ZERO LEVEL POINT

01 April 2010 2010A WI-PST-09-01

Date :

Project Name :

Project No. :

Customer :

Contractor :

Name For Title Signature Remarks

Purpose of committee is to establish a zero level for the above mentioned Project according to the
attached sketch.

Remarks:

The Contractor shall be responsible for maintaining this point during the construction period.

Customer / Owner Contractor Consultant

Distribution: This form shall be completed in two-fold originals, one of which has to be given to the Customer
and the other to the Contractor. Consultant has to keep a copy in the Project file.

Attachment: Zero Level Sketch

cc: