ID: WP:029/1

Last update :December 2007

N of copies 2

CHECK LIST FOR WORK PERMIT

Project: Tana Beles Housing Project
Employer: FDRE sugar corporation Block/Bill:
Contractor: ________-_______________. Axes:
Consultant: RBDCSWE Floor:
Location: Jawie/ VILLAG /
Document Referred: Bill of quantity, Inspection & drawings
Plumbing and sanitary work inspection(14)
Indoor use G.I. pipes Make a ()
C NC NA

Qualification of plumber.......................................................................................

Location of item floor/wall/roof............................................................................

Material approval slip number(Date)...................................................................

Checking physical properties of approved sample with deliveries.......................

Pipe position(Surface/embedded).......................................................................

Nature of wall/ thickness.....................................................................................

Fixtures
a. Colour appearance ..........................................................................
b. Formation of threads...........................................................................
c. On site random manual thread formation against the approval ..........
d. Checking of weight of specimen .................................................
e. Presence of cracks .........................................................................

Nature of fiber for end connection......................................................................

(Flexibility, water absorption, sticking, character one to other)..........................

Selected type of paint (non lubricant) for fibers interlinking nature.....................

Sufficiency of threaded length for connection.....................................................

Connection to turn point members......................................................................

Installation height with reference to riser diagram.............................................

 Angle of projection of lines at edge of turns........................................................

Embedment element to specified location .....................................................

Spacing and location of anchorages to pipe lines..............................................

Testing of pipe before coverage of surfaces......................................................

Additional Remarks:____________________________________________________

For the above items are fulfilled /not fulfilled ,the Contractor is hereby allowed
/refused to proceed Plumbing works. The take-off sheet of this activity shall immediately be
signed upon completion.

For the Consultant For the Contractor

Name: Name:
Signature: Signature:
Date: Date:

C=conformed NC= not conformed NA= not applicable