Check List For Site Construction Works

QATAR FOUNDATION
SIDRA MEDICAL AND RESEARCH CENTRE (SMRC)

EDUCATION CITY - QATAR Contract No. Document No.
JV's Internal Form/
EDUCATION CITY - QATAR GTC/07/BP#9/QFA Checklist
Title: Page Rev No.
0
LIST OF CHECKLIST 1 of 1
LIST OF CHECKLIST
S.No. Description oF Checklist Form # Rev. #

1 Blank Template No Number *
2 Checklist for transfer of benchmark OHL-CL/FORM/CL/1001 0
3 Checklist for turnover of Benchmark to sub contractor OHL-CL/FORM/CL/1002 0
4 Checklist for Earthwork - Excavation Operations OHL-CL/FORM/CL/1003 0
5 Checklist for Earthwork - Backfilling Operations OHL-CL/FORM/CL/1004 0
6 Stockpile Log for Earthfill OHL-CL/FORM/CL/1005 0
7 Checklist for anti termite treatment + Anti-Termite Application Report (2 Sheets) OHL-CL/FORM/CL/1006 0
8 Checklist for Blinding OHL-CL/FORM/CL/1007 1
9 Checklist for reinforced concrete - Vertical OHL-CL/FORM/CL/1008 1
10 Checklist for reinforced concrete - Slabs and footings OHL-CL/FORM/CL/1009 0
11 Concrete pour log OHL-CL/FORM/CL/1010 0
12 Concrete Cube Register OHL-CL/FORM/CL/1011 0
13 Checklist for concrete masonry works OHL-CL/FORM/CL/1012 0
14 Mortar cube register OHL-CL/FORM/CL/1013 0
15 Checklist for plaster/ render works OHL-CL/FORM/CL/1014 0
16 Work Clearance request OHL-CL/FORM/CL/1015 0
17 DFT Record OHL-CL/FORM/CL/1016 0
18 WFT Record OHL-CL/FORM/CL/1017 0
19 CL for dowel/ rebar planting OHL-CL/FORM/CL/1018 0
20 Weekly Concrete Requisition OHL-CL/FORM/CL/1019 0
21 Weekly Concrete Planner OHL-CL/FORM/CL/1020 0
22 TPI Requisition Form for Inspection/ Testing OHL-CL/FORM/CL/1021 0
23 Log of Third Party Inspection Report/ Testing OHL-CL/FORM/CL/1022 0
24 Weld Visual Inspection Report OHL-CL/FORM/CL/1023 0
25 Punch List OHL-CL/FORM/CL/1024 0
26 CMU Test Log OHL-CL/FORM/CL/1025 0
27 Grout Cube Register OHL-CL/FORM/CL/1026 0
28 Trial Mix Details OHL-CL/FORM/CL/1027 0
29 NCN/ NCR/ SQN Register OHL-CL/FORM/CL/1028 0
30 Concrete Trial Mix Worksheet OHL-CL/FORM/CL/1029 0
31 Weekly mortar/ grout requirement OHL-CL/FORM/CL/1030 0
32 Weekly mortar/ grout planner OHL-CL/FORM/CL/1031 0
33 Checklist for sub structure waterproofing
34 Checklist for Painting works
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/CL Page 1 of
List
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
LIST OF CHECKLIST 1 of 1
LIST OF CHECKLIST
S.No. Description oF Checklist Form # Rev. #

35 Checklist for Fire proofing paint application
36 Checklist for dry wall installation
37 Checklist for false ceiling works
38 Checklist for tile installation - Dry areas
39 Checklist for tile installation - Wet areas Under Construction and to be
submitted progressively as an
40 Checklist for Structural Steel erection
attachment to the relevant Method
41 Checklist for joinery works Statement. Sample forms for Items #
1-32 listed above are enclosed.
42 Checklist for cladding
43 Checklist for curtain walling
44 Checklist for glazing
45 Checklist for concrete repairs
46 Checklist for roofing
47 Checklist for Raised Floors
NOTE:
The above list is indicative only and Items may be added/ deleted to this list
progressively to suit the contract requirements.
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
TEMPLATE FOR CHECKLIST 1 of 1
Blank Template Only
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QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR TRANSFER OF BENCHMARK 1 of 1
CHECKLIST FOR TRANSFER OF BENCHMARK

Date: JV Form # OHL-CL/FORM/CL/1001-REV 0
Reference to RFIT # (Only if applicable) Checklist #
Location: Sub Contractor (If app.)
COMPLIANCE
S.NO. DESCRIPTION/ TOPIC REMARKS
Yes No N/A
1 Ensure survey equipment has a valid calibration.
Equipment # Calibration valid till Raise RFIT
2 Permanent bench mark shown by: QP/ KEO/ Others (Circle appropriate) Name:
3 Are these Government installed permanent bench mark
4 How many permamnent bench marks are turned over to us: Insert Number of BMs
5 Details of Permamnent Bench Mark (PBM)
BM ID# Location Northing Easting RL
ii
iii
6 Provide details of temporary bench mark (TBM) on site Use notes below for more details
TBM ID# Location Northing Easting RL
ii
iii
iv
7 Is the TBM well protected?
8 Is the TBM well highlighted and identified on site?
9 Are the TBM and PBM locations/ details identified on a sketch/ drawing?
Sketch/ Dwg # & Rev Date
NOTES/ REMARKS:
OHL-CL JV SECTION
AGENCY >>> OHL-CL JV SURVEYOR OHL-CL JV QC KEO
MANAGER
NAME
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SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
CHECKLIST FOR TURNOVER OF TBM AT SITE TO SUB- 0
1 of 1
CONTRACTOR
CHECKLIST FOR TURNOVER OF TEMPORARY BENCH MARK AT SITE TO SUB CONTRACTOR
COMPLIANCE
Yes No N/A
1 Ensure sub contractors survey equipment has a valid calibration.
Equipment # Calibration valid till Use notes below for more details
2 Permanent bench mark shown by: JV Surveyor (Name)
3 Are these Government installed permanent bench mark
4 How many permamnent bench marks are turned over to sub contractor: Insert Number of BMs
5 Details of Permamnent Bench Mark (PBM)
BM ID# Location Northing Easting RL
ii
iii
6 Provide details of temporary bench mark (TBM) on site Use notes below for more details
TBM ID# Location Northing Easting RL
ii
iii
iv
7 Is the TBM well protected?
8 Is the TBM well highlighted and identified on site?
9 Are the TBM and PBM locations/ details identified on a sketch/ drawing? Tag to be fixed to the TBM pole
Sketch/ Dwg # & Rev Date
10 Is the above sketch issued to the sub contractor?
Letter/ Transmittal # Date
NOTES/ REMARKS:
OHL-CL JV SECTION
AGENCY >>> OHL-CL JV SURVEYOR OHL-CL JV QC SUB CONTRACTOR
MANAGER
NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR EARTHWORK - Excavation Operations 1 of 1
CHECKLIST FOR EARTHWORKS - Excavation Operations

COMPLIANCE
Yes No N/A
1 Are the temporary bench marks established and approved by KEO/ QP?
2 Temporary bench mark referenced for this setting out:
3 Is the setting out in accordance to approved shop drawings?
Shop dwg. # and Rev
4 Is sufficient working space allowed around the construction area?
5 Safety:is the JHA or AHA approved by KEO/ QP?
6 Are the excavation levels marked out at site?
7 Equipments used:
8 Ensure excavated material is not stacked beside excavation.
9 Is the excavated bed withing tolerance: + 2 cm allowed
10 Is the ITL approved by KEO/ QP to carry out plate bearing tests/
11 Carry out plate bearing tests at designated/ agreed locations After proof rolling. Raise RFIT
12 Are the plate bearing test reults compliant and acceptable? Lab Report #
13 Plate bearing test details
Location Northing Easting RL
ii
iii
iv
14 Is the area released for Blinding?
NOTES/ REMARKS:
OHL-CL JV SECTION
MANAGER
NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR EARTHWORK - Backfilling Operations 1 of 1
CHECKLIST FOR EARTHWORKS - Backfilling Operations

COMPLIANCE
Yes No N/A
1 Is the sub contractor for Earthworks approved by KEO/ QP?
2 Is the Independent Testing Lab (ITL) approved by KEO/ QP?
3 Safety:is the JHA or AHA approved by KEO/ QP? AHA#
4 Is the stockpile tested and approved by the ITL? ITL Report #
SP # Lab Test Report # MDD Value OMC Value
5 Define grids for backfill:
6 Define Layer # and RL of top of backfill: Raise RFIT
7 Area of backfill =
8 Testing Details
i Does the testing equipment carry a valid calibration certificate?
ii Is the moisture content of fill material within 2% of OMC?
iii Total number of test points taken = By ASTM D 698 - Std. effort
iv Required compaction =
v Total number of passing results =
vi Total number of failing results =
vii Retesting details:

9 Other Miscellaneous Information:
i Time tested:
ii Ambient Temperature oC =
iii Atmospheric humidity =

10 Equipments used
11 NOTE: Carry out anti termite treatment to penetrations at each layer. Includes Columns, MEP pipes
NOTES/ REMARKS: * Stockpile log is maintained separately.

* Moisture content of fill material =
OHL-CL JV SECTION
MANAGER
NAME
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DATE
SIGNATURE
QATAR FOUNDATION
Location Contract No. Document No.
JV's Internal Form/
Title: Page Rev No.
0
STOCKPILE LOG FOR EARTHFILL MATERIAL 1 of 1
STOCKPILE LOG FOR EARTHFILL (Form # OHL-CL/FORM/CL/1005-REV 0)

MDD/ OMC DETAILS ATTERBERG LIMITS ORGANIC CHEMICAL CBR SIEVE ANALYSIS
CONTENT ANALYSIS TRL # TO
SP# RFIT #
KEO
2.5 MM
RESULT/
MDD OMC REPORT # LL PL PI REPORT # PENETRATI REPORT # REPORT #
% REPORT # % REPORT # ON STATUS
AGENCY >>> THIRD PARTY LABORATORY OHL-CL JV QC KEO

NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR ANTI TERMITE TREATMENT 1 of 1
CHECKLIST FOR ANTI TERMITE

TREATMENT
OHL-CL/FORM/CL/1006 (1/2)-REV 0
Date: JV Form #
COMPLIANCE
Yes No N/A
1 Is the supplier/ applicator approved by KEO/ QP? Prequalification approval
2 Is the method statement approved?
3 Is the JHA or AHA approved?
4 What is the approved product: DURSBAN 4TC
5 What is the rate of dilution: 1litre to 49litres water
6 What is the rate of application: 5lts of diluted solution per sqm
7 Area to be treated (this session) =
8 Quantity of chemical placed in dilution tank =
9 Treatment method - in channel or spraying?: Spraying
10 What stage of treatment is this?
Under Blinding: Under G Slab Barrier Treatment
Note: Treatment to penetrations to be one with backfilling operations
11 Is the treated area covered* within 72 hours? *Polythene sheet or blinding
NOTES/ REMARKS:
OHL-CL JV SECTION
MANAGER
NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
ANTI TERMITE TREATMENT APPLICATION REPORT 1 of 1
ANTI-TERMITE TREATMENT APPLICATION REPORT

Date: JV Form # OHL-CL/FORM/CL/1006 (2/2)-REV 0
Location: Sub Contractor Qatar Pest Control Co. WLL
1 Is the soil to be treated conformant and released? If yes, give RFIt ref. #
2 Date and time treatment requested by Construction
3 Actual date and time of treatment
4 Moisture content of soil before treatment application (by Independent Lab - M/S QIL)
5 Define grids of area of application
6 Total area to be treated in SqM
7 Product to be used Dursban 4TC
8 Rate of dilution 1 ltr Dursban 4TC: 49 Ltr of Water
9 Total quantity of undiluted Dursban 4TC used (In this session for the area in #6 above)
10 Rate of application (this session) - Ltr per LM or SqM, specify
NOTES/ REMARKS:
SUB CONTRACTOR - QATAR OHL-Contrack JV SECTION

AGENCY >>> OHL-CL JV QC QP/ KEO
PEST CONTROL CO. WLL MANAGER
NAME
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Rep6.2of2
DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0 1
CHECKLIST FOR PLACING BLINDING 1 of 1
CHECKLIST FOR PLACING BLINDING

COMPLIANCE
Yes No N/A
1 Is the area to recieve blinding released and conformant?
2 Is the JHA or AHA approved by KEO/ QP?
3 Is the Prequalification for Readymix Supplier approved by KEO/ QP?
4 Is the required Mix Design approved by KEO/ QP?
5 Is the Independent Testing Lab approved for testing/ sampling?
6 Are the following avaialble: Cube molds; Slump cone app.; Calibrated concrete
thermometer; Thermometer; Hygrometer
7 Is the anti termite treatment carried out and released?
8 Is polythene sheet laid out as specified: Thickness and taped at joints/ repaired Extended by Min. 10 cm at ends
where damaged by masking tape.
9 Are forms laid out correctly? Surveyor verification
10 Record RL of top of form:
11 Are enough steel pegs driven into ground for controlling intermediate levels?
12 Are all required box outs and inserts installed? Section Manager to Verify. Raise
RFIT for casting.
12 Date of Casting:
13 Curing for 7 days using hessian sheet and water + Polythene cover or use or approved curing compound
curing compound compatible to waterproofing system.
14 Cube IDs for samples taken Attach pour card
15 Placement by: Tower crane/ Bucket; Chute; Direct discharge; Pump
NOTES/ REMARKS:
* Details of supplier; DO #; volume; Concrete properties as received (Concrete slump and temperature); Location of placement; Cube Ids and reports
are in the Pour Card (attached) and Cube Register(kept separately)
** Commence curing of concrete immediately after initial setting using hessian and water spraying. Cover with polythene to prevent rapid evaporation.
*** Record method of placement - Direct discharge; Pump; Tower crane/ Bucket; Chute (Circle appropriate)
*** Identify defects in concrete after stripping of forms (if any) and the approved method of repair:
OHL-CL JV SECTION
MANAGER
NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
CHECKLIST FOR PLACING REINFORCED CONCRETE - 0 1
1 of 1
Columns & Walls
CHECKLIST FOR PLACING REINFORCED CONCRETE - Columns/ Walls
COMPLIANCE
Yes No N/A
1 Is layout in conformance with the TBM and approved shop dwgs.?
2 Is the area to recive reinforced concrete released and conformant?
8 Is reinforcinfg steel approved by KEO/ QP? Material Transmittal
9 Is reinforcing steel placed conformant: Bent to shape; lapped properly; Cover as Lapping = 50D; If epoxy coated
specified; Free from dust/ rust/ contaminant; Tied adequately touch up where reqd.
10 Formwork: Oiled with shutter release agent; Adequate supports; Tight at joints; Raise RFIT after closure of three
True to line and level indicated sides of form for steel inspection
11 Provision for box outs and inserts? Section Manager to verify
12 Is the top of concrete marked on form? Level =
13 Is the steel extended enough for the next lift?
14 Limit free fall of concrete in form to 1.5 M in one lift Raise RFIT for casting
15 Are enough concrete vibrators mobilized at site? Record numbers
16 Spray water, if necessary, on steel/ form before concrete placement
17 Placement by: Tower crane/ Bucket; Chute; Direct discharge; Pump Circle appropriate
18 Date of Casting:
19 Curing for 7 days using hessian sheet and water + Polythene cover or approved curing compound
20 Cube IDs for samples taken Attach Pour card
NOTES/ REMARKS:
OHL-Contrack JV OHL-Contrack JV SECTION

AGENCY >>> OHL-Contrack JV QC KEO
SURVEYOR MANAGER
NAME
DATE
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8
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
CHECKLIST FOR PLACING REINFORCED CONCRETE - 0
1 of 1
Footings & Slabs
CHECKLIST FOR PLACING REINFORCED CONCRETE - Footings and Slabs
COMPLIANCE
Yes No N/A
1 Is layout in conformance with the TBM and approved shop dwgs.?
2 Is the area to recive reinforced concrete released and conformant?
8 Is reinforcinfg steel approved by KEO/ QP? Material Transmittal
9 Is reinforcing steel placed conformant: Bent to shape; lapped properly; Cover as Lapping = 50D; If epoxy coated
specified; Free from dust/ rust/ contaminant; Tied adequately touch up where reqd.
10 Formwork: Oiled with shutter release agent; Adequate supports; Tight at joints;
True to line and level indicated
11 Provision for box outs and inserts? Technical Manager to verify
12 Is the top of concrete marked on form? Level =
13 Is the steel extended enough for lapping in the next casting? Raise RFIT for casting
14 Are enough concrete vibrators mobilized at site? Record numbers
15 Spray water, if necessary, on steel/ forms prior to concrete placement
16 Placement by: Tower crane/ Bucket; Chute; Direct discharge; Pump Circle appropriate
17 Date of Casting:
18 Curing for 7 days using hessian sheet and water + Polythene cover or approved curing compound
19 Cube IDs for samples taken Attach Pour card
NOTES/ REMARKS:
OHL-CL JV SECTION
MANAGER
NAME
DATE
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SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CONCRETE POUR LOG 1 of 1
CONCRETE POUR LOG (Form # OHL-CL/FORM/CL/1010-REV 0)

Time Air Concrete Properties
Concrete Qty. Cube
Date Supplier Grids/ Location DO # Temp. Temp. Slump Remarks
Grade Batched Arrival Disch. ID
M3
oC oC mm

NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CONCRETE CUBES REGISTER 1 of 1
CONCRETE CUBE REGISTER (Form # OHL-CL/FORM/CL/1011-REV 0)

CONCRETE CUBE RESULTS
DATE OF 7 DAYS RESULTS 28 DAYS RESULTS
CUBE ID # Remarks
CASTING
LAB REF. # STRENGTH TRL. TO KEO LAB REF. # STRENGTH TRL. TO KEO

NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
CHECKLIST FOR CONCRETE MASONRY WORKS - 0
1 of 1
CMU
CHECKLIST FOR CONCRETE MASONRY WORKS - CMU
COMPLIANCE
Yes No N/A
1 Is the area to receive CMU released and conformant?
3 Is the Prequalification for CMU Supplier approved by KEO/ QP?
4 Is the required Mortar Mix Design approved by KEO/ QP?
6 Are the CMU accessories approved by KEO/ QP?
7 Are the CMU and Sand tested and conformant?
8 Setting out/ Layout for CMU works - Approved and released? Raise RFIT
9 CMU Installation
i Mix mortar using machine and measuring boxes
ii True to line and level - make up difference in level in the first course
iii Leave clearance at ends/ boxouts/ inserts as indicated on app. Dwgs.
iv Do not install more than 7 course in one session - Additional course may be laid
using wooden wedges.
v Install accessories as indicated and to Manufacturer recommendations
vi Cure CMU for 3 days using water spray thrice daily Raise RFIT for completion of CMU
10 Mortar Sampling
i Sampled on:
ii Mortar Cube ID:
NOTES/ REMARKS:
* Details of Cubes maintained in the Mortar Cube Register Log
OHL-CL JV SECTION
MANAGER
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NAME
DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
MORATR CUBE REGISTER 1 of 1
MORTAR CUBE REGISTER (Form # OHL-CL/FORM/CL/1013-REV 0)

MORTAR CUBE ID # Remarks
CASTING

NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR PLASTERING (RENDER) WORKS 1 of 1
CHECKLIST FOR PLASTERING (RENDER) WORKS

COMPLIANCE
Yes No N/A
1 Is the area to receive render released and conformant?
3 Is the required Render Mix Design and materials approved by KEO/ QP?
4 Are the render/ plaster accessories approved by KEO/ QP?
5 Is the "Work Clearance Request" signed off by other trades to commence

rendering activities?
6 Install plaster accessories as indicated and true to line and level
7 Are level pads installed and true to line and level? Raise RFIT for commencing render
8 Plastering/ Rendering Works
i First Coat/ Scratch Coat/ Splatter dash: Cure for one day using water Spray thrice daily
ii Second coat/ Brown Coat: Afetr min. 24 hours of 1st coat; Surface scratched; Leave surface level and rough
Cure for two days with water sparayed thrice daily
iii Third Coat/ Skim Coat: After min. 24 hours of 2nd coat; Finsih surface smooth Cure 3 days with water sparyed
with steel and foam trowel thrice daily.
9 Raise RFIT for completion of render
NOTES/ REMARKS:
OHL-CL JV SECTION
MANAGER
NAME
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DATE
SIGNATURE
QATAR FOUNDATION EDUCATION CITY
WORK CLEARANCE REQUEST
Civil
Mechanical Electrical Plumbing Survey
BID PACK : BP # 9 - Design and Construction of Sidra Medical and
Research Centre (SMRC) No. Rev.
CONTRACTOR : Obrascon Huarte Lain/ Contrack Limited, JV (OHL-CL JV) Date:
TO : Form # OHL-CL/FORM/CL/1015-REV 0
CCS ACTIVITY No. : SPECIFICATION DIVISION : SECTION:
TYPE : ZONE :
AREA / LOCATION / SUBJECT:
Please review and confirm that your scope of work is completed, inspected and approved for us to proceed with the
following works. Note that the access to your installation may not be possible after the following works are done.
Specific Trade : Civil/Architect Electrical Mechanical MEP Coordinator QA/QC Engineer
Sign : :
DATE&TIME CLEARANCE REQUIRED :
CONTRACTOR : DATE & TIME:
RECEIVED BY SUB CONTRACTOR AGENCY: DATE & TIME:
REPLY :
A : Approved B : Approved as noted below C : Not Approved (notes below)
Initials Date
PROJECT ENGINEER DATE & TIME:
RECEIVED BY CONTRACTOR : DATE & TIME:
© KEO International Consultants

11/18/2015 WCR-15
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR TAKING DFT OF PAINT/ COATINGS 1 of 1
Form # OHL-Con/FORM/CL/1016-Rev 0 CL # Date:

CHECKLIST FOR TAKING DFT (Dry Film Thickness of Coatings) to STRUCTURAL STEEL( Form # OHL-Con/FORM/CL/1016, rev 0)
INSTRUMENT DRY FILM THICKNESS GAUGE
DETAILS MAKE: ELCOMETER MODEL #: SERIAL #
INSPECTION DETAILS/ RECORDS
S.No. BLDG. LEVEL GRID ITEM DESCRIPTION TYPE OF AVG. DFT REMARKS
COATING DFT READINGS IN MICRONS
MICRONS
AGENCY >>> OHL-Contrack JV Site Engineer/ Section Manager OHL-Contrack JV QC KEO

NAME
DATE
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SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR TAKING WFT OF PAINT/ COATINGS 1 of 1

CHECKLIST FOR TAKING WFT (Wet Film Thickness of Coatings)
INSTRUMENT THERMOMETER HYGROMETER
WET FILM GAUGE - ELCOMETER, #
DETAILS SR. # CALIBRATION VALID TILL: SR. # CALIBRATION VALID TILL:
INSPECTION DETAILS/ RECORDS
S.No. BLDG. LEVEL GRID ITEM DESCRIPTION RELATIVEHU TYPE OF AVG. WFT REMARKS
TEMP. oC MIDITY COATING WFT READINGS IN MICRONS
MICRONS

NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CHECKLIST FOR PLANTING DOWEL/ REBAR 1 of 1

Checklist for Planting Dowel/ Rebar
STR. ST. FRAME DESC./ LOCATION INSPECTION DETAILS
DATE
S.NO. DESCRIPTION OF INSTALLATION ERECTED/ REMARKS
INSTALLED
EPOXY
BLDG. & HOLE DEPTH OF BOLT INSP - NUTS/
MARK* TYPE* GRID TYPE/
LEVEL CLEANING HOLE MM FULL/ CUT* WASHERS*
MAKE
NOTE: Fields with * mark are applicable only for bolts for erection of structural steel/ equipment bases/ machine foundations. Other fields are common to bolts & Rebars.

NAME
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DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
WEEKLY CONCRETE REQUIREMENT 1 of 1
Weekly Concrete Requirement

BUILDING: Form # OHL-Con/FORM/CL/1019, Rev 0
ZONE/ SECTION: Re u st # Date
q e
ITEM/ DESCRIPTION SAT SUN MON TUE WED THU FRI REMARKS
LOCATION/ LEVEL
DATE WHEN
REQUIRED
1
2
TIME WHEN 3
REQUIRED
4
5
1
2
GRADE OF 3
CONCRETE
4
5
1
PUMP 2
REQUIREMEN 3
T WITH BOOM
4
LENGTH
5
1
2
QUANTITY 3
REQUIRED
4
5
1
2
SLUMP REQUIRED 3
4
5
1
2
INTERVAL BET. 3
TRUCKS
4
5
NOTE: The table above accomodates upto five pours per day. For additional requirements use the space below.
Originator: OHL-Contrack JV Section Manager Received by: OHL-Contrack JV Concrete Coordinator:
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Name, Date, Recd. On SENT TO RMX ON
(Date/ (DATE/ TIME)
Sign Time)
Copy Issued to Lab on (Date & Time) >>>>>>>

QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
WEEKLY CONCRETE PLANNER 1 of 1
Weekly Concrete Planner

Form # OHL-Con/FORM/CL/1020, Rev 0
Date: Weekly Planner #
To:
Total: Sheets including this sheet.
The Plant Manager Fax to: Attention: Mr.
Readymix Qatar WLL,
Education City, Al Rayyan,
Doha, Qatar
Subject: Supply of concrete to the Sidra Medical & Research Centre for the following Week
Dear Sir:
Enclosed please sheets of concrete requirements required at various locations at the above mentioned Project
during the week to .
You may directly co-ordinate with the individual Section Manager for scheduling the pour.
The contact details of all the Section managers are provided at the end of this sheet.
Contact CC or SCM in the Office for re-scheduling pours.
Note that concrete for Project work shall be not be batched and desptached unless instructed by the QC Office.
Regards
Miguel Angel Bravo

Senior Construction Manager (SCM)
CC: PM/SCM/ All Section Mnagers/ Independent Lab/ Safety Office/ QC Office
Contact Details
ZONE/ BUILDING NAME DESIGNATION MOBILE PHONE #
HOSPITAL JONATHAN CAMACHO SECTION MANAGER 5887439
To be advised BASSEL MUSSEFI SECTION MANAGER 5567483
CENTRAL SERVICES BUILDING To be advised To be advised To be advised
CLINIC BUILDING To be advised To be advised To be advised
UNDERGROUND CAR PARK To be advised To be advised To be advised
STAFF CAR PARK To be advised To be advised To be advised
MOSQUE To be advised To be advised To be advised
TUNNELS To be advised To be advised To be advised
EXTERNAL WORKS To be advised To be advised To be advised
OTHER IMPORTANT CONTACTS
SAFETY OFFICE Abhimanyu Pothal Safety Manager 5598398
QC OFFICE Shakeel Ahmed QC Engineer 5004934
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/WEEKLY cc Planner- Page 43 of

20
JV Site Management MIGUEL ANGEL BRAVO SENIOR CONSTRUCTION 6932293
MANAGER
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
REQUISITION FORM FOR THIRD PARTY INSPECTION/ 0
1 of 1
TESTING
REQUISITION FORM FOR THIRD PARTY INSPECTIONS/ TESTING
Reference to RFIT/ Lr # (If app.) Request # OHLCONJV/Sidra/
Location:
To
Please depute personnel for carrying out the following: (Check Appropriate)
1 Witnessing/ Inspection
of
2 Sampling of
3 Testing of
Inspection/ Testing and Reporting Requirements
S# RELEVANT STANDARD/ SPECS. INSPECTION/ TESTING/ REPORTING REQUIREMENTS (Include Quantity)
NOTES/ REMARKS (IF ANY)
SPECIAL NOTE: TESTING AGENCY SHALL ATTACH THE FOLLOWING REQUISITION WHILE INVOICING WITH THE FIELDS FILLED IN BELOW
DATE TESTED/ INSPECTED: REPORT #
(Provide details of previous test report #/ inspection report #, if reinspected/ retested)

OHL-CL JV SECTION
AGENCY >>> TP REPRESENTATIVE OHL-CL JV QC QP/ KEO
MANAGER
NAME
DATE
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/TPI REq - Page 45 of

21
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
LOG OF THIRD PARTY INSPECTIONS/ TESTING 1 of 1

LOG OF THIRD PARTY INSPECTIONS/ TESTING
REQUISITION INSPECTION/ TESTING DETAILS
DATE INSPECTED/
# DESCRIPTION OF TEST/ LAB REPORT #/ INSP. REINSP./ RETESTING
INSPECTED/ TESTED TOTAL REMARKS
OHLCONJV/ INSPECTION PASSING FAILING REPORT # DETAILS (IF APP.)
TESTED BY TESTED
Sidra/
1
10
11
12
13
14
15
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/LogTPIReq-22 Page 47 of 65
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
WELD VISUAL INSPECTION REPORT 1 of 1
WELD VISUAL INSPECTION REPORT

JV Form # OHL-CL/FORM/CL/1023-REV 0
Date Inspected: Report #
Installation done by: (Subcontractor Agency Name)
WELD
S.No. BUILDING LEVEL LOCATION/ DESCRIPTION FIT UP WELDER ID WPS REMARKS
INSP.
OHL-CL JV SECTION
AGENCY >>> OHL-CL JV QC TPI QP/ KEO
MANAGER
NAME
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/Weldinsp.- Page 48 of
23
DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
PUNCH LIST 1 of 1

PUNCH LIST
Discipline (Check Medical Eqpmt. and
Building: Level: Civil Mech. Elect. Others: Specify
Appropriate) FF & E
LEGEND: Adopt the following legend: C - Ceiling; EW - East Wall; WW - West Wall; NW - North wall; SW - South wall; F - Floor; O - Others
Punched By: Date Date Sign off: By

S.No. Room # Punch/ Defect Items Construction Remarks
QC Initials Punched Closed
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/Punch List-24
Page 50 of
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
PUNCH LIST 1 of 1

PUNCH LIST
Discipline (Check Medical Eqpmt. and
Building: Level: Civil Mech. Elect. Others: Specify
Appropriate) FF & E
LEGEND: Adopt the following legend: C - Ceiling; EW - East Wall; WW - West Wall; NW - North wall; SW - South wall; F - Floor; O - Others
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CMU TEST LOG 1 of 1

CMU TEST LOG (Compressive Strength) (Form # OHL-CL/FORM/CL/1025-REV 0)
NO. OF TESTING DETAILS

DATE OF REMARKS (INCLUDING
SUPPLIER NAME DO # SITE ID # TPI REQ. # RFIT # BLOCKS COMP. STRENGTH LAB WATER ABSORPTION LAB DETAILS OF TRANSMITTAL
RECEIPT
SAMPLED REPORT # REPORT # TO KEO)
INDIVIDUAL AVG. INDIVIDUAL AVG.

NAME
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25
DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
GROUT CUBE REGISTER 1 of 1

GROUT CUBE REGISTER (Form # OHL-CL/FORM/CL/1026-REV 0)
GROUT CUBE ID # Remarks
CASTING

NAME
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/Grout Cube Register- Page 54 of

26
DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
TRIAL MIX DETAILS 1 of 1
TRIAL MIX DETAILS (Form # OHL-CL/FORM/CL/1027-REV 0)

Trial Mix Details TPI Requisition #
1 Location of Trial: SMRC Batching Plant at Education City, Doha, Qatar CONCRETE DETAILS
2 Date of Trial: MIX ID
3 Time of Trial GRADE
READYMIX QATAR REPRESENTATIVE INDEPENDENT TESTING LAB REP. JV REPRESENTATIVE QP/ KEO REPRESENTATIVE
ATTENDEES
TESTING AGE (IN DAYS) TOTAL

S.NO. TESTING DETAILS CUBES CUBE ID LAB REPORT # REMARKS
1 DAY 3 DAYS 7 DAYS 28 DAYS 56 DAYS TAKEN
1 Compressive strength 1 2 3 3 3 12
2 Rapid Chloride permeability test (RCPT) 0 0 0 3 3 6
3 Water absorption 0 0 0 3 3 6
4 Chloride and Sulfate. 0 0 0 3 0 3
5 Water permeability 0 0 0 3 3 6
6 ISAT - Initial surface absorption test 0 0 0 3 0 3
TOTAL CUBES TAKEN>>>>>> 36

NAME
DATE
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/Trial Mix Page 56 of

-27
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
NCN/ NCR/ SQN REGISTER 1 of 1
Form # OHL-Con/FORM/CL/1028-Rev 0
NCN/ NCR/ SQN Register
Status -
Type: NCN/ Date Sent Date Recd. Root Cause of Non-
S.No. # Agency Description of NCN/ NCR/ SQN Proposed Corrective Action Open/ Remarks
NCR/SQN to KEO From KEO Conformity
Closed
file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/NCR REg-28
Page 58 of
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
NCN/ NCR/ SQN REGISTER 1 of 1
Form # OHL-Con/FORM/CL/1028-Rev 0
NCN/ NCR/ SQN Register
Status -
Type: NCN/ Date Sent Date Recd. Root Cause of Non-
S.No. # Agency Description of NCN/ NCR/ SQN Proposed Corrective Action Open/ Remarks
NCR/SQN to KEO From KEO Conformity
Closed
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
CONCRETE TRIAL MIX WORKSHEET 1 of 1
CONCRETE TRIAL MIX WORKSHEET

Reference to RFIT/ Lr # (If app.) Request # OHLCONJV/Sidra/
Location:
Client: Qatar Foundation Client's Representative: Qatar Petroleum (QP) Construction Manager: KEOIC Prime Contractor: OHL-Contrack JV
Project: Sidra Medical and Research Centre (SMRC) Laboratory #:
Date of Trial: Concrete Grade and Mix ID: Volume:
Batch#: Truck #: D.O #: Batch Time:
Air Dry Weight Absorption Moisture Air Dry Weight Weight After
Material Remarks
(Kg) / m3 (Approx) (%) Content (%) (Accurate) (Kg) Correction
Cement (OPC/ SRC/ QNCC)

PFA
Microsilica
20 mm Aggregate
10 mm Aggregate
Washed Sand
Admixture
Water (Litre)
Ice (Kg)
Free water/ cement ratio:
Bleeding (Immediate):
Immediate After 30 minutes After 60 minutes After 90 minutes After 120 minutes
Time: Time: Time: Time: Time:
Ambient Temp. (oC)
Concrete Temp. (oC)
Plastic Density (Kg/M3)
Slump - mm
Air Content (%)
Cubes Sampled/ Details
TESTING AGE (IN DAYS) TOTAL
S.NO. TESTING DETAILS CUBES
TAKEN
1 DAY 3 DAYS 7 DAYS 28 DAYS 56 DAYS
1 Compressive strength 1 2 3 3 3 12
2 Rapid Chloride permeability test (RCPT) 0 0 0 3 3 6
3 Water absorption 0 0 0 3 3 6
4 Chloride and Sulfate. 0 0 0 3 0 3
5 Water permeability 0 0 0 3 3 6
6 ISAT - Initial surface absorption test 0 0 0 3 0 3
Grand Total 36
Remarks/ Notes:
AGENCY >>> TP REPRESENTATIVE OHL-CL JV QC KEO QP
NAME
DATE
SIGNATURE
QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
Weekly Mortar (M)/ Grout (G) Requirement 1 of 1
Weekly Mortar (M)/ Grout (G) Requirement

BUILDING: Form # OHL-Con/FORM/CL/1030, Rev 0
ZONE/ SECTION: Re u st # Date
q e
ITEM/ DESCRIPTION SAT SUN MON TUE WED THU FRI REMARKS
LOCATION/ LEVEL
DATE WHEN
REQUIRED
1
2
TIME WHEN 3
REQUIRED
4
5
1
2
MIX DETAILS 3
4
5
1
PUMP 2
REQUIREMEN 3
T WITH BOOM
4
LENGTH
5
1
2
QUANTITY 3
REQUIRED
4
5
1
2
SLUMP REQUIRED 3
4
5
1
2
INTERVAL BET. 3
TRUCKS
4
5
NOTE: The table above accomodates upto five pours per day. For additional requirements use the space below.
Originator: OHL-Contrack JV Section Manager Received by: OHL-Contrack JV Concrete Coordinator:
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30
Name, Date, Recd. On SENT TO RMX ON
(Date/ (DATE/ TIME)
Sign Time)
Copy Issued to Lab on (Date & Time) >>>>>>>

QATAR FOUNDATION
JV's Internal Form/
Title: Page Rev No.
0
Weekly Mortar/ Grout Planner 1 of 1
Weekly Mortar/ Grout Planner

Form # OHL-Con/FORM/CL/1031, Rev 0
Date: Weekly Planner #
To:
Total: Sheets including this sheet.
The Plant Manager Fax to: Attention: Mr.
Readymix Qatar WLL,
Education City, Al Rayyan,
Doha, Qatar
Subject: Supply of Morat/ Grout to the Sidra Medical & Research Centre for the following Week
Dear Sir:
Enclosed please sheets of concrete requirements required at various locations at the above mentioned Project
during the week to .
You may directly co-ordinate with the individual Section Manager for scheduling the pour.
The contact details of all the Section managers are provided at the end of this sheet.
Contact CC or SCM in the Office for re-scheduling pours.
Note that concrete for Project work shall be not be batched and desptached unless instructed by the QC Office.
Regards
Miguel Angel Bravo

Senior Construction Manager (SCM)
CC: PM/SCM/ All Section Mnagers/ Independent Lab/ Safety Office/ QC Office
Contact Details
ZONE/ BUILDING NAME DESIGNATION MOBILE PHONE #
HOSPITAL
JV Site Management JONATHAN CAMACHO
MIGUEL ANGEL BRAVO SECTION
SENIOR MANAGER
CONSTRUCTION 5887439
6932293
To be advised BASSEL MUSSEFI MANAGER
SECTION MANAGER 5567483
CENTRAL SERVICES BUILDING To be advised To be advised To be advised
CLINIC BUILDING To be advised To be advised To be advised
UNDERGROUND CAR PARK To be advised To be advised To be advised
STAFF CAR PARK To be advised To be advised To be advised
MOSQUE To be advised To be advised To be advised
TUNNELS To be advised To be advised To be advised
EXTERNAL WORKS To be advised To be advised To be advised
OTHER IMPORTANT CONTACTS
SAFETY OFFICE Abhimanyu Pothal Safety Manager 5598398
QC OFFICE Shakeel Ahmed QC Engineer 5004934
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31

Check List For Site Construction Works

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Check List For Site Construction Works

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QATAR FOUNDATION

SIDRA MEDICAL AND RESEARCH CENTRE (SMRC)

S.No. Description oF Checklist Form # Rev. #

3 Checklist for turnover of Benchmark to sub contractor OHL-CL/FORM/CL/1002 0

4 Checklist for Earthwork - Excavation Operations OHL-CL/FORM/CL/1003 0

5 Checklist for Earthwork - Backfilling Operations OHL-CL/FORM/CL/1004 0

6 Stockpile Log for Earthfill OHL-CL/FORM/CL/1005 0

8 Checklist for Blinding OHL-CL/FORM/CL/1007 1

9 Checklist for reinforced concrete - Vertical OHL-CL/FORM/CL/1008 1

10 Checklist for reinforced concrete - Slabs and footings OHL-CL/FORM/CL/1009 0

11 Concrete pour log OHL-CL/FORM/CL/1010 0

12 Concrete Cube Register OHL-CL/FORM/CL/1011 0

13 Checklist for concrete masonry works OHL-CL/FORM/CL/1012 0

14 Mortar cube register OHL-CL/FORM/CL/1013 0

15 Checklist for plaster/ render works OHL-CL/FORM/CL/1014 0

16 Work Clearance request OHL-CL/FORM/CL/1015 0

17 DFT Record OHL-CL/FORM/CL/1016 0

18 WFT Record OHL-CL/FORM/CL/1017 0

19 CL for dowel/ rebar planting OHL-CL/FORM/CL/1018 0

20 Weekly Concrete Requisition OHL-CL/FORM/CL/1019 0

21 Weekly Concrete Planner OHL-CL/FORM/CL/1020 0

22 TPI Requisition Form for Inspection/ Testing OHL-CL/FORM/CL/1021 0

23 Log of Third Party Inspection Report/ Testing OHL-CL/FORM/CL/1022 0

24 Weld Visual Inspection Report OHL-CL/FORM/CL/1023 0

25 Punch List OHL-CL/FORM/CL/1024 0

26 CMU Test Log OHL-CL/FORM/CL/1025 0

27 Grout Cube Register OHL-CL/FORM/CL/1026 0

28 Trial Mix Details OHL-CL/FORM/CL/1027 0

29 NCN/ NCR/ SQN Register OHL-CL/FORM/CL/1028 0

30 Concrete Trial Mix Worksheet OHL-CL/FORM/CL/1029 0

31 Weekly mortar/ grout requirement OHL-CL/FORM/CL/1030 0

32 Weekly mortar/ grout planner OHL-CL/FORM/CL/1031 0

33 Checklist for sub structure waterproofing

34 Checklist for Painting works

S.No. Description oF Checklist Form # Rev. #

Blank Template Only

CHECKLIST FOR TRANSFER OF BENCHMARK

Reference to RFIT # (Only if applicable) Checklist #

Location: Sub Contractor (If app.)

3 Are these Government installed permanent bench mark

5 Details of Permamnent Bench Mark (PBM)

BM ID# Location Northing Easting RL

TBM ID# Location Northing Easting RL

8 Is the TBM well highlighted and identified on site?

Sketch/ Dwg # & Rev Date

Reference to RFIT # (Only if applicable) Checklist #

Location: Sub Contractor (If app.)

2 Permanent bench mark shown by: JV Surveyor (Name)

3 Are these Government installed permanent bench mark

5 Details of Permamnent Bench Mark (PBM)

BM ID# Location Northing Easting RL

TBM ID# Location Northing Easting RL

8 Is the TBM well highlighted and identified on site?

Sketch/ Dwg # & Rev Date

10 Is the above sketch issued to the sub contractor?

Letter/ Transmittal # Date

file:///var/www/apps/conversion/tmp/scratch_2/295326286.xls/BM TO to Sub Con- Page 6 of

CHECKLIST FOR EARTHWORKS - Excavation Operations

Reference to RFIT # (Only if applicable) Checklist #

Location: Sub Contractor (If app.)

3 Is the setting out in accordance to approved shop drawings?

Shop dwg. # and Rev

4 Is sufficient working space allowed around the construction area?