0000100324- CIVIL INSPECTION AND TEST PLAN

ITP No. 10-662171-0000100324-FTC-CIV-

Contract No. 0000100324-31
NEOM Temporary Roads Cast-in Place Concrete Works ITP-000003
RD-17 West 1 CH 0+000 – CH 4+000 km (Box Culvert) Revision: 02
Page No. 1 of 2

UNIT / AREA / LOCATION: DISCIPLINE: EQUIP. DESCRIPTION / TAG NO.:

CIVIL WORKS

Inspection / Test Requirements Reference Document(s) Method of Verification Report

Inspection
Activity
#
Activity Description Test or Inspection NEOM FMSCO PMC 3rd Party Request
Stage / Frequency Code, Spec, Etc. Acceptance Criteria Reference #
Performed

1.0 Shop Drawing Before start of IFC & Approved Shop Section 01 00 00_1.04; Approved from
N/A
works Drawings; Section 01 00 Section 03 30 00_1.3.A RH H RH NEOM.
00_1.04; Section 03 30
00_1.3.A

2.0 Method Statement Before start of Section 01 00 00_1.03 Section 01 00 00_1.03 Approved from
N/A RH H RH
works NEOM
3.0 Material Submittals for Ready Prior to Purchase Section 03 30 00_1.3.H; Section 03 Approved from
Document Review and Deliver at Site Section 03 20 00_1.3; 3000_1.3.H; Section
Mixed Concrete Design, Steel NEOM
Reinforcement, Embedded 10-721501-0000100244- 03 20 00_1.3 ; 10- RH R/H RH T
Items (Piping, Sleeves, KAA-STR-DRG- 721501-0000100244-
061001_03 KAA-STR-DRG-
Anchors, Water stop.) 061001_03
4.0 Material Receiving Steel Document Review
Every Delivery of Section 03 20 00_Part 2; Section 03 20 00_Part (WIR) Inspection
Reinforcement, Embedded Material Section 03 30 00_Part 2; 2 Section 03 30 Request, Material
& Visual Inspection
Items (Piping, Sleeves, 10-721501-0000100244- 00_Part 2; 10-721501- Test Certificates,
H S R/H
KAA-STR-DRG- 0000100244-KAA- Delivery Notes,
Anchors, Water stop . . .etc.)
061001_03 STR-DRG-061001_03 IFC Drawing /Shop
Drawing
5.0 Survey: Visual Survey Each Layer/Lift IFC & Approved Shop Section 01 00 00_1.10 (WIR) Inspection
 Bench Mark, Survey Inspection Drawings; Section 01 00 Request, Survey
 Control Points 00_1.10 W W W Report
 Location & Lay-out
Area of each Lift/Layer
 0000100324- CIVIL INSPECTION AND TEST PLAN
6.0 Lean Concrete Visual Inspection Every Location IFC & Approved Shop 10-721501-0000100244- (WIR) Inspection
Placement & Survey Drawings; 10-721501- KAA-STR-DRG- Request, Inspection
0000100244-KAA-STR-DRG- 061001_03; 10-662171- W H W Checklist, Survey
061001_03; 10-662171- 0000100324-FTC-CIV- Reports, Approved
0000100324-FTC-CIV-SHD- SHD-000001 - 000021 Drawings
000001 - 000021
7.0 Pre-pouring Inspection Visual Inspection Every Location Prior IFC & Approved Shop Section 03 11 00_3.10 ; (WIR) Inspection
(Fixing/Installation of & Survey to Concrete Drawings; Section 03 11 Section 03 20 00_Part 3; Request, Inspection
Reinforcements, Placement 00_3.10 ; Section 03 20 10-721501-0000100244- H H H Checklist, Survey
00_Part 3 ; 10-721501- KAA-STR-DRG-
Formworks, Embedded Reports, Approved
0000100244-KAA-STR-DRG- 061001_03
Items) Drawings
061001_03
8.0 Concrete Testing, Visual Inspection 1 set of 6 cylinders, IFC & Approved Shop Section 03 30 00_Part 2 (WIR) Inspection
Placement and / Sampling, every 20 cu.m. Drawings;, Section 03 30 & 3 ; 10-721501- Request, Inspection
Inspection Testing Temperature < 32ºC 00_Part 2 & 3 ; 10-721501- 0000100244-KAA-STR- W H W T Checklist, Test
& Slump 100 ±25mm 0000100244-KAA-STR-DRG- DRG-061001_03
Report, Approved
every truck delivered 061001_03
Drawings
9.0 Post-Pour Concrete Visual Inspection Every Location IFC & Approved Shop Section 03 11 00-5_3.6; (WIR) Inspection
Inspection Drawings; Section 03 11 00- Section 03 30 00-5_H.; Request, Inspection
(Formworks Removal & 5_3.6; Section 03 30 00-5_H.; Section 03 30 00- Checklist, Approved
W H W
Section 03 30 00_3.10.A.; 10- 23_3.10.A.; 10-721501-
Workmanship / Drawings
721501-0000100244-KAA- 0000100244-KAA-STR-
Concrete Repair Works) DRG-061001_03
STR-DRG-061001_03
10.0 Concrete Curing Visual Inspection Every Location IFC & Approved Shop Section 03 30 00- (WIR) Inspection
Inspection Drawings; Section 03 30 00- 9_2.2.F.; Section 03 30 Request, Inspection
(Curing Materials / 9_2.2.F.1; Section 03 30 00- 00-20_3.7; 10-721501- Checklist, Approved
W H W
20_3.7; 10-721501- 0000100244-KAA-STR-
Protection) Drawings
0000100244-KAA-STR-DRG- DRG-061001_03
061001_03

11.0 Concrete Testing Final Visual Every Sample IFC Drawings; Section 03 30 00_3.11 (WIR) Inspection
Acceptance Inspection/ Cylinders Section 03 30 00_3.11 Request, Inspection
Sampling, R/W H R/W T Checklist, Test
Testing
reports

Contractor QC Date & Signature /Stamp No. NEOM Insp. (Date & Signature.) Others

Legend: R – Document Review; S – Surveillance; T – Testing; W - Witness Point; H - Hold Point; RH – Review & Approval of Documents
 0000100324-Inspection Checklist for Structural Concrete Pre-Pouring Inspection

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Structural Concrete Pre-Pouring Inspection

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading &

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km Contracting Co.

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

Materials Inspection
Reinforcing Steel: Deformed 60 ksi yield grade steel, SASO 2 or ASTM A 615 and SECTION 03 20
01
supplementary requirements S1 or ASTM A 706 for welding. 00, 2.1.B
Plain Dowel Bars for Expansion Joints: Smooth grade 60 ksi yield grade steel, SECTION 03 20
02
SASO 2 or ASTM A 615 00, 2.1.E
PVC waterstops size shall be as recommended by manufacturer for the intended
SECTION 03 30
03 application, unless otherwise shown on Drawings, with minimum 10 mm thickness
00, 2.2.B
and not less than 150 mm width.
Polyethylene sheeting conforming to ASTM D 4397, minimum 200 microns thick
SECTION 03 30
04 having a vapor permeance rating not exceeding 0.063 perms, and shall be laid with
00, 2.2.C
300 mm overlapping.
SECTION 31 12
05 All Materials to be used musty be Submitted and Approved prior to used.
13, 3.4.3
Reinforcement & Embedded Items Installation Inspection

All reinforcement to be free of loose mill scale, loose or thick rust, dirt, paint, oil or SECTION 03 20
01
grease. 00, 3.1.A
Place all reinforcement in the exact position indicated. With tie wire, tie bars
SECTION 03 20
02 together at all intersections except where spacing is less than 12 inches in each
00, 3.1.B
direction, in which case tie alternate intersections.

Maintain the distance from vertical forms and between layers of reinforcement by SECTION 03 20
03
means of prefabricated chairs, ties, hangers, or other approved devices. 00, 3.1.C

Furnish all reinforcement in the full lengths indicated unless otherwise permitted.
SECTION 03 20
04 Splicing of bars, except where indicated is not permitted without written approval.
00, 3.2.A
Stagger splices where possible.

Unless indicated otherwise, overlap reinforcing bars a minimum of 30 diameters to

SECTION 03 20
05 make the splice. In lapped splices, place the bars and wire to maintain the
00, 3.2.B
minimum distance for clear spacing to the surface of the concrete.

Maintain reinforcing steel in the proper position continuously during SECTION 03 30

06
concrete placement operations. 00, 3.3.E

Place all sleeves, inserts, anchors and embedded items prior to concrete SECTION 03 20
07
placement. Temporarily fill voids in embedded items to prevent entry of concrete. 00, 3.3.A

Provide expansion joints to permit both horizontal and vertical differential SECTION 03 30
08
movements. Place expansion joints at locations shown on the Drawings. 00, 3.4.B

Provide waterstops in construction joints. Install waterstops to form a continuous

SECTION 03 30
09 diaphragm in joint. Make provisions to support and protect waterstops during
00, 3.4.C
progress of work.
 0000100324-Inspection Checklist for Structural Concrete Pre-Pouring Inspection

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Structural Concrete Pre-Pouring Inspection

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading &

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km Contracting Co.
Formworks Inspection

Faced with material which will produce smooth and uniform texture on concrete,
SECTION 03 11
01 unless indicated otherwise. Do not use material with raised grain, patches, or other
00, 2.1
defects which will impair texture of concrete surface.
SECTION 03 11
02 Forms sufficiently tight to prevent loss of concrete.
00, 3.1.A
Unless indicated otherwise, place chamfer strips in corners of forms to produce SECTION 03 11
03
bevelled edges on permanently exposed exterior corners. 00, 3.1.B

To maintain specified finish tolerances, camber formwork to compensate for SECTION 03 11

04
anticipated deflections. 00, 3.1.C

Anchor formwork to Shores, supporting surfaces or members to prevent upward or

SECTION 03 11
05 lateral movement and deflection of any part of formwork system during concrete
00, 3.1.I
placement.

Provide temporary ports in formwork to facilitate cleaning and Inspection. Locate SECTION 03 11
06
openings at bottom of forms to allow flushing water to drain. 00, 3.1.E

Before commencing a pour, to verify connections, form alignment, ties, inserts and SECTION 03 11
07
Shoring are placed and secure. 00, 3.10.B

REMARKS:

Contractor / Third-Party NEOM

Construction Representative*
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector NEOM Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Name, Initials and Date:

Quality Record Approved:
Name, Sign and Date:
 0000100324-Inspection Checklist for Concrete Testing, Sampling & Placement Checklist

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Concrete Testing, Sampling & Placement Checklist

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km & Contracting Co.

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

Engage a qualified independent testing and inspecting agency approved by

SECTION 03 30
01 Engineer to sample materials, perform tests, and submit test reports during
00, 3.11.A
concrete placement according to requirements specified herein.
Concrete Mix Design must be Approved prior to Used on each every Class SECTION 03 30
02
of Concrete. 00, 1.3.H
Before placing concrete, inspect and complete the formwork installation,
reinforcing steel, and securely install all required inserts, anchors, sleeves, SECTION 03 30
03
conduits and other items specified under other sections to be embedded or 00, 3.2.A
cast-in.
Slump: Conform to SASO 379 or ASTM C 143; one test for each concrete
SECTION 03 30
04 load at point of placement and one for each set of compressive strength
00, 3.11.B
test specimens.
At the time of placement, the temperature of the concrete shall not exceed SECTION 03 30
05
32deg Celsius. 00, 3.3.H
Compressive Strength Tests: ASTM C 39/ASTM C 31; cast and cure one
set of 6 standard cylinders for each 20 m3 or fraction thereof, of each mix
SECTION 03 30
06 design placed in any one day or for each 100 m2 of surface area placed; 2
00, 3.11.B
specimens tested after 7 days, 3 specimens tested after 28 days, and one
specimen retained in reserve for later testing if required.
Where concrete is placed on ground or sub-course, the foundation upon
which concrete is placed shall be clean, damp, and free from standing or
SECTION 03 30
07 running water. Prior to placing concrete, the earth foundation shall have
00, 3.2.B
been satisfactorily compacted and all subgrades approved by the Engineer
prior to placing concrete.
Polyethylene vapor barrier shall be placed between concrete blinding and
SECTION 03 30
08 concrete footing leaving extra width on both sides which shall then be
00, 3.2.E
tucked up to wrap the concrete footing after the form removal.

Place concrete in the forms or excavation as close as possible in final

SECTION 03 30
09 position, in uniform, approximately horizontal layers, not over 600 mm deep
00, 3.3.A
unless otherwise directed.
Do not drop concrete freely for more than 1.5 m, nor allow it to drop freely SECTION 03 30
10
through congested rebarring areas which could cause segregation. 00, 3.3.A
Do not use concrete which becomes non-plastic and unworkable, or does
11 not meet the required quality control limits or which has been contaminated SECTION 03 30
by foreign materials. Do not use retempered concrete. 00, 3.3.A
 0000100324-Inspection Checklist for Concrete Testing, Sampling & Placement Checklist

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Concrete Testing, Sampling & Placement Checklist

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km & Contracting Co.
Concrete transported in truck mixers or truck agitators shall be delivered to
the site and placed in the forms within 60 minutes. This time limitation may
be increased by the Engineer at his discretion when additional super- SECTION 03 30
12
plasticizer is added to the concrete mix so as to retard the initial set for 00, 3.3.B
greater periods. In no case will additional water be added to the mix
(tempering) after the concrete leaves the batching plant.

Consolidate concrete placed in forms with mechanical vibrating equipment

SECTION 03 30
13 supplemented by hand-spading, rodding or tamping. Do not use vibrators
00, 3.3.D
to transport concrete inside of forms.
Bring slab surfaces to the correct level with a straightedge and strike off.
Use bull floats to smooth the surface, leaving it free of humps or hollows. SECTION 03 30
14
Do not sprinkle water on plastic surfaces. Do not disturb slab surfaces prior 00, 3.3.E
to finishing operations.
SECTION 03 30
15 Proper finishing of concrete Surfaces after placing of fresh concrete.
00, 3.5
Protect freshly placed concrete from premature drying and excessive hot
temperature, and maintain without drying at a relatively constant
SECTION 03 30
16 temperature for the period of time necessary for hydration of the cement
00, 3.7
and proper hardening of the concrete. Continue curing for at least 7 days in
accordance with ACI 301 procedures.
Acceptance: Strength of each concrete mix will be satisfactory if every
average of any three consecutive compressive-strength tests equals or SECTION 03 30
17
exceeds specified compressive strength and no compressive-strength test 00, 3.11.D
value falls below specified compressive strength by more than 3.4 MPa.

REMARKS:

Contractor / Third-Party NEOM

Construction Representative*
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector NEOM Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Name, Initials and Date:

Quality Record Approved:
Name, Sign and Date:
 0000100324 - Inspection Checklist for Structural Concrete Post -Pour Inspection

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Structural Concrete Post-Pour Inspection

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km & Contracting Co.

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

SECTION 03 11
01 Do not pry against face of concrete. Use only wooden wedges.
00-5, 3.6.A

When repair of surface defects or finishing is required at an early age,

SECTION 03 11
02 remove forms as soon as concrete has hardened sufficiently to resist
00-5, 3.6.B
damage from removal operations.

Remove top forms on sloping surfaces of concrete as soon as concrete has

attained sufficient stiffness to prevent sagging. Perform needed repairs or SECTION 03 11
03
treatment required on such sloping surfaces at once, followed by specified 00-5, 3.6.C
curing.

Loosen wood forms for wall openings as soon as it can be accomplished SECTION 03 11
04
without damage to concrete. 00-5, 3.6.D

Formwork for columns, walls, sides of beams, and other members not
SECTION 03 11
05 supporting the weight of concrete may be removed as soon as the concrete
00-5, 3.6.E
has hardened sufficiently to resist damage from removal.

Repair concrete work not conforming to the specified requirements, SECTION 03 30

06
including strength, tolerances and finishes. 00-5, H.1

SECTION 03 30
07 Correct deficient concrete as directed by the Engineer at no cost to Owner.
00-5, H.2

Repair and patch defective areas with cement mortar immediately SECTION 03 30
08
after removal of forms, but only when directed by the Engineer. 00-23, 3.10.1
Cut out honeycomb, rock pockets, voids over 12 mm diameter, and holes
left by tie rods and bolts, down to solid concrete but in no case, to a depth
of less than 25 mm. Make edges of cuts perpendicular to the concrete
SECTION 03 30
09 surface. Before placing the cement mortar, thoroughly clean, dampen with
00-23, 3.10.2
water, and brush-coat area to be patched with neat cement grout.
Proprietary patching compounds may be used when acceptable to the
Engineer.
For exposed to public view surfaces, blend white Portland cement and
standard Portland cement so that when dry, the patching mortar will match
the color of the surrounding concrete. Provide test areas at inconspicuous SECTION 03 30
10
location to verify mixture and color match before proceeding with the 00-24, 3.10.3
patching. Compact mortar in place and strike off slightly higher than the
surrounding surface.

Fill holes extending through concrete by means of a plunger-type gun or

SECTION 03 30
11 other suitable device from the least exposed face, using a flush stop held at
00-24, 3.10.4
the exposed face to ensure complete filling.
 0000100324 - Inspection Checklist for Structural Concrete Post -Pour Inspection

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Structural Concrete Post-Pour Inspection

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km & Contracting Co.
REMARKS:

Contractor / Third-Party NEOM

Construction Representative*
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector NEOM Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Name, Initials and Date:

Quality Record Approved:
Name, Sign and Date:
 0000100324 - Inspection Checklist for Structural Concrete Curing Inspection

Document No. : Rev 02 05-Oct-21

NUMBER DATE WIR NUMBER
Structural Concrete Curing Inspection

CIVIL
PROJECT TITLE CONTRACT NUMBER CONTRACTOR

NEOM Temporary Roads Fields Modern Solutions Trading

100324/31
RD-17 West 1 CH 0+000 – CH 4+000 km & Contracting Co.

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

Absorptive Cover: Conform to AASHTO M 182, Class 3; burlap cloth made SECTION 03 00
01
from jute or kenaf and with a minimum density of 290 gm/m². 00-9, 2.2.F.1

Protect freshly placed concrete from premature drying and excessive hot
temperature, and maintain without drying at a relatively constant SECTION 03 30
02
temperature for the period of time necessary for hydration of the 00-20, 3.7.A.1
cement and proper hardening of the concrete.

Start curing procedures as soon as free moisture has disappeared from

SECTION 03 30
03 concrete surface. Continue curing for at least 7 days in accordance with
00-20, 3.7.A.2
ACI 301 procedures. Avoid rapid drying at the end of final curing period.

Use only water that is free of impurities which could etch or discolor SECTION 03 30
04
exposed, natural concrete surfaces. 00-20, 3.7.B.1.a

Covering the concrete surface with the specified absorptive cover,

thoroughly saturating the cover with water, and keeping the absorptive SECTION 03 30
05 cover continuously wet. Place absorptive cover so as to provide coverage 00-20,
of the concrete surfaces and edges, with a 100 mm lap over adjacent 3.7.B.1.b.3
absorptive covers.

REMARKS:

Contractor / Third-Party NEOM

Construction Representative*
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector NEOM Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Name, Initials and Date:

Quality Record Approved:
Name, Sign and Date: