Document Submittal Form

BATCO SAUDI CONTRACTINGCO. Document 02-181100-4800000657-

Contractor and submittal MAH-CIV-ITP-000001_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
000001_01 01
Wadi Interceptors - ITP For Information Other
Installation of Gabions

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 6 02-181100-4800000657-MAH-CIV-ITP-000001_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 -
ITP For Installation of Gabions

02-181100-4800000657-MAH-CIV-ITP-000001 – Rev. 01, Date

13/11/2023

Page 2 of 6 02-181100-4800000657-MAH-CIV-ITP-000001_01.
 02-181100-4800000657-MAH-PMN-OCH-000001
02-181100-4800000657-MAH-PMN-OCH-000001
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 6 02-181100-4800000657-MAH-CIV-ITP-000001_01.
 INSPECTION AND TEST PLAN FOR INSTALLATION OF GABIONS
NEOM QUALITY MANAGEMENT SYSTEM Main Mofarreh Alharbi & Partners & BATCO
NEOM QMS-PRO-005-001 CONSTRUCTION OF Contractor JV
PROJECT (ITP) FOR INSTALLATION OF GABIONS Sub
Contractor N/A

Contract 4800000657/00 Contract ITP Rev. 13-Nov-

Design & Build of Rock Stabilization Wadi Interceptors 02-181100-4800000657-MAH-CIV-ITP-001 01 Date:
No: Title No.: No.: 2023

Level of Participation Points

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

1 Document Review
Method Statement Approved Method
Reference No 02- Statement In Code
1.1 Method Statement Document Review H R/H R/H
181100-4800000657- A or Code B with
MAH-CIV-MST-000021 comments
As- Per Approved Shop Approved Shop
1.2 Shop Drawing Document Review H R/H R/H
Drawing Drawing
Material Submittal Approved Material
Reference No 02- Submittal In Code
1.3 Material Approval Document Review H R/H R/H
181100-4800000657- A or Code B with
MAH-CIV-MAT-000006 comments
Prequalification of Approved in Code
1.4 Inspection & Testing Document Review Approved Laboratory A or Code B with H R/H R/H
Laboratory / Third Party comments
2 Material Receiving Inspection, Sampling & Testing
Approved Material
in Code A or Code
List all material Received Document Review/ Material Material Submittal/ B with comments/
2.1 H H W
on site Inspection Approved MIR Approved Material
Inspection Request
(MIR)
NEOM Bay NEOM Bay
Material Storage &
2.2 Visual Inspection Specification Section Specification H S S
Handling
017843/1.4 Section 017843/1.4
Testing of Gabion in Controlled document Third party
2.3 Visual Inspection H H H
visual inspection at lab Reference Book 5 Laboratory test

Legend:

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

DOCUMENT CODE : NEOM-NEN-SOP-008_FRM11 REVISION CODE: 01.00 P AGE 1 OF 3

©NEOM [2021]. All rights reserved.

Page 4 of 6 02-181100-4800000657-MAH-CIV-ITP-000001_01.
 INSPECTION AND TEST PLAN FOR INSTALLATION OF GABIONS
NEOM QUALITY MANAGEMENT SYSTEM Main Mofarreh Alharbi & Partners & BATCO
NEOM QMS-PRO-005-001 CONSTRUCTION OF Contractor JV
PROJECT (ITP) FOR INSTALLATION OF GABIONS Sub
Contractor N/A

Contract 4800000657/00 Contract ITP Rev. 13-Nov-

Design & Build of Rock Stabilization Wadi Interceptors 02-181100-4800000657-MAH-CIV-ITP-001 01 Date:
No: Title No.: No.: 2023

Level of Participation Points

S Controlling Document/ Acceptance
Activity Phase Inspection / Test Method Remark66
No. Reference Standard Criteria Main NEOM NEOM
Con. PMC Q&E
Clause No 1.7.2 result

3 Execution of Work
Technical Specification
3.1 Assembly of the Gabions Visual Inspection Book 5 JV-CIV-ICL-003-01 H W W
clause 1.7.3
Technical Specification JV-CIV-ICL-003-01
Visual Inspection
3.2 Lacing of the Gabions Book 5 H W W
clause 1.7.2
Technical Specification JV-CIV-ICL-003-01
Preparation of the
3.3 Visual Inspection Book 5 H W W
ground
clause 1.7.3
Technical Specification JV-CIV-ICL-003-01
3.4 Installation of gabions Visual Inspection Book 5 H H H
clause 1.7.3
Filling of the stone – 100 Technical Specification JV-CIV-ICL-003-01
3.5 -250 mm size & top layer Visual Inspection Book 5 H W W
– 100 mm size clause 1.7.3
Technical Specification JV-CIV-ICL-003-01
Closing the Gabions by
3.6 Visual Inspection Book 5 H W W
lacing wire
clause 1.7.3
Technical Specification
Work Inspection
3.7 Final Inspection Visual Inspection Book 5 H W W
Request
clause 1.7.3
4 Final Approval

Legend:

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

DOCUMENT CODE : NEOM-NEN-SOP-008_FRM11 REVISION CODE: 01.00 P AGE 2 OF 3

©NEOM [2021]. All rights reserved.

Page 5 of 6 02-181100-4800000657-MAH-CIV-ITP-000001_01.
 INSPECTION AND TEST PLAN FOR INSTALLATION OF GABIONS
NEOM QUALITY MANAGEMENT SYSTEM Main Mofarreh Alharbi & Partners & BATCO
NEOM QMS-PRO-005-001 CONSTRUCTION OF Contractor JV
PROJECT (ITP) FOR INSTALLATION OF GABIONS Sub
Contractor N/A

Contract 4800000657/00 Contract ITP Rev. 13-Nov-

Design & Build of Rock Stabilization Wadi Interceptors 02-181100-4800000657-MAH-CIV-ITP-001 01 Date:
No: Title No.: No.: 2023

Level of Participation Points

S Controlling Document/ Acceptance
Activity Phase Inspection / Test Method Remark66
No. Reference Standard Criteria Main NEOM NEOM
Con. PMC Q&E
Technical Specification
All records signed off and Approved
Book 5 H H H
closed, As-Built Records documents
clause 1.7.2
ITP Approval Signature
Sub-Contractor (If Applicable) Main Contractor PMC NEOM Q&E
Name: Name: KAILASH PATIL Name: Name:

Signature: Signature: Signature: Signature:

Date: Date: Date: Date:

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:

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

DOCUMENT CODE : NEOM-NEN-SOP-008_FRM11 REVISION CODE: 01.00 P AGE 3 OF 3

©NEOM [2021]. All rights reserved.

Page 6 of 6 02-181100-4800000657-MAH-CIV-ITP-000001_01.