Project Name: Wadi Hanifah Hoarding Demolition, Cleaning, and Site Clearance Works - DD-2023-044

Document Number: WH-WHG-621- Document Title: WH-WHG-621-0000-ABS-MTS-NS- Review Outcome:

0000-ABS-MTS-NS-000026 000026 MSRA for Demolition Near to Heritage Code -C

Close-out Date:
Workflow No: WF- 614897 Rev No: 0 Submittal Date: 6/25/2024 Click or tap to enter a date.

SAK’S INTERNAL REVIEW FORM

Discipline
S. No Verification Checks Quality HSE
Engineer
1 Compliance Check
2 Resource Adequacy Verification
3 Practicality and Feasibility
4 Risk Assessment Validation
5 Environmental Impact Assessment

QA/QC Engineer HSE Engineer Discipline Engineer STRUCTURAL Eng RE Resident Engineer

Mohammed Fasil Hussain Saleh

All subsections of The contractor
Section 3.3, as should submit a
specified in the methodology for
Method Statement protection and
template of Diriyah demolition
Company (3.3.1 – procedures,
3.3.6), shall be specifying the
maintained. Describe clashing items and
the QA/QC affected items
procedures within the 10-
corresponding to each meter buffer zone
subsection title for each of the
following heritage
items:

1-Buffer Zone 1,
N5: Buildings N-
008, N-009, N-010,
N-071, N-109
2-Buffer Zone 2,
N4: Building N-082
3-Buffer Zone 3,
N4: Building N-081
4-Buffer Zone 4,
N4: Building N-083
Signature Signature Signature Signature

Date: 2/07/2024 Date: 2/07/2024 Date: 2/07/2024 Date: 2/07/2024 Date: 2/07/2024