DMC Pimng Jor K-Ag Otundod: Excavation Plan Showing The Layout of Trial Trench

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FIELD IMPLEMENTATION GUIDE

TATA STEEL EXCAVATION Page 11 14


SS/ENGG-01/A,Version-3.0 22d January 2020D

ANNEXURE-II: CLEARANCE FORM FoR MECHANISED EXCAVATIONGRADING

Project /Job: DMC PiMNG Jor k-aG otundod


Location:

Drawing indicating Under Ground Services inthe area


SI.No. Drawing Number Remarks

Excavation plan showingthelayoutoftrial trench


SL.No. Drawing/Sketch Number Remarks

Note: Excavation plan is to be prepared by the Contractor and to be approved by Consultant and Tata Steel
engineer
Cse ofCabe Detector
Used before start of Trial Trench Y/N
Used inside trial trench, bottom and side wall | Y/N
-

Findings by visual inspection of trial trench and/or by cable detector.

Electric Cables
YI Supported/ Telephone Cables Supported/ Diverted
Diverted /Defunct N
Defunct
FO Cables Supportedd Water Pipe lines YI Supported/ iverted
Diverted/Defunct N
/ Defunct
Y/
Storm water pipes Supported Sewer Line Y Supported/ Diverted
N
DivertedDefunct N
Defunct
Declaration
Trial trench excavated upto a minimum depth of 1S00 mm manually. Clearance is hereby given to the contractor
to proceed with mechanised excavation/grading upto a depth of 1200mm, after ensuring cables/pipes/structures
in use do not exist in the area earmarked for excavation.
Department Name Signature Date Remarks
Electrical (MEDE,
S&T)
Engineering Services
i) PHES
i) Pipe Line
ITS
Telecommunication
Consultant

Executing ageney KAKESH GHOSH hokh /08|20


Itcontractor
is possibleshallthattherefore,
in spite ofbe tests and investigations conducted there maystilbecertain services remainin thearea .The
vigillant during mechanised excavation and shall infom Tata SteevConsultant on finding any
services in course of excavation/grading.
Tata SteelConsultant engineer shall inform respective owner and Project Manager in case of puncture of any cable
/pipes/structure as applicable,_
DATE 160.2
T654999

2 X P r P E Rnek
N 2624
E 665014S Ne2629.302
6459-0

PILL
N 2610 o0
Et &649 s25 N+ 26t/-41S
Et 666135S
A
ondéei
t26/10-92
6t 6661225

N+ 260g 949
+ 6658 0237 h: PIPE
265.42
E 6b61 293 2
n+2607 829 Nt 2609 o09
E+66564081 E+666t 299
N+ 260 281
E+6656 S81
N+ 202 655

+ 2600 454
6650.04
ORD

-1

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