HHHI-IC NUMBER DATE APPROVED RFI NUMBER

HHHI INSPECTION CHECKLIST

Final Fill Inspection HHHI-IC-0105 Civil
Rev. 0_2017

PROJECT TITLE WER No. CONTRACTOR / SUBCONTRACTOR

Haradh & Hawiyah Highway Improvements - Interchanges &

Airstrip
LOCATION

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER

SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME

TIP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

CHEC-HHHI-TIP-Civ-01-0, Rev.0_2017
SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL
W I

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No.

Structural backfill shall be compacted to a dry density not less than 95%
of the maximum density determined from MRDTM 212 for cohesive MOT Sec 2.09.5,
A1
materials or 74% of relative density determined from MRDTM 214 for 2.05.4.3
cohesiveless materials when compactible material is used.

When materials such as concrete coarse aggregate is used, it shall be

A2 consolidated with 2 passes of mechanical vibratory or plate compaction MOT Sec 2.09.5
equipment.

All layers of bedding material and trench backfill material shall be

MOT Sec
compacted to a dry density not less than 90% of the maximum density
A3 2.10.2.5,
determined from MRDTM 212 for cohesive materials or 70% of relative
2.05.4.3
density determined from MRDTM 214 for cohesiveless materials.

Compacted density of the common fill shall be equal or greater than

ninety percent (90%) of Maximum Density determined from MRDTM 212
A4 MOT 2.05.4.3
for cohesive materials or seventy percent (70%) of Relative Density
determined from MRDTM 214 for cohesiveless materials

Backfilling shall extend to the original ground or to the top elevation of

A5 MOT Sec 2.09.4
any embankment, in-place or to be placed.

REMARKS:
Provide final survey report showing compliance to applicable design final grade requirements.

REFERENCE DOCUMENTS:
1- MOT General Specifications Section 2.05 Embankment

2- MOT General Specifications Section 2.09 Structual Excavation and Backfill

3- MOT General Specifications Section 2.10 Trench Excavation and Backfill

Contractor / Third-Party Saudi Aramco

Construction Representative* PMT Representative
Work is Complete and Ready for Inspection: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Inspector PID Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Sign and Date: Name, Initials and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1