11083-QLT-CL-F001 Rev 0.

0 26-Sep-17

ARCHIRODON - HUTA Hegerfeld SAIC NUMBER DATE APPROVED SHC-QR NUMBER

SHIC-Q-EW-
Backfilling and Compaction Inspection 0006
03-Dec-17 Civil
PROJECT TITLE BI No. CONTRACTOR / SUBCONTRACTOR
KING SALMAN INTERNATIONAL COMPLEX FOR MARITIME INDUSTRIES
AND SERVICES
25-00053-0003 SARCO-HUTA Consortium

LOCATION

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.
PB4784-1001-MA-DR-0036 7.0 6600040118 N/A
SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME DOC. REF. NO.
11083-QLT-ITP-001
SH ITP NUMBER SEQUENCE NO. WORK PERMIT REQUIRED?
SAR-HTA-001 3.0 (3.2)
MYDP INSPECTION LEVEL SARCO-HUTA INSPECTION LEVEL NO
S W

ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

3.2 Backfilling and Compaction Inspection

Demonstration with trials for effectiveness of the approved PB4784-1001-MA-SP-0049

3.2a method of compaction in grid not less than 50m x 50m in plan Rev. 12 Sec. 3.14.5.2 and Sec.
dimensions. 3.17

Compacted surfaces of fill and backfill should be finish graded

3.2b to the cross sections, lines, grades and elevations as indicated IFC Drawings
on the drawings.

Fill material placed in horizontal layers in lifts shall be levelled

3.2c with proper moisture. SHIC-Q-EW-0007 (Checklist)

REMARKS:

REFERENCE DOCUMENTS:
1- PB4784-1001-MA-SP-0049 Rev. 12, Technical Specification - Dredging and Reclamation Works
2- IFC Drawings
3- SHIC-Q-EW-0007 (Checklist)
SARCO-HUTA Consortium MYDP
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 Quality Inspector

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

QC Supervisor Quality Supervisor

Quality Record Approved: Quality Record Approved:
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Completion of Quality Work / Test SHC=SARCO-HUTA Consortium, Y = YES N = NO F = FAILED

Page 1 of 1