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Date: 10/04/2019
Our Ref: DW083-ITAL-PSL-LET-0040S

IHudOffle;-
Petroserv Limited
PO Box: 7098
Doha, State of Qatar
Tel. No. 4419 0333 ~. I~
Attention Mr. Gilbert Akik
Project Manager

Project Title Muaither, AI Mearad and Rawdat Abal Heeran TSE (DW083)

Project 10 IA/2017/C 024 I / C2018 - 83

Subject Method Statement for Excavation Works

Dear Sir,

We refer to your submittal ref. DW083-POO-PSL-CON-MST-00001 (Rev 04) dated 09/04/19

enclosing the Method Statement for Excavation Works.

The GEC advises the Contractor that the submission has been classified as Code A -
Approved.

The Document Review Comment Sheet is attached for your information and action.

Yours Faithfully,

(rrn
AHMED FAHIM ITALCONSULT
RESIDENT ENGIN ER ResIdent E.ngineer

CC:
Ahmed SA AI Salah - Senior Project Engineer - RPD
Faizul Faiz - RPD

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 Document Review Comment Sheet

PMC-FM-OM-028 Local Roads & Drainage Programme Revision: Date: I May 20 16

GEel Contractor: Areal Contract No.: Contract Title:

ITALCONSULT I PETROSERV IA 2017 C 02411 C2018 - 83 Muaither, AI Mearad and Rawdat Abal Heeran TSE

Document No.: Document Title: Transmittal No.: Date of Submittal:

DW083-POO-PSL-CON-MST-OOOOI
Method Statement for Excavation Works TML-OOI14 17-03-2019
Rev_ 03

Comment Category Approval

Section Reference Reviewer Position Comment Response Responder Position Status
No_ (R1S)

All additional operational and safety

controls recommended as fallout of
,. General Work
Procedure
Valentine
Bobby
SE
the 2# Utility damage incidents on
20103/19 are yet to be incorporated
C
Comments Incorporated in
Section 8.10 of Rev. 04 of this Samad P OCM
A
MS
into the excavation work
methodology/work procedures

GEe not aware that the Contractor Comments incorporated in

General Work Valentine Safety Manager for DW083 have Section 6 Under the title
2. SE C Samad P OCM A
Procedure Bobby been changed (as depicted in pg "Personnel Organization" of
8/53) Rev. 04 of this MS

This MS was made on the 17/03/19

and we had 2# Utility strikes on
General Work Valentine 20/03/19 . This MS stands invalidated
3. SE C Comments incorporated Samad P OCM
Procedure Bobby unless revised to address the root A
causes of the 2# Utility strikes on
20/03/19 .

Document Status:
P A - Appro\€d As Submitted r B - Appro\€d Except As Noted r c - Relised and Resubmit r D - Reject

-
B lllNCKERHOFF
THIS DOCUMENT IS UNCONTROLLED ONC E PRINTED - Last printed 4/10/2019 3:16:00 PM
Page 1 of 1
 dr~; i
~ar
Document Submittal Form LoaI ~& ~
".--Hlitlnll
- - -. ~-.~ '.
PMC-FM-CON-1504 Local Roads & Drainage Program me 4 Date: Jul. 2018

Document No : DW083-POO-PSL-CON-MST-00001 Rev. No : 04

Project Title : DW083 - Muaither, AI Mearad and Rawdat Abal Heeran TSE

Project No : IA 2017 C 024 I Date : 09-04-2019

Contractor : Petroserv Limited GEC : Italconsult

To the Supervision Consultant:

This submittal has been reviewed, checked and approved by an authorised person . The document(s)
has been coordinated with the requirements of the works and the project documentation. The contents
I-jave been verified prior to the submittal.

Document Submitted - (Requirement of QCS 2014, Section 2: QA/QC, Part 2: Submittals)

Project Quality Plan : 0 Inspection & Test Plan : 0

Quality Organisation Plan: 0 Method ·Statement / Method Statement Schedule· iii

Quality Checklist: 0 Key Performance Indicators : 0

Commissioning Plan: 0 Handover & Close Out Plan : 0

List of laboratories to be used for Testing 0 Non-Conforma nce / Audit Reports 0

Document Submitted - (Requirement of QCS 2014, Section 1: General, Part 7: Submittals)

Schedule of Submittals: 0 DraWings & Data: 0

Programme of Works / Programming Data 0 Construction Staff Organisation Chart: 0

Quality Organisation Chart: 0 Health & Safety Organisation Chart: 0

~

Health & Safety Plan: Quality Assurance Plan : 0

Inspection & Test Plan Schedule: Procurement Status Report: 0

Monthly Progress Report: Photographic Records : 0

Materials List: As Built Record Drawings: 0

Other: As Built Survey Drawings: 0

Document Submitted - (Additional Contract Submittal Requirements)

Constru ction En vironmental Plan : 0 Traffic Management Plan / Traffic Diversion Plan : 0

Project Specifi c LogistiCS Plan · 0 Methodology for Managing Subcontractors . 0

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED -last printed 4,912019 2 08 PM

PAIISOHS Page 1 of 2
BRINCICERHOFF
 Qatar "r.:: i
Document Submittal Form /~, "-=sillitlnlJ
lou! R<»<h • o.--.v
.-' . ... _... . . --. ...

PMC-FM-CON-1504
- - ---
I Local Roads & Drainage Programme I Revision : 14 Date: Jul. 2018

Details of Document(s) Submitted (Document No: Document Title: Revision No: Etc.: )

Document No: DW083-POO-PSL-CON-MST-00001

Revision No: 04

Title: Method Statement for Excavation Works

Contractor Declaration

We certify that the document(s) submitted are complete and have been reviewed in detail and meet
the requirements of the General Conditions of Contract and QCS 2014

Name: Gilbert Akik Signature:

Position: Project Manager

Date: 09-04-2019 (~ =
Supervision Consultant Response

We have reviewed the document(s) submitted and have provided our assessment of the document(s) in
meeting the requirements of the General Conditions of Contract and QCS 2014

Document(s) status:
~6\
Action Code A: [ill' Approved
AcllOn Code B: [QJ Approved with Comments
Acllon Code C: [QJ Revise and Resubmit

Acllon Code D: [QJ Rejected

Name: A~~ .
Signature:

Position: ~E
Date: 1I!1f.!0J IC; (rfr(
ITALCONSULT
Resident Engineer

THIS DOCUMENT IS UNCONTROLLED ONCE PRINTED Last pnnted 4·912019 2.08 PM

PARSONS Page 2 of 2
BRfNCI(ERHOFF