VENDOR / SUB CONTRACTOR

DOCUMENT REVIEW COVER SHEET

REGGANE NORD DEVELOPMENT PROJECT

Contract No. : PP-1160-001
Petrofac Job No. : JI – 2026
Purchase Order No.: /
SUBCONTRACTOR No.JI-2026/03-001
Service Agreement No.:
Description : CMEI (CIVIL WORK)

Supplier/Sub-Contractor : LEAD Contracting &Trading Ltd.

Contractor Document Number : JI-2026-LEAD-1179-0103 REV : A

Supplier Document Number : NA REV : NA

Document Description : ROADS AND PAVEMENT ITP

Total Nos. of Sheets: 18

Equipment / TAG No. NA

Status
Status Code Description
Code
APPROVED WITHOUT COMMENTS. (SUPPLIER can proceed with the subsequent
† 1
work)
APPROVED WITH MINOR COMMENTS. (SUPPLIER can proceed with the
† 2 subsequent work if SUPPLIER agrees to the comments; SUPPLIER to revise and
resubmit for approval in code ‘A’)
NOT ACCEPTABLE. (SUPPLIER shall rework / redesign / re-specify the contents
† 3
of documents according to PIUL’s comments.)
† 4 NOT SUBJECT FOR APPROVAL (PIUL does not foresee need of approval.)

† 5 Cancelled / Deleted
Reviewing Engineer’s Name, Sign and Date

Name: Sign: Date: 02-09-15

By Walid Ali at 3:02 pm, Sep 02, 2015

REVISION HISTORY SHEET

REV. DATE REASON FOR ISSUE PREP’D CHK’D APR’D

Fouzia Ahmed Moussa
A Approval
01/02/2015 Bekhti El Sayed Alzouabi
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES

PETROFAC PROJECT NO.: JI-2026

INSPECTION & TEST PLAN

ROADS AND PAVEMENT

INSPECTION & TEST PLA



DOC SIZE: A4 Page 1 of 18

REV.
A For Approval 01/02/2015 F. Bakhti A. El Sayed M. Alzouabi Job No: JI-2026
DOC. NO.
Client Job No. JI-2026-LEAD-1179-0103 A
Rev DESCRIPTION DATE PRPD CHKD APPD PIUL
J08501A
 REGGANE NORDDEVLOPMENT PROJECT
SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026
INSPECTION & TEST PLAN
ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 2 of 18

Revision Description Sheet

Rev. Para. Revision Description
A Issued for Approval.

Hold No. Para. Description of Hold

 REGGANE NORDDEVLOPMENT PROJECT
SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026
INSPECTION & TEST PLAN
ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 3 of 18

List of Verifying Documents (ITR)

PetroPCS ITR
No. Project ITR No. Description
No.

1 ITR-C-0102X JI-2026-ITR-C-0102X Earth work survey record

2 ITR-C-0301X JI-2026-ITR-C-0301X Roads and Pavement Inspection report.

3 ITR-C-0302A JI-2026-ITR-C-0302A Road work completion and handover to construction.

4 ITR-C-0303X JI-2026-ITR-C-0303X Asphalt batch plant inspection report

This ITR not required

Notes:

This document is based on GRN Project specifications, widely used international codes, standards and good
engineering practices that are applied in Oil & Gas Projects and is intended to highlight the minimum tests and
inspections to ensure quality requirements are fulfilled within the scope of the document.

This ITP serves primarily as a plan and it shall NOT be used to obtain signatures. Acceptance Signatures shall be
obtained on the referenced inspection and test records, which shall form generic records to be handed over to the
Client.

The referenced inspection and test records (ITR’s) are controlled independently. Therefore, the latest revision of
these ITR’s, at the time of initiation of the ITR’s, shall be utilized.

When filling ITR’s do not leave any blanks. If any item/activity is not applicable for the case denote as N/A.

If any correction is required, strike once, correct and counter sign. Use of correction fluid on ITR is forbidden.

ITR number suffixed with letter “X” are classified as in-process Site/Field Quality Records and will not be part of the
Turnover System Process where as ITR number suffixed with letter “A” are part of the Turnover Process and Turnover
Records.
 REGGANE NORDDEVLOPMENT PROJECT
SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026
INSPECTION & TEST PLAN
ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 4 of 18

Reference Documents
PS-0000-1151-0320-E Scope of Work

PS-00000-1112-0001-E Project Execution Plan (Contractor)

PS-00000-1111-0001-E Project Quality Plan (Contractor)

PS-00000-1112-0028-E HSE Management Plan

JI-2026-LEAD-1179-0304 QCP - Roads and Pavement

JI-2026-LEAD-1179-0015 QCP - Close Loop RFI & Inspection Control Procedure

JI-2026-LEAD-1179 -0008 QCP - Control of Inspection, Measuring and Test Equipment

JI-2026-LEAD-1179 -0009 QCP - Procedure for Control of Non-Conforming Products and Services

PS-00000-1162-0013-E Roads specification

PS-0000-1111-0019-E Specification for Coordination with Algerian Regulatory Authorities

JI-2026-LEAD-1179 -0012 Procedure for control of quality records

JI2026-LEAD-1179 -0003 Document control procedure

AASHTO GDPS : 1993 Guide for Design of Pavement Structures

AASHTO GDHS-3 :1994 A policy on Geometric Design of Highways and streets

ASTM D422:2001 Standard test method for Particle-Size Analysis of Soils

Standard test method for laboratory Compaction Characteristics of Soil

ASTM D1557:2007
using modified effort

ASTM D1883:2007 Standard test method for CBR of Laboratory Compacted

ASTM D2166:2006 Standard test method for Unconfined Compressive strength of Soil
Standard Test Method for Water Content of Soil and Rock in Place by
ASTM D3017:2005
Nuclear Methods (Shallow Depth)
Methods of test for soils for Civil Engineering Purposes Part 3 : Chemical and
BS 1377 Part3:1990
Electro Chemical tests.

ASTM D4318:2005 Standard test method for Liquid limit, Plastic limit and Plasticity Index of Soils

ASTM D4972:2001 Standard test method for pH of Soils

ASTM D5874:2002 Standard Test Method for Determination of the Impact Value (IV) of a Soil

Standard Test Method for In-Place Density and Water Content of Soil and
ASTM D6938:2010
Soil-Aggregate by Nuclear Methods (Shallow Depth)
 REGGANE NORDDEVLOPMENT PROJECT
SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026
INSPECTION & TEST PLAN
ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 5 of 18

Definitions/Abbreviations
An inspection where PIUL/ISG plans to audit, monitor or witness the activity in
RI-Random Inspection : process on random or periodic basis. No formal notification (RFI) required to
inspection parties.
An activity that requires the review and acceptance of the Subcontractor’s
R- Review Point : documentation. No formal notification (RFI) required to inspection parties.
Monitoring or observation to verify whether or not materials, items, or
installation conform to specified requirements. Surveillance activity may include
S- Surveillance : audit, inspection, witness of testing, review of quality documentation and
personnel qualification, and evaluation of personnel performance. No formal
notification (RFI) required to inspection parties.
An activity that requires witnessing by inspection parties as indicated in this ITP.
The Subcontractor shall notify PIUL QC/ISG 24hrs in advance. After proper
W-Witness Point : notification has been provided, the PIUL is not obliged to hold further processing
if the ISG Inspector is not available to attend or to witness the activity on the
date & time notified. Formal notification (RFI) required to inspection parties.
An activity that requires inspection/verification and acceptance by inspection
parties as indicated in this ITP before any further processing is permitted.
Subcontractor shall notify PUIL QC/ISG 24hrs in advance. The Subcontractor shall
H-Hold Point : not proceed with further activities beyond the HOLD point unless the responsible
inspector’s acceptance has been obtained. Formal notification (RFI) required to
inspection parties.

SC : Construction Subcontractor
PIUL : Petrofac International (UAE) LLC
ISG : Groupement Reggane
ARA : Algerian Regulatory Authorities.
QA/QC : Quality Assurance/ Quality Control
RFI : Request for Inspection.
ITR : Inspection & Test Record
IM&TE : Inspection, Measuring & Test Equipment
IFC AFC issued : Approved For Construction
LTPS : Laboratorie des Travaux Publics du Sud
LMDD : Laboratory Maximum Dry Density
CBR : California Bearing Ratio.
NA : Not Applicable
PetroPCS : Petrofac’s Project Completion System
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026

INSPECTION AND TEST PLAN FOR ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 6 of 18

Inspection Codes: SC: Subcontractor PIUL: Petrofac International (UAE) LLC GRN: Groupement Reggane ARA: Algerian Regulatory Authorities
RI: Random Inspection R: Review Point S: Quality Surveillance (No Formal Notification Required for RI/R/S)
H: Hold Point (Formal Notification Required & Presence is Mandatory)
W: Witness Point (Formal Notification Required, but Presence is not Mandatory)

Reference Responsible Verifying Intervention Points

Item Control Activity Action to be verified Acceptance Criteria
Document Party Document SC PIUL GRN ARA

Construction method
Review of applicable
statement Site
Construction Construction
Procedures/Drawings/ JI-2026-LEAD-1179- Complies with AFC Engineer NIL S S S NA
1.0 Procedures, Drawings
Documents and ensure that 0304 document register Civil
and Documents status
latest revision is available at Inspector
Relevant AFC
site
drawings
PD-00000-1162-0016-B Testing equipment
shall be in good
working condition.
Testing equipments Testing
Verification of test equipment
QCP-On site civil shall be in accordance Contractor laboratory
calibration certificates and
with relevant test appointed audit report
validity. material testing
Civil Material testing standard(ASTM) testing or evidence
2.0 H H W NA
Laboratory laboratory working Test equipments laboratory of
Laboratory test equipment list operated by companies
procedure calibration certificates s
and maintenance register to be LTPS approval of
shall be current.
maintained. test house.
Testing laboratory
shall be approved by None
PIUL QC prior to use

Road specification Sub

PS-00000-1162-0013-E contractor
Setting out shall be in Grading and Earth JI-2026-ITR-
3.0 Survey and Setting out Verification/Review of Surveyor and H R RI
accordance with approved IFC works material and Survey report. C-0102X
drawing construction Civil
requirements
S
Inspector.
PS-00000-1162-0013-E
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026

INSPECTION AND TEST PLAN FOR ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 7 of 18

Inspection Codes: SC: Subcontractor PIUL: Petrofac International (UAE) LLC GRN: Groupement Reggane ARA: Algerian Regulatory Authorities
RI: Random Inspection R: Review Point S: Quality Surveillance (No Formal Notification Required for RI/R/S)
H: Hold Point (Formal Notification Required & Presence is Mandatory)
W: Witness Point (Formal Notification Required, but Presence is not Mandatory)

Reference Responsible Verifying Intervention Points

Item Control Activity Action to be verified Acceptance Criteria
Document Party Document SC PIUL GRN ARA

Sub grade shall be compacted to

95% LMDD.
Modified LMDD
Any soft soil in sub grade shall Standard detail of
be removed and replaced by Road.
suitable fill material.
PD-00000-1162-0016-B
Road specification- JI-2026-ITR-
Sub grade shall be tested for Site
insitu CBR or equivalent Clegg PS-00000-1162-0013-E engineer. C-0301X
Level after grading.
4.0 Sub grade Preparation hammer reading so that in situ Clause 5.0. H W S NA
Verification/Review of
CBR shall be in accordance with Grading and Earth test reports. Civil
standard detail of road. Minimum works
15 material and Compaction
Inspector
Clegg hammer tests to be construction test report
carried out at intervals of not requirements
m more than 200 mt.to verify that PS-00000-1162-0008-E
sub grade conditions are
consistent with the design
assumptions.

Gypsum base course PD-00000-1162-0016-B

Laboratory test reports prior to Sub base and Base JI-2026-ITR-
Sub base & Base course Standard detail of Base course shall comply to specification
using borrow pit material Course material shall
Road. PS-00000-1162-0008-E Site clause 6.4 C-0301X
materials and Laying, be in accordance with
Approved MAR for base course Engineer.
Road specification- standard detail of
Base course material thickness shall be
5.0 Compaction of Sub base and sub base Test reports H H H NA
PS-00000-1162-0013-E road and project
and Base course for 300mm in accordance
specification. Civilwith IFC drawing.
issued by S
Clause 5.0.
Inspection of sub base and Base Base course material Inspector
shall be compacted
Roads. LTPO
Course material laying. to 95% modified LMDD.
PS-00000-1162-0008- Base course insitu CBR shall be minimum
E clause 6.4 30 in accordance with IFC drawing.
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026

INSPECTION AND TEST PLAN FOR ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 8 of 18

Inspection Codes: SC: Subcontractor PIUL: Petrofac International (UAE) LLC GRN: Groupement Reggane ARA: Algerian Regulatory Authorities
RI: Random Inspection R: Review Point S: Quality Surveillance (No Formal Notification Required for RI/R/S)
H: Hold Point (Formal Notification Required & Presence is Mandatory)
W: Witness Point (Formal Notification Required, but Presence is not Mandatory)

Reference Responsible Verifying Intervention Points

Item Control Activity Action to be verified Acceptance Criteria
Document Party Document SC PIUL GRN ARA

The particle size

This type road is not there in road section drawing Site LTPO
Road specification- distribution of the
wearing course Engineer. Laboratory
Unsealed Gravel roads Laboratory Test reports for PS-00000-1162-0013-E H H H
6.0 material shall be in NA
wearing Course material Clause 5.0. Test
accordance with the Civil
limits for either type Inspector reports.
W1 or type W2. .
Prime coat shall be
Prime coat
Application
MC-30 cut back asphalt
temperature and meeting AASHTO M82
curing shall be as per
approved Asphalt mix Tack coat shall be type SS-1 or
design CSS-1 meeting AASHTO M140
Sealing Coat:
Application or M208 respectively.
tack Road specification- temperature and Site
Application of Prime PS-00000-1162-0013-E curing period shall be Engineer.
JI-2026-ITR-
7.0 Coat and sealing Coat Inspection of Sealing Coat. Clause 4.3. as per approved H W S NA
C-301X
material. Asphalt mix design. Civil
tack
road section DWG Inspector W
PD-00000-1162-0016-B Prime coat shall be
applied by Controlled
pressure spraying and
the rate of application
shall be in accordance
Road specification-
PS-00000-1162-0013-E
Clause 4.3.
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026

INSPECTION AND TEST PLAN FOR ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 9 of 18

Inspection Codes: SC: Subcontractor PIUL: Petrofac International (UAE) LLC GRN: Groupement Reggane ARA: Algerian Regulatory Authorities
RI: Random Inspection R: Review Point S: Quality Surveillance (No Formal Notification Required for RI/R/S)
H: Hold Point (Formal Notification Required & Presence is Mandatory)
W: Witness Point (Formal Notification Required, but Presence is not Mandatory)

Reference Responsible Verifying Intervention Points

Item Control Activity Verification verified
Action to be of mix Acceptance Criteria
Document Party Document SC PIUL GRN ARA
design for compliance
with specification and Cold asphalt mix
Asphalt mix design local regulations design shall be in
Witness of Asphalt Mix
Design. Road specification- accordance with localSite Asphalt mix
Asphalt mix design
regulations and all Engineer. design
Laboratory Asphalt Mix PS-00000-1162-0013-E shall be approved by
8.0 dossier . H H W NA
Design Testing If Asphalt is supplied from Clause 4.5. PIUL QC
tests in accordance
carried out by
project specification. Civil H
proven source, laboratory LTPS and approval ofInspector H
mix design testing is not
GRN & CTC is
Mandatory.
mandatory.
Once the asphalt mix design dossier submitted by supplier is approved
by CTC,production will start. There is no need for field mix design testing
Road specification- Asphalt Supplier Site Asphalt mix
Asphalt supplier and shall be approved Engineer. design
Witness of Asphalt Mix Design PS-00000-1162-0013-E
9.0 Field Asphalt Mix by PIUL QC prior to dossier. H H W NA
Testing Clause 10.
Design Testing. carrying out field Civil
trials. Inspector

Visual Inspection of Asphalt Asphalt temperature

laying. during placement
Road specification- Site
shall be in
Placement and Engineer.
Sampling of Asphalt Mix during PS-00000-1162-0013-E accordance with JI-2026-ITR-
11.0 Compaction of Asphalt H H RI NA
laying. Clause 8. approved mix C-0301X
Mix Civil
design. W
Visual Inspection of Compaction Inspector
process. Asphalt wearing
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026

INSPECTION AND TEST PLAN FOR ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 10 of 18

Inspection Codes: SC: Subcontractor PIUL: Petrofac International (UAE) LLC GRN: Groupement Reggane ARA: Algerian Regulatory Authorities
RI: Random Inspection R: Review Point S: Quality Surveillance (No Formal Notification Required for RI/R/S)
H: Hold Point (Formal Notification Required & Presence is Mandatory)
W: Witness Point (Formal Notification Required, but Presence is not Mandatory)

Reference Responsible Verifying Intervention Points

Item Control Activity Action to be verified Acceptance Criteria
Document Party Document SC PIUL GRN ARA

course shall be
minimum 60mm
Asphalt surface course shall be 100mm thick
thick.
Asphalt shall be laid
in correct required
thickness. So that
shall be in
accordance with
standard detail of 2 cores or nuclear gauge tests shall be
road.
taken per 1000meter compacted asphalt
Acceptance criteria road
for asphalt
compaction test Asphalt mix shall be compacted to
shall be in 95% of bulk density.
accordance with
local regulations.

Lests for asphalt mix Tests for asphalt mix laid shall be
shall comply with carried out by LTPS laboratory
local regulations.
Inspection of completed
Road specification- Site
asphalt road Asphalting shall be
Asphalting / Asphalt Engineer.
PS-00000-1162-0013-E in accordance with
11.0 Repairs / Final Completion of Asphalting JI-2026-ITR- H W W NA
Clause 8. standard detail of
Inspection Road section Civil C-0302A
road.
Final inspection PD-00000-1162-0016-B Inspector H
IFC drawing for road Material used for Site
Road Signs and Verification of Road signs and signs and markings. road marking shall Engineer. JI-2026-ITR-
12.0 H W RI NA
marking marking be in accordance C-0301X
Item # 12 should be before Item # 11 Road specification- with IFC drawing. Civil
 REGGANE NORDDEVLOPMENT PROJECT SURFACE FACILITIES,ALGERIA
PETROFAC PROJECT NO. : JI-2026

INSPECTION AND TEST PLAN FOR ROADS AND PAVEMENT

Doc No: JI-2026-LEAD-1179-0103 Rev No: A Page 11 of 18

Inspection Codes: SC: Subcontractor PIUL: Petrofac International (UAE) LLC GRN: Groupement Reggane ARA: Algerian Regulatory Authorities
RI: Random Inspection R: Review Point S: Quality Surveillance (No Formal Notification Required for RI/R/S)
H: Hold Point (Formal Notification Required & Presence is Mandatory)
W: Witness Point (Formal Notification Required, but Presence is not Mandatory)

Reference Responsible Verifying Intervention Points

Item Control Activity Action to be verified Acceptance Criteria
Document Party Document SC PIUL GRN ARA

PS-00000-1162-0013-E Inspector
Road signs written in
Clause 3.1. French must comply
with the
All road signs shall
International comply with local
standards and good regulations
engineering
practice.
Site
Documentation review All QC record shall be Engineer.
13.0 and final acceptance PetroPCS signed off by relevant Ji-2026-ITR- H R R NA
Compiling all QC records.
of road works. QC personnel. Civil C-0302A
Inspector

NOTE: Prior to start of physical activity at site, Pre-Construction QC Meeting with the Sub-Contractor shall be conducted by PIUL
and ISG shall be invited.
 ITR- C-0102X

Reggane Nord Development Project Surface Project ITR number:

JI 2026- ITR- C-0102X
Facilities, Algeria
Rev : 0

Project No:JI-2026
EARTH WORK SURVEY REPORT
Record No:

Drawing No: Rev:

RFI #: Report # Date:

Structure/member
Area

Sl.No Northing Easting Elevation Remarks

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
19
20
Remark :

Record Acceptance Sub contractor PIUL QC GRN

Name

Signature

Date
 ITR No : C-0301X
Reggane Nord Development Project Surface
Project ITR No:
Facilities, Algeria JI-2026-ITR-C-301X

Rev : 1

Project No: JI 2008

Road and pavement inspection record

Drawing No: Rev:

RFI #: Report # Date:

Location

Inspection findings
Sl.no Description of Inspection Activity Remarks
Satisfactory Unsatisfactory
1 Survey report verified
Sub-grade compaction and formation
2 Sub grade compaction tests and CBR tests are satisfactory
surface preparation verified
3 Road base test
base course certificates
material verification
test reports verified and found satisfactory
4 Road base material thickness verified
Base course thickness is satisfactory
5 Sub-base material test certificate verified
6 Sub base material thickness verified
Sub-grade and road base compaction test
7
reports verified
8
Tack Seal coat application verified is satisfactory
9 Prime coat application verified is satisfactory
10 Asphalt mix design approval verified and found satisfactory
11 Asphalt thickness verified and found satisfactory
12 Asphalt compaction test satisfactory
Road marking and road signs installation
13
verified and found satisfactory
14 % of optimum moisture content

Remark :

Record Acceptance Sub Contractor QC PIUL QC GRN

Name

Signature

Date
 ITR-C-0302A
Reggane Nord Development Project Surface
Facilities, Algeria Project ITR number:
JI-2026-ITR-C-0302A

Rev : 0
Road works completion
Project No: JI 2008
SPACE RESERVED FOR BARCODE

SUB-SYSTEM No:

Drawing No: Rev:

RFI : Report : Date:

Structure/member
Area description :

Item Description of Check Result

Confirm the Road is constructed to the correct finished elevation and coordinates is as
1
per IFC drawing.
Confirm that compaction test reports for all layers of Road material filling is
2
satisfactory
Confirm that fill material used for filling for road work is in accordance with project
3
specification for earth works and all test records available.
4 Confirm the road sub grade is of required CBR as per IFC drawing
Confirm that used road base and sub base material thickness and quality is in
5
accordance with IFC drawing
Confirm that compaction test reports for all layers of road base and sub base material
6
is satisfactory.
7 Confirm that asphalt test reports are available satisfactory
8 Confirm that road markings and crash barriers are as per IFC drawing
installed
9 Construction debris is removed from the completed Road.

10 Confirm that all Quality Records have been completed and accepted

11 Cross refer all X sheets

Remark :

Contractor Sub Contractor

Record Acceptance PIUL QC GRN
Construction QC
Name

Signature

Date
 ITR-C-0303X
REGGANE NORD DEVELOPMENT PROJECT
Project document number:
SURFACE FACILITIES, ALGERIA
JI-2026-ITR-C-0303X

ASPHALT BATCH PLANT INSPECTION REPORT REV- 0

PROJECT NO: JI-2008

RECORD NO:

Delete this ITR. Asphalt suppliers are approved by

Project local authorities. Verification of scales calibration
Name of batching plant certificates
or supplier is enough. No need to have this ITR.
Location of batching plant
Inspection date
QC inspector

GENERAL INFORMATION
What is the approximate quantity (tons) of asphalt required
A.
for this project?
What is the approximate distance (in kilometers) from the
B.
proposed asphalt plant to the jobsite?
What is the approximate travel time (in minutes) of trucks
C.
transit time from the proposed batch plant to the jobsite?
D. Is the batch plant central mixing?
Is the Asphalt plant equipped with quality control
E.
laboratory?
F. Approximate completion date of the project.

I. GENERAL
1.1 Plant Type/ Model
1.2 Capacity (tons/batch,
tons/hour)
1.3 Plant Manager
1.4 QC Engineer

II. MATERIALS TESTING AND LABORATORY

YES NO
Complete quality tests on raw materials available?
Date of latest test results.
Plant Quality Control Laboratory test results on raw materials available?
Independent Testing Laboratory test results on raw materials available?
Attach raw materials test reports from approved civil testing laboratory.

Page 1 of 4
 ITR-C-0303X
REGGANE NORD DEVELOPMENT PROJECT
Project document number:
SURFACE FACILITIES, ALGERIA
JI-2026-ITR-C-0303X

ASPHALT BATCH PLANT INSPECTION REPORT REV- 0

PROJECT NO: JI-2008

RECORD NO:

Name of Independent Testing Laboratory.

III. PLANT SCALES CALIBRATION (Attach valid calibration certificates from approved
calibration agency.

Scales Current Calibration Next Calibration Calibration Agency

Date Date

V. QUALITY ASSURANCE/QUALITY CONTROL MANUAL

Does the vendor have a QA/QC manual? Yes / No

Are the Manuals being implemented? Yes / No
Are there evidences that the QA/QC manual is
implemented? (Site examples) Yes / No
1.
2.

VI. AGGREGATES SOURCE

Coarse and Fine Aggregate Stockbays
Size No. Quantity(m3) Source (Name and Location of Crusher)

Page 2 of 4
 ITR-C-0303X
REGGANE NORD DEVELOPMENT PROJECT
Project document number:
SURFACE FACILITIES, ALGERIA
JI-2026-ITR-C-0303X

ASPHALT BATCH PLANT INSPECTION REPORT REV- 0

PROJECT NO: JI-2008

RECORD NO:

VIII. Bitumen storage

Type Source Capacity of Thermom Identification at Condition of storage
storage eter Inlet Pipe (Yes/No) tank
(Yes / No)

1
IX. CENTRAL MIXER
Mixer Type Capacity Condition of Drum Condition of Blades

X. PLANT CONTROL SYSTEM

Manufacturer Automatic System Manual System Semi-Automatic System

XIII. DELIVERY TRUCKS

Truck No. Capacity Tarpoulene Condition of truck Condition of truck

(tons) covered storage area

Page 3 of 4
 ITR-C-0303X
REGGANE NORD DEVELOPMENT PROJECT
Project document number:
SURFACE FACILITIES, ALGERIA
JI-2026-ITR-C-0303X

ASPHALT BATCH PLANT INSPECTION REPORT REV- 0

PROJECT NO: JI-2008

RECORD NO:

Based on actual plant inspection, It is confirmed that the subject asphalt batch plant
meets the requirements of project specification. In addition, perform the required
QA/QC tests in the batch plant during asphalt production and on-site during
placement, as per contract requirements.

Print Name and Signature

( Sub-Contractor’s Representative)

Batching plant facilities verified and

accepted by

---------------------------------
Print Name and Signature
( Petrofac QC in charge)

---------------------------------
Print Name and Signature
( COMPANY representative)

Page 4 of 4