Document Title: Work Stoppage Record (WSR)

Project Name: MULTI STORY FACTORY DAMMAM1

Project Number: DAM1-05-001 Project Consultant: JASARA

FIR Document Ref. DAM1-05-001-RWF-TS9-1-WSR-

Project Contractor: ALRAWAF
Number: 0006-00

This form provides agreed record of necessary stoppage of work indicating reason for stoppage and related information.
Two original copies of this form to be completed and signed by [Contractor] and [Consultant] for record Purpose
Stoppage Duration
Stoppage From To Total Work Instructed
Day/Date Stoppage Reason
Circumstances HR HR. Hrs. Location By

ADVERSE WEATHER CONDITIONS

Heavy rain, 03 JAN 2024 06:00 17:00 10 hrs DAM1-05- RAINING Mohammad Al
001 Ali (JASARA
HSE
Representative)

HEALTH, SAFETY, ENVIRONMENT (HSE)

QUALITY CONTROL (QA/QC)

OTHER CIRCUMSTANCES (AS NOTED)

[Contractors] Comments
Due to bad weather condition (Heavy rain) the, scaffold erection and carpentry work for 6th Floor slab have been postponed from 3rd of January
2023 to 4th of January 2023 because of high risks works, such as work at heights, and concrete quality issues the work been stopped.

Submitted as an accurate record by [Contractor]

Name Eng. Mohamed Khalid Signature

Position PM Date 03 JAN 2024

[Consultant’s ] Comments

Reviewed and approved by [Supervision Consultant]

Issued By Received By

Position Position

Company Company

Signature Date Signature Date

Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-0188-00

Revision Number: 01
Date: 03 March 2019 Page: 1