TRANSMITTAL FORM

Transmittal Ref. KSP-WSP-LIN-HSE-SAF-SOR-0021 Date 14 Sep 2023

Program King Salman Park Project Contract No.
Project / Package CP 6.7

Client King Salman Park Foundation (KSP)

PMO Saudi Arabian Parsons Ltd (SAP)
From WSP Middle East (WSP)
To Faithful+Gould (FGS)

Enclosures:

☒ Reports ☐ Design Drawings ☐ Shop Drawings ☐ Specifications

☐ BOQ ☐ Schedule/Plan ☐ Method Statements ☐ Material Approvals

☐ Invoice ☐ Subcontractor Approval ☐ Other (specify):

Purpose of Transmittal:
☐ For Info ☐ For Approval ☐ For Review & Comments ☐ As Requested ☒ Other:

Item Details
SN Description Media Document No. Rev Date

PMCM SITE TOUR - HSE

1 KSP-WSP-LIN-HSE-SAF-SOR-0021 0 14/ 09/ 23
OBSERVATIONS AND ACTIONS

Remarks:

CP-6.7 Contractor to respond with actions taken and attach evidence as required.

Transmitted by:

Name Meshal Almutairi Signature Date 14/ 09/ 23

Comments:

Approved by:

Name Signature Date

Received by:

Name Signature Date

Document No.:: KSP-WSP-FSA-HSE-OCS-RPT-0005 Page 1 of 1

Transmittal Form No.:KSP-WSP-PM2-PMC-DCM-FRM-0001| 00 | 16-Jan-22
PMCM Daily Tour Report [HSE Site Observations and Actions]
Part 1 - Issue / Distribute

Project: King Salman Park Contractor: AYC Date: 10 Sep 2023

Project:
Client: King Salman Park Foundation (KSPF) 6.7 Light Infrastructure
Package Code & Title
HSE Surveillance
PMO: Saudi Arabia Parsons Ltd (SAPL) Document Number: KSP-WSP-LIN-HSE-SAF-SOR-0021 Zone 1, 2, 4
Location[s]:
Project Daily
PMCM [1] - Core: Faithful Gould Saudi Arabia (FGS) 0018
Report Number:
PMCM [Others]: PMCM3 WSP
if applicable

WORKFLOW [Steps]
1. PMCM 2. PMCM 3. PMCM 4. PMCM 5. PMCM 6. PMCM 7. PMCM 8. Contractor 9. PMCM 10. PMCM
Select Observation Issue PMCM Weekly
Provide details of What State what actions Issue the Daily Tour Provide documented
Type Include Photograph Summarize all findings in HSE Observation Report Review response and
was Observed, were agreed on site Report to the Contractor evidence to show all Record and update HSE
[+] Best Practice or Evidence the PMCM Weekly HSE to Contractor Close-Out PMCM
State what Activity was with the Workplace [via email] – Early Agreed Actions have Action Tracker
[-] Unsafe Act / [date & time stamped} Observation Report [via Doc. Control] - Weekly Report
being performed Supervisor / Manager Notification Record been Completed
Condition Formal Project Record

PMCM SITE TOUR - HSE OBSERVATIONS AND ACTIONS

OBSERVATION TYPE AGREED ACTIONS Agreed
S.I Description of what was being
Date Best Unsafe Act [Recognition or Completion Photographic Evidence
No observed
Practise / Condition Corrective] Date
1 Occupational Health Risks

Asbestoses materials stored at

To be removed from site
1.1 site for a while without removing 13/09/2023
ASAP.
by 3rd party compony.

Page 1 of 5
PMCM Daily Tour – Observations & Actions Sheet
KSP-FGS-GEN-PMC-HSE-RPT-0013 | 00 | 12-08-2021
 2 Occupational Safety Risks

Dead plant found at site without
2.1
safety precaution. (combustible).
Barricading/safety
signages/fire extinguishers
11/09/2023 to be provided for storing
area temporary and be
removed from site ASAP.

Area for crushing area not been

AYC HSE team to inspect
approved by PMCM HSE team
2.2 13/09/2023 the area first then invite
as Crusher safety procedure not
PMCM to approve it.
been implemented.

Page 2 of 5
PMCM Daily Tour – Observations & Actions Sheet
KSP-FGS-GEN-PMC-HSE-RPT-0013 | 00 | 12-08-2021
 PMCM1 Crusher safety
No blue zone provided for KSP
2.3 13/09/2023 procedure to be
crusher area.
implemented.

Full barricading/safety
signages/fire extinguishers
Insufficient temporary storage
2.4 13/09/2023 to be provided for storing
area for dead plant.
area temporary and to be
removed from site ASAP

Page 3 of 5
PMCM Daily Tour – Observations & Actions Sheet
KSP-FGS-GEN-PMC-HSE-RPT-0013 | 00 | 12-08-2021
 3 Environmental Impacts

3.1 Area to be clean and

The area front of CP6.7 not
13/09/2023 brushed first before water to
cleaned.
avoid mud.

3.2 Lack of dust control near park D. 12/09/2023

Page 4 of 5
PMCM Daily Tour – Observations & Actions Sheet
KSP-FGS-GEN-PMC-HSE-RPT-0013 | 00 | 12-08-2021
 Lack of dust control near
3.3 13/09/2023
demolishing area 3C.

compostable plants found near

12/09/2023
Park D.

4 Facilities & Welfare Provisions

PMCM Daily Report Issuer Details

Name & Designation: Meshal Almutairi – HSE Engineer Date: 14/09/2023

Note: All Site Observations both positive and negative shall be recorded in the PMCM HSE Action Tracker / Register – each shall have a unique reference to help measure and trend repeat observations.

Page 5 of 5
PMCM Daily Tour – Observations & Actions Sheet
KSP-FGS-GEN-PMC-HSE-RPT-0013 | 00 | 12-08-2021