Document Submittal Form

BATCO SAUDI CONTRACTINGCO. Document 02-181100-4800000657-

Contractor and submittal MAH-CIV-ITP-000003_01
MOFARREH M. AL-HARBI & PARTNERS CO. no.
Contract no. 4800000657/000 Date Nov 13, 2023

To PMC AECOM

Document no. Type Description Rev no. Action required

Approval Comments
02-181100-480000 Inspection 4800000657/000 - Design And
0657-MAH-CIV-ITP- & Test Plan Build Of Rock Stabilization And 01
000003_01 Wadi Interceptors - ITP For Information Other
Installation of Rock Dowels

Approval Comments
Information Other
Approval Comments
Information Other

Contractor authorized signatory

Name Wael Atwani Date Nov 13, 2023

Signature

PMC’s comments

Exception as noted revise

No exception taken Revise and resubmit
Status code and resubmit for record
Rejected Review not required Issued for Construction

Engineer’s name Date

Signature

Received by Contractor
Name Date

Signature

Page 1 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
 4800000657/000 - Design and Build of
Ro c k S t a b i l i z a t i o n a n d W a d i I n t e r c e p t o r s
-I T P F o r I n s t a l l a t i o n o f R o c k D o w e l s

02-181100-4800000657-MAH-CIV-ITP-000003 – Rev. 01, Date

13/11/2023

Page 2 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
Document History

Revision code Description of changes Purpose of issue Date

01 Initial Issue Issue for Approval. 13/11/2023

Document approval

Prepared by Reviewed by Approved by

Name Kailash Patil. Wael Atwani Wael Atwani

Job Title QA/QC Manager Project Manager Project Manager

Page 3 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
 INSPECTION AND TEST PLAN FOR INSTALLATION OF ROCK
DOWELS & ROCK NAILS
NEOM QUALITY MANAGEMENT SYSTEM
Main Mofarreh Alharbi & Partners &
NEOM QMS-PRO-005-001 CONSTRUCTION
OF PROJECT (ITP) FOR INSTALLATION OF Contractor: BATCO JV
ROCK DOWELS Sub-
N/A
Contractor:
Design & Build of Rock Stabilization Wadi ITP 02-181100-4800000657-MAH-CIV- Rev. 13-Nov-
Contract 4800000657/00 Contract 01 Date:
Interceptors No.: ITP-003 No.: 2023
No.: Title:

Level of Participation Points

Controlling
S Acceptance
Activity Phase Inspection / Test Method Document/ Remark66
No. Criteria Main NEOM NEOM
Reference Standard
Con. PMC Q&E

1 Document Review
Method Statement
Approved Method
Reference No 02-
Statement In Code A
1.1 Document Review 181100- H R/H R/H
or Code B with
Method Statement 4800000657-MAH-
comments
CIV-MST-000002
1.2 As per Approved Approved Shop
Shop Drawing Document Review H R/H R/H
Shop Drawing Drawing
Material Submittal
Approved Material
Reference No 02-
Submittal In Code A
1.3 Document Review 181100- H R/H R/H
Material Approval or Code B with
4800000657-MAH-
comments
CIV-MAT-000001
Prequalification of
Approved In Code A
Inspection & Testing Approved
1.4 Document Review or Code B with H R/H R/H
Laboratory / Third Laboratory
Party comments

#02-710000-
Calibration of
1.5 Document Review Calibration Certificates 0000100113-ACM- H R/H R/H
Equipment’s
QMN-REG-000003_01
2 Material Receiving Inspection, Sampling & Testing
Approved Material in
Code A or Code B
List all material Material Submittal/
2.1 with comments/ H W R
Received on site Visual Inspection Approved MIR
Approved Material
Rock dowels, Rock Inspection Request
nails, Couplers,
washers & nuts

Legend:

©NEOM [2021]. All rights reserved.

Page 4 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
 S: Responsible for carrying out random
H: Contractor must not proceed without R: Responsible for reviewing certification or W: Responsible for / and witnessing all
surveillance of inspection or test/Random
approval. reports. inspection or test.
Check.

D O C U M E N T C O D E : N E O M - N EN - S O P - 0 0 8 _ F R M 1 1 REVISION CODE: 01.00 P AG E 1 O F 4

©NEOM [2021]. All rights reserved.

Page 5 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
 INSPECTION AND TEST PLAN FOR INSTALLATION OF ROCK
DOWELS
NEOM QUALITY MANAGEMENT SYSTEM
Main Mofarreh Alharbi & Partners &
NEOM QMS-PRO-005-001 CONSTRUCTION
OF PROJECT (ITP) FOR INSTALLATION OF Contractor: BATCO JV
ROCK DOWELS Sub-
N/A
Contractor:
Design & Build of Rock Stabilization Wadi ITP 02-181100-4800000657-MAH-CIV- Rev. 13-Nov-
Contract 4800000657/00 Contract 01 Date:
Interceptors No.: ITP-003 No.: 2023
No.: Title:

Level of Participation Points

Controlling
S Acceptance
Activity Phase Inspection / Test Method Document/ Remark66
No. Criteria Main NEOM NEOM
Reference Standard
Con. PMC Q&E

NEOM Bay NEOM Bay

Material Storage &
2.2 Visual Inspection Specification Section Specification Section H S S
Handling
017843/1.4 017843/1.4
3 Installation
Technical Specification
Marking for rock Book 5 02-181100- As per the approved
3.1 Visual Inspection H W W
dowels as per 4800000657-MAH- shop drawing
Survey details DES-RPT-00011˗B
Clause No. 1.4.2
Technical
Drilling for rock As per the approved
3.2 Visual Inspection Specification Book 5 H W W
dowels shop drawing
02-181100-
4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.2
Technical Specification
3.3 Cleaning of the holes Visual Inspection Book 5 02-181100- JV-CIV-ICL-002-01 H W W
4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.2
Technical Specification
Installation of rock Book 5 02-181100-
3.4 Visual Inspection JV-CIV-ICL-002-01 H H W
dowels 4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.2
Technical Specification
Grouting of the rock
3.5 Visual Inspection Book 5 02-181100- JV-CIV-ICL-002-01 H W W
dowels
4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.4
3.6 Grout Testing – Visual Inspection Technical H H W W

©NEOM [2021]. All rights reserved.

Page 6 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
Legend:
S: Responsible for carrying out random
H: Contractor must not proceed without R: Responsible for reviewing certification or W: Responsible for / and witnessing all
surveillance of inspection or test/Random
approval. reports. inspection or test.
Check.

D O C U M E N T C O D E : N E O M - N EN - S O P - 0 0 8 _ F R M 1 1 REVISION CODE: 01.00 P AG E 2 O F 4

©NEOM [2021]. All rights reserved.

Page 7 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
 INSPECTION AND TEST PLAN FOR INSTALLATION OF ROCK
DOWELS
NEOM QUALITY MANAGEMENT SYSTEM
Main Mofarreh Alharbi & Partners &
NEOM QMS-PRO-005-001 CONSTRUCTION
OF PROJECT (ITP) FOR INSTALLATION OF Contractor: BATCO JV
ROCK DOWELS Sub-
N/A
Contractor:
Design & Build of Rock Stabilization Wadi ITP 02-181100-4800000657-MAH-CIV- Rev. 13-Nov-
Contract 4800000657/00 Contract 01 Date:
Interceptors No.: ITP-003 No.: 2023
No.: Title:

Level of Participation Points

Controlling
S Acceptance
Activity Phase Inspection / Test Method Document/ 3rd Party Remark66
No. Criteria Laboratory Mai NEOM NEOM
Reference Standard
n PMC Q&E
Con
.
Fluidity, Bleeding, Specification Book 5
Comp. strength 02-181100-
rd
4800000657-MAH- 3 Party test results
DES-RPT-00011˗B
Clause No 1.4.2
Rock Dowel testing-
Technical
Tensile Strength , Visual Inspection at H
3.7 Specification Book 5 3rd Party test results H W W
Yield Strength Laboratory
,Elongation 02-181100-
4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.7
Technical
Work Inspection
3.8 Final Fill Inspection Visual Inspection Specification Book 5 H W W
Request
02-181100-
4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.2
Technical
3.9 Pull Out Testing Visual Inspection Specification Book 5 3rd Party test results H H H H
02-181100-
4800000657-MAH-
DES-RPT-00011˗B
Clause No 1.4.3
4 Final Approval
Technical
All records signed off and
Specification Book 5 Approved WIR H H H
closed, As-Built Records
02-181100-
4800000657-MAH-
DES-RPT-00011˗B
Clause 1.4.2
ITP Approval Signature
©NEOM [2021]. All rights reserved.

Page 8 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
 Sub-Contractor (If
Main Contractor PMC NEOM Q&E
Applicable)
Name: Name: KAILASH PATIL Name: Name:

Signature: Signature: Signature: Signature:

Legend:
S: Responsible for carrying out random
H: Contractor must not proceed without R: Responsible for reviewing certification or W: Responsible for / and witnessing all
surveillance of inspection or test/Random
approval. reports. inspection or test.
Check.

D O C U M E N T C O D E : N E O M - N EN - S O P - 0 0 8 _ F R M 1 1 REVISION CODE: 01.00 P AG E 3 O F 4

©NEOM [2021]. All rights reserved.

Page 9 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.
GENERAL NOTES:
The first (3) of each inspection or testing activities listed require 100% participation of client site inspection personnel. After this period, client inspection may adjust the
level of client participation based on the contractor's performance.
Hold: QA/QC team shall be notified of the schedule of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC Team/Client
representative in attendance.
Review: Required qualification/certification/reports shall be submitted for the QA/QC team review and approval.
Witness: QA/QC team shall be notified of the schedule of inspection or test in advance. If the QA/QC Team/Client representative doesn’t come on time for inspection,
the activity can proceed.
Surveillance: QA/QC team to monitor work in progress without notice from the construction organization/Random check selection.
Review/Hold: QA/QC team shall review and approve all required documents before commencement of the work.

Legend:
S: Responsible for carrying out random
H: Contractor must not proceed without R: Responsible for reviewing certification or W: Responsible for / and witnessing all
surveillance of inspection or test/Random
approval. reports. inspection or test.
Check.

D O C U M E N T C O D E : N E O M - N EN - S O P - 0 0 8 _ F R M 1 1 REVISION CODE: 01.00 P AG E 4 O F 4

©NEOM [2021]. All rights reserved.

Page 10 of 02-181100-4800000657-MAH-CIV-ITP-000003_01.