<8 sSesuga ppl TN, Morcandi seva Sco WW Sete HALT Method of Statement Submittal Project Details: Project Name: SKMC Development Project — Outpatient Specialty Clinic IR No: MCE-SKMC -311-OSC-GF-MS-CI-005. Rev No :00 Discipline mChil D Architecture [Mechanical Electrical Cl Others T- Purpose: Refe” lo allached Method statement 2- Scope: Method statement of Excavation Works for Manhole 3- Legislation and code of practice: Refer to attached Method statement {YJ areca 4- References: Refer to aitached Method statement ae 5- Definitions: Refer to attached Method statement 699 6. Resources: 08 NOV 2022 6.1 Materials and their approval: Refer to attached Method statement i |.) (= 6.2 Subcontractor approval: Refer to attached Method sta RUELOPENT 6.3 Shop drawings approval: Refer to attached Method statemer 6.4 Equipment: Refer to attached Method statement 6.5 Human Resource: Refer to aitached Method statement 7- Safety Precautions: Refer to attached Method statement &- Detailed Construction Sequence (Methodology): Refe" to attached Method statement 8- Construction Programme: Refer to attached Method statement 410- Inspection and Testing: Refer to attached Method statement 11- Related Forms: Refer to attached Method statement 42- Attachments: Refer to attached Method statement Contractor Signature: Discipline «| QAQC AQ A HSE, MEP Engineer: Engineer: - 1 A-Approves DE Approved with Comments []C- Revise and Resubmit | [7] E-Approved with Comments/Resubmit Comments: othed Commands See oltached Distribution: Client Engineer MCE-SKMC -311-207 - Method of Statement Submittal Form Ver-00 July 2020,[_ocument Document Number tom Descrintion | Rev. | Date Excavation Works for Manhole 00 Comments: Status 8 The contractor must follow the below comments, which are mandatory to follow throughout the project duration and are applicable to all excavations for manhole activities at the sit. + Ensure all committed compliances (before & during) are in place while conducting excavation work at the site. + Ensure external excavation required permits and approvals are in place. + Ensure all excavated areas are mandatory hard barricaded, have proper signages, and area should be illuminated. (Followed OSHAD CoP 22.0 - Barricading of Hazards) + Ensure excavated material /soll keep should be 2mtr. away at least or removed from the area. Ensure the excavated area is restricted to the public and visitors, only trained workers with competent supervisors are allowed to carry tasks. ‘+ Ensure plant and machinery around the edge of the excavation whilst persons are working in the excavation is prohibited. Ensure excavation safe access and egress procedure are in place. Ensure adequate air supply procedures/practices are in place. ‘+ Ensure the CAT survey is done before excavation by Responsible site engineers and recorded by the | site safety team. * Ensure approved MSRA and safe working procedure cascaded to the responsible site staff & Workers. + Attached drawing showing manhole dept is 2mtr. For that contractor needs to submit the dewatering procedure M.S.R.A and related details separately as earliest possible. (Follow the Abu Dhabi groundwater level table) * Contractor shall undertake their role and responsibilities in accordance with the general requirement (SHAD cop 53.0 OSH management during construction work. Reviewed By & Signature: (The Engineer) Approved By & Signature: (The Engineer) | Mohamed Hassan Recelved By (The Contracton| Tate = "Note Enginee7soparovals or conformance wih information given and design concept expressed Contract Documents: Appraval dacs Fore changes to Contract Documents. Engineers epprovel does not relieve the Cantvacor frm his contractual ablation to ensure canformance tothe Contract Documents/Specfcations. Any deviations, tothe Sneifcaiony/Contract Documents found subsequent t0 Engineers aperaval ate tobe corrected bythe Empoyer/Engineer at no extra Cost/Tme Distribution: cient ithe Engineer Ci contractorSEH Marsan ‘Sheikh HALIF MEDICAL CITY A eegoaad ALREEN HOSPICO A <9 W Method of Statement Submittal Record Reference: MGE-SKMG -311-OSC-GF-MS-C-005 Date: 08/11/2022 Project Details: Project Name: SKMC Development Project - Outpatient specialty Clinic Client: SEHA Engineer: Morgan Consulting Engineers Contractor: Al Reem Hospico Co. LLC IR No: MCE-SKMC -311-OS0-GF-MS-C1-005 Rev No :00 mCwi Architecture (Mechanical CiElectrical Ci Others Refer to atlached Method statement jethod statement of Excavation Works for Manhole 3- Legislation and code of practice: Refer to attached Method statement 4- References: Refer to attached Method statement 5- Definitions: Refer to attached Method statement 6 Resources: ‘6.1 Materials and their approval: Refer to attached Method statement 6.2 Subcontractor approval: Refer to attached Method statement 6.3 Shop drawings approval: Refer to attached Method statement 6.4 Equipment: Refer to attached Method statement 6.5 Human Resource: Refer to attached Method statement 7- Safety Precautions: Refer to attached Method statement 8- Detailed Construction Sequence (Methodology): Refer to attached Method statement 9- Construction Programme: Refer to attached Method statement 10- Inspection and Testing: Refer to attached Method statement 11- Related Forms: Refer to attached Method statement 42: Attachments: Refer to attached Method statement [ Contractor Signature: @nsac, MEP HSE Engineer: “The Engineer (1 A Approves OB. Approved with Comments [1 C- Revise and Resubmit DD E- Approved with CommentsiResubmit ‘Comments: Distribution: Client Engineer Contractor MCE-SKMC -311-207 - Method of Statement Submittal Form Ver-00 July 2020gSuagapypl Project Name SKMC DEVELOPMENT PROJECT- Doe. nox! MS-CLOOS \ Rev.: 00 OUTPATIENT SPECIALTY CLINIC | AEH HOCD METHOD STATEMENT FOR beseshderaniie | Excavation Works for Manhole METHOD STATEMENT FOR Excavation Works for Manhole CLIENT 2 SEHA CONSULTANT : MORGAN CONSULTING ENGINEERS CONTRACTOR : AL REEM HOSPICO LLC PROJECT SITE : MAINTENANCE & REFURBISHMENT IN SHEKH KHALIFA MEDICAL CITY OUTPATIENT SPECIALTY CLINIC REVISION STATUS Rev] Date ‘Seatas] Preparedby Reviewed by Approved by Moaicaton 00 | 07-Nov-2022 | Submited for | Reraur Rahman Sayed Kanal Verkta Ramona approval | QN'QC Engineer Constructo Project Manager CY Signature:Project Name Doc. not MS--005 \\ Asuaga pup SKMC DEVELOPMENT PROJECT- see) OUTPATIENT SPECIALTY CLINIC | ALREEH HOSPICO METHOD STATEMENT. FOR Date: 07-11-2022 Excavation Works for Manhole TABLE OF CONTENTS 1— PURPOSE 2-SCOPE 3 LEGISLATION AND CODE OF PRACTICE 4 — REFERENCES 5 ~ DEFINITIONS 6 — RESOURCES 6.1 MATERIALS AND THEIR APPROVAL 6.2 SUBCONTRACTOR APPROVAL 6.3 SHOP DRAWINGS APPROVAL 6.4 EQUIPMENT 6.5 HUMAN RESOURCE 7 - SAFETY PRECAUTION 8 - CONSTRUCTION SEQUENCE (METHODOLOGY) 9 - CONSTRUCTION PROGRAMME 10 - INSPECTION AND TESTING 11 -RELATED FORMS 12 - ATTACHMENTSProject Name Doe. no MSC1-005 hau pul SKMC DEVELOPMENT PROJECT- Rev.: 00 | OUTPATIENT SPECIALTY CLINIC ALREEN HOSPCO METHOD STATEMENT FOR Date: 07-11-2022 Excavation Works for Manhole 1. PURPOSE This document defines the methodology, sequence, control measures, safety and quality control requirements, and equipment intended to be used in performing the works as established in the project specifications and relevant referenced documents, 2. SCOPE The scope of work described in this method statement is applicable for Excavation Works for Manhole for all building maintenance and refurbishment works associated with “SKMC Development Project- Outpatient Specialty Clinic”. 3. LEGISLATION AND CODE OF PRACTICE: Bt No permission required from any local authority for Excavation works for Manhole 3.2 OSHAD cop 29 Excavation work 3.3 SKMC-EHSMS-FCM Cop 10-015 Excavation 4, REFERENCE at Project Specifications Division No. 31 Section 310000 42 Approved Project Quality Plan 43 Approved Project HSE Plan 44 Approved Construction Management Plan 45 SKMC Emergency Evacuation Procedure 46 Approved Method Statement of Excavation and Backfilling of Trial Pit (Reference no. MCE-SKMC-311-OSC-GF-MS-CI-004] 5. DEFINITIONS 5.1 CLIENT: SEHA 5.2 Consultant: Morgan 5.5 CONTRACTOR: Al Reem Hospico Co. LLC 5.6 HSE: Health, Safety and Environment | 5.7 ITP: Inspection and Test Plan a | 58 aaac: Quality Assurance/Quality Control ( . 5.9 (TL: Independent Testing LaboratoryProject Name Doe. noz WSCLODS WW bumps SKMC DEVELOPMENT PROJECT- iia OUTPATIENT SPECIALTY CLINIC | AEM HCD "METHOD STATEMENT FOR Excavation Works for Manhole Date: 07-11.2022 6, RESOURCES: 6.1 Materials and their approval 6.1.1 Excavated material (Excavated material will be used for backfilling if approved by the Consultants. Otherwise, the Contractor will submit Material Technical Submittal for Backfilling material for Consultants’ approval) 6.1.2 Water (Construction purpose) 6.2 Subcontractor approval: 6.2.1 ARM will carry out the work, 6.3 Shop Drawing approval 6.3.1 Lay Out drawing for Excavation Work - Will be submitted for approval. 6.4 Equipment 6.4.1 Excavator 6.4.2 Shovel 6.4.3 Vibratory Plate/roller compactor (I ton and 10 ton in weight) 6.4.4 JCB/ Bobcat 6.4.5 Total station with EDM 6.4.6 Levels 6.4.7 Generator = 6.4.8 Water tank and pumps 6.4.9 Water hose 6.4.10 Tamper (For compacting narrow area) 6.5 Human Resources ‘The Project Manager shall review and approve the methodology for the execution of the works, and ensure that the works are implemented in an efficient manner. The Project Manager is generally responsible for the overall project execution, quality and safety. The Construction Manager is responsible for the implementation of method statement and ensures that all involved site construction personnel are aware of this method statement and shop drawings are followed. He shall ensure that the execution of works shall be carried out in safe manner. He will also be responsible for the monitoring of the work progress on daily basis to ensure acti accomplished as per the construction program The Site Engineer shall ensure that the works are carried out according to the design, approved shop drawings and procedures. He will be responsible on behalf of the Contractor to coordinate, check and follow up the work with relevant parties and ensure that proper sequence of activities are followed inProject Name Doe. no MSCHO05 suns pup SKMC DEVELOPMENT PROJECT- —" | OUTPATIENT SPECIALTY CLINIC AREENHOSRCO METHOD STATEMENT FOR: Dates 07-14-2022 Excavation Works for Manhole order to achieve target completion. He will ensure that safe work practices are followed for all works under his care. The MEP Coordinator/ Engineer will coordinate with the Construction Manager/ or Site Engineer advance of all MEP services interfacing with the work schedules and progress. He will coordinate with the MEP subcontractor and ensure that all MEP services/ sleeves/ openings are identified and completed. Inspection Request will be raised to the Engineer for MEP services/sleeves/openings installations were shown in the approved shop drawings. A copy will be forwarded to the QA/QC Engineer for all submitted Inspection Request with copies of approvals. The QA/QC Engineer shall ensure that works are carried out in accordance with the Quality Plan. He shall ensure that all ITP requirements are met. The QA/QC Engineer shall ensure that the inspection request for inspections and testing are raised and submitted to the Engineer on time. He shall ensure that materials being used are in accordance with project specifications and approved by the Engineer. The Surveyor shall be responsible for setting out the location, line and levels, plus other dimensional requirements in accordance with the design drawings and approved shop drawings. The Safety Officer will monitor and implement all HSE related issues. He shall ensure that all necessary requirements regarding health, safety and environment concerns, risk assessment are met and adhered to. The Safety Engineer shall ensure that all permits and authorization are on hand (as per Project HSE Plan) prior to starting any site operation (if required). The Foreman/ Supervisor will be responsible to carry out the work in safe manner and to supervise the work force together with the proper execution and monitoring of works, and all appropriate checks will be carried out during each stage of the works. The Independent Testing Laboratory (ITL) shall be responsible for sampling, testing and reporting the test results as per the project specifications. 7. SAFETY PRECAUTION: 7.1 All works shall be performed in accordance with the Engineer's HSE Manual and Contractor's HSE Plan and Procedures. 7.2 Site Engineer/ Supervisor will ensure that Mandatory Personal Protective Equipment worn by site personnel at all times within the designated construction areas. 7.3. Prior to commencement of any activity, all operatives will be given in a general site safety induction by HSE Personnel, the Site Engineer/ Supérvisors/Foreman will also conduct Tool Box talks and method statement briefings to’ the personnel involved in operation, f 7.4 General PPE is mandatory for all personnel will consist of safety boots or shoes, safety helmet, safety gloves, HI-VI2 vest or shirt and overalls (for workers). Other PPEW qoustapyl SKMC DEVELOPMENT PROJECT- nec | ALREEN HOSPICO Project Name Doe. no. M5-Cr-005 OUTPATIENT SPECIALTY CLINIC |ETHOD STATEMENT FOR Dates ors 2022 Excavation Works for Manhole 75 16 W 78 79 7.10 7AL 742 7.13 7.4 7.15 7.16 747 requirements will be determined by Risk Assessment as the work proceeds and other hazards are anticipated i.e. working at height/ or at the leading edge of a structure. In the event of an accident or incident immediately notify the Project Manager and Safety Officer. The accident file, which is situated in the Site Office, must be completed, by the Safety Officer/Trained First Aider or Trained Construction Managers. In case of fire/ emergency evacuate the work area to the designated assembly points. Prior to the start of the activity, the Contractor’s HSE Officer will ensure the necessary arrangement for dust and noise control according to approved HSE Procedure and he / she will monitor the same daily. A rigid edge protection will be provided in all sides of the excavation including safe access and egress. In the event of an accident or incident immediately notify the Engineer, ARH Project Manager and HSE Manager. The accident file, which is situated in the Site Office, must be completed, by the ARM HSE Manager/Trained First Aider or Trained Construction Managers. First aider shall be made available at all times. Constantly coordinate with male nurse on site. In case of fire/emergency, evacuate the work area to the designated assembly points. For dusty working environment dust masks shall be used and ensure regular dust suppression in unpaved road surfaces for vehicle access. Hearing protection shall be provided to personnel working/accessing to excessive noisy environment. Ensure the entire working area must maintain good housekeeping, all generated construction waste must be removed onsite on regular basis. Use of work equipment such power tools and hand tools, ensure it must be inspected and well-maintained for safe use as per manufacturer's recommendation. Ensure users must be adequately trained and competent in the use of work equipment prior to commence their task. Never allow operatives on restricted areas of operation such as accessing nearby work equipment operation. we YEQN : us.) All workforce personnel shall be given adequate training on manual handling, working under hot working condition, using a piece of work equipment including hand tools,N Project Name Doe, nous MS-CL-005 qouspapyl ‘SKMC DEVELOPMENT PROJECT- Eaios OUTPATIENT SPECIALTY CLINIC JURE © a EIR eR oat on aren Excavation Works for Manhole 81 81. 8.1.2 8.13 8.14 B15 8.1.6 8.2 B21 8.2.2 8.2.3 8.2.4 ‘working inside excavation, etc. prior the commencement of works. 7.18 Method statement and risk assessment to be communicated to the site team prior to commence activities and one month thereafter. 7.19 Always ensure adequate supervision to all operatives while activity in progress. UNDER ANY CIRCUMSTANCES, NO LONE WORKING in any location onsite. 7.20 Risk Assessment is attached with the Method Statement. |. CONSTRUCTION SEQUENCE (METHODOLOGY): GENERAL Location of excavation will be identified. The existing pavement will be removed and stockpiles on the safe area Clearing shall consist of the removal of any material, equipment, waste etc. (if any) and the satisfactory disposal of the same in the designated area for removal and the areas of trial pit will be cleared. Necessary work permit will be obtained from SKMC Authority to start the excavation works. Ensure MEP clearance is obtained along with an approved SKMC permit. Mechanical excavation will be proceeded only after MEP clearance and SKMC Permit. The Contractor will ensure live HV & LV wires/cables, waterline, and gas pipeline are verified with calibrated CAT detector and live services de-energized/deactivated before proceeding with excavation work at the site. LOTO procedure will be implemented for all areas with the power cables/wires as per working scope and followed SKMIC EHSMS-SOP FCM-10- 020 LOTO procedure and SKMC EHSMS-SOP-FCM-10 011 electrical safety, and SKMC-EHSMS-FCM Cop 10 015 Excavation as well. The area will be barricaded to restrict the entrance of unauthorized person. EXCAVATION WORK Prior to the commencement of excavation, ARH Surveyor will identify the location of ‘excavation according to the lay out drawing and mark the location clearly. SN Initially, NOCs to be obtained from the owner of concerned utilities including the updated drawings detailing the location and position of existing services. Construction team to survey the area to check for any markers or physical sign of services. A cable locating detector will be used to check underground services, as necessary counter check as per the drawing where it shows and position the services. As cables identified by the detector, area to be marked including the routes of services. Adequate warning signs must be| iN Project Name Doe. na. WS-Ch005 gumyopyl SKMIC DEVELOPMENT PROJECT- at OUTPATIENT SPECIALTY CLINIC AEH HD METHOD STATEMENT FOR Seat Excavation Works for Manhole 8.2.5 8.2.6 8.2.7 8.2.8 8.2.9 8.2.10 Excavation will be ca posted in all areas with HV cable being detected. Trials holes will be dug for a depth of 1.2 meters as per approved Method Statement of Excavation and Backfilling of Trial Pit (Reference no. MCE-SKMC-311-OSC-GF-MS-CI-004) to ascertain positioning of all underground services in some areas for new excavation for manholes. Other areas, trial pits have been completed from previous excavation activities including nearby service corridors. Use only spades and shovels during trenching works. Never use pick axe that might strike underground utilities. Operatives must be fully briefed in the safe system of work prior to commencement of the activities. Competent supervision must be in place at all times during the activities. Extra precaution must be observed, where necessary repeat checks of services using cable detector. Where services have been exposed, it must be adequately protected to prevent damage and if a cable or irrigation line exposed more than 1 meter crosses a trench, it must be adequately supported to prevent sag damage. Ensure all areas being opened must be adequately provided with physical barrier to prevent unauthorized access/entry. Safe access/egress will be maintained at regular intervals to facilitate entry/exit to the trench where required. A competent person must check the safety of the excavation prior to the commencement of the shift or after adverse weather conditions. to ensure safe condition of the excavation especially prior to operatives’ entry, this includes the provision of safe access and egress, any signs of cave-in and suitable protective system: Throughout excavation works, competent person will check on daily basis or before each shift using a pre-determined checklist to ensure excavation is safe prior to access by all involve operatives. Excavated materials will be removed from the sides of the excavation and stored in a designated area or removed from site by truck. Prior to the commencement of excavation, ARH Surveyor will fix the temporary bench marks. He will identify the location of excavation according to the lay out drawing and mark the location clearly, According to the approved shop drawing, the required level of formation level will be identified. Protect the identification and marking of excavation till starting of excavation. 1d out using appropriate mechanical equipment, specified above equipment list. An adequately trained and competent banks man will assist mechanical operation to observe the excavation. The marked lines and levels of the excavation area will include working space wherever available in sides with sign flags showing the depth to be excavated from the existing ground level. The excavation works shall be executed to reach the formation level 0. 8.2.11 For all location of manhole excavation adequate hard barriers, sign boards, warning signs, traffic control and flash lights will be provided as required. 2 8.2.12 Any existing services, if exposed during excavation will be protected and properly supported during all activities. ARH shall submit the proposal to the Engineer for the protection system of each particular case. Alternatively, the Engineer and ARH will inspect at the area jointly andProject Name Doe. nos MECODS W Sugoi SKMC DEVELOPMENT PROJECT- pacion I | OUTPATIENT SPECIALTY CLINIC sent eS eS baton stan Excavation Works for Manhole resolve the issue. The work will not be proceeded for this particular area until the Engineer's approval is obtained. 8.2.13 Within limits of excavation, abandoned piping, sub-soil drainage system, conduits, manhole and related items in the excavated area shall be removed from site. ARH shall submit the proposal to Engineer for the removal of abandoned manhole. Alternatively, the Engineer and ARH will inspect at the area jointly and resolve the issue. The work will not be proceeded for this particular area until the Engineer's approval is obtained 8.2.14 The sides of excavation will be stepped / sloped (2 Vertical : 1 Horizontal) for the excavation depth of maximum 1.5 meter. For more than 1.5 meter, ARH will do the shoring to protect the side slopes. 8.2.15 The Surveyor and the Project Engineer will monitor the depth of excavation as work progresses to prevent over excavation of the area and will ensure that the excavated levels are achieved. 8.2.16 Excavated material that can be used for subsequent backfilling subject to Engineer's approval will be stockpiled at locations convenient for re-handling. If necessary, relevant gradation and testing (physical and chemical testing) will be done for the materials, 8.2.17 Unsuitable excavated material will be removed from the site to authorized dumping areas. 8.2.18 Excavations will be kept free from water while construction is in progress. 8.2.19 Notify the Engineer immediately in writing in the event that it becomes necessary to remove rock, hard material, or other material defined as unsatisfactory to a depth greater than indicated in the soil investigation report. 8.2.20 Special precaution shall be taken to avoid any disturbance to the formation level once the excavation is reached to this level, 8.2.21 Formation level will be well compacted and In-situ Density Test will be carried out on the excavated level as per approved ITP. 8.2.22 The Contractor will ensure the excavated material is not scattered around the workplace, Stockpile shall be covered and the height of stockpile will not be above 1 meter. Adequate illumination will be installed in the excavated area (day & night). Housekeeping will strictly be maintained in the excavated area. 8.2.23 Temporary access / ladder will be ensured at site to make safe access to the excavation area. 8.2.24 Safe access / egress will be provided at all times into the excavations. » 8.3 SHORING AND BRACING ‘ c 8.3.1. For the excavation more than 1.5 meter depth, ARH will install shoring to protect the surrounding soil and construction elements. 8.3.2 The 18mm thick plywood will be fixed at the side of excavation. Steel Props will be fixed horizontally, vertically and laterally to support the shoring system. Refer to the attached Sketch 01.Project Name Doe. nos MS-CHO05 \ bute py SKMC DEVELOPMENT PROJECT- nea i OUTPATIENT SPECIALTY CLINIC AUK Hah METHOD STATEMENT FOR ae Excavation Works for Manhole 8.3.3. The Contractor will ensure the exposed, unprotected pits and trenches are covered or barricaded if unattended. It will ensure for temporary walkways over trenches are secure and safeguarded. 8.4 SUBSEQUENT ACTIVITIES / BACKFILLING WORKS 8.4.1 The excavation work will be ready and inspected / approved by the Consultants to proceed for subsequent activities. Method Statement for backfilling and other activities will be submitted separately. 9. CONSTRUCTION PROGRAMME: As per ARH Contract program / Working program submitted to Engineer. 10. INSPECTION & TESTING 10.1 The QA/QC Engineer/Inspector shall ensure that the inspections are completed in accordance with the ITP requirements. They will conduct random inspections as per the ITP requirements to verify compliance with the specification and design drawings. 10.2 The QA/QC Engineer/inspector shall ensure that the latest revisions of approved drawings/ documents are used on site by the Site Construction Team. 10.3 Any discrepancies found during an inspection will be immediately communicated to the Construction Manager/Civil Engineer for rectification and compliance with specified requirements. Discrepancies shall be rectified prior to the Engineer's inspection, 11. RELATED FORMS 11.1 Check Sheet 12. ATTACHMENTS 12.1 Sketch 01 showing Typical Shoring System 12.2 Inspection and Testing Plan ——e 12.3 Check Sheet s 12.4 Risk Assessment : yetarereaaee {2400 2on6nm PLY VERTICAL STEL PROP FOR SUPPORTING PLY ORZONTAL STEEL PROP VARY AT SITE i 500 HO 2iooc zont8nm PLY SECTION -A oi | L=VERY AT SITE 500 |--— prop ron supports Poy fans |—scarro.one ‘STEEL POR. SECTION -B SKETCH - 1 : TYPICAL MANHOLE EXCAVATION PLANbye 4 80g (a) vais Bupse4 vonoedeul- ee -41¢-ONOIS-3OP seohn wows ttt supe ‘gun unre qUnN Sw NNN Ud Base, Lond a (eOUeNSON O11 2 aA 013 WO 90} eu YoHEaNRY sapeato9 ivrYY-2eA| ~ | wero | messes [onsen | at. nase a vostro ceuoy eben] = | exmmans | mune | vomearamo | eveno vorucca)oime anes wontons] & panns | sousjeanns | voronéeuy oI erp pecan maces eae vogentng jo Wels 098 peel 7 — 3g 0 sey sons Guaxe aKg an ‘Sunsxe jo vonsevond pue uoyeon voneayver = | ermans | mins | vooreareme | ne — | say ne| notin mi y | ROR OUR OORE warvoing intan| fovea paws] veeubua [ren] bowen suo mans uonaedsu 5 uoneauioeds | eusnig eoumdeoay no powies oq onyse4uonsedsuy | S “aarsuedseny wonzadsuy | yereqionuog | /voneoupe’ 1801 yo fount : Zena 2 ‘Dit Oo CORSON WEEE euswey eioKEA? hg poxouidy| (0 004900 ON e096 al syeeubu3 6uynsteo veBINL e ipuey pokes: fg pono (mp: oagpsg Has. 7 veuyexssnezou: fa poled SINNO ALTwOadS LNALL¥ALNO| Sys: 32s pug OousOHHaIETY BR BRT ireevoeeress WANNseHa <% aac Morsan tie Wee [Supervision Consultant/Engineer Main Contractor : [Sub Contractor ENA Morgan Consulting Engineers ‘Al Reem Hospico LLC ith, PEA OER ENR REO 4 ALREEM HOSPICO Project + SKMC DEVELOPMENT PROJECT: OUTPATIENT SPECIALTY CLINIC Client SEHA Developer Kheikh Khalifa Medical City Project Management/Developer Representative : NA CHECKLIST FOR EXCAVATION & FORMATION LEVEL WIR No. Location: Date: SN Items to be checked Checked by Contractor [Checked by] Site Ener. [OC Team | Consultant| Remarks ]QA/QC Requirements ezlzle & FS |é ES 18 | |S 1 [Excavation carried out as per Method statement & Specification 2 |Formation level and line as per Approved Drawings 3 |Soil Sample taken for testing and tested accordingly excavated area are free from standing & running water, 4 5 |Excavated Materials are removed from the Site 6 Dewatering system is provided if required. 7 [Access facilities provided to the Excavated area Verify that the bottom of excavation Is as per standard requirments 8 [and lapproved by the consultant For Final Approval Contractor Site Engineer _| Contractor QA/QC Inspector Consultant Rep Name: Name: Name: Signature: Signature: Signature: Date: Date: Date: TGC/QAQC/CHK/CVL/EXC/01 REV-00©20Z/01/20 !31G ASS LX3N 00- Psooey UOISIADY FORR/E0d-HSO/AUY | (a39VNVW 1L0arOud) | Ad GAAONddV | Fpir :aUNLVNOIS | WNVINVY WLVYNSA) = GSMSIASY | (4391440 3SH"US) 7" | :suniwneis IZNOMMVN 13 Idvd | 1 | | ‘Ag Gaevdadd OWNS ‘OINITO ALITVIDAdS LNAILWd LNO alls diva 8004 /E0d-HSO/HEW STOHNVW YO4 YYOM NOILLVAVOXA LNAINSSASSV XSIY GNV NOILVOISILLNAG! 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