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KEOW Document Transmittal [Transmittal No. DT-0069 Revision: 1 Date: 30/08/2018 PROJECT NO. & THLE “Grand Zone-School & Residential CLIENT Mall of Qatar CONSULTANT KEO International Consultant CONTRACTOR A\Ali Engineering W.L.L Trading & Contracting Deseo I: owas Trane Ser rantng Ltn one [Decne O- mer Dhmwer _O- fe D_seanty Submit Type: Ti creas TE wane po) Tree sete - ces Dans ome) aoa satenerots7 Drom 5) coms B- arercuanes 00 - nar eee 09) Dayo 7) B rancoun mentee 0) 1B Sen nen 50 Name of Sub Contato Super ‘County Ogin Purpose of issue: torn Boat een en canert 1 teson 1, SUBJECT DESCRIPTION Method Statement for Excavation and Backfiling fa SUBMITTAL DETAILS sw | Doc. REF. wo Rev bare DscRPTION ee eS ‘sor coey | HARD COPY 1 |zanesast-cn-ooot 1 | 20-Sep-19 | Method Statement fr Excavation and Backfiling | 2 frame teggens manatee nto as SONTRACTOR: (ome : Eng Mohammed Hussien Date: 30 September 2019 |Receiven ey consuLtanT IName : Designation Signature: Date: Review Status Code ‘No Objection ‘Wo Objection subject to incorporation of C-Refecteato be Resvomited Canceled allcomments a= noted ‘3. CONSULTANT COMMENTS: [Sacer cars nee 0 SODMNE A VT Pe GRTDRT FOT COMBAT ORNS CONG TOMS Oa PCOS [crown ony respecte gow concrmance wh bm dx Ptr! pet and gor compat mh maton ven ne Cre ocurat. Tho earact festa repanti among er gs eh etn cf et or ma pas to ret ah a reaps a ei rs par ote Contec, Kcr FSSA Soe eerie enn acannon rt 0 (Consultant) lame Designatio Signatur Date: CEIVED BY CONTRACTOR THAME & SIGNATURE DATE Ferm No. ADEFM-D1746-02(8) ‘bul a epacy of Exetence Revision 09 KEOW | Grand@one} QATAR MALL f oe GRAND ZONE - SCHOOL AND RESIDENTIAL Method Statement for Excavation and Backfilling PROJECT NAME GRAND ZONE-SCHOOL & RESIDENTIAL ‘CONTRACTOR'S NAME: AL ALI ENGINEERING W.L. | CONSULTANT'S NAME: KEO INTERNATIONAL CONSULTANT CLIENT'S NAME: MALL OF QATAR DOCUMENT NO: GZ-AAE-MST-CIV-0001 Rev 4 Prepared By: | Engr. Bilal Sukker Sr. QA/QC. aii 30 September 2019 Engineer ‘Checked By: | Engr. Mohammad Abdelfattah | QA/QC Manager {30 September 2019 ‘Approved By: | Engr. Mohamed Hussein Project Manager 130 September 2019 0 | SJuly 2019 First Issue-C-Rejected 30 September 2019 Second Issue- Issued for Approval GZ-AAE-MST-CIV-0001 Rev 1 Method Statement for Excavation and Backfiling ‘Th cecum oper of AA nang Co, Wi who wilssepard sigs cording othe lan peal prewonfhe Review Comments Sheet (RCS) KEOW Project Name Grand Zone - School & Residential RFS: ICS Ref. No. GZ-AAE-MST-CIV-CS-0001 CS Rov. : 1 Document Ret. No G2-AAE-MST-CIV.0001 Doe Ows. Rev.: 1 Transmittal Ref. No.: DT-0069 Doc JDwg. Received Date: 30-Sep-19 Document tle: Method Statement for Excavation and Backfiling Engineer in charge Review Response Cod B Ten otecion Objection sublet norporaton fall comments a roted cleo be rested | Review Reference : | |KEO Response: Sign, EO Review Comments | : nt iS ; : Doe Owe. Reference omractors Reply oe Insude te olowng lghlaerequroment andlor HSE stander + | wsersow | popes /sectons |!\QC8 2044/ Secon + Pa 0 essrczmsricn00t — |poe Kindy fr ecen 3. Open 5 a68 20147 Secton 11 [Par 1.1.18, and23.1 | aoproved Proc ISE Plan 2 | Hse /s0N | Pago-4/Secdon4 [Insude te responses of Chie Suveyor. esstczmsricn0 [poe Kn rfer to scen 4 Open 3 | se 740N | Pope-4/sectons nau he ol, eqpments, machines, pans, t,t bo used. |iesstczmsricive0ot JooeKndy ert sete Open Rak Aasesement/ [Osbr coda andor fepecion tag fr al equpnents, tol] pina acsz0%6 Seca 2pan 23.10 7 — Page 1/ Item No. 1 | machineries, mobile plants, etc. must in place prior to its operation. 16-8541 aa KPa 1) Open Task Assoarert? Ine or snaerwound cal dleaore rant conor Upéated- 008 2014 Seton t2pan 1 5 | nse ssow | ;cfatosert lin of underround cable dacs ust oni fesevaznstrweoot [Up 08 san tapas, Open 6 HSE/JON | Risk Assessment / | Wearing of high visibility jacket Is require. |18-5541/GZIMST/CIV/O01 |Updated Pg 4 Open Page 6/ Item No. 3 7 per aawona [RS>psOT supa wl be ppc ora excavation war a 7 HSE / JON Requi fonal 7 |heve formal Occupational Health and Safety training related to the|18-5541/GZ/MSTICIVIO001 |Updsted KEOHSES 005° Open =o | safety of excavation work. $8-5461-67-MST-CWV.0001 Method statement for Excavation and Filing oth april 2019 Revot Review Comments Sheet (RCS) KEOW Project Name: Grand Zone - School & Residential RES: ICS Ref. No. GZ-AAE-MST-CIV-CS-0001 CS Rev: 1 Document. RefNo: GZ-AAE-MST-CIV-0001 Doe wg. Rev. 1 |ransmital Re. No: DT-(069 Doc Dwg, Received Date: 90-$9p-19 [Document tite: Method Statement for Excavation and Backfilling ©8 Date: 30-Sep-19 IEnoineerin charge = Discipline: Ci Review Response Codi B Tze becion = Ne Obpcon seco newrportion fallcommentsacnoted C= eptd ti ebro so 08a ee EO Review Comments Doc /Owg. Reference: Contractors Reply The ‘Glowing tasks and condion must consider in the ih | sseeeement but not limited to: |1. Updated QCS 2014 Section 3 Part 1.4.12, (205 014 Sede 8.3 Apps 2 1. Nihtworks 2 Upatew acs zoreSosionS Pan 1412 pedtores (2 tone working Updated so te | wsesJon | Atos! 15 Waring dng summer season essaucemsreiveont {4 Updeeden Py 128 Py 13.008 014 open tequiremer |4. Backiiling. Use of anchored stop blocks when tipping materials into| |Section 12 Part 1.2.3.6 escavaton tat val prevent nicks to overun the edges or danger a 5 Upaned Pe Jedge to break due to weight of trucks. |6.Updated 6a Pg 13 QDS 2014 Section 12 |5. Use of electrical power tools (e.g. rock breaker) pers &: Matrls and oer loads above and near he excavations Risk Assessments goneral Nevrtiless,Gonvatr to ensure tere ae no toe coud todo oddtonal hazards of increase te 8 | HSE/J0N | conerainotes a6," fre coud invoduce adeidonal hazards of cease Melis aseczmsricveon! | pated fen fo update the rok assesment a wrk progresses, eter w writen comments atthe subratal for added formations 10 | Hse/s0N | ener noes [Ree weton commons hessavezmsnicivecot [updated open nsficent deta together win wen remarks inthe eubriial mul 11 | H3€/J0N | GoneatNotes fen trough comment shasta maka the revved or isaried|essaticzmsrioneent [Updates Open tat or ey wonton AE bced on uted gota ard | Proper study of site condition shall be performed to determine the Joscphysicel survey for GRAND ZONE. 2] Ma General _freguramens of excavation support and dewatering subject son |ressarcznesricivenor [ereiaive repr naGLS27S8Z256 | open |iwestigation report lake place, AAE will submit the report to contrat Pr-conovocton repo sal be sabe, Bis apor shal nce, 13 MA General [but not imited to, topographic survey, coordinates, dimensions, site | 18-5541/GZ/MSTICIVIO001 jopooreptic ea existing wtlity had been Open [photos and as built drawings for existing utilities and structures. [uttntted separntaly. 7a [wa Genet Any over excavations to bo backed wih C25 concrete hessavezmsreiveon [Need Rasroo170 18.548]. GENST-CV-0001 Method statement for Exavationand Fling oth Apri 2018 Review Comments Sheet (RCS) KEOW Project Name : Grand Zone - School & Residential RFS: 8 Ref. No. (GZ-AAE-MST-CIV-CS-0001 eSRev.:# Document. Ref. N« 3Z-AAE-MST-CIV-0001 : Doc./Dwg. Rev. : 1 Tranemital Ref. No. DT-0068 ‘Doe /Dwo, Received Date: 20:50p-10 [Document title: Method Statement for Excavation and Backfilling CS Date: 30-Sep-19 Engineer in charge: Discipline: Cl Review Response Code: iB [[eatoanecion sen Open Saco apron calms arnt = EO Review Comments oe Dwg. Reference: SN | By: | title page /lause) ol JA further discussion regarding the suable and uneulable mateal 15 | Ma Genera [Asser dgcussonepardng te sabe Hesseveczmsricivocct —|oere. Refer to secon 8 Open - < mitt 4 sands ey | a KE©O N HAZARD IDENTIFICATION & RISK ASSESSMENT AE/HSE/FM-001 | Rev 00 | ek sic InitialRisk/impact—Controls | | sh Hazard description No. of i ¥ | No. Description task step/Activity and effect People : | i | : Control measures pi 6a Backfilling —_ ‘Equipment and Vehicle 4 2 8(Moderate) «+ Adequate and sufficient toppling protection shal , for equipment and vehicles be provided on prevent Vehicles or Equipment from toppling or Overrun due the weight of the trucks or equipment. Defective Hand/Power 42 8 (Moderate) © All Hand/Power tools and 41-4 (Low) tools and mechanical mechanical equipments shall bbe inspected and shall be in Grand@one caseca 6 KES HAZARD IDENTIFICATION & RISK ASSESSMENT = raat I — Risk Initial Risk/Impact pe I “a = sl. Hazard description No. of | i ae No, Description task step/Activity anilcitos: pert i | ] i Control measures 2 22 és | sa 3 8 5/2 equipments. 00d condition, + Fabricated and defective Effects:- tools shall not be used. Severe Injury * Regular Maintenance. * Operators shall be competent and certified. Excavation collapse! 4 3 | 12 (igh) ‘© Less vibrating equipment 41 4(Low) cave in due to vibration shall be engaged workers or water with, © A systema Manual handling basis | ceep the Injury/fatal/ property under safe level damage © Modification or use of homemade tools is totally prohibited Page 14 of 19 talaga Grand@one | won meus Granclépone | way KEONM HAZARD IDENTIFICATION & RISK ASSESSMENT ‘AE/HSE/FM-001 | Rev 00 Task I Risk Control measures Likelihood si. Hazard description No.of i AL. Description task step/Activity eee rene |f | 8 4 Liettood Rating | | Consequence Check the condition of excavation atthe all time for possibility of collapse/ Cave- in, ‘* Loose Soil must be removed. 3 = = 2 2 from the edge of the excavation © Excavation shall be properly barricaded. Slip, Trips and Fall 33 9(Moderate) "© Bach excavation shall be 3.-«1-3 (Low) hazards. provided by proper access. ‘and egress. Effeets:- ‘© Avoid taking shorteuts or Physical Injury & jumping in and out of — — Page 15 of 19 - _— I | Maar rslaulyatl-d Grand@one umn KE©O " , we um At @ ak HAZARD IDENTIFICATION & RISK ASSESSMENT ate Tasic 7 Risk ~S~SCnitiaiRisk/Impact Controls (Residual risk: g Si. | Hazard description No. of see SE Description task step/Activty eset Ba i i : | Control measures : ig 8 642 Property damages. 3 3 9 (Moderate) ‘excavation. 31 3(Low) © Maintain Good ‘Housekeeping. ‘© Keep access free from obstructions. 6b. Heat Stress Heat Stress Cases ‘* Full implementation of Heat stress procedure is a must. Awareness through trainings and OJTs must be created regarding various requirements and | emergency procedure implementations as required during the period. * Adequate and sufficient cold water supply regularly on site, | - Paze 16 of 19 = J ee Suggs KEOM HAZARD IDENTIFICATION & RISK ASSESSMENT ‘AE/HSE/FM-001 | Rev 00 — Tasic a= aa Risk ___Initial Risk/tmpact im Controls Residual risk i e | gl sl. Hazard description No. of | 3 sis 2 D. # Ne, Description task step/Actvity Sree People i Z | i | Control measures 234 aia) | B23 | S32 © TBT topics and signage to be provided and display on notice boards and rest shelters, 7 Human behavior Harm to the co workers 33 9 (Moderate) © Do not horse play during the 3 ‘TY 3 (low) | and property. work. Young workers shall be closely monitored by the supervisor. Training and tool box talk shall be conducted ‘on good human behavior and work culture. ‘© Disciplinary action shall be taken on safety violations. © AAE must execute close coordination with other ‘contractors working on site to avoid potential trespassing | or disturbance to their respective activities. Provide and maintain proper | Page 17 of 19 fee Guteyi KEOW Control measures SL Hazarddescription No.of | No, Description task step/Activity paatetr People | F \8 3 3 9 (Moderate) access to other contractors, © AAE ensures that all night work activities are approved, properly coordinated and ‘with appropriate arrangement prior to commence. All labor force / i workers | for site control measure. Page 18 of 19 Ft Grand@one | unm an oa se a | mu KE©O HAZARD IDENTIFICATION & RISK ASSESSMENT ‘AE/HSE/FM-001 | Rev 00 Risk Matrix Likelihood ] 5 1 4 3 2 1 | Risk Rating Certain/ | Expected Perhaps / Definite aes Possibility Uniticely 5. | Disaster - multiple Deaths Very Serious - 1 Death [Serious- Disability / Permanent Injury Important - Injury with time lose Minimal / Nominal — Minor | | tnjury without time tose Consequence 15: Attention Required ~ Low Risk 610; Corrective Measures Required ~ MHiGTiRER 42-16: Corrective Action Required ~ ih Fisk 20 - 25: Serious Risk: Elimination of Hazard Required. Prepared By: Ola Akinola Designation: Site HSE Supervisor Signature: jp Date: 28/09/19 Page 19 of 19 | » KEOW Grand@one | QATAR MALL GRAND ZONE - SCHOOL AND RESIDENTIAL | Checklist Forms ‘This document ithe property of AA Enpnering Co. WL who wl sfegvrdt ehts accrdag to theca perl provisions ofthe, KEOW waor ann [n> 5 ts a GRAND ZONE-SCHOOL& RESIDENTIAL, QATAR HALL OF GATAR| tosndnd tient! eg Ye BACFILUNG INSPECTION HECK UST foots fre: rr: fren: becare ame: = [Beseaiy] Gina [ORTH | repenon Load = sc ANE QA/QC Keo. i 1 oad kad ee om was oe des ne andy materials 2 edad mata cone wth espe tea 3 fetes tna perspec 20) rm 4+ ste coment mtr acnd option nate cttw pee 5 empacton st arcaraut and renee epson ot eperion a emia be apc usted yA cated yO 1 OF RUATION OF ARE SET SUBCONTRAGTOR ENGNEER Fre wes ar: Dre Det ae: Sats ate: |GonFIRMATION OF ANE GAG ENGINEER pe Worse: = Dears fuane: Soran Dat: |RED eNNeEn REPRESENTATWE nay be wera: Oss Cnn fame Sopa Date KEOWN Grand@one. 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