ARABIAN INDUSTRIES PROJECTS LLC

SERVICE TRENCH REPORT

Client: PDO Title: PROJECT DELIVERY CONTRACT (NORTH) Report No:

Contract No.: C3100000175 Date :

Job No.:
Location of Cable/pipeline trench :

Drawing No.

Trench Detail Required( mm) Actual (mm)

Depth of Excavation

Depth of pre-padding

Depth of post-padding

Sl Activity Checked by (AIP) Remarks

No Name Signature Date

1 Marking

Existing buried
2
services detection

2 Excavation

4 Pre-padding

5 Post-padding

Laying of
6 Cable Tiles as
applicable
Laying of
7 Caution Tape as
applicable

8 Back filling &

Compaction

9 Routed Markers
Installation
Backfill Material

Excavated Selected Imported

AIP ( Inspection stage as per QCP) PDO (Inspection stage as per QCP)

Signature : ……………………………………… Signature : ………………………………………

Name: ………………………………………….. Name: …………………………………………..

Designation :…………………………….. Designation :……………………………..

Date: ………………………………. Date: ……………………………….

AIP-C3100000175-CONC-21 Rev 01