CHECK LIST

Package 1 - Zayed City Commercial District

Project Name Employer Musanada
Infrastructure Works at South Spine
PMC Engineer Tebodin Middle East Ltd.

Contractor Tristar Engineering & Construction L.L.C

Checklist Title: Excavation & Concrete Blinding Checklist No. TEC-ZCSS-Cl-003D-

Works Location: Related ITP # TEC/ZCSS/QA/ITP/0

54180-SSPWW-AL-TEC-CWF-SPD- Related MS # 54180-00SIT-ZZ-TEC

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out
Yes No NA

1.0 Ensure shop drawing are approved

1.1 Ensure method statement is approved

1.2 Ensure all safety measures are taken

1.3 Ensure materials are approved

2.0 Excavation

2.1 Setting-out done as per approved drawings

2.2 Excavation done up to required level as per the approved drawing

2.3 Excavated material is stacked properly

2.4 Check the centre line with the approved lay out drawings?

3.0 Blinding Concrete

3.1 Level of formation correct

3.2 Formation/backfill testing complete

3.3 Location/setting out correct

3.4 Placement and elevation of blinding correct

Remarks:

Accompanying document :

For Contractor
For Supervision Consulatn
Quality Inspector Quality Engineer
Form Ref: TMT114, Rev-1, Date: 09-Feb-17
Name Najeeb Noel

Designation QA/QC QA/QC

Date

Form Ref: TMT114, Rev-1, Date: 09-Feb-17

CHECK LIST

Musanada

Tebodin Middle East Ltd.

TEC-ZCSS-Cl-003D-001

TEC/ZCSS/QA/ITP/012 Rev. 02

54180-00SIT-ZZ-TEC-CWF-MST-0012-02

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: TMT114, Rev-1, Date: 09-Feb-17

Form Ref: TMT114, Rev-1, Date: 09-Feb-17