GERBANG SELATAN BERSEPADU PROJECT

PROJECT QUALITY PLAN SUBMISSION(PQP)

REF. NO.: (PQP - PPPPP/D/xxx/Rx) (to be assigned by Contractor) DATE :PPPPP=Package Number, D=Discipline, xxx=Running number for that particular Package, Rx=Revision number e.g. R0, R1

SUBMISSION OF PQP FOR REVIEW (By Contractor)

We submit herewith 3 hardcopies of the PQP attached to this form for review and acceptance.

Submitted by: Signature: …..…….……..…………….…. Date/Time: ...….………/…………...

ACKNOWLEDGEMENT OF RECEIPT (By Document Control Centre JB)

Received by: Signature: ……………………….......…… Date/Time: ………...….../……...…..

DCCJB to revert a copy of this form to the Contractor and distribute to QMS for review.

REPLY OF PQP SUBMISSION (By QMS) (**Attach if required)

Comments**: …………………………………………………………………………………………………………………………….........

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Recommendation:-

‘A’ - Accepted. Submission is accepted. ‘C’ – Not accepted. The contractor is required to resubmit the PQP

Commented By: Signature: ………………….…….…..……… Date/Time: …….….…/…..….....

QMS to forward this form to the relevant SME

ISSUANCE (By Senior Manager, Engineering)

Additional Comments: .…………………………………………………………..…………..………………………………………………....

Issued by: Signature: ……………….….……….……...... Date/Time: ……..…...…/….….....

SME to revert to DCCJB for logging out and distribution.

DISCLAIMER:Any action, decision, instruction or consent taken, make or given by Gerbang Perdana representative under this procedure and its related form shall not in any way whatsoever relieve the Contractor of any of his obligations under this Contract.

ACKNOWLEDGEMENT OF RECEIPT (By Contractor)

Received by: Signature: ……………………….......………... Date/Time: …………....../…….…..

DCC to make a copy of this form for filing and forward original form and PQP to Contractor upon acknowledgement of receipt.

Copies : DCCJB, SME,QMS Original: Contractor

ISSUED DATE : 11 JULY 2005Page 1 of 1

FORM REF.: F-39REVISION: 2 PROJECT QUALITY PLAN