CONTRACTOR LOGO AND
CLIENT LOGO AND NAME HERE
NOTIFICATION REQUEST FOR INSPECTION (or NAME HERE
Test or Survey) - NRI
PROJECT NAME Company Project Doc. Distribution
XXXX XXXX X X
Project No. No. Class Code
Client Doc. Contractor 1 of 1
Xxxxxxxxx Rev. X Page
No Doc. No.
By Responsible Dept.
Date Raised ITP Ref. No. ITP Step No.
Part 1: Preparation of NRI
WBS Activity Ref. Spec. Ref. Clause No.
Verification Activity Visual Field Lab.T Surve
Type Inspection Test est y
Work / Area Ready Expected Day Date Time Revised Day Date Time
Prepared by Job Position Name Surname Signature Date
Part 2 (a) By Quality Dept. Part 2 (b) By (Employer / Client ) if required
Part 2: Review of NRI
Job Position Job Position
Name Surname Name Surname