PROJECTOR WORK [7 PKGIT Rastanara Wea Ppeme ——] EXCAVATION ORDER NUMBER — |_Bi-10.96004.003 LocaTion’ PRE-EXCAVATION CHECKLIST ACTIONS REMARKS. INITIALS ‘SPONSORING ORGANIZATION (e.g, Project Management, Community Services) ‘© Arrange and review excavalion rawing Arrange demarcation of excavation ste ‘© Survey excavation ste with proponent oneration's rep. Arrange sign-of ofthis checks by all parties ‘Provide Work Port (WP) Issuer's organization with this checklist and excavation drawing ‘© Provide notifications as required ‘SPONSORING ORGANIZATION'S REPRESENTATIVE abivs ,ospsvisise, fy Oat 19 (Name, phone, signature & date) ‘© Determine locaton of underground (UG) tities, including LLL | eal B _ |” cemacing Govern tats tecaslon of ste a 55 & | © veity operational status and onerating condition of 35 2 cuties Qa Zz | + Arangecoblopine ection to loco utes nt shawn on 2 5 | cownas and unartesin tert o s “| PROPONENT'S ENGINEERING / TECHNICAL SERVICES REPRESENTATIVE - (Name, phone, signature & date) + Survey excavation site wth sponsoring ergnizetons rep o __ ea | + Revewexcontion doing o __ 2 5 B | © De-energize known cables and isolate pining, if possible o __ SES | + vise WP tsver abou recoutens equred o LL = 5 | proponent OPERATION’ REPRESENTATIVE {Name, phone, signature & date). ‘ORGANIZATION OF WORK PERMIT RECEIVER (specify) ‘+ Review Saudi Aramco's excavalion safely roquirements ‘and implement applicable measures, + beck nese uo UG ties yg a cena ddearnite gets drelisue = —_______ fuser «Prove WP ser wh ay sed Pre Excaaon A pen Chesed exon ae dow WORK PERMIT RECEIVER ORGANIZATION'S REPRESENTATIVE (Name, phone, signature & date) sora Sr 30bS GO wrrfio/| Up T