PRMF-CS Form 23

(institution-logo)
(name of project)
Province of ___________________________

Punch List of Defects

Project No. : _____________

Project Title : ___________________________________________________________
Project Location : ___________________________________________________________
Original Target Completion Date : ____________________________
Revised Target Completion Date : ____________________________
Actual Completion Date : ______________________

Defects Noted Completion Date of Rectification Works

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This is to certify that we have inspected all the project's This is to certify that we have inspected all of the project's scope
and have found that all noted defects have been satisfactorily
scope and have found the above based on the approved plans. rectified based on the approved plans.

_______________________________ _______________________________
PEO Resident Engineer PEO Resident Engineer

_______________________________ _______________________________
Provincial Engineers Office Provincial Engineers Office
(Name and Position) (Name and Position)

_______________________________ _______________________________
DILG - DILG -
(Name and Position) (Name and Position)

_______________________________ _______________________________
COA - where applicable COA - where applicable

_______________________________ _______________________________

_______________________________ _______________________________
Contractor Contractor

Inspection Date: _______________________________ Final Inspection Date: _______________________________