Philadelphia Special Inspections – Fill Out and Use This PDF

Updated: Nov 8, 2026

The Philadelphia Special Inspections form is an essential document required for certain construction activities in Philadelphia, ensuring safety and compliance with building codes. It details the specific inspections and standards that construction projects must adhere to during various phases of development. Click the button below to ensure your project adheres to these critical requirements by filling out the form accurately.

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Philadelphia Special Inspections PDF Details

Understanding the Philadelphia Special Inspections form is crucial for anyone involved in the construction and development sectors within the city. This comprehensive document plays a key role in ensuring that all construction projects meet the necessary safety and quality standards. The form outlines the specific inspections and approvals required for various phases of construction, serving as a guide for project managers, contractors, and builders alike. It includes detailed sections on structural safety, fire protection, accessibility, and other critical areas, emphasizing the importance of adherence to city regulations. The form is designed to streamline the inspection process, making it easier for projects to progress smoothly and efficiently while maintaining the highest safety standards. With its structured approach, the form helps in identifying potential issues early on, thus mitigating risks and preventing costly delays. As such, a thorough understanding of the Philadelphia Special Inspections form is indispensable for ensuring compliance, enhancing safety, and promoting efficient project execution in Philadelphia’s dynamic construction landscape.

Question	Answer
Form Name	Philadelphia Special Inspections
Form Length	3 pages
Fillable?	Yes
Fillable fields	159
Avg. time to fill out	15 sec
Other names	philadelphia special inspections form, phila l i statement of special inspections, pa philadelphia special inspections, philadelphia special inspections

How to Fill Out Statement of Special Inspections Schedule (SI_001_F)

Statement of Special Inspections Schedule (SI_001_F) at a glance

What it is: Statement of Special Inspections Schedule (International Building Code), the form to list the Special Inspections as required under Chapter 17 of the 2021 International Building Code.

Who signs: By affixing a professional seal, the DPRC-SI confirms that he/she has consulted with the appropriate design professional(s) of record to determine the construction activities covered by the subject permit that require special inspections in accordance with 2021 IBC Chapter 17.

A filled-in Statement of Special Inspections Schedule (SI_001_F) example: an engineer schedules steel fabrication inspections

Statement of Special Inspections Schedule (SI_001_F) example filled out, example: an engineer schedules steel fabrication inspections — Pat Sample, a professional engineer, completes the Statement of Special Inspections Schedule. The project needs one inspection, structural steel fabrication, checked as periodic and performed by the made-up Sample Steel Testing agency. The picture shows the first page, and none of its entries is real.

How to fill out Statement of Special Inspections Schedule (SI_001_F), box by box

Property Address

Identify the property address where the construction will occur.

Property Owner

Identify the deeded property owner.

Design Professional in Responsible Charge of Special Inspections (DPRC-SI)

Statement of Special Inspections Schedule (SI_001_F) example filled out, design Professional in Responsible Charge of Special Inspections (DPRC-SI)

For the Design Professional in Responsible Charge of Special Inspections (DPRC-SI), check one: Professional Engineer or Registered Architect.

Special Inspections Details

The DPRC-SI shall indicate by a checkmark which of the special inspections are required for the construction site, as well as the name of the agency performing the inspections.

Structural Steel Fabrication: Fabrication of structural load-bearing members and assemblies (1704.2.5).

Special Cases

Special Cases: If the project includes construction activities that require special inspections which are not specifically listed on pages 1-3, please provide: The applicable code reference. The special inspection item (per special inspection tables listed in Chapter 17, or as required by the design professional of record), Whether inspections are to be continuous or periodic, and The name of the agency performing the inspections.

Sources

[1] Statement of Special Inspections Schedule (SI_001_F, 2021 Code), City of Philadelphia (the Official source link on this page).