceed Request Rejected

_____________________________

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CHECKLIST FOR SITE CLEARANCE NO.

Chainage:

S/No Description of Works Checked by Confirmed by

Contractor QP(S)

1 Confirm affected buildings, structures for demolition

are those indicated on site plan

2 Check contractor has notified services depts of his

intention to demolish structure

3 Check all meters and services removed /

disconnected

4 Check contractor has notified ENV (Sewerage)

5 Confirm with ENV that sewer mains and manholes

properly protected and sealed

6 Check contractor has obtained necessary approval /

license from Chief Inspector of Factories7 Check sufficient machinery, scaffolding

hoarding etc.

8 Check all warning signs for traffic and pedestrian

9 Check temporary provision of footpath

10 No burning of debris

11 Sweeping and clearing of roadway after each

demolition exercise is completed

12 Check sufficient temporary traffic devices if lane

closure is required13 Others

(DEMOLITION OF BUILDINGS & STRUCTURES)

Date/Time: Location: