Fire & Safety Lab and Generator Building testing laboratory on Modon-3-

Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 1 of 7
KJ-123-P-QC-ITP-0001 00 6/September/2021

Client: Consultant: Contractor:

Saudi Amana Contracting Co.
GCC Electrical testing laboratory Suhaimi Desing & Lemasters
LLC

FSL and HPL Generator Building on Modon-3- Dammam, KSA

INSPECTION TEST PLAN FOR EXCAVATION AND BACKFILLING WORK

Amana Document No:- KJ-123-P-QC-ITP-0001-00

Prepared By: Reviewed By: Approved By:

Signature

Name Motiur Rahman Saaddine Elbaba Bilal Bayado

Designatio
QA/QC Engineer Project Manager Sr. Project Manager
n
CLIENT/CONSULTANT COMMENTS:
Code A – Approved Code C – Rejected (Revise & Resubmit)
Code B – Approved with Comments Code D – For Information
Remarks:

Date:
Name: __________________________________ Signature: _______________________
__________________
 Fire & Safety Lab and Generator Building testing laboratory on Modon-3-
Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 2 of 7
KJ-123-P-QC-ITP-0001 00 6/September/2021

LEGEND

FI - Full Inspection by the contractor.

H- Hold Point. Inspection Request is required. The Consultant shall witness and sign for acceptance of
inspection checking form. The contractor shall not proceed until the consultant has completed the
inspection and signed inspection checking form. Further following certification shall be submitted
for review (e.g. Laboratory/ Third Party Service Company).
W- Witness Point. Inspection Request is required. The consultant shall optionally witness. The
contractor can proceed with inspection even if the consultant is absent. In such cases, inspection
reports should be submitted for review and signature. Further following certification shall be
submitted for review (e.g. Laboratory/Third Party Service Company).
S- Surveillance. Check advice is not required. The Consultant shall spot witness during job execution.
The clarification if any shall be spot reviewed.
A- For Approval
IFCD- Issued For Construction Drawing
N/A- Not Applicable.
R- Review of Certification
1) Manufacturer’s certificate to be submitted to the Consultant.
2) Manufacturer’s certificate check.
3) Laboratory’s certification to be submitted to the Consultant.
4) Laboratory’s certificate check.
5) Datasheet / Catalogues to be submitted to the Consultant.
6) Data Sheet/Catalogues check.
7) Calibration certificates to be submitted to the Consultant.
8) Calibration certificates check.
9) Survey report to be submitted to Consultant
10) Survey report to be verified.
Fire & Safety Lab and Generator Building testing laboratory on Modon-3-
Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 3 of 7
KJ-123-P-QC-ITP-0001 00 6/September/2021

LIST OF QA/QC FORMS

SN DESCRIPTION Rev
1 Material Inspection Request 0
2 Work Inspection Request 0
3 Technical Submittal 0
 Fire & Safety Lab and Generator Building testing laboratory on Modon-3- Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 4 of 9
KJ-119-P-QC-ITP-0001 00 6/September/2021

INSPECTION AND TEST PLAN FOR EXCAVATION AND BACKFILLING WORKS

Verifying Party

Sub-Contractor

Saudi Amana
ITP

Consultant
Activity Discretion Reference Documents Acceptance Criteria Inspection Record Responsibility
Code

Client
1 GENERAL
Project
Inspection of the excavated W/
1.1  Project Specifications  Section 02200- 3.03 Engineer / FI H W/A
materials S
QC Engineer
Site visit to the source of W/
1.2  Project Specifications  Section 02200- 3.07 QC Engineer FI H W/A
imported fill materials S
 Project Specification Project
Inspection of imported fill Material Inspection W/
1.3  Approved samples  Section 02200- 3.07 Engineer / FI H W/A
materials received at site Request S
 Suitability test reports QC Engineer

2 MATERIALS FOR STRUCTURES, ROADWAYS & EMBANKMENTS, AND UNDERGROUND UTILITIES

H/
Sampling and testing of  Project Specifications Third Party W/ W/
2.1  Section 02200- 3.07 –E -3 Technical Submittal - A/
excavated materials  Soil Investigation Report Laboratory A/R S
R
 Fire & Safety Lab and Generator Building testing laboratory on Modon-3- Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 5 of 9
KJ-119-P-QC-ITP-0001 00 6/September/2021

INSPECTION AND TEST PLAN FOR EXCAVATION AND BACKFILLING WORKS

Verifying Party

Sub-Contractor

Saudi Amana
ITP

Consultant
Activity Discretion Reference Documents Acceptance Criteria Inspection Record Responsibility
Code

Client
Sampling and testing of
 Project Specifications Third Party H/ W/ W/
2.2 imported general fill and  Section 02200- 3.07 –E -3 Technical Submittal -
 Soil Investigation Report Laboratory A/ A/R S
backfill materials
H/
Sampling and testing of Sand  Project Specifications Third Party W/ W/
2.3  Section 02200- 3.07 –E -3 Technical Submittal - A/
material  Soil Investigation Report Laboratory A/R S
R
H/
Sampling and testing of  Project Specifications Third Party W/ W/
2.4  Section 02200- 3.07 –E -3 Technical Submittal - A/
imported subbase material  Soil Investigation Report Laboratory A/R S
R
H/
Sampling and testing of  Project Specifications Third Party W/ W/
2.5  Section 02200- 3.07 –E -3 Technical Submittal - A/
imported base coarse material  Soil Investigation Report Laboratory A/R S
R
3 EXCAVATION WORKS

3.1 Excavation for the structures,  Issued for Construction  Section 02200- 3.03 Foreman / FI H S W/
 Fire & Safety Lab and Generator Building testing laboratory on Modon-3- Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 6 of 9
KJ-119-P-QC-ITP-0001 00 6/September/2021

INSPECTION AND TEST PLAN FOR EXCAVATION AND BACKFILLING WORKS

Verifying Party

Sub-Contractor

Saudi Amana
ITP

Consultant
Activity Discretion Reference Documents Acceptance Criteria Inspection Record Responsibility
Code

Client
Project
roadway pavements, Drawings
Engineer / S
trenches,and UG utilities  Project Specifications
QC Engineer
Foreman /
Hauling and stockpiling of W/
3.2  Project Specifications  Section 02200- 3.03 Project FI H S
suitable excavated materials S
Engineer /
Hauling and stockpiling of Foreman /
W/
3.3 unsuitable or surplus  Project Specifications  Section 02200- 3.03 Project FI H S
S
excavated materials Engineer /

4 PLACEMENT AND COMPACTION OF FILL MATERIALS

Project H/
Backfilling and Compaction Work Inspection H/ W/
4.1  Project Specifications  Section 02200- 3.06 Engineer / FI A/
for Structures Request A/R S
QC Engineer R
 Fire & Safety Lab and Generator Building testing laboratory on Modon-3- Dammam, KSA
DOCUMENT No: REV. No: DATE:
Page 7 of 9
KJ-119-P-QC-ITP-0001 00 6/September/2021

INSPECTION AND TEST PLAN FOR EXCAVATION AND BACKFILLING WORKS

Verifying Party

Sub-Contractor

Saudi Amana
ITP

Consultant
Activity Discretion Reference Documents Acceptance Criteria Inspection Record Responsibility
Code

Client
Backfilling and Compaction Project H/
 Project Specifications  Section 02200- 3.06 Work Inspection H/ W/
4.2 for Underground Utilities Engineer / FI A/
 Soil Investigation Report Request A/R S
(Trenches) QC Engineer R
Backfilling and Compaction Project
 Project Specifications Work Inspection H/ H/ W/
4.3 for Roadways and  Section 02200- 3.06 Engineer / FI
 Soil Investigation Report Request A A/R S
Embankments QC Engineer