FORM EPS 11

SYABAS DISTRICT : ..
FINAL JOINT INSPECTION REPORT (EXTERNAL PIPELINE)
( Valid for six (6) months prior taking over date )
Name of Development
File No.
Approved Plan No.
(Attach approved plan and as-built plan of pipeline)
Date of Site Visit
Phase / Name of location pipeline checked
Work Description
A) PIPELINES
Type of
pipe

: _____________________________________
: _____________________________________
: _____________________________________
: _____________________________________
: _____________________________________
Satisfactory
(tick relevant
Diameter
(mm)

Remarks
Unsatisfactory
Column)

Comments

Length
(m)

1) Main Pipes
2) Communication Pipes
Type
Nos
Size(mm)
3) Sluice Valves
4) Butterfly Valves
5) Scour Valves
6) Air Valve
7) Hydrants
8) Valve Chambers
9) Pipe Markers
10) Pressure reducing valves
11) Sampling Points
12) Zone Meters
13) Bulk meter with proper meter stand/filter
/ gate valves
14) Constant flow valve
15) Over crossing with/without supports /
Spike guards
16) Other items :
General Comments
Work done Satisfactory and acceptable to be taken over.
Work done Unsatisfactory for those items commented and need to be rectified and another inspection date to be arranged.
Others (Please specify)
Remarks :
Jointly Inspected by : Head of Planning/Development Section SYABAS
Signature
: _________________________
Name
: _________________________
Date
: _________________________

Jointly Inspected by : Technical Manager

Signature
: _______________________
Name
: _______________________
Date
: _______________________

Jointly Inspected by : Head Of District (HOD)

Signature
: _________________________
Name
: _________________________
Designation
: _________________________
Date
: _________________________

Jointly Inspected by : Secretary Of Work (SOW)

Signature
: _______________________
Name
: _______________________
Designation
: _______________________
Date
: _______________________

Acknowledged by Consultant :______________________

Signature
: _________________________
Name
: _________________________
Designation
: _________________________
Date
: _________________________

Acknowledged by Developer :________________

Signature
: _______________________
Name
: _______________________
Designation
: _______________________
Date
: _______________________