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FEQ Template

The document is a field engineering query form from the Kolomela Mine Project regarding rectification of intersections. It details a query about the project from an area discipline and provides sections for the contractor's proposed solution, the approved solution from the engineer, and various approvals from site management.

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Jackie van Schalkwyk
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144 views5 pages

FEQ Template

The document is a field engineering query form from the Kolomela Mine Project regarding rectification of intersections. It details a query about the project from an area discipline and provides sections for the contractor's proposed solution, the approved solution from the engineer, and various approvals from site management.

Uploaded by

Jackie van Schalkwyk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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K1975 PROJECT:MINING INTERSECTIONS RECTIFICATION K1975 PROJECT

FIELD ENGINEERING QUERY


(FEQ) FORM FEQ No:

Date: Contract No: 4600028881

Area: Contract Description:

Contractor:

Report Description:

Document Number:

SECTION A - QUERY (Complete and submit to the relevant Document Control Officer for implementation)
Prepared By: Date:

Area Discipline:
Detail of Query:

Backup/Attachment: YES NO Document/Drawings No: Title: Rev no:


SECTION B - PROPOSED SOLUTION BY CONTRACTOR

Proposed by:

SECTION C - APPROVED SOLUTION


Engineer:
Solution:(Please state if revised risk assessment will be required)

Name: Signature: Date:

Accepted by Contractor: YES NO

Associated Cost Yes(If Yes issue SI) No Concession Required Yes(If Yes Concession to be issued) No
SECTION D - APPROVALS & RESPONSE
SITE SUPERINTENDENT

Name: Signature: Date:


PACKAGE OR LEAD ENGINEER

Name: Signature: Date:

PROJECT MANAGER

Name: Signature: Date:


Risk Assessment to be revised Yes No
Site Instruction to be raised: Yes No
Site Instruction Number:

FEQ Closed: Yes No


KOLOMELA MINE PROJECT
KOLOMELA MINE PROJECT
SITE INSTRUCTION ( SI ) FORM Doc No

Date: Contract #:

Area: Contract Description:

System: Contractor:

Repost Description:

Prepared by:

Detailed Description of Instruction:

Motivation for work to be done on Site Instruction ( Value less than R30 000 )

Additional Motivation if the ( Value of the SI is more than R30 000 )

TICK APPROPRIATE RESON FOR SI:


Acceleration of Work Changes to Scope Back Charge Applicable
Design Error Fabrication Installation Error WBS Code:
Rectification of Damage Other
IF OTHER PLEASE SPECIFY:

SI CHECKLIST (TICK APPROPRIATE BOX) YES/NO VALUE/NUMBER


Is this Site Instruction Scope Defined?
Yes No
Are all Rates Provided for in Contract?
Yes No
Quotation Received?
Awaiting Rates Lump Sum Unit Rates Day Work
Yes No
Schedule Impact Indicated Days: Week:
Yes No

Additional P & G's required Yes No


Backup Information to accompany SI as Attachment:
Description:

Contractors Document Reference Number:


KOLOMELA MINE PROJECT KOLOMELA MINE PROJECT
SITE INSTRUCTION ( SI ) FORM Doc No

APPROVAL TYPE (Tick/Sign appropriate box)

Await Officially Approved SI, before proceeding with work

Proceed with Work Immediately, based on Safety Grounds


Accepted by Contractor: Contract Number: Contractors Accept/Reject Signature: Date:
Representative: Recommend

APPROVAL
Approval: Name: Accept/ Reject Signature: Date:
Recommend

Site Quantity Surveyor

Contract Specialist

Site Superintendent

Construction Manager

Contract Manager
Kumba Area Manager
Kumba Assistant Project
Manager

Kumba Project Manager

Back Charge Contractors Details


SI Approved by all parties?
(to be completed by Site Instruction Manager) Yes No
VALUATION
Contract Specialist /Contract QS Accept/ Reject Signature: Date:
Recommend

FINAL VALUE OF SI ( IN WORDS): R


Accepted by Contractor: Contract Number: Contractors Accept/ Reject Signature: Date:
Representative: Recommend

NOTE
Description:

STATUS
Status of SI: Open Approved Closed Modification done
CONTRACTORS MODIFICATION:
In cluded in Contractors MOD: Yes NO MOD Number

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