AL HOTY STANGER LTD CO.

PO Box 7359 Riyadh 11462 – KSA

T : +966 11 478 429 Work Handover Form
F : +966 11 479 2058

Employee Name: Amor Dumali Emp. No. 7824 Dept: C&S

Job Title: Site Lab Manager
Reason for Work Handover: Vacation Transfer End of Employment
Others:
Taken over by: ROMMEL B. LEVISTE Emp. No. 11077

Guideline: This form must be filled and completed before releasing the Employee and a copy of this must
be attached with the Employee Clearance form. The employee should include all relevant files, documents
and materials relevant to the work / task being turned over to the person as directed by his supervisor.
Extra pages may be used as required.

I. Any task(s) which are pending or under progress at time of handover:

No. Task(s) Status

1. Diriyah Gate Project Reports Done

2. Submitted Reports Done

Note : For pending task(s), provide the reason (e.g. pending approval etc.)

Binder / Box File / Document / Reference

No. Binder/Box File/Document Short Description Location

1. ASTM Standard files Test method Site office
2. Bs Standard files Test method Site office
3. Repots files Test Repots Site office
4. TWO files Test work order Site office
5. Work Sheet files Draft Test Reports Site office
6. S. L. files Sample loge Site office

II. Electronic Files

No. File Name Short Description Location

1. Reports Final reports Site office
2. Project data Site office
3. Reports format Word or Excel Site office

Page 1 of 2
 AL HOTY STANGER LTD CO.
PO Box 7359 Riyadh 11462 – KSA
T : +966 11 478 429 Work Handover Form
F : +966 11 479 2058

III. Passwords:

No. System Password Location

1. PC Site

IV. Financial Commitments if any

No. Commitment Amount Remarks

1. No

V. Inventory of Tools, Equipment etc.

No. Description Qty Remarks

1. Crashing Marching 1
2. Soil tools 1 set
3. Slump tools 1
4. Thermometer
5. Capping tools 1
6. Survey meter 1
7. Sim/phone 1
8. Troxler 1
7. Vehicle door no. 787 1

ACKNOWLEDGEMENT
Handed over / Taken over above stated items:

Handing over employee Taking over employee Witness: (Dept. Head)

Signature: Signature: Signature:

Emp. No. 7824 Emp. No.11077 Name: Ron Cabal

Date Date: Emp.No.: 753
Date

Page 2 of 2