4A
(Ban hnh km theo Ngh nh s 209/2004/N-CP ngy 16/12/2004 ca Chnh ph /
this appendix was attached with decree No. 209/2004/NDD-CP date 16/12/2004 of Vietnams
Government)
a im/ Location : ..
ng/
Works
installation
of
pipes
and
fittings
for
pipeline :
..
- Mng o t ng
t ng v ph kin
- Ct ph ng v cng tc m
t tm an cnh bo
- Ct lt ng v cng tc m
- Lp t bng cnh bo
- Lp
- Lp
2. Thnh phn trc tip nghim thu/participants take part in the inspection:
a) ban iu hnh d n ca TCT viwaseen/ Viwaseens Site Management Board:
ng/B (Mr/Mrs):
Chc v/position:..
ng/B (Mr/Mrs):
Chc v/position:..
Chc v/position:..
ng/B (Mr/Mrs):
Chc v/position:..
position:
...............................................................................................................................
..................................
4. nh gi cng vic xy dng thc hin/Remarks about the works done:
a) V ti liu lm cn c nghim thu/About the documents for inspection:
-
.....................................................................................................................
................................
-
Quy
chun,
tiu
chun
....
dng/application
standard:
.....................................................................................................................
................................
-
.....................................................................................................................
................................
.....................................................................................................................
................................
-
.....................................................................................................................
...............................
b) V cht lng thi cng/ About quality of the construction work:
......
.
c)
Cc
kin
khc
nu
c/
other
ideal
(if
any):
.
.
d) kin ca Ban iu hnh d n v cng tc nghim thu cng vic xy
dng ca n v thi cng/
comments about inspection of construction works:
.
.
.
5. Kt lun/ conclusion:
.
.
.
Execution engineer in charge
Cn b thi cng trc tip