You are on page 1of 8

REQUEST FOR INSPECTION & APPROVAL (Rev03)

Contract Number: 4600000773 Contractor Mota-Engil - Uganda

TOTAL TILENGA UPSTREAM PROJECT: ENABLING INFRASTRUCTURE PROJECT(WELL PADS)


QC-RFI-0007 Date of Request Saturday, 11 June 2022 Time : 9:30AM

IRN Revision: 0 Planned Date of Inspection Saturday, 11 june 2022 Time : 11:00AM

Revision: 0 Actual Date of Inspection Time :

Full Description of Inspection and or Testing.


1 Joint Inspection and Measurement of Removal of Topsoil under the item SSSWU 2.4.3.1 (a1) for GNA - 01

2 Hold, Witness or Monitor inspection point. Witness


3 Project Work Package/Structure/Element /System/Sub-System to be inspected

(i) Work Package WP2

(ii) Element/ Sub-System GNA-01

(iii) Structure/ System Layout Area


4 Reference Document/s (Drawing n.º/Method Statement/QCP/H&S Plan/Environmental Plan/ PQP/ other)

(i) UG-TEI-01-MEG1-000164: Quality Control Plan Earthworks (iv)

(ii) UG-TEI-01-MEG4-000198: Technical Quality (Method Statement) (v)

(iii) UG-TEI-11-MEG4-000001:Earthworks Drawing GNA-01 (vi)


5 Documents attached

(i) Supporting Checklist/Inspection reports

(ii) Draft Drawing for Earthworks for GNA-01

(iii)
6 Request Sent to Company Representatives below Email Addresses
(i) Ahemed ASIIMWE ahamed.asiimwe@external.totalenergies.com
(ii) Innocent OSUNA innocent.osuna@external.totalenergies.com
(iii) Januario AYETUNGA januario.ayetunga@external.totalenergies.com
(iv) Duncan MIIRO duncan.miiro@external.totalenergies.com
(v) TIL-Well Pad Superintendentt til-well-pad-superintendent-south@totalenergies.com
STAGE 1 : PREPARATION OF INSPECTION AND OR TESTING

The Contractor's Project Manager / Representative ensure and verifies that all the works presented for inspection and or testing are acceptable, ready, safe and accessible to inspection team.

Contractor 's Permission to


conduct inspection and or NAME POSITION SIGNATURE DATE
testing:
Project Manager Saturday, 11 June 2022

STAGE 2 : ACTUAL INSPECTION AND OR TESTING

The Contractor's Representative confirms that the inspection and or testing was conducted using an approved QCP
Contractor's Representative
present during inspection and NAME POSITION SIGNATURE DATE
or testing
QCI Saturday, 11 June 2022

The Company's Representative, on site, at the time of inspection, confirms receiving this inspection request and also confirms that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Company's Representative Approved & Accepted? Yes ☐ No ☐


present during inspection and
or testing NAME POSITION SIGNATURE DATE

Comments After Field


Inspection
STAGE 3 : FINAL APPROVAL OF INSPECTION AND OR TESTING (AND RECORDS)

The Contractor's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Contractor's Approval & Approved & Accepted? Yes ☐ No ☐


Acceptance of Inspection : NAME POSITION SIGNATURE DATE

Project Manager

The Company's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Approved & Accepted? Yes ☐ No ☐


Company 's Approval &
Acceptance of Inspection : NAME POSITION SIGNATURE DATE

(This form shall be returned to MEECA signed by the Company)

MEECA-IS-ITP-003 REV00
Company Doc Number 000164

First Issue Date: 15-Jun-21


INSPECTION REPORT:
EARTHWORKS Current Revision Status:
4

Last Revision Date: 16-Aug-21

Contract Number: 4600000773 Contractor Mota-Engil - Uganda

Work Package WP2 Inspection Request No.: IFN-007 Saturday, June 11, 2022

Work Package GNA-01 Ref Drawing and Rev.No: UG-TEI-11-MEG4-000001

Structure/ System Layout Area Date: Saturday, June 11, 2022

ITEMS TO BE CHECKED SPECIFICATION Passed / Correct ✔ Failed / Incorrect ✖

Item - SSSWU 2.4.3.1 (a1) Joint Inspection and Measurement of Removal of Topsoil Removal of Topsoil

Remarks / Comments

APPROVAL ACCEPTED REJECTED

1 NAME SIGNATURE POSITION DATE TIME (24HRS)

QA/QC ENGINEEER / QCI

2 NAME SIGNATURE POSITION DATE TIME (24HRS)

COMPANY's Rep.

Work Package 1,2,3,4 & 5 Inspection Number Earthworks / Discipline ITP No Activity No.
QC-CODE
WP2 IFN-007 EPC

Equipment Procurement-EQP / Material Procurement - MTP / Surveying Works - SVW/ Earthworks - Platform Construction – EPC /Drainage Works – DNW /Fencing Works – FNW / Pavement Layer
Work-Discipline>>> Works- PLW / Concrete Works - CNW /Bituminous Pavement Works - BPW/ Other Service Works - OSW / As-Built - ASB
REQUEST FOR INSPECTION & APPROVAL (Rev03)

Contract Number: 4600000773 Contractor Mota-Engil - Uganda

TOTAL TILENGA UPSTREAM PROJECT: ENABLING INFRASTRUCTURE PROJECT(WELL PADS)


QC-RFI-0006 Date of Request Saturday, 11 June 2022 Time : 9:30AM

IRN Revision: 0 Planned Date of Inspection Saturday, 11 june 2022 Time : 11:00AM

Revision: 0 Actual Date of Inspection Time :

Full Description of Inspection and or Testing.


1 Removal of Topsoil under the item SSSWU 2.4.3.1 (a1) for GNA - 01

2 Hold, Witness or Monitor inspection point. Witness


3 Project Work Package/Structure/Element /System/Sub-System to be inspected

(i) Work Package WP2

(ii) Element/ Sub-System GNA-01

(iii) Structure/ System Layout Area


4 Reference Document/s (Drawing n.º/Method Statement/QCP/H&S Plan/Environmental Plan/ PQP/ other)

(i) UG-TEI-01-MEG1-000164: Quality Control Plan Earthworks (iv)

(ii) UG-TEI-01-MEG4-000198: Technical Quality (Method Statement) (v)

(iii) UG-TEI-11-MEG4-000001:Earthworks Drawing GNA-01 (vi)


5 Documents attached

(i) Supporting Checklist/Inspection reports

(ii) Draft Drawing for Earthworks for GNA-01

(iii)
6 Request Sent to Company Representatives below Email Addresses
(i) Ahemed ASIIMWE ahamed.asiimwe@external.totalenergies.com
(ii) Innocent OSUNA innocent.osuna@external.totalenergies.com
(iii) Januario AYETUNGA januario.ayetunga@external.totalenergies.com
(iv) Duncan MIIRO duncan.miiro@external.totalenergies.com
(v) TIL-Well Pad Superintendentt til-well-pad-superintendent-south@totalenergies.com
STAGE 1 : PREPARATION OF INSPECTION AND OR TESTING

The Contractor's Project Manager / Representative ensure and verifies that all the works presented for inspection and or testing are acceptable, ready, safe and accessible to inspection team.

Contractor 's Permission to


conduct inspection and or NAME POSITION SIGNATURE DATE
testing:
Project Manager Saturday, 11 June 2022

STAGE 2 : ACTUAL INSPECTION AND OR TESTING

The Contractor's Representative confirms that the inspection and or testing was conducted using an approved QCP
Contractor's Representative
present during inspection and NAME POSITION SIGNATURE DATE
or testing
QCI Saturday, 11 June 2022

The Company's Representative, on site, at the time of inspection, confirms receiving this inspection request and also confirms that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Company's Representative Approved & Accepted? Yes ☐ No ☐


present during inspection and
or testing NAME POSITION SIGNATURE DATE

Comments After Field


Inspection
STAGE 3 : FINAL APPROVAL OF INSPECTION AND OR TESTING (AND RECORDS)

The Contractor's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Contractor's Approval & Approved & Accepted? Yes ☐ No ☐


Acceptance of Inspection : NAME POSITION SIGNATURE DATE

Project Manager

The Company's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Approved & Accepted? Yes ☐ No ☐


Company 's Approval &
Acceptance of Inspection : NAME POSITION SIGNATURE DATE

(This form shall be returned to MEECA signed by the Company)

MEECA-IS-ITP-003 REV00
Company Doc Number 000164

First Issue Date: 15-Jun-21


INSPECTION REPORT:
EARTHWORKS Current Revision Status:
4

Last Revision Date: 16-Aug-21

Contract Number: 4600000773 Contractor Mota-Engil - Uganda

Work Package WP2 Inspection Request No.: IFN-006 Saturday, June 11, 2022

Work Package GNA-01 Ref Drawing and Rev.No: UG-TEI-11-MEG4-000001

Structure/ System Layout Area Date: Saturday, June 11, 2022

ITEMS TO BE CHECKED SPECIFICATION Passed / Correct ✔ Failed / Incorrect ✖

Item - SSSWU 2.4.3.1 (a1) Removal of Topsoil under Bill Item SSSWU 2.4.3.1 (a1) Removal of Topsoil

Remarks / Comments

APPROVAL ACCEPTED REJECTED

1 NAME SIGNATURE POSITION DATE TIME (24HRS)

QA/QC ENGINEEER / QCI

2 NAME SIGNATURE POSITION DATE TIME (24HRS)

COMPANY's Rep.

Work Package 1,2,3,4 & 5 Inspection Number Earthworks / Discipline ITP No Activity No.
QC-CODE
WP2 IFN-006 EPC

Equipment Procurement-EQP / Material Procurement - MTP / Surveying Works - SVW/ Earthworks - Platform Construction – EPC /Drainage Works – DNW /Fencing Works – FNW / Pavement Layer
Work-Discipline>>> Works- PLW / Concrete Works - CNW /Bituminous Pavement Works - BPW/ Other Service Works - OSW / As-Built - ASB
REQUEST FOR INSPECTION & APPROVAL (Rev03)

Contract Number: 4600000773 Contractor cccccccccccccccccccccccc

TOTAL TILENGA UPSTREAM PROJECT: ENABLING INFRASTRUCTURE PROJECT(WELL PADS)


QC-RFI-0007 Date of Request Thursday, 06 June 2022 Time : 9:30AM

IRN Revision: 0 Planned Date of Inspection Saturday, 07 june 2022 Time : 10:00AM

Revision: 0 Actual Date of Inspection Time :

Full Description of Inspection and or Testing.


1 Joint Inspection and Measurement of Removal of Topsoil under the item SSSWU 2.4.3.1 (a1) for GNA - 01

2 Hold, Witness or Monitor inspection point. Witness


3 Project Work Package/Structure/Element /System/Sub-System to be inspected

(i) Work Package WP2

(ii) Element/ Sub-System GNA-01

(iii) Structure/ System Layout Area


4 Reference Document/s (Drawing n.º/Method Statement/QCP/H&S Plan/Environmental Plan/ PQP/ other)

(i) UG-TEI-01-MEG1-000164: Quality Control Plan Earthworks (iv)

(ii) UG-TEI-01-MEG4-000198: Technical Quality (Method Statement) (v)

(iii) UG-TEI-11-MEG4-000001:Earthworks Drawing GNA-01 (vi)


5 Documents attached

(i) Supporting Checklist/Inspection reports

(ii) Draft Drawing for Earthworks for GNA-01

(iii)
6 Request Sent to Company Representatives below Email Addresses
(i) Ahemed ASIIMWE ahamed.asiimwe@external.totalenergies.com
(ii) Innocent OSUNA innocent.osuna@external.totalenergies.com
(iii) Januario AYETUNGA januario.ayetunga@external.totalenergies.com
(iv) Duncan MIIRO duncan.miiro@external.totalenergies.com
(v) TIL-Well Pad Superintendentt til-well-pad-superintendent-south@totalenergies.com
STAGE 1 : PREPARATION OF INSPECTION AND OR TESTING

The Contractor's Project Manager / Representative ensure and verifies that all the works presented for inspection and or testing are acceptable, ready, safe and accessible to inspection team.

Contractor 's Permission to


conduct inspection and or NAME POSITION SIGNATURE DATE
testing:
Site Manager Thursday, 06 June 2022

STAGE 2 : ACTUAL INSPECTION AND OR TESTING

The Contractor's Representative confirms that the inspection and or testing was conducted using an approved QCP
Contractor's Representative
present during inspection and NAME POSITION SIGNATURE DATE
or testing
Quantity Surveyor Thursday, 06 June 2022

The Company's Representative, on site, at the time of inspection, confirms receiving this inspection request and also confirms that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Company's Representative Approved & Accepted? Yes ☐ No ☐


present during inspection and
or testing NAME POSITION SIGNATURE DATE

Comments After Field


Inspection
STAGE 3 : FINAL APPROVAL OF INSPECTION AND OR TESTING (AND RECORDS)

The Contractor's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Contractor's Approval & Approved & Accepted? Yes ☐ No ☐


Acceptance of Inspection : NAME POSITION SIGNATURE DATE

Project Manager

The Company's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Approved & Accepted? Yes ☐ No ☐


Company 's Approval &
Acceptance of Inspection : NAME POSITION SIGNATURE DATE

(This form shall be returned to MEECA signed by the Company)

MEECA-IS-ITP-003 REV00
REQUEST FOR INSPECTION & APPROVAL (Rev03)

Contract Number: 4600000773 Contractor cccccccccccccccccccccccc

TOTAL TILENGA UPSTREAM PROJECT: ENABLING INFRASTRUCTURE PROJECT(WELL PADS)


QC-RFI-0007 Date of Request Thursday, 06 June 2022 Time : 9:30AM

IRN Revision: 0 Planned Date of Inspection Saturday, 07 june 2022 Time : 10:00AM

Revision: 0 Actual Date of Inspection Time :

Full Description of Inspection and or Testing.


1 Joint Inspection and Measurement of Removal of Topsoil under the item SSSWU 2.4.3.1 (a1) for GNA - 01

2 Hold, Witness or Monitor inspection point. Witness


3 Project Work Package/Structure/Element /System/Sub-System to be inspected

(i) Work Package WP2

(ii) Element/ Sub-System GNA-01

(iii) Structure/ System Layout Area


4 Reference Document/s (Drawing n.º/Method Statement/QCP/H&S Plan/Environmental Plan/ PQP/ other)

(i) UG-TEI-01-MEG1-000164: Quality Control Plan Earthworks (iv)

(ii) UG-TEI-01-MEG4-000198: Technical Quality (Method Statement) (v)

(iii) UG-TEI-11-MEG4-000001:Earthworks Drawing GNA-01 (vi)


5 Documents attached

(i) Supporting Checklist/Inspection reports

(ii) Draft Drawing for Earthworks for GNA-01

(iii)
6 Request Sent to Company Representatives below Email Addresses
(i) Ahemed ASIIMWE ahamed.asiimwe@external.totalenergies.com
(ii) Innocent OSUNA innocent.osuna@external.totalenergies.com
(iii) Januario AYETUNGA januario.ayetunga@external.totalenergies.com
(iv) Duncan MIIRO duncan.miiro@external.totalenergies.com
(v) TIL-Well Pad Superintendentt til-well-pad-superintendent-south@totalenergies.com
STAGE 1 : PREPARATION OF INSPECTION AND OR TESTING

The Contractor's Project Manager / Representative ensure and verifies that all the works presented for inspection and or testing are acceptable, ready, safe and accessible to inspection team.

Contractor 's Permission to


conduct inspection and or NAME POSITION SIGNATURE DATE
testing:
Site Manager Thursday, 06 June 2022

STAGE 2 : ACTUAL INSPECTION AND OR TESTING

The Contractor's Representative confirms that the inspection and or testing was conducted using an approved QCP
Contractor's Representative
present during inspection and NAME POSITION SIGNATURE DATE
or testing
Quantity Surveyor Thursday, 06 June 2022

The Company's Representative, on site, at the time of inspection, confirms receiving this inspection request and also confirms that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Company's Representative Approved & Accepted? Yes ☐ No ☐


present during inspection and
or testing NAME POSITION SIGNATURE DATE

Comments After Field


Inspection
STAGE 3 : FINAL APPROVAL OF INSPECTION AND OR TESTING (AND RECORDS)

The Contractor's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Contractor's Approval & Approved & Accepted? Yes ☐ No ☐


Acceptance of Inspection : NAME POSITION SIGNATURE DATE

Project Manager

The Company's Project Manager / Representative receives, accepts and approves the inspection and test records, confirming that the inspection and or testing conducted, meets the requirements set out in Project Specifications.

Approved & Accepted? Yes ☐ No ☐


Company 's Approval &
Acceptance of Inspection : NAME POSITION SIGNATURE DATE

(This form shall be returned to MEECA signed by the Company)

MEECA-IS-ITP-003 REV00
Send
WP2 WP3 Names Email Addresses
GNA01 GNA03
Januario AYETUNGA januario.ayetunga@external.totalenergies.com
to
GNA02 KGG05
Ahemed ASIIMWE ahamed.asiimwe@external.totalenergies.com
GNA04 NGR01
Andrew SSEMAMBO andrew.ssemambo@external.totalenergies.com
cc
GNA05 NGR02
Duncan MIIRO duncan.miiro@external.totalenergies.com
KGG01 NGR03A
Innocent OSUNA innocent.osuna@external.totalenergies.com
cc
South KGG03 NGR06
innocent.osuna@external.totalenergies.com
KGG04 NSO01 cc
TIL-Well Pad Superintendenttil-well-pad-superintendent-south@totalenergies.com
KW02A NSO03 cc
Miguel Mtias miguel.matias@mota-engil.ug
KW02B NSO05 cc
Bruno Dias bruno.dias@mota-engil.ug
NGR05A NSO06 cc
Samuel Sousa samuel.sousa@mota-engil.ug
NSO04 cc
Sergio P Correia sergio.p.correia@mota-engil.ug
cc
Hezron Kombe hezron.kombe@mota-engil.ug
cc Ntayiro Kiziyo kizito.ntayiro@mota-engil.ug
WP1 Send
Names Email Addresses
JBR01
Alex Male NSEREKO til-wp-north-superintendent@totalenergies.com
to
JBR02
Graham Hay til-wp-north-superintendent@totalenergies.com
JBR03
Andrew SSEMAMBO andrew.ssemambo@external.totalenergies.com
cc
JBR04
Duncan MIIRO duncan.miiro@external.totalenergies.com
JBR05 cc
Jesca Nampala til-wp-supervisor-north@totalenergies.com
JBR06 cc
North Ismail Kenyi Biko til-wp-supervisor-north@totalenergies.com

Kenneth Opitto TIL-deputy-construction-manager@totalenergies.com


JBR07 cc
Frederic Vincent TIL-deputy-construction-manager@totalenergies.com
JBR08 cc
Miguel Mtias miguel.matias@mota-engil.ug
JBR09 cc
Bruno Dias bruno.dias@mota-engil.ug
JBR10 cc
Samuel Sousa samuel.sousa@mota-engil.ug
cc
Sergio P Correia sergio.p.correia@mota-engil.ug
Hezron Kombe hezron.kombe@mota-engil.ug

You might also like