CLIENT

PROJECT CONTRACTOR
 

RIYADH METRO
Package 3 (Lines 4)
Method Statement for Chemical Rebar
Anchor System-HILTI
M3-AZM-MST-CIV- 00000 Rev

(Azmeel Contracting Company ):

Author Checked Reviewed Approved
Sachin Yardi Quarban Ali Sachin Yardi Faisal Jarral
QA/QC Engineer Construction Manager QA/QC Manager Project Manager
Date & Signature Date & Signature Date & Signature Date & Signature

FAST Organization:
Author Checked Reviewed Approved
Name Name Name Name
Role Role Role Role
Date & Signature Date & Signature Date & Signature Date & Signature
Riyadh Metro Package 3 (Lines 4)

DOCUMENT CHANGE RECORD

Revision Date Change Description Author

00 27-10-2015 Document for Approval

M3‐AZM‐MST‐CIV‐ 000003 Rev 01 8/17/2014 Page 2 of 8

Riyadh Metro Package 3 (Lines 4)

Abbreviations

Abbr. Definition
FAST Main Contractor
KKIA King Khalid International Airport
ITP Inspection Test Plan
PQP Project Quality Plan
HSE Health, Safety and Environment
RAMPED Riyadh Advanced Metro Project Execution and Delivery
KSA Kingdom of Saudi Arabia
RFI Request for Inspection
QCI Quality Control Inspection
QCP Quality Control Procedures
QMS Quality Management System
ISO International Organization of Standardization
NCR Non-Conformance Report

M3‐AZM‐MST‐CIV‐ 000003 Rev 01 8/17/2014 Page 3 of 8

 Riyadh Metro Package 3 (Lines 4)

TABLE OF CONTENTS 
 
1          PURPOSE            5 
 
2          SCOPE OF WORK          5 
 
3          PERMIT AND LICENSE        5 
 
4          STANDARDS AND SPECIFICATION    5 
 
5          MACHINERY AND MANPOWER     6 
 
6          METHODOLOGY          7 
 
7          QA/QC PLAN          9 
 
8          HSE PLAN            10 
 
9          APPENDIX            10 
   

M3‐AZM‐MST‐CIV‐ 000003 Rev 01 8/17/2014 Page 4 of 8

 Riyadh Metro Package 3 (Lines 4)

1 PURPOSE

The purpose of this method statement is to provide a procedure and method for execution of Chemical Rebar 
anchor system at 4G1 Station and Cut & Cover Tunnels Sides as required. 
 
This document describes the execution of Chemical rebar anchorage system from HILTI with approved anchor 
chemical material, at required location, depth, with dia of rebar and its testing. Making sure to comply with 
the  project  specification  and  required  standards.  All  concerned  personnel  must  be  familiarized  with  the 
sequence of activities, utilization of resources, and execution of the works in compliance with applicable Safety 
and Quality Procedures. 
 

2 SCOPE OF WORK

This document covers the execution of Chemical rebar anchorage system from HILTI from Chainage 26+039 
to Chainage 27+569  with approved anchor chemical material, in prescribed process from HILTI, at 4G1 and 
Cut & Cover Tunnel wherever is required.  
 

3 PERMIT AND LICENSE

Necessary permits shall be provided by FAST from KKIA prior start of the Anchoring activity. Licenses of 
all machineries and operators involved in Anchoring shall be visible for review and checking. 

4 STANDARDS AND SPECIFICATION

 
ID Description
ASTM A 615 Standard Specification for Deformed steel rebar for concrete reinforcement
ASTM C900-15 Standard for Test method of Pullout strength of Hardened concrete
ACI-318 Building code Requirements for structural concrete
ASTM C309-11 Standard Specification for Liquid Membrane-Forming Compounds for Curing
Concrete 

 
 
 
 
 
 

M3‐AZM‐MST‐CIV‐ 000003 Rev 01 8/17/2014 Page 5 of 8

 Riyadh Metro Package 3 (Lines 4)

5 MACHINERY AND MANPOWER

Machinery List ‐  
Serial No  Description with Capacity Number of Machines 
1.  HILTI Drilling Machine with Bit  2 nos 
2.  Cleaning brush  4 nos 
3.  HILTI injectable Dispense 4 nos 
4.  Curing Agent Sprayer  1 nos 
5.  Ancillary equipments  As required 
 
Manpower List ‐  
Manpower (Staff) Quantity
Project Manager  1 
Cons.  Manager  1 
QA/QC Manager  1
Site Engineer  1 
QC Inspector  1 
Safety Officer  2
Senior Surveyor  0 
Surveyor Aid  1 
Foreman  1
Operators    2 
Electrician  1 
       
Manpower (Labour)  Quantity 
Gang Leader  2 
Skilled Labour for Drilling and Installation 4
Skilled Labour for Cleaning and Preparation  2 
Semi‐Skilled Labour Housekeeping  2 
Flag Man  1
 
 

6 METHODOLOGY

M3‐AZM‐MST‐CIV‐ 000003 Rev 01 8/17/2014 Page 6 of 7

 Hilti HIT-HY 200
with rebar

Material quality
Part Material
rebar Geometry and mechanical properties according to DIN 488-2:1986 or
BSt 500 S E DIN 488-2:2006

Setting
Installation equipment
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
Rotary hammer TE 2 – TE 16 TE 40 – TE 70
Other tools compressed air gun or blow out pump, set of cleaning brushes, dispenser

Setting instruction

Bore hole drilling

Drill hole to the required embedment depth with an appropriately sized Hilti
TE-CD or TE-YD hollow drill bit with Hilti vacuum attachment. This drilling
method properly cleans the borehole and removes dust while drilling.
After drilling is complete, proceed to the “injection preparation” step in the
instructions for use.

Drill Hole to the required embedment depth with a hammer drill set in
rotation-hammer mode using an appropriately sized carbide drill bit.

Bore hole cleaning Just before setting an anchor, the bore hole must be free of dust and debris.

a) Manual Cleaning (MC) non-cracked concrete only

for bore hole diameters d0 ”PPDQGERUHKROHGHSWKK0 ”G
The Hilti manual pump may be used for blowing out bore holes up to
diameters d0 ”PPDQGHPEHGPHQWGHSWKVXSWRKef ”G
Blow out at least 4 times from the back of the bore hole until return air
stream is free of noticeable dust

Brush 4 times with the specified brush size by inserting the steel brush Hilti
HIT-RB to the back of the hole (if needed with extension) in a twisting
motion and removing it.
The brush must produce natural resistance as it enters the bore hole -- if
not the brush is too small and must be replaced with the proper brush
diameter.
Blow out again with manual pump at least 4 times until return air stream is
free of noticeable dust.

10 / 2012 547

AN-AC-D2147-2015-Rev 0
7
Hilti HIT-HY 200
with rebar

b) Compressed air cleaning (CAC)

for all bore hole diameters d0 and all bore hole depth h0
Blow 2 times from the back of the hole (if needed with nozzle extension)
over the hole length with oil-free compressed air (min. 6 bar at 6 m³/h) until
return air stream is free of noticeable dust. Bore KROHGLDPHWHU•PP
the compressor must supply a minimum air flow of 140 m³/hour.

Brush 2 times with the specified brush size by inserting the steel brush Hilti
HIT-RB to the back of the hole (if needed with extension) in a twisting
motion and removing it.
The brush must produce natural resistance as it enters the bore hole -- if
not the brush is too small and must be replaced with the proper brush
diameter.
Blow again with compressed air 2 times until return air stream is free of
noticeable dust.

Injection preparation
Tightly attach new Hilti mixing nozzle HIT-RE-M to foil pack manifold (snug
fit). Do not modify the mixing nozzle. Observe the instruction for use of the
dispenser. Check foil pack holder for proper function. Do not use damaged
foil packs / holders. Swing foil pack holder with foil pack into HIT-
dispenser.

Discard initial adhesive. The foil pack opens automatically as dispensing is

initiated. Depending on the size of the foil pack an initial amount of
adhesive has to be discarded.
Discard quantities are
2 strokes for 330 ml foil pack,
3 strokes for 500 ml foil pack,
VWURNHVIRUPOIRLOSDFN”ƒ&

Inject adhesive from the back of the borehole without forming air voids
Inject the adhesive starting at the back of the hole, slowly withdrawing the
mixer with each trigger pull. Fill holes approximately 2/3 full, or as required
to ensure that the annular gap between the anchor and the concrete is
completely filled with adhesive along the embedment length.

After injection is completed, depressurize the dispenser by pressing the

release trigger. This will prevent further adhesive discharge from the mixer.

Overhead installation and installation with embedment depth hef > 250mm.
For overhead installation the injection is only possible with the aid of
extensions and piston plugs. Assemble HIT-RE-M mixer, extension(s) and
appropriately sized piston plug. Insert piston plug to back of the hole and
inject adhesive. During injection the piston plug will be naturally extruded
out of the bore hole by the adhesive pressure.

548 10 / 2012

AN-AC-D2147-2015-Rev 0
8
 Hilti HIT-HY 200
with rebar

Setting the element

Before use, verify that the element is dry and free of oil and other
contaminants.
Mark and set element to the required embedment depth untill working time
twork has elapsed.

For overhead installation use piston plugs and fix embedded parts with e.g.
wedges

Loading the anchor:

After required curing time tcure the anchor can be loaded.

For detailed information on installation see instruction for use given with the package of the product.

10 / 2012 549

AN-AC-D2147-2015-Rev 0
9
Hilti HIT-HY 200
with rebar

Hilti HIT-HY 200 with rebar

Injection mortar system Benefits

Hilti HIT- - suitable for cracked and non-

HY 200-A cracked concrete
500 ml foil pack C 20/25 to C 50/60.
(also available - Approved automatic cleaning with
as 330 ml) the use of the hollow drill-bit
- high loading capacity, excellent
Hilti HIT- handling
HY 200-R - HY 200-R version with extended
500 ml foil pack curing time for rebar applications
(also available - small edge distance and anchor
as 330 ml) spacing possible
- large diameter applications
- in service temperature range up
Static mixer to 120°C short term/72°C long
term
- manual cleaning for anchor size
Ø8 to Ø16 and embedment depth
hef d 10d for non-cracked
concrete
- embedment depth range:
rebar BSt 500 S from 60 ... 160 mm for Ø8
to 128 ... 640 mm for Ø32
- two mortar (A and R) versions
available with different curing
times and same performance

Approved PROFIS
Small edge Variable European
Tensile CE automatic Anchor
Concrete distance embedment Technical
zone conformity cleaning design
and spacing depth Approval
while drilling software

Approvals / certificates
Description Authority / Laboratory No. / date of issue
ETA-11/0493 / 2012-08-08
a) (Hilti HIT-HY 200-A)
European technical approval DIBt, Berlin
ETA-12/0084 / 2012-08-08
(Hilti HIT-HY 200-R)

a) All data given in this section according ETA-11/0493 and ETA-12/0084, issue 2012-08-08.

544 10 / 2012

AN-AC-D2147-2015-Rev 0
4
 Hilti HIT-HY 200
with rebar

Basic loading data (for a single anchor)

All data in this section applies to For details see Simplified design method
- Correct setting (See setting instruction)
- No edge distance and spacing influence
- Steel failure
- Base material thickness, as specified in the table
- One typical embedment depth, as specified in the table
- One anchor material, as specified in the tables
- Concrete C 20/25, fck,cube = 25 N/mm²
- Temperate range I
(min. base material temperature -40°C, max. long term/short term base material temperature: +24°C/40°C)
- Installation temperature range +5°C to +40°C

Embedment depth a) and base material thickness for the basic loading data.
Mean ultimate resistance, characteristic resistance, design resistance, recommended loads.
Data according ETA-11/0493 and ETA-12/0084, issue 2012-02-06
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
Typical embedment depth [mm] 80 90 110 125 145 170 210 270 300
Base material thickness [mm] 110 120 145 165 185 220 275 340 380
a) The allowed range of embedment depth is shown in the setting details. The corresponding load values can be
calculated according to the simplified design method.

Mean ultimate resistance: concrete C 20/25 – fck,cube = 25 N/mm², anchor rebar BSt 500S
Data according ETA-11/0493 and ETA-12/0084, issue 2012-02-06
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
Non cracked concrete
Tensile NRu,m BSt 500 S [kN] 29,4 45,0 65,1 87,6 116,1 148,6 204,0 297,4 348,4
Shear VRu,m BSt 500 S [kN] 14,7 23,1 32,6 44,1 57,8 90,3 141,8 177,5 232,1
Cracked concrete
Tensile NRu,m BSt 500 S [kN] - 18,8 38,5 51,1 67,7 99,3 145,4 212,0 248,3
Shear VRu,m BSt 500 S [kN] - 23,1 32,6 44,1 57,8 90,3 141,8 177,5 232,1

Characteristic resistance: concrete C 20/25 – fck,cube = 25 N/mm², anchor rebar BSt 500 S
Data according ETA-11/0493 and ETA-12/0084, issue 2012-02-06
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
Non cracked concrete
Tensile NRk BSt 500 S [kN] 24,1 33,9 49,8 66,0 87,5 111,9 153,7 224,0 262,4
Shear VRk BSt 500 S [kN] 14,0 22,0 31,0 42,0 55,0 86,0 135,0 169,0 221,0
Cracked concrete
Tensile NRk BSt 500 S [kN] - 14,1 29,0 38,5 51,0 74,8 109,6 159,7 187,1
Shear VRk BSt 500 S [kN] - 22,0 31,0 42,0 55,0 86,0 135,0 169,0 221,0

Design resistance: concrete C 20/25 – fck,cube = 25 N/mm², anchor rebar BSt 500 S
Data according ETA-11/0493 and ETA-12/0084, issue 2012-02-06
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
Non cracked concrete
Tensile NRd BSt 500 S [kN] 16,1 22,6 33,2 44,0 58,3 74,6 102,5 149,4 174,9
Shear VRd BSt 500 S [kN] 9,3 14,7 20,7 28,0 36,7 57,3 90,0 112,7 147,3
Cracked concrete
Tensile NRd BSt 500 S [kN] - 9,4 19,4 25,7 34,0 49,8 73,0 106,5 124,7
Shear VRd BSt 500 S [kN] - 14,7 20,7 28,0 36,7 57,3 90,0 112,7 147,3

10 / 2012 545

AN-AC-D2147-2015-Rev 0
5
Hilti HIT-HY 200
with rebar

Working time, curing time

Temperature Hilti HIT-HY 200-R
of the Working time in which anchor Curing time before anchor
base material can be inserted and adjusted twork can be loaded tcure
-10 °C to -5 °C 3 hour 20 hour
-4 °C to 0 °C 2 hour 7 hour
1 °C to 5 °C 1 hour 3 hour
6 °C to 10 °C 40 min 2 hour
11 °C to 20 °C 15 min 1 hour
21 °C to 30 °C 9 min 1 hour
31 °C to 40 °C 6 min 1 hour

Temperature Hilti HIT-HY 200-A

of the Working time in which anchor Curing time before anchor
base material can be inserted and adjusted twork can be loaded tcure
-10 °C to -5 °C 1,5 hour 7 hour
-4 °C to 0 °C 50 min 4 hour
1 °C to 5 °C 25 min 2 hour
6 °C to 10 °C 15 min 1 hour
11 °C to 20 °C 7 min 30 min
21 °C to 30 °C 4 min 30 min
31 °C to 40 °C 3 min 30 min

Setting details
d0

Bore hole depth h0 = embedment depth hef

Thickness of concrete member h

550 10 / 2012

AN-AC-D2147-2015-Rev 0
10
 Hilti HIT-HY 200
with rebar

Design combined pull-out and concrete cone resistance

NRd,p = N0Rd,p ˜ fB,p ˜ f1,N ˜ f2,N ˜ f3,N ˜ fh,p ˜ fre,N
Data according ETA-11/0493 and ETA-12/0084, issue 2012-02-06
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
Typical embedment depth
80 90 110 125 145 170 210 270 300
hef,typ [mm]
Non cracked concrete
0
N Rd,p Temperature range I [kN] 16,1 22,6 33,2 44,0 58,3 85,5 131,9 190,0 241,3
0
N Rd,p Temperature range II [kN] 13,4 18,8 27,6 36,7 48,6 71,2 110,0 158,3 201,1
0
N Rd,p Temperature range III [kN] 11,4 16,0 23,5 31,2 41,3 60,5 93,5 134,6 170,9
Cracked concrete
0
N Rd,p Temperature range I [kN] - 9,4 19,4 25,7 34,0 49,8 77,0 110,8 140,7
0
N Rd,p Temperature range II [kN] - 7,5 15,2 20,2 26,7 39,2 60,5 87,1 110,6
0
N Rd,p Temperature range III [kN] - 6,6 13,8 18,3 24,3 35,6 55,0 79,2 100,5

Design concrete cone resistance NRd,c = N0Rd,c ˜ fB ˜ f1,N ˜ f2,N ˜ f3,N ˜ fh,N ˜ fre,N
Design splitting resistance a) NRd,sp = N0Rd,c ˜ fB ˜ f1,sp ˜ f2,sp ˜ f3,sp ˜ f h,N ˜ fre,N
Data according ETA-11/0493 and ETA-12/0084, issue 2012-02-06
Anchor size Ø8 Ø10 Ø12 Ø14 Ø16 Ø20 Ø25 Ø28 Ø32
0
N Rd,c Non cracked concrete [kN] 24,1 28,7 38,8 47,1 58,8 74,6 102,5 149,4 174,9
0
N Rd,c Cracked concrete [kN] - 20,5 27,7 33,5 41,9 53,2 73,0 106,5 124,7
a) Splitting resistance must only be considered for non-cracked concrete

Influencing factors

Influence of concrete strength on combined pull-out and concrete cone resistance

Concrete strength designation
C 20/25 C 25/30 C 30/37 C 35/45 C 40/50 C 45/55 C 50/60
(ENV 206)
0,1 a)
fB,p = (fck,cube/25N/mm²) 1
a) fck,cube = concrete compressive strength, measured on cubes with 150 mm side length

Influence of embedment depth on combined pull-out and concrete cone resistance

fh,p = hef/hef,typ

Influence of concrete strength on concrete cone resistance

Concrete strength designation
C 20/25 C 25/30 C 30/37 C 35/45 C 40/50 C 45/55 C 50/60
(ENV 206)
1/2 a)
fB = (fck,cube/25N/mm²) 1 1,1 1,22 1,34 1,41 1,48 1,55
a) fck,cube = concrete compressive strength, measured on cubes with 150 mm side length

10 / 2012 553

AN-AC-D2147-2015-Rev 0
13
 Riyadh Metro Package 3 (Lines 4)

 
   
 

7 QA/QC PLAN

a) The site shall follow the Inspection Test Plan (ITP) – Chemical rebar anchor attached with this Method 
Statement. 
 
b) Manufacture  Recommendation  regarding  installation,  application  and  Quality  control  will  be 
followed. 
 
 

8 HSE PLAN

 
Risk Assessment Attached. 
 

9 ANNEXES

 
A) Organizational Chart and Contact List
 
B) Inspection and Test Plan – Chemical Rebar Anchor System 
 
C) Risk Assessment 
 
D) Drawings 

End of Document

M3‐AZM‐MST‐CIV‐ 000003 Rev 01 8/17/2014 Page 8 of 8

 PROJECT ORGANIZATIONAL CHART FOR U/G METRO STATION 4G1 AND TUNNEL

DATE 8/24/2015
DOC NO

PROJECT MANAGER
ENG. FAISAL JARRAL
faisal.jarral@azmeel.com
0557874635

STR. TECHNICAL ENGINEER

Mr. AHMED GAMAL
STR. TECHNICAL ENGINEER
TECHNICAL MANAGER
Mr. SHABAN SALAH
Mr. MANII EJIMII shaban.metwally@azmeel.com
0582323040

DOC. CONTROLLER
Mr. PAUL CANO
paul.cano@azmeel.com Sr. DOC. CONTROLLER PLANNING ENGINEER
0546254083 Mr. BOBBY FRANZA Sr. PLANNING ENGINEER Mr. AHMAD ALKHATIB
boby.franza@azmee.com Mr. MOHAMED EZZAT ahmed.alkhatib@azmeel.com
0581007179 0591539381

TIME KEEPER
Mr.AHMED MAHER
0597660774
TIME KEEPER MECHANICAL ENGINEER EQUIPMENT FOREMAN
Mr. SOHRAB ALI Mr. THAER HUSSAIN Mr. PRITHVIRAJ SAMY
0592650518 0597443019 0599585154

CONST'N MANAGER
Engr. QURBAN ALI BHATTI QA/QC MANAGER
PMP Engr. SACHIN YARDI QUANTITY SURVEYOR SAFETY MANAGER
qab_1414@yahoo.com sachin.yardi@azmeel.com Mr. MOHAMED SHAMEER SHEHADA MOHAMED
0599162347 0597442409 0598085982 0581006814

Sr. QA/QC ENGINEER SAFETY SUPERVISOR

Sr. ENGINEER
Sr. ENGINEER Engr. ALEX GERANGAYA QUANTITY SURVEYOR Mr. AAMIR NAVEED SAFETY SUPERVISOR
Mr. MHAMMED ISMAIL
Engr.GADA HUSSAIN alexis.gerangaya@gmail.com Mr. MUSTAFA HANDULEH 0598976370 Mr. MASSOM ALI
0583059110
LAND SURVEYOR 0536324389 0593560569 0599024172
MR. MD AMIN KHAN
0593528747

CAD CUT & COVER STATION

Sr. ENGINEER SITE ENGINEER QA/QC ENGINEER SAFETY OFFICER SAFETY OFFICER
Mr. EMAD AHMED MOHAMED Mr. FIRAS F. HABALTI Mr. JAIMYE ERMITANIO Mr.NARIO CASAS Mr. SHANA IMAM
0593101727 0598052736 0576421127 PROCUREMENT OFFICER 0507121786 0597442510
SITE ENGINEER SURVEYOR Mr. FEL IAN BONGOSIA
Mr. AHMED EMAD Mr. MAGRY IMTIAZ 0582323571
0564645844 0599519536

LAND SURVEYOR SAFETY OFFICER SAFETY OFFICER

FOREMAN STEEL FIXER
MR. HAMSA HASSAN Mr. RICHARD TALABOC Mr. RAZA HUSNAIN
Mr.KAMALHASSAN
SITE ENGINEER SITE ENGINEER 0560656992 QA/QC ENGINEER 0598174179 0597442502
Mr. AHMED AL AHMAD Mr. HUSSIEN EMAM Mr. MUHAMMED ATIF
0599100120 0566860813 0567716973

FOREMAN STEEL FIXER SITE ENGINEER QA/QC ENGINEER SAFETY OFFICER SAFETY OFFICER
Mr.MAKHLOUF FAROUK Mr.YAZAN AL-JALANI Mr. MOHAMMED ZUBAIR Mr.GUILUERMO CRUZAT Mr. MOHAMMED KHALID
0544678790 0592944062 0598871161 0599501468 0597442585
ASSISTANT ENG. STORE KEEPER
Mr. BASSAM HASSAN Mr. SHABAZ SHAFI
0544399634 0599585147

SAFETY OFFICER SAFETY OFFICER

FOREMAN CARPENTER GEN. FOREMAN.
Mr. ZANDRO TRILLO Mr. SHAKI ANWAR
Mr.MAHMOUD MOUSTAFA Mr. RAJI HASAN MUFLIH
0599501468 0598923442
ASSISTANT ENG. QC INSPECTOR CIVIL
Mr. NAWAFLA NAIM Mr. MOHAMMAD AEIJAZ
0597381906

FOREMAN CARPENTER ELECTRICAL SUPERVISOR QA/QC INSPECTOR SAFETY OFFICER SAFETY OFFICER
FOREMAN.
Mr. ELGHAMRY SHAMS Mr. ZEESHAN UL-HAQ Mr. DONNEL AGUSTIN Mr. DANNY DUMALE Mr. SHAMSUDDIN ANSARI
Mr. IIJAZ SINDHU
0561816384 0563882946 0591008478 054172474 0598130865

FOREMAN LABOR QA/QC INSPECTOR SAFETY OFFICER

FOREMAN.
Mr. ABDUL ATIY Mr. MOHAMMAD ALAM Mr. NOORDDIN ANSARI
Mr.ABDUL HAMMED
0561597270 0597760353 0593907931

SAFETY OFFICER
FOREMAN CIVIL
Mr. MAZHAR KHAN
Mr.MOHAMMED FAROOQ ELECTRICIAN
ELECTRICIAN ELECTRICIAN ELECTRICIAN ELECTRICIAN 0599753571
Mr.ABDUL KALAM
Mr. USMAN ALI Mr. MOHAMMED ALI Mr. SHRINIVAS SAHOO Mr. AKRAM HUSSAIN
0557984550

FOREMAN WORKSHOP
Mr.RICHARD ABASOLA
0596922006

PREPARED BY REVIEWED BY APPROVED BY REV. NO.

SIGN

NAME 07

DATE
 Document No. M3‐CJV‐ITP‐GQAQA‐T11‐000000
ITP ‐ Inspection and Test Plan for Chemical Anchoring System Application
Revision: 0
Page: 1 of 1
REF: Method Statement HILTI HIT‐HY 200
Date: 10‐Oct‐15
Inspection Level
Activity  Description of Activity/Inspection  Inspection and Testing  Specific Acceptance  QC Form / Verifying  Responsible  Inspection 
Reference Documents
No. Item Method Criteria Ref: Record / Document Person Frequency S/C FAST RAMPED OTHER
1 General
* Approved shop drawing         * 
Subcontractor / QC 
Approval of documents related to  Prior to start of work  Approved Method Statement *  As per the reference  Approved submittal /  Prior to start the 
1.1 Engineer / Site  H H H
Chemical Anchoring System Application activities Chemical Anchoring System  documents Documents work
Engineer
Application   * Specs

* Approved shop drawing         *  Materials being used in 
* Approved Material  Subcontractor / QC 
Visual Inspection /  Approved Method Statement *  permanent works are in  Every delivery / every 
1.2 Incomimg Materials / Receiving receiving inspection.             *  Engineer / Site  H H W
Documents Review Chemical Anchoring System  accordance to the approved  lot
Delivery Note. MDS Engineer
Application   * Specs material submittal.
2 Setting
Preparation ‐ Bore holes drilling to the 
* Approved shop drawing         *  * As per approved MS          * 
required embeded depth with an  Subcontractor / QC  Only after the 
Visual Inspection /  Approved Method Statement *  In accordance with 
2.1 approprietly size carbide drill bit as per  N/A Engineer / Site  completion of each  H I S
Measurement Chemical Anchoring System  manufacturer's printed 
anchor diameter, length and location  Engineer activity
Application   * Specs installation instruction
spacing.
After bore holes 
* Approved shop drawing         *  * As per approved MS       * In 
Subcontractor / QC  drilling prior to 
Approved Method Statement *  accordance with 
2.2 Cleaning ‐ Hole must be free of dust Visual Inspection N/A Engineer / Site  inspection of hole  H W S
Chemical Anchoring System  manufacturer's printed 
Engineer depth and diameter 
Application   * Specs installation instruction
size.
* As per approved MS      * In 
accordance with 
* Approved shop drawing         * 
manufacturer's printed  Subcontractor / QC 
Application ‐ Prepare HILTI Adhesive and  Visual Inspection /  Approved Method Statement *  During application 
2.3 installation instruction. *  N/A Engineer / Site  H I S
inject starting at the back of the hole.  Documents Review Chemical Anchoring System  activity
Check Adhesive  Engineer
Application   * Specs
identification and expiration 
date
* Approved shop drawing         *  * As per approved MS         * 
Anchoring ‐ Setting the element as per  Subcontractor / QC 
Visual Inspection /  Approved Method Statement *  In accordance with  After installation of 
2.4 working time period in which anchor can  N/A Engineer / Site  H W S
Documents Review Chemical Anchoring System  manufacturer's printed  anchoring
be inserted and adjusted. Engineer
Application   * Specs installation instruction

* As per approved MS         *  Once only after 
Subcontractor / QC 
Visual Inspection /  In accordance with  curing period is done 
2.5 Curing time ‐ before anchor can be loaded * Manufacturer Data Sheet N/A Engineer / Site  H W S
Documents Review manufacturer's printed  in every composite 
Engineer
installation instruction activity

Legend: Key for Inspection Levels
Prepared By: Signature: Date:
H = Hold Point: Contractor must not proceed without approval

W = Witness Point: Attendance at site is expected, signature is not  Reviewed By: Signature: Date:

required on check sheet, follow on work my proceed

R = Review Point: Responsible for reviewing documentation
Approved By: Signature: Date:

I = Inspection: Responsible for carrying out inspection or test
S = Surveillance Point: Responsible for carrying out random 
surveillance of inspection or test
(*): To be specified case by case. E.g. Independent Laboratory
 Project Name:
Riyadh Metro 4G1
Station - Riyadh

RISK ASSESSMENT
FOR CHEMICAL
Prepared By: REBAR ANCHOR
Aamir Naveed Abbasi SYSTEM
AZMEEL – Sr. Safety Supervisor

Riyadh Metro 4G1 Station - Riyadh

 RISK ASSESSMENT
1. DEFINITION
A risk assessment is an important step in protecting our workers and our business, as well as
complying with the client procedures. It helps us focus on the risks that really matter in our
workplace – the ones with the potential to cause harm. In many instances, straightforward
measures can readily control risks, for example, ensuring spillages are cleaned up promptly
so people do not slip or cupboard drawers kept closed to ensure people do not trip.

It is fact that all risks can’t be eliminated, but we are required to protect people as far as is
‘reasonably practicable’. This guide tells us how to achieve that with minimum fuss for our
chemical rebar anchor system activity.

A risk assessment is simply a careful examination of what, in our work, could cause harm to
people, so that we can weigh up whether we have taken enough precautions or should do
more to prevent harm. Workers and others have a right to be protected from harm caused by
a failure to take reasonable control measures. We are required to assess the risks in our
workplace so that we put in place a plan to control the risks. Below is our risk assessment plan
to control the potential risks involved in chemical rebar anchor system work.

2. RISK ASSESSMENT STEPS

This is not the only way to do a risk assessment, there are other methods that work well,
particularly for more complex risks and circumstances. However, we believe this method is the
most straightforward for this particular activity.

Below are our five (05) steps to risk assessment:

1. Identify the hazards

2. Decide who might be harmed and how
3. Evaluate the risks and decide on precaution
4. Record findings and implement them
5. Review the assessment and update if necessary

A hazard is anything that may cause harm, such as chemicals, electricity, working from
ladders, an open drawer, etc.; and

The risk is the chance, high or low, that somebody could be harmed by these and other
hazards, together with an indication of how serious the harm could be.

Risk Assessment For Chemical Rebar Anchor System

Page 1
 RISK ASSESSMENT
3. RISK ASSESSMENT FORM

HAZARD(S) RISK WHO IS RATING NECESSARY CONTROL ACTIO RESIDUAL RISK

Item AT RISK S F RISK MEASURES N BY
RATIN
S F RATING
s G

Delivery of Materials at Site

1.  Traffic  Road traffic  General  Traffic management PM
Management accident – site signage shall be installed
vehicle collision worker as necessary.
/ personal injury  General  Speed limit signs shall be
 Damage to site staff posted and ensure all
materials and  Site person shall follow the
equipment – visitors speed limit signs.
financial and  Trained flagman shall be
production loss appointed on the entrance
5 3 15 
and exit point.
Entrance and exit signs
5 2
10
shall be posted.
 Barriers shall be installed to
separate pedestrians from
vehicle traffic.
 Pedestrian routs shall be
clearly marked and
illuminated where
necessary.

Risk Assessment For Chemical Rebar Anchor System Page 2

 RISK ASSESSMENT
2.  Struck by  Personal Injury /  General  Vehicle pre-inspection shall PM
vehicle Fatality site be done. Vehicle fitted with
 Vehicular worker reverse alarm, beacon
accident –  General lights etc.
damaged to site staff  Daily inspection checklist
the property  Site shall be used.
and injury to
the workers.
visitors 4 5 20  All drivers shall have valid
KSA License.
4 1
04
 All vehicle movement shall
be guided by competent
banks man with high visible
vest.

3.  Traffic  Personal Injury /  General  Trained flagman shall be PM
Incident Fatality site appointed to control the
worker traffic.
 General  Speed limit signs shall be
site staff posted.
 Site  All traffic rules and signs
visitors should be followed.
 Audible reversing alarms
shall be installed on each
equipment.
4 5 20  Only approved routes shall
4 1
04
be used for access to and
egress from the site.
 Only drivers/operators with
KSA license, certified
operator and trained
personnel are be allowed to
work on site.
 Maintain site speed limit (30
kph)

Risk Assessment For Chemical Rebar Anchor System Page 3

 RISK ASSESSMENT
4.  Material  Personal Injury  General  All employees shall wear SS
Unloading site proper PPE’s.


worker
General
3 4 12 All crew must be oriented
before entering the site.
3 1
03
site staff

Power Tools

5. Exposure to  Personal Injury /  General  Inspect the tools prior to PM

Rotating or Moving Fatality site work.
Parts workers  All necessary guards &
safety devices are in place
protecting workers from all
moving parts including the
oversized rotating abrasive
4 5 20 disc.
4 1
04
 Monthly inspection shall be
done and color coded.
 Defective tools shall be
removed from site
immediately.

6. Electrical Shock  Personal Death  General  Inspect tools prior to use, PM

site daily checking and regular
workers maintenance to avoid any
chance of malfunction.
 Only trained persons use
4 5 20 
power tools.
Tools should be double
4 1
04
insulated.
 Damaged cables and
sockets should be
discarded.

Risk Assessment For Chemical Rebar Anchor System Page 4

 RISK ASSESSMENT
 Cutting operation in wet
surface is not acceptable.

7. Fire / Explosion  Personal Injury /  General  Move the work piece to a PM

Death site safe location for carrying
 Property workers out the hot work process.
Damage  General  Make good house-keeping.
site staff  Remove all combustible
 Site materials (Such as
visitors flammable liquid, woods,
5 4
20 paper etc.) from within 10
5 1
05
meter of work area.
 Valid fire extinguisher on
site.
 Barricade the area to
prevent un-authorized entry.

Chemical Handling
8. Lake of available  High incidence  General  The required personal PM
personal safety of unsafe site safety equipment and
equipment conditions workers personal protective
 General equipment shall be
site staff provided.
 Site  Make sure all persons wear
visitors 5 5
25 
proper PPE’s.
PPE’s shall be maintained
5 1
05
and replaced if damaged.
 Specific hand gloves and
mask shall be wears at all
time during spraying the
chemical.

Risk Assessment For Chemical Rebar Anchor System Page 5

 RISK ASSESSMENT
 MSDS shall be on site and
follow the instruction
mentioned in MSDS
9. Unsafe Storage  Fire  General  Flammable and / or PM
 Chemical Spills site hazardous material shell be
workers stored separately.
 General
site staff
4 3
12  Storage area shall be
ventilated.
4 1
04
 Site  Installed fire extinguishers.
visitors
Housekeeping
10. Slip, Trip and falls  Personal injury  General  Maintain Good PM
site Housekeeping.
workers  Provision of safe and
 General proper access.
site staff
4 3
12 4 1
04
 Site
visitors

Welfare Facilities
11. Personal Health  Heat Stress  General  Provide drinking water. PM
 Eyes Problem site  Provide rest area.
 Body workers  Take regular rest.
Protection  General  Provide tightly sealed


site staff
Site
4 3
12 
safety glasses.
Eye washout area shall be
4 1
04
visitors provided on site.
 Provide protective work
clothing (coverall).
12. Lack of Welfare and  Food / drinking  General  Site welfare facilities shall PM
Medical Facilities water
contamination
site
workers
4 4
16 be established. Sufficient
toilets, washing facilities,
4 1
04

Risk Assessment For Chemical Rebar Anchor System Page 6

 RISK ASSESSMENT
 Human waste  General drying facilities and rest
contamination site staff area shall be installed.
of temporary  Site  Full flushing WC’s shall be
facilities and visitors installed
site  Medical facilities shall be
 Disease and ill established. First aiders
health due to and / or a site nurse shall
lack of be appointed.
washing  Stand by ambulance or
facilities emergency vehicle shall be
 Escalation of present on site.
minor injuries
due to lack of
treatment –
infection risk
 Ill health due
to lack of
recognition of
medical
conditions
 Preventable
fatalities due
to lack of first
aid skills and
equipment

Severity (S) Frequency (F) Risk Rating (RR) Very High High Medium Low
R=SxF 15-25 8-12 4-6 1-3
1 Minor Injury 1 Improbable
2 Major Single Injury 2 Possible Unacceptability Limits S 5 4 3 2 1 F
3 Major Multiple Injuries 3 Occasional More than 5 is unacceptable re-assess task 5 25 20 15 10 5
4 Single Death 4 Frequent and preventative actions. 4 20 16 12 8 4
5 Multiple Deaths 5 Regular 3 15 12 9 6 3
S = 0 is deemed to be the limit of practicability 2 10 8 6 4 2
of control measures. 1 5 4 3 2 1

Risk Assessment For Chemical Rebar Anchor System Page 7

 Hilti. Outperform. Outlast.

Material Safety Data

Sheet HIT-HY200

www.hilti.sa sa.tso@hilti.com

AN-AC-D2147-2015-Rev 0
20
 Page 1/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

1 Identification of the substance/mixture and of the company/undertaking

· Product identifier
· Trade name: Hilti HIT-HY 200-R
· Container size 330 ml, 500 ml
· Relevant identified uses of the substance or mixture and uses advised against
· Sector of Use Building and construction work
· Product category Adhesives, sealants
· Application of the substance / the preparation Adhesive mortar for anchor fastenings in concrete
· Details of the supplier of the safety data sheet
· Manufacturer/Supplier:
Hilti AG
Feldkircherstr. 100
Postfach 333
FL-9494 Schaan
Liechtenstein
Tel: 00423 / 234 2111
Fax: 00423 / 234 2965
· Informing department:
anchor.hse@hilti.com
see section 16
· Emergency telephone number:
Hilti AG
Tel: 00423 / 234 2111
Fax: 00423 / 234 2965
Schweizerisches Toxikologisches Informationszentrum - 24 h Service
Tel.: 0041 / 1 251 51 51 (international)

2 Hazards identification
· Classification of the substance or mixture
· Classification according to Regulation (EC) No 1272/2008

GHS07

Skin Irrit. 2 H315 Causes skin irritation.

Eye Irrit. 2 H319 Causes serious eye irritation.
Skin Sens. 1 H317 May cause an allergic skin reaction.
· Classification according to Directive 67/548/EEC or Directive 1999/45/EC
· Information concerning particular hazards for human and environment:
The product has to be labelled due to the calculation procedure of the "General Classification guideline for preparations of the EU" in the
latest valid version.
· Classification system:
The classification is in line with current EC lists. It is expanded, however, by information from technical literature and by information
furnished by supplier companies.
· Label elements
· Labelling according to Regulation (EC) No 1272/2008 The product is classified and labelled according to the CLP regulation.
· Hazard pictograms

GHS07

· Signal word Warning

· Hazard-determining components of labelling:
dibenzoyl peroxide
methacrylic acid, monoester with propane-1,2-diol
· Hazard statements
H315 Causes skin irritation.
H319 Causes serious eye irritation.
H317 May cause an allergic skin reaction.
· Precautionary statements
P262 Do not get in eyes, on skin, or on clothing.
P280 Wear protective gloves/protective clothing/eye protection/face protection.
P302+P352 IF ON SKIN: Wash with plenty of soap and water.
P305+P351+P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do.
Continue rinsing.
P333+P313 If skin irritation or rash occurs: Get medical advice/attention.
P337+P313 If eye irritation persists: Get medical advice/attention.
P410 Protect from sunlight.
P411+P235 Store at temperatures not exceeding 25°C. Keep cool.
(Contd. on page 2)
LIE

AN-AC-D2147-2015-Rev 0
21
DR
 Page 2/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

Trade name: Hilti HIT-HY 200-R

(Contd. of page 1)
· Other hazards
· Results of PBT and vPvB assessment
· PBT: Not applicable.
· vPvB: Not applicable.
· Additional information:

Hilti HIT

· Information pertaining to particular dangers for man and environment: A

H315 Causes skin irritation.
H319 Causes serious eye irritation.
H317 May cause an allergic skin reaction.
· Information pertaining to particular dangers for man and environment: B
H319 Causes serious eye irritation.
H317 May cause an allergic skin reaction.

3 Composition/information on ingredients
· Chemical characterization: Mixtures
· Description:
2-Component-foilpack, contains:
Component A: Urethane methacrylate resin, inorganic filler
Component B: Dibenzoyl peroxide, phlegmatized

Mixture of the substances listed below with harmless additions.

· Dangerous components:
Urethanmethacrylate oligomer 10-20%
Xi R36/38
Skin Irrit. 2, H315; Eye Irrit. 2, H319
CAS: 27813-02-1 methacrylic acid, monoester with propane-1,2-diol 5-10%
EINECS: 248-666-3 Xi R36; Xi R43
Eye Irrit. 2, H319; Skin Sens. 1, H317
CAS: 94-36-0 dibenzoyl peroxide 10-15%
EINECS: 202-327-6 Xi R36; Xi R43; E R3; O R7
Org. Perox. B, H241; Eye Irrit. 2, H319; Skin Sens. 1, H317
.
· Dangerous components A:
Urethanmethacrylate oligomer Xi R36/38
Skin Irrit. 2, H315; Eye Irrit. 2, H319
CAS: 27813-02-1 methacrylic acid, monoester with propane-1,2-diol Xi R36; Xi R43
EINECS: 248-666-3 Eye Irrit. 2, H319; Skin Sens. 1, H317
· Dangerous components B:
CAS: 94-36-0 dibenzoyl peroxide Xi R36; Xi R43; E R3; O R7
EINECS: 202-327-6 Org. Perox. B, H241; Eye Irrit. 2, H319; Skin Sens. 1, H317
· SVHC None
· Additional information For the wording of the listed risk phrases refer to section 16.

4 First aid measures

· Description of first aid measures
· General information Instantly remove any clothing soiled by the product.
· After inhalation Take affected persons into the open air and position comfortably
· After skin contact Instantly wash with water and soap and rinse thoroughly. If skin irritation persist, call a physician.
· After eye contact
Rinse thoroughly with plenty of water for at least 15 minutes and consult a physician.
Protect unharmed eye.
· After swallowing
Rinse out mouth and then drink plenty of water.
Seek immediate medical advice.
· Information for doctor
· Most important symptoms and effects, both acute and delayed Allergic reactions
· Indication of any immediate medical attention and special treatment needed No further relevant information available.
LIE
(Contd. on page 3)

AN-AC-D2147-2015-Rev 0
22
DR
 Page 3/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

Trade name: Hilti HIT-HY 200-R

(Contd. of page 2)

5 Firefighting measures
· Extinguishing media
· Suitable extinguishing agents
Water spray, carbon dioxide (CO2), carbon dioxide blanket, foam, or dry powder.
Sand
· For safety reasons unsuitable extinguishing agents Water with full jet.
· Special hazards arising from the substance or mixture
Can be released in case of fire
Carbon monoxide (CO)
Carbon dioxide (CO2)
Nitrogen oxides (NOx)
Under certain fire conditions, traces of other toxic gases cannot be excluded.
· Advice for firefighters
· Protective equipment: In the event of fire, wear self contained breathing apparatus

6 Accidental release measures

· Personal precautions, protective equipment and emergency procedures
Wear protective clothing.
Use personal protective equipment. Ensure adequate ventilation. Remove all sources of ignition.
· Environmental precautions: Do not allow to enter the ground/soil.
· Methods and material for containment and cleaning up:
Collect mechanically.
Clean the accident area carefully; suitable cleaners are:
organic solvent
Ensure adequate ventilation.
Dispose of contaminated material as waste according to item 13.
· Reference to other sections
See Section 7 for information on safe handling
See Section 8 for information on personal protection equipment.
See Section 13 for information on disposal.

7 Handling and storage

· Handling
· Precautions for safe handling
Check the expiry date: see imprint on manifold (month/year). Do not use expired mortar!
The usual precautionary measures should be adhered to general rules for handling chemicals.
· Information about protection against explosions and fires:
No special measures required.
Keep ignition sources away - Do not smoke.
· Conditions for safe storage, including any incompatibilities
· Storage
· Requirements to be met by storerooms and containers: Keep in a cool, dry and dark place; +5 °C to 25 °C.
· Information about storage in one common storage facility: Store away from foodstuffs.
· Further information about storage conditions: Protect from heat and direct sunlight.
· Storage class
As per VCI (1991) storage classification concept.
11
· Specific end use(s) Adhesive mortar for anchor and rebar fastenings

8 Exposure controls/personal protection

· Additional information about design of technical systems: No further data; see item 7.
· Control parameters
· Components with limit values that require monitoring at the workplace:
The product does not contain any relevant quantities of materials with critical values that have to be monitored at the workplace.
· Additional information: The lists that were valid during the compilation were used as basis.
· Exposure controls
· Personal protective equipment
· General protective and hygienic measures
The usual precautionary measures should be adhered to general rules for handling chemicals.
Do not eat, drink or smoke while working.
Keep away from foodstuffs, beverages and food.
Wash hands during breaks and at the end of the work.
Avoid contact with the eyes and skin.
· Breathing equipment: Not required.
(Contd. on page 4)
LIE

AN-AC-D2147-2015-Rev 0
23
DR
 Page 4/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

Trade name: Hilti HIT-HY 200-R

(Contd. of page 3)
· Protection of hands:
Protective gloves
Avoid direct contact with the chemical/ the product/ the preparation by organizational measures.
Use gloves of stable material (e.g. Nitrile) - if necessary tricoted to improve the wearability.
· Material of gloves Nitrile rubber, NBR
· Penetration time of glove material
The exact break trough time has to be found out by the manufacturer of the protective gloves and has to be observed.
· Not suitable are gloves made of the following materials:
Natural rubber, NR
Leather gloves
Strong gloves
· Eye protection: Tightly sealed safety glasses.
· Body protection: Protective work clothing.

9 Physical and chemical properties

· Information on basic physical and chemical properties
· General Information
· Appearance:
Form: pasty
Colour: Component A: grey
Component B: white
· Odour: Ester-like
· Odour threshold: Not determined
· pH-value: Component A: not applicable
Component B: ~ 7
· Change in condition
Melting point/Melting range: Not determined
Boiling point/Boiling range: Not determined
· Flash point: Component A: > 110 °C (DIN 53213)
Component B: not applicable
· Ignition temperature: 355°C
· Decomposition temperature: Component A: not relevant
Component B: SADT 65°C UN test H4
· Self-inflammability: Product is not selfigniting.
· Danger of explosion: Product is not explosive.
· Critical values for explosion:
Lower: Not determined
Upper: Not determined
· Vapour pressure at 20°C: < 0,1 hPa
· Density at 20°C 1,8 g/cm³ (DIN 51757)
· Relative density Not determined
· Vapour density Not determined
· Evaporation rate Not determined
· Solubility in / Miscibility with
Water: Not miscible or difficult to mix
· Segregation coefficient (n-octanol/water): Not determined
· Viscosity:
dynamic at 20°C: 60 Pa.s (DIN 53788)
kinematic at 20°C: > 20 s (DIN 53211/4)
· Solvent content:
Water: Component B: ~ 20%
· Other information No further relevant information available.

10 Stability and reactivity

· Reactivity
· Chemical stability
· Thermal decomposition / conditions to be avoided:
To avoid thermal decomposition do not overheat.
No decomposition if used and stored according to specifications.
· Possibility of hazardous reactions No dangerous reactions known
· Conditions to avoid No further relevant information available.
· Incompatible materials: No further relevant information available.
(Contd. on page 5)
LIE

AN-AC-D2147-2015-Rev 0
24
DR
 Page 5/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

Trade name: Hilti HIT-HY 200-R

(Contd. of page 4)
· Hazardous decomposition products: No dangerous decomposition products known

11 Toxicological information
· Information on toxicological effects
· Acute toxicity:
· Primary irritant effect:
· on the skin: Irritant to skin and mucous membranes.
· on the eye: Irritant effect.
· Sensitization: Sensitization possible by skin contact.
· Additional toxicological information:
The product shows the following dangers according to the calculation method of the General EC Classification Guidelines for Preparations
as issued in the latest version:
Irritant

12 Ecological information
· Toxicity
· Acquatic toxicity: No further relevant information available.
· Persistence and degradability No further relevant information available.
· Behaviour in environmental systems:
· Bioaccumulative potential No further relevant information available.
· Mobility in soil No further relevant information available.
· Additional ecological information:
· According to recipe contains the following heavy metals and compounds according to EC guideline NO. 76/464 EC: None
· General notes: The product does not contain organically bounded halogens (AOX-free).
· Results of PBT and vPvB assessment
· PBT: Not applicable.
· vPvB: Not applicable.
· Other adverse effects No further relevant information available.

13 Disposal considerations
· Waste treatment methods
· Recommendation
After curing, the product can be disposed of with household waste.
Full or only partially emptied cartridges must be disposed of as special waste in accordance with official regulations.
· European waste catalogue
08 00 00 WASTES FROM THE MANUFACTURE, FORMULATION, SUPPLY AND USE (MFSU) OF COATINGS (PAINTS,
VARNISHES AND VITREOUS ENAMELS), ADHESIVES, SEALANTS AND PRINTING INKS
08 04 00 wastes from MFSU of adhesives and sealants (including waterproofing products)
08 04 09* waste adhesives and sealants containing organic solvents or other dangerous substances
20 00 00 MUNICIPAL WASTES (HOUSEHOLD WASTE AND SIMILAR COMMERCIAL, INDUSTRIAL AND INSTITUTIONAL
WASTES) INCLUDING SEPARATELY COLLECTED FRACTIONS
20 01 00 separately collected fractions (except 15 01)
20 01 27* paint, inks, adhesives and resins containing dangerous substances
· Uncleaned packagings:
· Recommendation:
Empty packs: May be disposed via the local Green Dot collecting system or EAK waste material code 150102 (plastic packaging materials)

14 Transport information
· UN-Number
· ADR, ADN, IMDG, IATA Void
· UN proper shipping name
· ADR Void
· ADN, IMDG, IATA Void
· Transport hazard class(es)
· ADR, ADN, IMDG, IATA
· Class Void
· Packing group
· ADR, IMDG, IATA Void
· Environmental hazards:
· Marine pollutant: No
(Contd. on page 6)
LIE

AN-AC-D2147-2015-Rev 0
25
DR
 Page 6/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

Trade name: Hilti HIT-HY 200-R

(Contd. of page 5)
· Special precautions for user Not applicable.
· Transport in bulk according to Annex II of MARPOL73/78 and
the IBC Code Not applicable.
· Transport/Additional information: Not dangerous according to the above specifications.
· UN "Model Regulation": -
· HS-Code: 3214 10 10: Glaziers' putty, grafting putty, resin cements, caulking
compounds and other mastics

15 Regulatory information
· Safety, health and environmental regulations/legislation specific for the substance or mixture
· Labelling according to Regulation (EC) No 1272/2008 The product is classified and labelled according to the CLP regulation.
· Hazard pictograms

GHS07

· Signal word Warning

· Hazard-determining components of labelling:
dibenzoyl peroxide
methacrylic acid, monoester with propane-1,2-diol
· Hazard statements
H315 Causes skin irritation.
H319 Causes serious eye irritation.
H317 May cause an allergic skin reaction.
· Precautionary statements
P262 Do not get in eyes, on skin, or on clothing.
P280 Wear protective gloves/protective clothing/eye protection/face protection.
P302+P352 IF ON SKIN: Wash with plenty of soap and water.
P305+P351+P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do.
Continue rinsing.
P333+P313 If skin irritation or rash occurs: Get medical advice/attention.
P337+P313 If eye irritation persists: Get medical advice/attention.
P410 Protect from sunlight.
P411+P235 Store at temperatures not exceeding 25°C. Keep cool.
· National regulations
The product is subject to classification in accordance with the prevailing version of the regulations on hazardous materials.
Council Directive 89/391/EEC of 12 June 1989 on the introduction of measures to encourage improvements in the safety and health of
workers at work. Article 12 Training of workers
· Information about limitation of use: Employment restrictions concerning young persons must be observed.
· Chemical safety assessment: not required.

16 Other information
These data are based on our present knowledge. However, they shall not constitute a guarantee for any specific product features and shall
not establish a legally valid contractual relationship.
· Relevant phrases
H241 Heating may cause a fire or explosion.
H315 Causes skin irritation.
H317 May cause an allergic skin reaction.
H319 Causes serious eye irritation.
R3 Extreme risk of explosion by shock, friction, fire or other sources of ignition.
R36 Irritating to eyes.
R36/38 Irritating to eyes and skin.
R43 May cause sensitisation by skin contact.
R7 May cause fire.
· Department issuing data specification sheet:
Hilti Entwicklungsgesellschaft mbH
Hiltistrasse 6
D-86916 Kaufering
Tel.: +49 8191 906310
Fax: +49 8191 906826
e-mail: monika.moench@hilti.com
· Contact: Monika Mönch
(Contd. on page 7)
LIE

AN-AC-D2147-2015-Rev 0
26
DR
 Page 7/7
Safety data sheet
according to 1907/2006/EC, Article 31 / ISO 11014
Printing date 26.07.2011 Version number 1 Revision: 26.07.2011

Trade name: Hilti HIT-HY 200-R

(Contd. of page 6)
· Abbreviations and acronyms:
ADR: Accord européen sur le transport des marchandises dangereuses par Route (European Agreement concerning the International Carriage of Dangerous Goods by Road)
RID: Règlement international concernant le transport des marchandises dangereuses par chemin de fer (Regulations Concerning the International Transport of Dangerous Goods by Rail)
IMDG: International Maritime Code for Dangerous Goods
IATA: International Air Transport Association
ICAO: International Civil Aviation Organization
GHS: Globally Harmonized System of Classification and Labelling of Chemicals
LIE

AN-AC-D2147-2015-Rev 0
27
DR