Document No.

: PWA-RPD-CON-FM-1917
Maintenance Certificate Checklist Revision No. : 08
Issue Date : 05 Nov. 2019

PROJECT DETAILS

Project No.: Contract No.:

Contract Title:

Contractor:

GEC:

TERMS OF REFERENCE

No. TERMS OF REFERENCE FOR CHECK APPLICABLE Y/N RECEIVED

1 Letter from the Engineer’s Representative confirming that all

outstanding works have been completed and all defects have ☐ Yes ☐ No ☐
been rectified.

2 No Objection Letter from Drainage O&M ☐ Yes ☐ No ☐

3 Provide complete set of CAD/GIS of As-built Drawings ☐ Yes ☐ No ☐

4 No Objection Letter from Roads O&M ☐ Yes ☐ No ☐

5 Store Clearance ☐ Yes ☐ No ☐

6 Cleanliness Clearance from PWA ☐ Yes ☐ No ☐

7 Handover of Surplus Materials to GSD ☐ Yes ☐ No ☐

8 Mapping and Positioning Services (Survey Beacons /
Monuments) - MME ☐ Yes ☐ No ☐

9 Registration / Property Boundaries / Demarcations - MME ☐ Yes ☐ No ☐

10 General Public Garden Section ( Landscaped Area ) - MME / For
existing landscape ☐ Yes ☐ No ☐

Public Park Department Clearance (PPD) - MME / For New

11
Landscape and Irrigation works ☐ Yes ☐ No ☐

12 Qatar Armed Forces Clearance ☐ Yes ☐ No ☐

13 Qatar Amiri Guards Clearance ☐ Yes ☐ No ☐

14 Security Systems Department (Ministry of Interior) Clearance ☐ Yes ☐ No ☐

15 Qatar Civil Defense Department Clearance / Building
Completion Certificate ☐ Yes ☐ No ☐

16 Kahramaa Water Clearance (FCC) ☐ Yes ☐ No ☐

17 Kahramaa Electricity Clearance ☐ Yes ☐ No ☐

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED - Last printed 11/9/2021 13:14 a11/p11 Page 1 of 2
 Document No. : PWA-RPD-CON-FM-1917
Maintenance Certificate Checklist Revision No. : 08
Issue Date : 05 Nov. 2019

TERMS OF REFERENCE

No. TERMS OF REFERENCE FOR CHECK APPLICABLE Y/N RECEIVED

18 Ooredoo Clearance ☐ Yes ☐ No ☐

19 Vodafone Clearance ☐ Yes ☐ No ☐

20 CRA Clearance ☐ Yes ☐ No ☐

21 Intelligent Traffic System (ITS) ☐ Yes ☐ No ☐

22 QNBN Clearance ☐ Yes ☐ No ☐

23 Confirmation of Closure of all NCR’s/ANCR’s ☐ Yes ☐ No ☐

24 Close out Confirmation of RSA Stage 4 ☐ Yes ☐ No ☐

25 Engineering Business Department (DC Clearance) ☐ Yes ☐ No ☐

REVIEWER

Position Name Signature Date

PWA Project Manager

Area Commercial Lead

Area Handover Engineer

Area Delivery Manager

Commercial Leader

Handover Team Leader

Head of Section (ESS)

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED - Last printed 11/9/2021 13:14 a11/p11 Page 2 of 2