10 603128 0000100201 Mah Civ MST 000003 - 03 - A

Bechtel Document Management Final (WF-042210) WO 057 - Spine Earthworks Lot 8B - (… 12:32 PM
BECHTEL KSA WORKFLOW TRANSMITTAL BEC-WTRAN-084403
10 Spine Infrastructure
Spine Infrastructure
NEOM
Saudi Arabia
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Final (WF-042210) WO 057 - Spine Earthworks Lot 8B - (Ch58+200 - Ch65+500)

(Coastal Desert West Region) - Method Statement For Excavation, Backfill And
Compaction
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10-603128- WO 057 - Spine Earthworks Lot 8B - (Ch58+200 -
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CIV-CRS-000004 Statement For Excavation, Backfill And Compaction_CRS
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0000100201-MAH- 03 25/06/2022 Ch65+500) (Coastal Desert West Region) - Method
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CIV-MST-000003 Statement For Excavation, Backfill And Compaction
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The attached documents have completed the "WO 057 - Spine Earthworks Lot 8B - (Ch58+200 - Ch65+500) (Coastal Desert West Region) -
Method Statement For Excavation, Backfill And Compaction" workflow with the following results :
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10-603128-0000100201-
EPM DCC B Document Management A - Work May Proceed
MAH-CIV-MST-000003
10-603128-0000100201-
EPM DCC B Document Management A - Work May Proceed
MAH-CIV-CRS-000004
NEOM - 10 SPINE INFRASTRUCTURE
Work Order No. 057
Work Order Title Spine Earthworks Lot 8B CH 58+200 to CH 65+500 (Coastal Desert
West Region)
Contract No. 100201
Contract Title Framework Agreement for Site Preparation
Document Title WO 057 - Spine Earthworks Lot 8B - (Ch58+200 - Ch65+500) (Coastal

Desert West Region) - Method Statement For Excavation, Backfill And
Compaction
Document No. 10-603128-0000100201-MAH-CIV-MST-000003
Revision No. 03
Date June 23, 2022
Reason for Issue Issue for Approval
Revision History Revision Date Revision Description
01 May 29, 2022 Issue for Approval

02 June 19, 2022 Issue for Approval
Prepared By Reviewed By Approved By
Name Saqer Ali Alex Ibale Mohamed Adel Rageh
Position Construction Manager QC Manager Project Manager
Date & Signature
Page 1 of 26 10-603128-0000100201-MAH-CIV-MST-000003_03
10-603128-0000100201-MAH-CIV-MST-000003_01
WO 057 - Spine Earthworks Lot 8B -
(Ch58+200 - Ch65+500) (Coastal Desert
West Region) - Method Statement For
Excavation, Backfill And Compaction
1 0 - 6 0 3 1 2 8 - 0 0 0 0 1 0 0 2 0 1 - M A H - C I V - M S T - 0 0 0 0 0 3 – R e v . 03 , D a t e
23 / 0 6 / 2 0 2 2
10-603128-0000100201-MAH-CIV-MST-000003_01
Contract No. - 100201
Contract Name - Coastal Desert West Region
Method Statement For Excavation, Backfill And
Compaction
Document History
Revision code Description of changes Purpose of issue Date
01 Initial Issue Issue for Approval 29/05/2022
02 As per EPM Comments Issue for Approval 19/06/2022
03 As per EPM Comments Issue for Approval 23/06/2022
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
Document Type: Document No.:
Backfill and Compaction
METHOD STATEMENT FOR

EXCAVATION, BACKFILL AND
COMPACTION
(Discipline / Civil Works)
Work Order No.: 100201-WO-057
Project Title: Spine Earthworks Lot 8B (CH58+200 to

CH65+500) Coastal Desert West Region
Issued by: Mofarreh Alharbi & Partners
Rev. # Date Description Prepared Reviewed Approved
MS for Excavation, Backfill and Saqer Ali Alex O. Ibale M. Rageh

03 23-June-22
Compaction MAH CM MAH QCM MAH PM
MAH-MS-FORM
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
Table of Contents
1. DESCRIPTION OF WORKS
2. LOCATION AND WORK LIMITS (AREA/SITE SPECIFIC LAYOUT)
3. ACCESS/EGRESS
4. PROTECTION AND ISOLATION ARRANGEMENTS (E.G 3RD PARTIES)
5. TASK SPECIFIC EMERGENCY ARRANGEMENTS
6. WORK METHODOLOGY
7. RESOURCES
A. SITE KEY PERSONNEL AND WORKFORCE
B. PLANT AND EQUIPMENT
C. MATERIALS AND TOOLS
D. CHEMICALS REQUIRED
E. TASK SPECIFIC PPE REQUIRED
8. INTERFACES – OTHER SITES, WORK ACTIVITIES, GENERAL PUBLIC ETC.
9. PERMITS
10. REFERENCES DRAWINGS / SPECIFICATIONS / OTHER
11. Attachments: 1. RISK ASSESMENT
2. SUPPLEMENTARY FILES
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
1. DESCRIPTION OF WORKS
This document demonstrates the sequence of activities to be carried out for Excavation, Backfill
& Compaction of suitable materials to lower grade areas of Spine Earthworks Lot 8B (CH58+200
to CH65+500) as per the design, grade, level and dimension shown on IFC drawings and NEOM
Specification Section 312000.
This shall include standard procedure for excavation, taking soil samples and material type, test
requirements, backfilling & compaction process, dust control and traffic control during work
operation.
2. LOCATION AND WORK LIMITS (AREA/SITE SPECIFIC LAYOUT)

See attached drawing: Project Location
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
3. ACCESS/EGRESS
Access/egress going into jobsite shall be as per TMP layout submitted to NEOM for
review and approval including the borrow pit access/egress
4. PROTECTION AND ISOLATION ARRANGEMENTS (E.G 3RD

PARTIES)
Area Protection/Isolation Measures
1. Open Excavation, Existing utilities U/G rows shall be
protected with Post along warning lights.
2. MAH shall also protect manholes, benchmarks and Other
All existing utilities, Persons existing properties.
& Property
Heritage sites on the area 3. Protect structures, utilities, sidewalks, pavements, and other
facilities from damage caused by settlement, lateral movement,
undermining, washout and other hazards createdby earthwork
operations.
5. TASK SPECIFIC EMERGENCY ARRANGEMENTS

First Aid kit will be available at work site for possible injuries during works, (e.g. tripped during
walking and will fall down to the ground and will hit by hard objects, hitting the hands by
equipment during works, etc..).
During the activity, in case of emergency the site personnel will contact the following persons
in below details.
The Contact Information of Reporting any Emergency Incidents are mentioned below:
1. Fire Station No.: 998 in case of fire
2. Traffic Accident No.: 993 in case of vehicular accident
3. Ambulance No.: 997 in case of workers collapse on the site
4. Police No.: 999 in case of any incidents
5. MMAH Safety Department:
5.1 Mohamed Rageh – 0501791104 – Project Manager
5.2 Tamer Mohamed – 0582478670 – Safety Manager
5.3 Ahmed Elnemer - 0569087981 – Environmental Manager
5.4 Sager Ali – 0509191455 – Construction Manager
5.5 Mohamed Fateha – 0500746549 - Project Safety Nurse
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
6. NEOM Representatives:
6. WORK METHODOLOGY
Number Activity Description and sequencing
A. GENERAL
Prior to start the task, activity in-charge along with the foreman and the
1. safety officer shall conduct toolbox in language which can be
understandable by all the crew members, JHA & RA will discuss, and
responsibilities will be assigned to the crew members and STARRTCARD
will be filled and available. They must present in detail the task, potential
risk, safe activity implementation and the preventive control measures,
PPE requirements, safe work procedures, HSE regulations and conditions
to prevent incident. All concerned workers shall attend toolbox talk and
the related records shall be maintained.
2. Construction of temporary access road and traffic management are carried
as per the MAH Traffic Management Plan and Road Access Plan.
Ensure installation of traffic speed limit signs & related warning will be
3. posted on designated areas, speed humps especially in the intersection,
temporary road access diversion when there is on-going road TMP
maintenance.
Dust control measures shall be arranged in all TMP during work operation
4. including huge movement of plant and equipment which creates dust
storm especially during loading/unloading and during summer. Water
spraying to all TMP’s access haul roads done by water tankers must be
arrange in daily basis.
All Excess Waste materials are stockpiled properly with temporary
5. barricade and will transfer to the client approved area in the working site.
Emergency Preparedness
6.
- Upon identification or awareness of an emergency event, notification
shall be made by any means necessary, including but not limited to:
- Use site communication device (cell phone, loudspeakers, fire alarm,

MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
etc.) to alert Emergency Response Team personnel of the emergency.
- The Emergency Response Team personnel on-site will evaluate the
emergency and use a graded approach as to actions needed to be taken.
Initial incident response is typically the responsibility of worker(s) either
directly involved with the work that caused the event and/or emergency,
or as direct witness (es). Initial response to all emergencies is as follows:
The discoverer(s) immediately initiates:
Stop Work – Stop all work activities in and around the area where the
incident has taken place,
Warn – Warn others in the vicinity of the situation,
Call – Call the emergency response:
- Contact direct supervision (Foreman/Supervisor).
- Contact CM/PM.
- Notify site Safety /safety Manager.
Assess – Assess the area for any other danger to yourself or others;
assistance can be provided by supervision. Do not move anything unless
there is an injured person involved and this can be done safely.
Isolate – Isolate the incident area using barricading and signage and if
necessary, install a
- Report – Report the incident to your supervisor and H&S Officer and wait
for further instructions or Emergency Response Team arrival.
The immediate purpose is to protect the health and safety of persons in
the affected area. The steps outline above also can be applied to medical
emergencies as well as initiate the process to get emergency services
support to mitigate an abnormal and/or emergency condition.
The individual making initial incident notification should be prepared to

provide information to assist responders (Emergency Response Team).
The following are some examples:
- Your location and the location of the emergency.
- The nature of the emergency (e.g., injury, fire, spill, etc.).
- Needs (e.g., medical response, fire response, special equipment, etc.).
Any Archeological and heritage sites were found on the working site area
7. needs to isolated and protected with temporary barricade and rope and
will be notification to the Environmental Department.
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
B. EXCAVATION
Unauthorized Excavation shall not be carried without specific direction of

1. the Engineer as per the project specification. Excavation permits to be in
place prior to start work.
Visual inspection to be carried out at site to verify that the underground
utilities and exposed utilities are available. Ex: By Marker post, Manhole
2. Cover etc. Trial Excavation to be conducted for 1.5 m depth and 20m length
to verify the underground utilities and survey equipment are used
to identify the existing utility working site area.
The areas not touched by previous Contractor Al Yamama will be checked
3. for existing utilities. These areas will be subjected to the full
environmental risk assessments as stated in our approved CESMP as well
as Method Statement for Translocation of Trees. These are Zone no. 1 and
Zone no. 3 mountain areas.
All excavations shall be protected, and 1.5-meter area shall be cleared, and
4. no one is allowed to enter until approved and authorize by the MAH and
Bechtel
Proper temporary barricade and temporary signage to be installed for the
5. working area and any excavation at site.
Excavation shall include removal and disposal of obstructions on ground

6. surface, underground structures and other materials encountered as
mentioned in IFC drawings
If unsuitable bearing materials are encountered at the required subgrade
elevations, carry excavations deeper 300 mm and replace the excavated
7.
material with specified approved materials and as directed by the
Engineer as an additional excavation.
8. Side slopes of excavations will be cut and graded to the specified cross
section. Maintain sides and slopes of excavations in a safe condition until
completion of backfilling
Contractor to ensure steps for sloped excavation is properly
9. implemented and maintained throughout the excavation works.
Safe access egress for the workers going inside the trench
10.
shall be provided no more than 200 m. The area where ramps cannot be
provided, staircase/ladders can be used for accessing the trench.
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
Safe access road to be provided for the excavators to move easily while
11. excavating the trench
Install shoring When applicable in advance or simultaneously with trench

12. excavation so that soils within full height of trench excavation walls will
remain laterally supported at all times with proper procedure.
Proper dewatering system shall be carried to prevent surface water and
13.
subsurface or ground water from flowing into excavations and from
flooding Project site and the surrounding area. MAH will submit separate
MS for Dewatering System (if required).
Suitable Stockpile area to be allocated and maintained for excavated
14.
material until required for backfill or fill materials.
Special deep excavations for the HSR (High Speed Rail), GMT (Group Mass
15. Transit) and adjacent structures shall be properly carried as per the
elevation and dimensions within the tolerance shown on the approved IFC
drawing. Below are excavation sequences (a to j) which refer to Contract
100201-WO-057 Appendix B. Section 5.5. Excavation and Earthworks:
Approved Geotechnical Specialist to be available on site to undertake site
inspections, generate mapping reports and recommendations during the
a. course of excavation. The geological ground conditions that will be
encountered during the execution of the Works includes sand and rock
conditions (e.g., metamorphic and / or igneous rock). The Contractor’s
scope is to provide all Works necessary to clear and excavate to the levels
specified on the applicable drawings and specifications
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
Upon receiving IFC Drawing, Contractor will provide cross section drawings
b. for the excavation at each 100m to be submitted for approval. Attached
please find indicative cross section drawing. (Please see above drawing)
There are 4 centerlines: GMT (Group Mass Transit), HSR (High Speed Rail),
c. Center Line, FRT (Freight Rail Transit). We will locate the Center Line using
200 m offset control line. From the Center Line, the rest of the GMT, HSR
and FRT center lines will be located and levels of excavation per each
center line to be followed.
Where blasting to take place, specialist advise will be sought and activities
d. to be executed on approved blasting plan. Contractor will submit separate
Method Statement for Blasting.
Initially, the Contractor shall excavate to a meter above the water table
e. and before continuing to the Top of Rail (ToR) of the highest rail system
either High Speed Rail (HSR), Group Mass Transit (GMT) or the Freight
as specified in the drawings and gain Employer direction to excavate
further. A ground water model and a method of dewatering will be agreed.
The Contractor shall request approval to proceed beyond this point in line
f. with the Control of Excavation.
The Contractor shall handover excavated areas in approximately 1km

g. sections. The precise length of a section for handover and the sequence is
to be agreed with the Employer.
The Contractor shall perform the Scope of Works (SoW) in the following
h. phases:
Phase 1: Conduct survey of existing conditions, surface and subsurface

services, site walkovers, ecological surveys, identification and physical
barriers to heritage, lizard burrows, trees etc as identified in the
Environmental and Social Management Plan and in accordance with the
Employer’s Requirements.
Phase 2: Clear, grub, strip, translocate trees and shrubs, and relocate
spiny-tailed lizards, from the entire Site to pre-designated location or
facility in accordance with the Employer Requirements.
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
Phase 3: Excavate trial trenches, excavate to agreed control points (Top of

highest rail or the groundwater Level+1m whichever is higher), shoring and
site stabilization as required for any Temporary Works. The Contractor
shall work in accordance with the agreed method statement for
excavation, the control points, and the ground support systems. The
advancement of the Works shall be approved by the Employer.
Phase 4: Permeability tests, dewatering, and discharge as required. The
Contractor shall always maintain the excavation area dry.
Phase 5: Excavation to formation level and final finishing.
Contractor divided the excavation length into seven (7) zones, as detailed
i. below: (Please see attached drawing above)
Zone 1 – 58+200 to 59+300 This zone is untouched by previous Contractor

Al Yamama. This is mountain area for blasting.
Zone 2 – 59+300 to 60+000 This zone previously excavated about 3-to-4-

meter depth by Contractor Al Yamama. This zone for normal excavation,
blasting not required.
Zone 3 – 60+000 to 61+500 This zone is untouched by previous Contractor
Al Yamama. This is mountain area for blasting.

meter depth by Contractor Al Yamama. This zone for normal excavation.

meter depth by Contractor Al Yamama. This zone for normal excavation.

meter depth by Contractor Al Yamama. This zone for normal excavation

meter depth by Contractor Al Yamama. This zone for normal excavation
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
Control of Excavation
j. It is essential that the depth of excavation is controlled to protect against
over-excavation. The Contractor shall initially excavate to the highest Top
of Rail (ToR) or 1M above the water level, whichever is encountered first,
and seek the Employer’s approval before proceeding to excavate to the
Formation Level. Intermediate excavation levels to the ToR will be set by
the Employer and subject to approval including slope design and ground
protection measures and method statements tailored to the ground
conditions. Please see below control measures. The Contractor shall
excavate and seek approval from the Employer prior to proceeding to the
next stage as follows:
The installation of slope protection in 2m intervals to ensure the stability
of the excavation is progressively controlled.
One meter above the ground water as identified by the initial ground
investigation reports and actual site condition.
Highest ToR level across the width of the excavation.
Where a change in material geology is encountered during excavation.
B. BACKFILLING
1. All excavated materials will be stored in stock piles within the LUP, stock
piles will have sign boards nearby showing the stock pile number, the
material type of the stock pile as well as the quantity of stored material in
that stock pile
Ensure only approved backfill material shall be used as per test reports of
2. soil samples taken from borrow pit areas within project limit submitted by
approved 3rd party testing laboratory.
Taking soil samples with 3rd party testing lab shall be witnessed by NEOM
3. upon submission of inspection Request 24 hours prior for actual
inspection.
Ensure the testing for backfilling materials samples will be tested
4.
according to the project specification
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
C. COMPACTION
Backfill material in working area shall be placed and compacted in layers

with thickness as per specification by using heavy equipment suitable for
1.
these activities such as; bulldozer, grader, loader, roller compactor, water
tanker, dump truck, excavator (when needed).
After unloading by dump truck spreading, grading, leveling of backfill
2. material shall be using grader. Loader also will be used from spreading
unloaded material more than 1m high.
Before compaction, moisten or aerate each layer as necessary to provide
optimum moisture content using water truck. Compact each layer to
3. required percentage of maximum dry density or relative dry density for
each area classification using roller compactor. Ensure do not place
backfill or fill material on surfaces that are muddy.
Succeeding layer will not proceed unless previous layer is compacted,
4.
and test meets the specification requirement.
Place backfill and fill materials evenly adjacent to structures, piping, or
conduit to required elevations. Prevent wedging action of backfill against
5. structures or displacement of piping or conduit by carrying material
uniformly around structure, piping, or conduit to approximately same
elevation in each lift.
Control soil and fill compaction, providing minimum percentage of
6.
density specified for each area classification as per the project
specification. Correct improperly compacted areas or lifts as directed by
the Engineer if soil density test Indicate inadequate compaction.
Compact each layer of backfill or fill material and will be tested at 95
7.
percent maximum density.
Where subgrade or layer of soil material must be moisture conditioned
before compaction, uniformly apply water to surface of subgrade or layer
of soil material. Apply water in minimum quantity as necessary to prevent
8.
free water from appearing on surface during or subsequent to compaction
operations. Moisture content shall be kept within 2 percent above or
below the optimum as determined by ASTM D 1557, Method-D.
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
7. RESOURCES
A. SITE KEY PERSONNEL AND WORKFORCE
Title No. Required Task Specific Training Required (if applicable)
Project To manage the project execution and planning in
1
Manager accordance tocontract requirements
Construction To manage the construction execution and providing all
2
Manager resourcesrequired to complete the work
To manage the safety requirements are properly
HSE Manager 2
implementedand maintained on the site as per ES&H
requirements
To ensure that the work is executed according to safety
HSE Engineer 8
requirements
To manage the Environmental requirements are
Environmental
2 properly
Manager
implemented and maintained on the site as
per ES&Hrequirements
Quality To manage the quality requirements are properly
1
Manager implemented
and maintained on the site as per project quality
requirements
To execute the construction and allocating resources
Site Engineer 8
required tocomplete the work
Quality To verify the works are carried as per approved
2
Engineer drawings andproject requirements
Supervisor / Supervising the works and guiding the workers for
2
Foreman the properexecution of the works in accordance to
drawing requirements.
To verify the coordinates and elevation at the site as

Surveyor 2
perapproved drawings.
To operate and control the equipment like Crane, FLT,
Operators 10
Boomtruck etc.. for loading / unloading process.
Skilled /
2 If required only, for manual leveling (if needed).
Unskilled Labors
3rd Party To conduct any sample / test as per the project

1
Technician requirement fromthe 3rd Party testing agency.
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
B. PLANT AND EQUIPMENT

Item Reason for use
Excavators For Excavation
Rock Breakers For Excavation
Bulldozers For Excavation
Loaders For Loading the materials
Graders For Spreading Materials
Roller Compactor For Compaction
DT Trailers For Transporting Materials
Dump truck For loading / unloading of materials
Diesel Tanker For Supply Fuel to the equipment
Water Tanker For Supply of Water
Service Car For surveyor to access the site and to bring the surveying equipment or instruments
C. MATERIALS AND TOOLS

Item Reason for use
Cut Steel Rebars For survey sticks
Warning tape For survey sticks warning
Flags For identification of boundaries
Shovel For manual digging if required
Permanent markers For writing any data on the flags or survey boards
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
D. CHEMICALS REQUIRED
Item MSDS Number Reason for use
N/A N/A N/A
E. TASK SPECIFIC PPE REQUIRED (REFER

CONTROLMEASURES FROM RISK
ASSESSMENT)
Item Reason for use
None None
Note that all works require mandatory PPE as follows Hardhat, gloves,
safety glasses,safety boots, hi-vis vest.
8. INTERFACES – OTHER SITES, WORK ACTIVITIES,

GENERALPUBLIC ETC.
Interfacing party or activity Description of Interface
Coordinate to governmental parties before start of Civil
Any Governmental Authorities
works for rerouting of existing cables & other services.
9. PERMITS
To control the activities in safe manner for the protection of all personnel, assets, and
environment.
The permit shall be filled and signed by competent person. Describe the nature of work,
involved tools, equipment, work location details, start date and time in the work permit.
People in-charge of work/job performers shall be fully aware of activities, regulations and the
permits shall be always kept available nearby the work area.
a. Permit to Dig is mandatory for any kind of excavation.
b. Hot work permit is mandatory if work is producing and spark.
Any Permits Required (from NEOM ESH Manual or 3rd Party)
Permit Type Issued By Additional Information (Reference No. etc.)
Hot work permit MAH If necessary
Excavation/dig permit MAH If necessary
Lowbed transportation
MAH If necessary
permit
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
10. REFERENCES DRAWINGS / SPECIFICATIONS / OTHER

Document Number Title
100201/57 Conformed Contract (Work Order# 57)
Section 312000 NEOM Specification – Earth Moving
Approved Drawings IFC & Shop Drawings
11. RISK ASSESSMENT
As per attachment No.1
SUPPLEMENTARY FILES
As per attachment No.2
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
ATTACHMENT NO.1
RISK ASSESSMENT
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation,
10-603128-0000100201-MAH-CIV-MST-000003_01
JOB HAZARD ANALYSIS WORKSHEET
Project/ NEOM Work Order: 57 Date: 30th May 2022 - Onwards

Specific SPINE EARTH WORKS MAH Emergency Project Wide Emergency
Location contact no: contact details
ERT No (If available):
Job Site Medical Facility As Per Individual Sites
Description: Excavation and Backfilling Location:
JHA Preparation Team: Responsible Implementation Team: Evacuation/Muster point: As Per Individual Sites
1 Arslan Adrees 1 Site Engineer
2 M.Adel Rageh 2 - Supervisor Tools and or Equipment required:
3- 3 -Safety Officer Excavators, Truck & Trailer, Mandatory PPE, Job
4- 4- specific PPE
5- 5-
6- 6-
7- 7- JHA No: MAH-JHA-02
RISK RESIDUAL ACTION
Job Steps HAZARDS IDENTIFIED CONTROL METHOD
RATING RISK BY/RECORD
STEP 1. 10 - Full use of PPE to include Hi-Viz 4 Site
- Live Traffic vest. Engineer/S
- Equipment at site - Construction Equipment H - All equipment shall be inspected L upervisor/S
afety
prior to use at site. Officer
- Be aware of the traffic routes inside
the work site and make eye contact
with any construction equipment.
- Equipment operators shall have
valid Saudi license and TUV.
- Flag Man shall be provided if
machines are working near workers.
10-603128-0000100201-MAH-CIV-MST-000003_01
- Equipment’s shall have audible
reverse alarm, beacon light.
STEP 2. - Unqualified Workers 12 - Edge protection will be in place for 4 Site
- Excavation - Damaged to existing Facilities. all excavations regardless of depth Engineer/S
H to ensure a safe distance is L upervisor/S
- Equipment Break down.
afety
- Traffic Accident maintained by personnel, plant and Officer
- Caught in between equipment’s / Run equipment as well as ensuring
over by vehicle or equipment. materials are not stored near the
- Un protected Excavations. edge.
- Excavation collapses due to - Concrete barriers will be provided
equipment movement and vibration. for all excavation Edges,
- Limited access/egress Equipment's will be kept away 2
- Equipment roll over due to un even feet (0.61 meters) from the edge of
ground. the excavation.
- Emergency rescue operation - Excavation depth will be as per the
- Hazardous atmosphere. design (IFC Drawings) Side slope
and slope protection will be
provided.
- Workers should have proper
training and undergo orientation /
Worker should have valid certificate
and licenses / New workers should
undergo orientation and will be
under full supervision of the
foreman.
- Before any excavation Pre-Job
survey to be done to identify any
existing utilities in the area.
- If any existing utilities are in the
area, the stake holders to be
informed and permission shall be
taken for work to be carried out.
- Prior to any excavation Permit to
break ground shall be required from
EPM /Neom.
- Once clear to excavate all
excavation activities shall be
10-603128-0000100201-MAH-CIV-MST-000003_01
controlled by MAH Permit System.
Site engineer to issue permit to
excavate with all control measure.
Safety to ensure that permit
requirements are met.
- Site engineer shall communicate
utilities status to all working team.
- All operators shall have valid TUV.
- Daily task briefing shall be

conducted by supervisors and
hazards and control measure shall
be communicated to workers /
operators involve in the activity.
- Prior to any excavation NEOM

Daily Excavation Checklist and Utility
Clearance Checklist shall be filled by
contractor, competent person and
all requirements of the permits are
met.
- Hazards and control measures shall

be communicated with operators
via STARRT card Briefing.
10-603128-0000100201-MAH-CIV-MST-000003_01
- All equipment shall be Third party
certified.
- Workers are briefed regarding
emergency procedures in case of
any incident/accident.
- Train Flag man to be provided
where machines are working close
to workers.
- In case where workers and
machines are working next to each
other, physical hard barriers shall
be provided between workers and
machines.
- All excavations shall be done as per
approved drawings. Appropriate
techniques to be used to protect
excavations from collapsing e.g.,
benching, shoring etc.
- All excavations shall be protected
with physical barriers and log to be
maintained.
- No equipment shall enter any
excavation of more than 1.2m.
- If it is required to send any
equipment in an excavation, site
engineer shall inform safety team
prior to activity start.
- for equipment’s to go in excavation
clear access/ egress shall be
maintained.
- Soil compatibility shall be checked.
- Appropriate shoring or benching
control measures are in place to
prevent cave in risk.
10-603128-0000100201-MAH-CIV-MST-000003_01
- Atmosphere shall be checked for
any hazardous gases.
- Area is well lit.
- Ground shall be assessed by
engineer and safe sloping shall be
provided for equipment to move in
and out.
- Ground shall be even and stable.
- Watchman shall be assigned to
assist and help the operator.
- Hazards and control measures shall
be communicated with operators
via Task briefing.
- Operators are trained regarding
emergency response process.
- Rescue equipment’s i.e., tripod,
crane, man basket etc.
- no equipment can go inside an
excavation without these
requirements.
STEP 3. - Hit by moving equipment. - Task briefing shall be conducted
- Back Filling/Compaction - Vehicle Collusion. prior to activity and all hazards to
- Un qualified operators. be communicated with operators
- Dust due to backfilling. and workers involved in activity.
- Equipment Roll over - All equipment shall have a
designated access route.
- Pedestrian access shall be
established with physical barriers.
- Flag man shall be assigned to
control the equipment movement.
- All equipment shall be inspected
prior to activity and third party
certified.
10-603128-0000100201-MAH-CIV-MST-000003_01
- Equipment shall have audible
reverse alarm, beacon light visible
to all workers in the area.
- Operators are not allowed to use
phones while operation the
equipment.
- All operators shall have valid Third-
party certificate.
- Water tankers shall be used when
loading/offloading muck away
material to control dust.
- Dust mask shall be given to workers
working near back filling /
compaction areas.
- Equipment shall be switched off
and emergency brakes applied
when parked.
- All equipment shall have roll over
protection.
- Equipment shall be parked on level
ground away from any excavation.
- Rescue equipment. Where
hazardous atmospheres exist or
may reasonably be expected to
exist, emergency rescue
equipment will be on the worksite
and readily accessible to rescue
personnel.
- In the event of any emergency
situation requiring rescue from an
excavation, workers will not
attempt to enter an unprotected
excavation to perform rescue.
Local emergency services will be
notified using the standard
reporting system.
10-603128-0000100201-MAH-CIV-MST-000003_01
STEP 4. - Could suffer from back pain and work-related 12 - Task Briefing shall be given to all 4 Site
- Manual Handling upper body disorder (WRULD) due to: workers to start of activity and Engineer/S
H L upervisor/S
- Using incorrect handling techniques when hazards communicated.
afety
cleaning at site) - All workers shall go site safety Officer
- Poor body position when working at site induction prior to mobilize at site.
- Labor involve in cleaning activities
resulting in poor posture.
shall be briefed regarding safe
- Individuals with health conditions, previous lifting techniques.
back injuries etc. affecting ability to safely - Individuals with back pain and other
handle items. injuries shall not be allowed to
work.
- Workers shall be provided with
Mandatory and task related PPE.
10-603128-0000100201-MAH-CIV-MST-000003_01
STEP 5. 12 - Night work hazards to be 4 Site
- Extended Works / Night - Adequate Working environment e.g., communicated before darkness. Engineer/S
Works Light H - Night work notification shall be L upervisor/S
afety
issued and Bechtel approval to be Officer
taken prior to work.
- Adequate light shall be available at
work area as well as pathways, exit
entry points.
- Emergency arrangements shall be
available at site e.g., nurse,
ambulance.
- Safety officer shall be available at
site.
-
HAZARDS WHICH ARE NOT TASK SPECIFIC
- Damage to surrounding property from 12 - Provide water coolers for the 3 Site
- Conditional Risks - Sand flying materials. workforce. Engineer/S
Storm. H - Provide waste bin and toilet pods L upervisor/S
afety
- Heat Stress - Dust and particles entering employees’ - Provide sufficient sheltered areas Officer
eyes with enclosed sides for all
employees.
- Actively monitor the local weather
conditions
- Cease work during the storm.
- Prepare for high winds by securing
loose materials.
- All workers are to take shelter
during extreme weather.
- All workers are to wear safety
glasses (Mandatory PPE).
- Worker Injury. 8 - Emergency procedure & locations 3 Site
- Emergency Response of first aid kits clearly Engineer/S
- Fire on site. M communicated. L upervisor/S
afety
- Clearly communicated & defined Officer
muster points.
10-603128-0000100201-MAH-CIV-MST-000003_01
- Address and directions to nearest
Hospital shall be communicated
with whole survey team.
- Project emergency number
distributed to all employees.
SEVERITY LEVEL POTENTIAL CONSEQUENCES / IMPACTS

COMPANY LIABILITY/
SAFETY AND HUMAN HEALTH ENVIRONMENTAL
REPUTATION PROPERTY LOSS
First aid or slight injury/illness no Company/client concern, no
1 - Slight Insignificant impact, fully contained (Env Level 3) Slight loss (<$10K)
treatment media attention
OSHA recordable, medical Negligible short-term impact, confined on site, no regulatory
Community concern with
2 - Minor treatment, restricted work, exceedance Minor loss ($10-<$100K)
local media attention
temporary effect (Env Level 3)
Lost time injury/illness or Moderate to significant impact confined on site, regulatory State or provincial concern Moderate loss ($100-
3 - Moderate
permanent disability exceedance, or any off site impact(Env Level 2) with regional media attention <$1M)
Single fatality or permanent Significant impact on or off site, or potential enforcement

4 - Major National media attention Major loss ($1M-<$10M)
disability of 3 or more persons action (Env Level 1)
Catastrophic impact, long-term liability, or irreversible

5 - Catastrophic Multiple fatalities International media attention Catastrophic loss (>$10M)
damage (Env Level 1)
PROBABILITY TEST
PROBABILITY LEVEL
PROBABILIITY DEFINITION
1 Practically Never Occurs Consequence unheard of or not known to have occurred on MAH projects or in the EPC industry
2 Not likely to Occur Consequence rarely occurs on MAH projects or in the EPC industry
3 Could Occur Consequence may have occurred on MAH and could occur again
4 Known to Occur Consequence has occurred more than once on MAH and will likely occur again
5 Occurs Frequently Consequence has occurred multiple times on MAH projects and will very likely occur again
SEVERITY PROBABILITY LEVEL

Increasing Probability
LEVEL
10-603128-0000100201-MAH-CIV-MST-000003_01
1 – Practically Never Occurs 2 – Not Likely to occur 3 – Could Occur 4 – Known to Occur 5 – Occurs Frequently
1 - Slight 1 - LOW 2 - LOW 3 - LOW 4 - LOW 5 - MEDIUM
2 - Minor 2 - LOW 4 - LOW 6 - MEDIUM 8 - MEDIUM 10 - HIGH
3 - Moderate 3 - LOW 6 - MEDIUM 9 - MEDIUM 12 - HIGH 15 - HIGH
4 - Major 4 - LOW 8 - MEDIUM 12 - HIGH 16 - HIGH 20 - HIGH
5 - Catastrophic 5 - MEDIUM 10 - HIGH 15 - HIGH 20 - HIGH 25 - HIGH
PLANNED HIGH RISK CONSTRUCTION ACTIVITY

Excavation Explosives use Confined Space Entry Hazardous Substance use Work in/over water
Traffic Management Segment Installation Public Safety Mobile plant movement Lifting Activity
Gas/chemical fuel line

Road/rail work Energised Electrical work Temperature extreme Heavy haulage
work
Man Equipment.
Demolition work Work at heights Flammable/contaminated atmosphere
Interface
P.P.E REQUIREMENTS PLANT, EQUIPMENT & TOOLS FOR JOB TAGGING & SIGNS PERMITS/INSTRUCTION
“Check ” “Check ” “Check ” “Check ”
Full Body Safety Persons Working
Air Purifying Respirator Boom truck / Trailer Ladder SDS’s
Harness Above
Confined Space Hard Barrier/ Instruction
Static Line Crane & Lifting eq. Misc. Hand Tools
Harness Orange Fence Manual
Working on Live
Tinted Safety Glasses Gloves – PVC Shovel Extension Leads Flagging / Signalling
Electricity
Floor/Roof
Clear Safety Glasses Gloves – Hyflex (Nitrile) Welding Machine Backhoe Personal Locks
Opening
Personal Danger
Goggles Dust mask Vibro Compactor Power Source Hot Work
Tags
Powder actuated
Face Shield Safety Gloves Drilling Machine Out of Service Tags Lockout/ Tag out
Tools
Sunscreen Life jacket Grinder/Saw EWP Information Tags Excavation
Hearing Protection Tripod Scaffold Power Hand Tools Do not Use tag Confined Space
10-603128-0000100201-MAH-CIV-MST-000003_01
Do not Enter High Pressure /
SCBA Retractable Life line Fire Extinguisher Scissor Lift
signage Abrasive Blasting
Suspended
Compressor Unauthorised Keep
Airline Restraint Line Personnel
machine away
Platform
Vibratory Pile Tunnel Boring Hazardous
Hammer machine Substances
SKILLS/COMPETENCIES/AUTHORISATIONS
“Check ”
EWP boom <11m Operator Crane Signaller / Banksman Rigger I Demolisher
EWP boom > 11m Tunnel Boring machine Excavator Rigger II Asbestos removalist
Scissor Lift Articulate Boom Platform Front End Loader Rigger III Light Vehicle
Concrete Placing Boom Working inside manhole Backhoe Dogger Heavy Rigid
Personnel Hoist Forklift Type and Capacity: Grader Scaffolder I Articulated

Working with Hazardous
Material Hoist Loader Scaffolder II Modular Transporter
Substances
Speed Boat for
Skid Steer Working on Electricity Scraper Scaffolder III
Transporting Personnel
EMERGENCY PRE PLAN

“Check ”
Emergency Response
Mobile Medical Facilities Emergency Medical Kit Fire Fighter Spill Response Team
team
Emergency Nearest Hospital Contact Outside Emergency
First Aider Risk Assessment
Vehicle/Ambulance No. Contact No.
Utility Contact No
Other Comments:
This JHA (MAH-JHA03) Excavation work has been developed to be applicable to all activities involving ‘across the project.
10-603128-0000100201-MAH-CIV-MST-000003_01
JHA SIGN OFF REGISTER
JOB DESCRIPTION: Excavation Works JHA No: MAH JHA 03
I have read and understood this JHA
No. First Name Surname Position Signature Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
10-603128-0000100201-MAH-CIV-MST-000003_01
MOFARREH
NEOM ALHARBI &
PARTNERS
MS for Excavation, 10-603128-0000100201-MAH-
Document Type: Document No.: CIV-MST-000003
ATTACHMENT NO.2
SUPPLEMENTARY FILES
10-603128-0000100201-MAH-CIV-MST-000003_01
SPINE EARTHWORKS LOT 8B (WO # 57)
DAILY EXCAVATION CHECKLIST
Contractor: Date:
Contract No:
Location:
Depth of Trench / Excavation minimum: Depth of Trench / Excavation maximum:
Sl CHECKS Competent
N Person
Initials
o (Yes= Y No=N Not Applicable = N/A)
1 All open trenches were inspected
Surcharge was located proper distance from top of the slope?
2
(1.8 m or depth of excavation, whichever is greater)
3 Were any tension cracks observed along top of any slopes?
4 Were slopes cut at proper angle of repose?
5 Was any water seepage noted in trench walls or bottom?
6 Was bracing system installed in accordance with design?
7 Was there any evidence of cave-in of soil since last inspection?
8 Are there any unusual weak soils not anticipated?
9 Is there any evidence of significant fracture in soil?
10 Are there any noted dramatic dips or voids?
11 Were all short-term trenches covered within 24 hours?
12 Have any RC Prohibition / Improvement Notices been issued?
13 Have all protective systems been certified?
14 Are all hydraulic shores pumped to design pressure?
15 Is the shoring system secure?
16 Was Method Statement adequate?
Is traffic adequately away from the excavation / trench with barricades
17
in place? (6 ft. / 1.8 m for pedestrians)
18 Are there any other hazards in the area?
19 Are there excessive vibrations from equipment / traffic?
20 Access/egress within 25 ft. / 7.5 m of all workers?
21 List construction plant in use:
22 Observations:
I hereby attest that the above conditions existed and were checked and reviewed during the inspection.
Competent Person Name:
Competent Person Signature:
Supervisor Signature:
10-603128-0000100201-MAH-CIV-MST-000003_03
6/2/22, 10:25 AM Aconex
100201DCC MAH (WF-037380) WO 057 - Spine Earthworks Lot 8B - (CH58… 10:25 AM

MOFARREH ALHARBI AND PARTNERS WORKFLOW TRANSMITTAL MAH-WTRAN-002587
10 Spine Infrastructure MOFARREH ALHARBI AND PARTNERS

Spine Infrastructure P.O Box 4028 Dammam 31491 KSA
NEOM DAMMAM
Saudi Arabia EASTERN PROVINCE 31491 Saudi Arabia
MAIL TYPE MAIL NUMBER REFERENCE NUMBER

Workflow Transmittal MAH-WTRAN-002587 MAH-WTRAN-002587
(WF-037380) WO 057 - Spine Earthworks Lot 8B - (CH58+200 - CH65+500)

(Coastal Desert West Region) - MAH - H&S Training Matrix
From Mr 100201DCC MAH - MOFARREH ALHARBI AND PARTNERS
To Bechtel Document Management - Bechtel KSA
Cc
(2) NEOM ETSD Document Control - NEOM - Engineering & Technical Services Dept (+1 more...)
Sent Thursday, 2 June 2022

10:25:10 AM AST (GMT +03:00)
Reason IFA - Issued for Approval
Status N/A

DOCUMENT ATTACHMENTS
(2)
(0 selected)
Revision
File Document No Revision Title Status
Date
10-603128- WO 057 - Spine Earthworks Lot 8B - (CH58+200 -

Under
0000100201-MAH- 01 02/06/2022 CH65+500) (Coastal Desert West Region) - MAH - H&S
Review
HSE-CRS-000005 Training Matrix_CRS
10-603128- WO 057 - Spine Earthworks Lot 8B - (CH58+200 -

Under
0000100201-MAH- 01 02/06/2022 CH65+500) (Coastal Desert West Region) - MAH - H&S
Review
HSE-PLN-000005 Training Matrix

MESSAGE
Workflow Initiated - Action Required

The attached documents are part of the "WO 057 - Spine Earthworks Lot 8B - (CH58+200 - CH65+500) (Coastal Desert West Region) - MAH -
H&S Training Matrix" workflow.
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6/2/22, 10:25 AM Aconex
WO 057 - Spine Earthworks Lot 8B - (CH58+200 - CH65+500) (Coastal Desert West Region) - MAH - H&S Training Matrix
For Review and Approval.
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10-603128-0000100201-MAH-CIV-MST-000003_03
Work Order No. 057
Work Order Title Spine Earthworks Lot 8B CH 58+200 to CH 65+500 (Coastal Desert
West Region)
Contract No. 100201
Contract Title Framework Agreement for Site Preparation
Document Title WO 057 - Spine Earthworks Lot 8B - (CH58+200 - CH65+500) (Coastal

Desert West Region) - H&S Training Matrix
Document No. 10-603128-0000100201-MAH-HSE-PLN-000005
Revision No. 01
Date June 02, 2022
Reason for Issue Issue for Approval
Revision History Revision Date Revision Description
Prepared By Reviewed By Approved By
Name Alex Ibale Mohamed Adel Selim Mohammed Salim Al

Rageh Harbi
Position QC Manager Project Manager Area Manager
Date & Signature
10-603128-0000100201-MAH-HSE-PLN-000005_01
WO 057 - Spine Earthworks Lot 8B -
(CH58+200 - CH65+500) (Coastal Desert
West Region) - H&S Training Matrix
10-603128-0000100201-MAH-HSE-PLN-000005 – Rev. 01, Date

02/06/2022
10-603128-0000100201-MAH-CIV-MST-000003_03
Document History
Revision code Description of changes Purpose of issue Date
01 Initial Issue Issue for Approval 02/06/2022
10-603128-0000100201-MAH-CIV-MST-000003_03
Mofarreh Al Harbi (MAH)
H&S Training Matrix
Training Required for particular designation marked with green shade in each training
Fire Prevention and Protection

Safe Dump Truck Operations
MEPI NEOM MANDATORY
Excavation and Trenching

The specific training shall be provided as and when required shaded in Blue
Environmental Training
Supervisor Orientation
Heat Stress Awarness
Change Management
Power Tools Training
BLASTING SAFETY
Temporary Works
Defensive driving
Burried services
Electrical Safety
Work at height
H&S Induction
Training Conducted
Night works
Department Designation Training Topics
Project Director
Project Manager
Electrical Manager
Project Management Mechanical Manager

Construction Managers
QA/QC Manager
Logistics Manager
Electrical Engineer
Mechanical Engineer
Civil / Structural Engineer
Project Engineer
Survey Engineer
Logistics Engineer
Planning Engineer
Regional H&S Manager
Project H&S Manager
Project H&S Engineer
H&S Officer
H&S Team
H&S Inspector
Fire Warden
Site Nurse
Ambulance Driver
QA/QC Inspector
Surveyor
Time Keeper
Store Keeper
Procurement Officer
Site Staff
Accounts Officer
HSE-CF-99-R0
10-603128-0000100201-MAH-CIV-MST-000003_03
H&S Training Matrix

MEPI NEOM MANDATORY

Change Management
BLASTING SAFETY
Temporary Works
Defensive driving
Burried services
Electrical Safety
Work at height
H&S Induction
Training Conducted
Night works
Site Staff
Document Controller
Designation Training Topics
Draft Man
Purchaser
Office Boy
General Foreman
Civil Foreman
Electrical Foreman
Mechanical Foreman
Mechanics Foreman
Site Foreman
HVAC Foreman
Plumbing Foreman
Welding Foreman
Rebar Bending Foreman
Batching Plant Foreman

Equipment Operator
Excavator Operator
JCB Operator
Skid Loader Operator
Roller Compactor Operator

Dump Truck Operators
Operators
Batching Plant Operator
Mobile Crane Operator
Tower Crane Operator

Concrete Mixer Operator
Forklift Operator
Boom Truck Operator
Drivers HTV
Drivers
Driver LTV
Electrician
HSE-CF-99-R0
10-603128-0000100201-MAH-CIV-MST-000003_03
H&S Training Matrix

MEPI NEOM MANDATORY

Change Management
BLASTING SAFETY
Temporary Works
Defensive driving
Burried services
Electrical Safety
Work at height
H&S Induction
Training Conducted
Night works
Welder
Designation Training Topics
Steel Fixer
Carpenter
Mason
Mechanic
Pipe Fitter
Plumber
Painter
Site Workers
Duct Fitter
Gas Cutter
Helper
Scaffolder
Rigger
Banksman
Security Guard
Cleaner
Lifting Supervisor
Camp Boss
Others
Visitor
HSE-CF-99-R0
10-603128-0000100201-MAH-CIV-MST-000003_03
Project Name : S. N :
Date : Plate Number :
AL HARBI  Contractor  Hired 
Safe  Unsafe 
SN. Description Yes No Remarks

1 Engine and rotating part should be properly covered.
The bulldozer blade should be free from defects such as erosion,
2
fractures, cracks, bending, etc.
3 Hydraulic piston and hoses should be there are no leaks.
4 The Angel piston/ Lift piston / Trunnion there are no leaks.
The track chain must be complete and tight, and there should be no
5 shortage of bonds, and be in good condition
6 Side and blind mirror should be in good condition.
7 CAB ROPS & Taillight and indicators are in workingcondition.
8 Windshield/glass must be in good condition.
9 Wiper should be in running condition.
10 Reverse alarm / horn & revolving light should be in good condition.
11 Fire extinguisher in operator cabin.
12 Operators have third party certificate.
13 The SPROCKET/SEGMENT in good condition.
14 The TOP carrier roller & Bottom roller in good condition
15 The front idler and final drive is in good condition.
16 Equipment has a third-party certificate.
17 There is no black smoke.
18 Track PAD, Grouser PAD is in good condition.
19 AC working in good condition.
20 Housekeeping inside and outside the equipment.
21 Reflective sticker should be available.
22 Check if there up normal noise from the engine.
For any other observations :
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Project Name : S.N :
Safe  Unsafe 

2 Blade should be free from defects likecorrosion, bend, etc.
Hydraulic pistons and hydraulic hoses should be in goodcondition and
3
NO leakage.
4 Rear ripper should be free from broken parts, corrosion, bend, etc.
5 Make sure that no leakage from fuel tank and engine oil.
6 Side and blind mirror should be in good condition (No broken).
7 CAP ROPS & Taillight and indicators are in workingcondition.
8 Revolve light should be attendant and working
9 Wind shield/Glass should be in proper condition.
15 There is no black smoke (exhaust system).
16 Tiers is in good condition (bolted well, right pressure … etc.)
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

2 Boom should be free from defects likecorrosion, bend, etc.
3 Hydraulic cylinder and hoses should be in goodcondition.
Bucket and pins should be free from defects, e.g.,damage, corrosion,
4 bend, etc.
5 Side & Blind mirror should be in good condition.
10 Fire extinguisher with in operator cabin.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

2 Boom and arm should be free from defects likecorrosion, bend, etc.
Bucket, cutter pins should be free from defects, e.g.,damage,
4 corrosion, bend, etc.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

3 Head & taillight and indicators are in workingcondition.
4 Wind shield/glass should be in proper condition.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

2 Hydraulic cylinder and hoses should be in goodcondition. (NO
leakage)
4 CAP ROPS & taillight and indicators are in workingcondition.
5 Ensure all control levers move freely & return to the neutral
position.
6 Ensure that the compactor plate condition is good.
7 Check fuel tank and oil are no leakage
8 Ensure the drums is good condition
11 Reverse alarm should be in good condition.
20 Revolve light should be attendant and working
For any other observations:
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

The tank system free of visual signs of damage (cracks, dents,
corrosion or leakage)
1 • Tank exterior – including small cracks.
• Piping hoses, Valves, fitting or connections.
• Tank and piping mounts, supports of foundations.
Containment leak detection system alarm horn and lights properly
2
operating.
5 Glass should be free from cracks and fractures and in proper condition.
6 Is equipment functioning properly ( pumps, valves and connections ).
7 Tank area clean and free of trash or other debris.
Is tank clearly and legibly signed/labeled: NFPA Warning signs, No
8
smoking and contents, etc?
Are the loading procedures posted on the tank fill box and in good
9
condition?
10 Are the tank secured from vandalism / Gate locked?
11 Are the spill control supplies present and well stocked?
17 There is no black smoke from motor.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Project Name : S. N :
MOBCO  Contractor  Hired 
Safe  Unsafe 

2 Booms and arms should be free from defects likecorrosion, bend, etc.
Bucket, cutter pins should be free from defects, e.g.,damage, corrosion,
4
bend, etc.
13 There is no black smoke. (exhaust system).
14 Tires are in good condition.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

2 Fork should be in good conditions without any cracks
The lifting chain must be free of bends and fractures and all joints
3
must be in good condition
Forklift gear brake/Brakes conveyor and brakes - Emergency should be
6
in a good condition.
11 No leakage in the hydraulic system
12 Exhaust system must be in good condition (There is no black smoke)
13 Make sure the horn and seat belt are activated and working
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

1 Machine should be physically good & should have valid TUV certificate.
2 No damage in tire (Bolts, crack, cuts & air pressure, etc.).
3 Head & taillight and indicators are in working condition.
4 Operator cabin should be made by good & sound quality of material.
5 Hydraulic cylinders should be in good condition and free from leakage.
6 Footstep should be free from slip or tip hazard.
7 Red triangle/reflective tape should be fixed in front of vehicle.
10 Operators have suitable license or TUV certificate.
For any other observation :
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

1 Outriggers should be in good conditions and NO leakage
2 Forks Should be It has no cracks or fractures
The boom should be free of cracks, bends, zigzags and No leak in extension
3
cylinders.
4 Boom Should be
8 Side mirror should be in good condition.
9 Operator cabin should be made by good & sound quality of material.
10 Hydraulic cylinders should be in good condition and free from leakage.
11 Footstep should be free from slip or tip hazard.
13 Load chart indicator placed in the cabin and clear to read and use.
16 Operators have suitable license or third parts certificate.
17 Machine should be physically good & should have valid third-party certificate
18 AC is working in good condition.
For any other observation :
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

1 Mixer machine should be physically fit.
2 Rotating part & IC engine should be covered with fix guard.
3 No damage in tire (crack, cuts & air pressure, etc.).
4 Rotating part of gear should be covered.
5 Proper handle lock should be available.
6 Handle should be free from defect.
7 Mixer machine should be with proper handle to control the movement.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

1 Boom placer should be physically good.
3 Head & tail light and indicators are in working condition.
4 Outrigger should be free from damages.
7 Side mirror should be in good condition.
8 Boom should be free from defects.
Hydraulic cylinder and hoses should be in good condition and
9
free from leakage.
10 Pipe should be free from defects e.g. bend, crack, etc.
Rotatory part of secondary engine should be covered with fix
12
guard.
13 Front & reverse horn.
15 Operator have suitable license/experience certificate.
16 First aid kit should be available.
Normal break & emergency (hand) break should be in functional
17
& operational condition.
18 Concrete hopper should be covered with mesh.
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

1 Is the tiers condition good and pressure checked?
2 Is the battery condition good?
3 Is the fuel full?
4 Is the ambulance siren working and audible?
5 Is the light bar working effectively?
6 Is the mirror placed without any damage or crack?
Is front light, Taillights, fog lights and break lights working in good
7
condition?
8 Is there a valid Istemara and driving license?
Is the engine working without any unnormal sound or unnormal exhaust
9
color?
10 Is the engine oil changed when needed?
11 Are windshield wiper fluid levels acceptable
12 Are windshield working in good condition?
13 Stretcher is present, functioning normally
14 Portable oxygen pressure level is normal
15 AED presence in the ambulance and working?
16 1 Fire Extinguisher Cab and 1 Fire Extinguisher patient compartment?
17 Humidifier and its bottle available?
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03
Safe  Unsafe 

Is the manlift will work in the firm level?
Is the Maximum allowable side force identified?
Is the Maximum allowable manual force identified?
Is the tilt alarm working?
Is the manlift will be used for the manufactured purpose only?
Are the tires in good condition?
Is the occupant have inspected harness for using?
Is the anchor provided on the platform in good condition?
Is the equipment free from hydraulic leak?
Is there is any fuel leak?
Is the fuel cap placed?
Is the platform and ground control panel working in good condition?
Is the emergency stop working in good condition?
Is there Crack in welds or structural components?
Is the alarm and beacon light working?
Is the platform entry mid-rail or gate in good condition?
Are the drive speed limit switches working?
Is the size of the platform met with size mentioned in the TP?
Is the Maximum platform capacity known?
Is the lighting and horn working?
Is the TP for equipment and operator available?
Inspected By :
Signature :
10-603128-0000100201-MAH-CIV-MST-000003_03

10 603128 0000100201 Mah Civ MST 000003 - 03 - A

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Bechtel Document Management Final (WF-042210) WO 057 - Spine Earthworks Lot 8B - (… 12:32 PM

BECHTEL KSA WORKFLOW TRANSMITTAL BEC-WTRAN-084403

MAIL TYPE MAIL NUMBER REFERENCE NUMBER

Final (WF-042210) WO 057 - Spine Earthworks Lot 8B - (Ch58+200 - Ch65+500)

From Bechtel Document Management - Bechtel KSA

Sent Monday, 18 July 2022

Workflow Review History

This transmittal was automatically generated.

Doc No Step Participant Review Outcome Comments

Work Order No. 057

Contract No. 100201

Contract Title Framework Agreement for Site Preparation

Document Title WO 057 - Spine Earthworks Lot 8B - (Ch58+200 - Ch65+500) (Coastal

Document No. 10-603128-0000100201-MAH-CIV-MST-000003

Date June 23, 2022

Reason for Issue Issue for Approval

Revision History Revision Date Revision Description

01 May 29, 2022 Issue for Approval

03 June 23, 2022 Issue for Approval

Prepared By Reviewed By Approved By

Name Saqer Ali Alex Ibale Mohamed Adel Rageh

Position Construction Manager QC Manager Project Manager

Date & Signature

Revision code Description of changes Purpose of issue Date

01 Initial Issue Issue for Approval 29/05/2022

02 As per EPM Comments Issue for Approval 19/06/2022

03 As per EPM Comments Issue for Approval 23/06/2022

METHOD STATEMENT FOR

Work Order No.: 100201-WO-057

Project Title: Spine Earthworks Lot 8B (CH58+200 to

Issued by: Mofarreh Alharbi & Partners

Rev. # Date Description Prepared Reviewed Approved

MS for Excavation, Backfill and Saqer Ali Alex O. Ibale M. Rageh

2. LOCATION AND WORK LIMITS (AREA/SITE SPECIFIC LAYOUT)

4. PROTECTION AND ISOLATION ARRANGEMENTS (E.G 3RD

5. TASK SPECIFIC EMERGENCY ARRANGEMENTS

- Use site communication device (cell phone, loudspeakers, fire alarm,

The individual making initial incident notification should be prepared to

Unauthorized Excavation shall not be carried without specific direction of

Excavation shall include removal and disposal of obstructions on ground

Install shoring When applicable in advance or simultaneously with trench

The Contractor shall handover excavated areas in approximately 1km

Phase 1: Conduct survey of existing conditions, surface and subsurface

Phase 3: Excavate trial trenches, excavate to agreed control points (Top of

Phase 5: Excavation to formation level and final finishing.

Zone 1 – 58+200 to 59+300 This zone is untouched by previous Contractor

Zone 2 – 59+300 to 60+000 This zone previously excavated about 3-to-4-

Zone 4 – 61+500 to 62+500 This zone previously excavated about 3-to-4-

Zone 5 – 62+500 to 63+500 This zone previously excavated about 3-to-4-

Zone 6 – 63+500 to 64+500 This zone previously excavated about 3-to-4-

Zone 7 – 64+500 to 65+500 This zone previously excavated about 3-to-4-

Highest ToR level across the width of the excavation.

Where a change in material geology is encountered during excavation.

Backfill material in working area shall be placed and compacted in layers

To verify the coordinates and elevation at the site as

3rd Party To conduct any sample / test as per the project

B. PLANT AND EQUIPMENT

C. MATERIALS AND TOOLS

E. TASK SPECIFIC PPE REQUIRED (REFER

8. INTERFACES – OTHER SITES, WORK ACTIVITIES,

Excavation/dig permit MAH If necessary

10. REFERENCES DRAWINGS / SPECIFICATIONS / OTHER