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CHECK LIST

Project Name New Al Ain Hospital Employer Musanada

PMC ASC Engineer IFO

Contractor ASJ

Checklist Title: Material Checklist No.

Works Location: Related ITP #

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out Remarks
Yes No NA

1 Ensure MSF & MS are approved

Ensure all test results are achieved satisfactory result and approved by
2
consultant
Remarks:

Accompanying document :

For Contractor
For Supervision Consulatnt (Engineer)
Quality Inspector Quality Engineer

Name

Designation
Date

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Musanada

IFO

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Project Name New Al Ain Hospital Employer Musanada

PMC ASC Engineer IFO

Contractor ASJ

Checklist Title: Main Line Preperation Checklist No.

Works Location: Related ITP #

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out Remarks
Yes No NA
Ensure approved Sub main line shop drawings are followed and latest
1
revision.

2 Ensure excavation for sub main line at the required and approved levels.

3 Ensure approved material are used for installation sub main line.

4 Ensure pipe are backfilled by approved and acceptable material.

Remarks:

Accompanying document :

For Contractor
For Supervision Consulatnt (Engineer)
Quality Inspector Quality Engineer

Name

Designation
Date

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Musanada

IFO

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Project Name New Al Ain Hospital Employer Musanada

PMC ASC Engineer IFO

Contractor ASJ

Checklist Title: Lateral Line Preperation Checklist No.

Works Location: Related ITP #

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out Remarks
Yes No NA

1 Ensure approved and latest revision drawings are followed.

Ensure main line installation, irrigation control cable, pressure test


2
backfilling for main line has been finished are approved by consultant.

Ensure the excavation for lateral line (drip line,) at approved and required
3
levels.

4 Ensure approved material are used for the installation of the lateral line.

5 Ensure pipes are backfilled by approved and acceptable material.

Remarks:

Accompanying document :

For Contractor
For Supervision Consulatnt (Engineer)
Quality Inspector Quality Engineer

Name

Designation
Date

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Musanada

IFO

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Project Name New Al Ain Hospital Employer Musanada

PMC ASC Engineer IFO

Contractor ASJ

Checklist Title: Irrigation Accesories works Checklist No.

Works Location: Related ITP #

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out Remarks
Yes No NA

1 Ensure approved and latest revision drawings are followed.

Ensure approved materials are used for irrigation accessories (solenoid


2
valve, drip emitter.)

Remarks:

Accompanying document :

For Contractor
For Supervision Consulatnt (Engineer)
Quality Inspector Quality Engineer

Name

Designation
Date

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Musanada

IFO

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Project Name New Al Ain Hospital Employer Musanada

PMC ASC Engineer IFO

Contractor ASJ

Checklist Title: Cleaning Checklist No.

Works Location: Related ITP #

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out Remarks
Yes No NA

1 Ensure clean area which has been construction for Irrigation works.

Remarks:

Accompanying document :

For Contractor
For Supervision Consulatnt (Engineer)
Quality Inspector Quality Engineer

Name

Designation
Date

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Musanada

IFO

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Project Name New Al Ain Hospital Employer Musanada

PMC ASC Engineer IFO

Contractor ASJ

Checklist Title: Safety Checklist No.

Works Location: Related ITP #

Related Drawing(s)

Status - Acceptable
SN Description of checking to be carried out Remarks
Yes No NA
All safety measures shall be observed and must be supervised by
1
authorized H&S officer.
Remarks:

Accompanying document :

For Contractor
For Supervision Consulatnt (Engineer)
Quality Inspector Quality Engineer

Name

Designation
Date

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16


CHECK LIST
Musanada

IFO

Remarks

For Supervision Consulatnt (Engineer)

Form Ref: MUS-Q.REQ-CONST-QF-026, Rev-5, Date: 09-Feb-16

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