Client: R12-S00C03 –8200- Site Wide External Works & Infrastructure for a

Project:
Central Logistics-Hub
Document Title: R12-S00C03 – ITP FOR BACKFILLING ROAD WORKS

Aconex Doc. No. R12-S00C03-TIE-ITP-CI-0001

Revision No. C0

Document Title: R12-S00C01 -ITP AND CHECKLIST

FOR HDPE PIPE INSTALLATION
R12-S00C01 –8200- Site wide External Works &
Infrastructure For a Central Logistics-Hub

Rev. Date Purpose of Issue Prepared By Checked By Approved By

C0 18-Dec-2023 Issue For Approval M.Ikram Israr Ahmad Shang Jianzhu
Document Transmittal Form
RSG-DC-FRM-0001

RED SEA PROJECT

General Information
To RSG - Red Sea Global Transmittal No. R12-S00C01-TIE-ITP-CI-0002
Name Bandar Al sulaimani Date 18-Dec-23
Firm RSG - Red Sea Global From Muhammad Ahsan
7924 Ashaikh Hasan Ibn Hussain Ibn Ali Rd
Address & Tel. NO Qurtubah Dist. Unit No 12 Project/Department Central Logistic Site-Wide
Riyadh 13245-4087
Email [email protected] Re C0

The following is being transmitted:

☐ Drawings ☐ Specifications ☐ Vendor Invoices ☐ Copy of Letter

☐ Plans ☐ Change Order ☐ Shop Drawings ☐ Samples

☒ Others (Please specify) Inspection and Test Plan

Copies Document No. Description

1
R12-S00C03-TIE-ITP-CI-0001 TP AND CHECKLIST FOR HDPE PIPE INSTALLATION

Transmitted via

☐ Hand Delivery ☒ Registered Mail ☐ Courier

Status
☒ For Approval ☐ For Information ☐ Returned for Corrections

☐ For Your Use ☐ Approved as Submitted ☐ Returned Corrected Prints

☐ For Review and Comment ☐ Approved as Noted Others (Please specify):

☐
☐ As Requested ☐ Resubmit Copies for Approval

Remarks

Acknowledgement

Shang Jianzhu
18-Dec-23
Name Signature Date

RSG-DC-FRM-0001
Rev. 00, 16 Nov 2022 Page 1 of 1
 INSPECTION AND TEST PLAN
Project Title: CENTRAL LOGISTICS HUB (CLH) SITEWIDE EXTERNAL WORKS & INFRASTRUCTURE

ITP Title: ITP AND CHECKLIST FOR HDPE PIPE INSTALLATION ITP NO. R12-S00C03-TIE-ITP-CL-0001

PROGRAM NO PROJECT CODE

UNIT NO: KKS NO. REV. C0

INSPECTION RESPONSIBILITY QUALITY

ASSIGNMENTS RECORDS Remarks
ITE
M REFERENCE SUB-
PROJECT PHASE / TASK / ACTIVITY DOCUMENTS CONTRA EPC CLIENT
NO. ABENGOA
CTOR
0 Document Review

0,1 Method Statement for HDPE pipe Installation MOS H R R R MOS

Approved
0,2 Erection Drawings Erection H R R R Drawings
Drawings
1 Material Receiving
Check that Identification and Material condition Packing list
1,1 (Check pipe diameter / thickness / spool number at Manufacture H S S S MRIR
2 places in each length) standard
Manufacture
1,2 Calibration certification of tools H H S R Calibration certificates
standard
2 Setting out Location
Check the excavation location in According to
2,1 Approved Coordinates IFC Drawing H W S S Survey report
 3 Trench Excavation
Marking of underground Utilities Excavation
3,1 Layout MOS H S S S Approved Drawing

3,2 Confirmed The dewatering of required MOS H S S S Approved Drawing

Excavation (sloping, shoring. Bracing) and MS ASTM Check List for
3,3 bedding. (Tolerance +20 mm) D3839 H W S/R S/R Excavation

Check List for

3,4 Checking dimension, level of the excavation MOS H W S/R S/R Excavation/
Survey report

Report of Compaction
3,5 Compaction of Subgrade/ Compaction 90% IFC Drawing H W W W
Test by 3rd party
4 Installation
Check the laying of the pipe bedding location and
4.1 elevation including piping alignment Cleaning of IFC Drawing H W W S Check List
subgrade
Installation inspection of piping system including
4.2 Location, Elevation and Routing with necessary valves, IFC Drawing H W W S Check List
vents, drains, and blinds / caps.
4.3 Insulating Spool / Flange Installation IFC Drawing H W W S Check List
4.4 Valve Installation IFC Drawing H W W S Check List

4.5 Flange Joint Gasket verification and bolt tightening IFC Drawing H W W S Check List
Joint Connections inspection
1-Trail welding inspection.
4.6 2-Compilation of recorded reports of welding IFC Drawing H W W S Check List
parameters
3- final joint quality (Visual inspection)
 5 Fill Material
5,1 Fill material Approval MOS / ASTM Lab Test Report by
/Red See H W R R 3rd party
Specification
6 Backfilling
6,1 Spread Back Fill Layer and compacted /FDT test MOS / ASTM FDT Report by 3rd
Minimum 95% D3839/ 250 +/- party
H W W S/R
50 mm back fill
layer thickness
6,2 Final location, Level and Alignment check MOS / ASTM Backfilling check list
D3839 H W W S/R

7 Final Inspection

7.1 Hydro Test

MOS H H H H Hydro Test

7.2 Test package review and walk down

Documents H W W S Test Package

7.3 Reinstatement
Documents H W W S Test Package
7.4 Flushing
IFC Drawing W W S R WIR

LEGEND
H: Hold Point W: Witness Point R: Documents S: Surveillance
Review
 CHECKLIST FOR DOCUMENT INSPECTION
Department WIR No.

Description Check list code:

ABG Reference CHK-QC-0002-01
DrawingNo.
KKS No.

Location

SN Description Accepted Rejected Remarks

1 Review of Drawing has been approved.

2 MOS or Procedure has been approved.

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date
 CHECKLIST FOR MATERIAL INSPECTION
Department WIR No.

Description Check list code:

ABG Reference CHK-QC-0002-02
DrawingNo.
KKS No.

Location

SN Description Accepted Rejected Remarks

1 Manufacturing Quality Release Certificate available

2 Manufacturer Drawings available (IF ANY)

3 Check for Material identification & preservation

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date
 Excavation Check
list
Department WIR No.

Description Check list code:

ABG Reference CHK-QC-0002-03

KKS No. Drawing No.

Location

SN Description Accepted Rejected Remarks

1 Dimensions/Orientation as per drawing requirements

2 Appearance/profile and depth

3 Benching and Sloping

4 Trench bed adequacy

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date
 Check List No:CHK-QC-0002-0004
Date:
Inspection Check List for Installation Ref. WIR No:
Date:
Drawing No/Rev.: ITP / Rev: R13-013B01-ABG-ITP-QC-0002
Location: Building/Structure:

ITP StepNo
Details of check Requirement Pass Fail N/A Remarks
-Check the laying of the pipe bedding location andelevation
5.1 Elevation and location including piping alignment
-Ensure all latest revision of drawings areapproved /
5.2 Installation of Piping issued for construction
-Fixing and positioning in location& elevationfor Pipe Line
and supports
-Checking of alignment, in line withconstruction
drawings
-Ensure all latest revision of drawings areapproved /
5.3 Insulating Spool/FlangeInstallation issued for construction
-Fixing and positioning in location& elevation
-Checking of alignment, in line withconstruction
drawings
-Ensure all latest revision of drawings areapproved /
5.4 Valve Installation issued for construction
-Fixing and positioning in location& elevation
-Checking of alignment, in line withconstruction
drawings
5.5 Flange Joint Gasket verificationand bolt -Ensure all latest revision of drawings areapproved /
tightening issued for construction
-Fixing and positioning in location& elevation
-Checking of alignment, in line withconstruction
drawings
5.6 Joint Connections (threaded &socket) -Check connection welding for joints

Remarks:

Final conclusion Accepted Rejected

Check by SUBCONTRACTOR EPC CLIENT
Organization
Full Name
Date
Signature
 Back fill Check List
Department WIR No.

Check list code:

Description ABG Reference CHK-QC-0002-05

Drawing
KKS No. No.

Location

SN Description Accepted Rejected Remarks

1 Backfilling material confirmed to specification

2 Backfill material free from debris and other foreign matters

Check layer thickness confirm to drawing lift thickness 250 ±

3
50 mm

4 Compaction test per layer/lift satisfactory

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date
 Compaction Test Checklist
Department WIR No.

Description Check list code:

ABG Reference CHK-QC-0002-06

Drawing No.
KKS No.

Location

Type of Subgrade: Type of Fill/Bedding:

Lift Thickness: 250 ± 50 mm Max Density:

Min Compaction required: 95% Type of Compactor:

Field Test Equipment Used Calibration certificate:

Type/Model Serial No

Density Test Results

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date
 CHECKLIST FOR LINE CHECK BEFORE TEST
Department WIR No.
Check list code:
Description ABG Reference CHK-QC-0002-07

KKS No. Drawing No.

Location

SN Description Accepted Rejected Remarks

1 Check of pressure test boundary as per the marked drawing

2 Check of pipe completed as per the drawing

3 Check of supports completed as per the drawing

Check for documentation of pressure test (pressure

4 test package)

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date
 Hydrostatic Test Record
Contractor WIR Check list Code:
CHK-QC-0002-08
No: (ABG Reference)
Client: Reference P&ID:

Contractor: Test Package:

Date: Apply Code:
System: Max Operating Pressure:

Design Pressure: Test Pressure:

Measuring Instruments Used

Manometer 1: Manometer 2: Manometer 3:

Range: Range: Range:

Calibration: Calibration: Calibration:

S/N: S/N: S/N:

Duration of the Test

Fluid Used: Gauge Pressure Unit: kg/cm2 psig

Gauge Pressure
No. Time Amb. Temp.: °C
1 2 3
1

5
Comments:

Issued
Sub-Contractor Abengoa EPC Client
by

Signature

Name

Title

Date
 CHECKLIST FOR FLUSHING OR CLEANING

Department WIR No.

Description Check list code:

ABG Reference CHK-QC-0002-09

Drawing No.
KKS No.

Location

SN Description Accepted Rejected Remarks

1 Check of flushing water cleanness

2 Check of flushing water quality report

10

Note:

ISSUED BY Sub-Contractor Abengoa EPC Client

Signature

Name

Title

Date