Site Kick-Off Meeting Template

Site Code: Site Name:

Site Address: Region:

SKOM Date: Site Type:

CONTACT DETAILS

Owner’s or Representative’s Contact Details

Name:

Mobile No.:

Residence or Business
Landline No.:
Vendor/Contractor’s Contact Details

Name:

Mobile No.:

Business Landline No.:

DOMINER POINTE, INC. Representative Contact Details

Name:

Mobile No.:

Residence or Business
Landline No.:
Comments:

Site Kick-Off Meeting Template

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Issued On: Mar 2013
 Site Kick-Off Meeting Template

Site Code: Site Name:

Site Address: Region:

SKOM Date: Site Type:

IMPLEMENTATION SITE DETAILS

Allowable Working Hours

Monday to Friday:

Saturday:

Sunday:

Holiday:

Other Requirements
Owner’s Security
Requirements:
Power Source during
Construction:
Water Supply Source
during Construction:
Toilet arrangement
during Construction:
Access road
difficulties?
Is the site elevation
according to the
approved DDD? Site
Sloping?

Requires retaining wall?

Area Prone to
Flooding? Flood
History?

Near to River or Lake?

Soil Type (Swampy,

Normal, Rocky etc.)

List any obstruction?

Can Civil Works Start?

If so what Date
If Not, Why?

Yes No
Lifting Point/Hauling
Allowed? And materials
staging area? Details:

Site Kick-Off Meeting Template

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Issued On: Mar 2013
 Site Kick-Off Meeting Template

Site Code: Site Name:

Site Address: Region:

SKOM Date: Site Type:

Site Access photo

showing the road and
the site location.

Front View Photo

Left Side photo of the

site showing the
existing elevation

Site Kick-Off Meeting Template

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Issued On: Mar 2013
 Site Kick-Off Meeting Template

Site Code: Site Name:

Site Address: Region:

SKOM Date: Site Type:

Right Side photo of the

site showing the
existing elevation

Back Side photo of the

site showing the
existing elevation

Other Photo that need

to consider during
construction or DDD
Revision.

Site Kick-Off Meeting Template

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Issued On: Mar 2013
 Site Kick-Off Meeting Template

Site Code: Site Name:

Site Address: Region:

SKOM Date: Site Type:

Drawings Understood
Yes No
by All:
Possible Additional Works (Variation Order) Including photos.

Special Considerations / Notes:

SIGN-OFF

Prepared by: ERICSSON REPRESENTATIVE Conforme: DOMINER POINTE, INC. REPRESENTATIVE

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

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

CM/PM CM/PM
Name: Name:
Signature: Date: Signature: Date:

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

Conforme: AFFILIATE’S REPRESENTATIVE Approved by: LESSOR’S REPRESENTATIVE

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

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

Site Kick-Off Meeting Template

PD-30030-01 Page 5 of 6
Issued On: Mar 2013
 Site Kick-Off Meeting Template

Site Code: Site Name:

Site Address: Region:

SKOM Date: Site Type:

Site Kick-Off Meeting Template

PD-30030-01 Page 6 of 6
Issued On: Mar 2013