0000100324- CIVIL INSPECTION AND TEST PLAN
ITP No. 10-662171-0000100324-
                                     Contract No. 0000100324-31                            Earthworks (Clearing & Grubbing,                     FTC-CIV-ITP-000001_01
                                      NEOM Temporary Roads                              Excavation, Embankment and Backfilling)                 Revision: 01
                                RD-17 West 1 CH 0+000 – CH 4+000 km                                                                             Page No. 1 of 2
         UNIT/ AREA / LOCATION:                                            DISCIPLINE                                 EQUIPMENT DESCRIPTION / TAG NUM
.                                                                                      CIVIL WORKS
                                                                                                     Reference Document(s)                  Method of Verification            Report
                                                 Inspection / Test Requirements
                                                                                                                                                                            Inspection
    Activity
       #
                   Activity Description                                                                                                                                      Request
                                                Test or Inspection                                                                        FMSCO                SAFCO
                                                                                                                                                                            Reference #
                                                                     Stage/Frequency         Code, Spec, Etc.       Acceptance Criteria              PMC
                                                   Performed
      1.0      Shop Drawing                                                              SECTION 01 00 00, 1.04   IFC Required                                           Approved from
                                                N/A                  N/A                                                                   H         R/H
                                                                                                                                                                         NEOM.
      2.0      Method Statement                                      Before start of     SECTION 01 00 00,        Detail Procedure                                       Approved from
                                                N/A                                                                                        H         R/H
                                                                     works               1.03                                                                            NEOM
      3.0      Material Sampling for Existing                        Every 5,000 Cu.m EARTHWORKS                  3RD PARTY TEST                                         (WIR)Inspection
                                                Sampling
               and Borrow Fill /Stockpile                            1 sample soil     SECTION 31 00 00, 1.3 ;    REPORTS,                                               Request
               Material & Approval of Source                         Classification, 1 SECTION 312000,3.19        EARTHWORKS              R/H         W          T
                                                                     CBR                                          SECTION 31 00 00,
                                                                                                                  1.3 ; SECTION
                                                                                                                  312000,3.19
      4.0      Existing Material/Borrow Fill                         Every 5,000 Cu.m EARTHWORKS                  3RD PARTY TEST                                         Third Party Test
                                               Document Review
               Stockpile Material Test Reports                       1 sample soil     SECTION 31 00 00, 1.3 ;    REPORTS,                                               Reports
               Review                                                Classification, 1 SECTION 312000,3.19        EARTHWORKS              R/H        R/H             T
                                                                     CBR                                          SECTION 31 00 00,
                                                                                                                  1.3 ; SECTION
                                                                                                                  312000,3.19
      5.0      Survey Setting/ Instrument: Visual Inspection/    Control Point/          IFC Drawings             IFC Drawings                                           (WIR)Inspection
                   Bench Mark, Survey      Calibration of Survey Before start of                                                                                         Request, Survey
                   Control Points          Instrument            excavation/                                                              IW           I                 Report
                   Location & Lay-out Area                       Survey Each
                   to clearing and fill                          Lift
                   materials.
10-662171-0000100324-FTC-CIV-ITP-000001_01                                                      1                                                                           Page 1 of 7
                                            0000100324- CIVIL INSPECTION AND TEST PLAN
   6.0    Clearing, Grubbing and        Visual Inspection     Every Location   IFC Drawings, SECTION IFC Drawings, SECTION                          (WIR)Inspection
          Stripping and Visual                                                 31 10 00, 1.1 & 3.1,3.3,3.4 31 10 00, 1.1 &                          Request,
          Inspection prior to Filling                                                                      3.1,3.3,3.4           H/W       W
                                                                                                                                                    Inspection
                                                                                                                                                    Checklist,
                                                                                                                                                    Survey Reports,
   7.0    Embankment &                                                         IFC Drawings,             IFC Drawings,                               (WIR)Inspection
          Subgrade Filling and                                                 EARTHWORKS                EARTHWORKS                                  Request,
          Compaction Testing of          Visual Inspection,     Every Layer;   SECTION 31 00 00, 3.2 &   SECTION 31 00 00, 3.2   H         IW
                                                                                                                                                T    Inspection
          Backfill materials (layer/            FDT            1 Test hole/500 3.3 ; SECTION             & 3.3; SECTION                              Checklist,
                                                                    Sq.m       312000,3.19               312000,3.19 95% MDD
          lifts)                                                                                                                                     Survey Reports,
                                                                                                                                                     FDT reports
   8.0    Final Layer (FDT and Survey    Visual Inspection, Final Layer; 1 Test IFC Drawings,         IFC Drawings,                                 (WIR)Inspection
          Final Subgrade)                       FDT           hole/500 Sq.m EARTHWORKS SECTIONEARTHWORKS                                            Request,
                                                                                31 00 00, 3.2 & 3.3 ; SECTION 31 00 00, 3.2      H         IW
                                                                                                                                                T   Inspection
                                                                                SECTION 312000,3.19   & 3.3; SECTION
                                                                                                                                                    Checklist, Survey
                                                                                                      312000,3.19 95% MDD
                                                                                                                                                    Reports, FDT
                                                                                                                                                    reports
         Contractor QC Date & Signature /Stamp No.                    NEOM Insp. (Date & Signature.)                              Others
 Legend: I – Inspection; R – Document Review; T – Testing; W - Witness Point; H - Hold Point; RH – Review & Approval of Document
10-662171-0000100324-FTC-CIV-ITP-000001_01                                            2                                                                 Page 2 of 7
                         0000100324-Inspection Checklist for Fill Placement and Compaction Testing Inspection
 Document No. :                                                                           Rev 01         13-Jul-21
                                                                                 NUMBER               DATE           WIR NUMBER
 Fill Placement and Compaction Testing 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.
       The Contractor will engage a qualified geotechnical engineering
                                                                                  SECTION 31 00 00,
01     testing agency, approved by the Engineer, to perform tests and
                                                                                       1.4 B
       inspections.
       Material shall be approved prior to use with Material Test Reports
       from a qualified testing agency indicating and interpreting test
       results for compliance of the following with requirements
       indicated:
                                                                                   S18127-0100D-MI-
       1. Classification according to ASTM D 2487 of each on-site or
                                                                                   TDR-SPC-GE-01,
02     borrow soil material proposed for backfill, fill, embankment and
                                                                                   SECTION 312000,
       subgrade layer.
                                                                                        1.4.h
       2. Laboratory compaction curve according to AASHTO T-180
       (Method D) Modified Proctor for each on-site or borrow soil
       material proposed for back-fill, fill, embankment and subgrade
       layer.
       Minimum soil tests required during the construction of subgrade
       and/or embank-ment are:
       1. One sample for CBR, and laboratory (Moisture - density) or
       relative density compaction from each source prior to use. Each
                                                                                   S18127-0100D-MI-
       sample shall represent not more than 5,000m3.
                                                                                   TDR-SPC-GE-01,
03     2. One sample for classification (AASHTO M145) representing
                                                                                   SECTION 312000,
       not more than 3,000m3 of the material in use.
                                                                                        3.19 A
       3. For every completed layer, one field density shall be
       determined every 500 m2. Testing shall be in accordance with
       ASTM D1556 (Sand Cone Method) or ASTM D2167 (Rubber
       Balloon Method) or ASTM D2922 (Nu-clear Method).
       Remove vegetation, debris, unsatisfactory soil materials,
       obstructions, and deleterious materials from ground surface prior
       to placement of fills. Plow strip, or break up sloped surfaces             SECTION 31 00 00,
04
       steeper than 1 vertical to 4 horizontal so that fill material will bond         3.3 A
       with existing surface to depth of 300 mm and compact to required
       depth as directed by the Engineer.
         10-662171-0000100324-FTC-CIV-ITP-000001_01                                                                    Page 3 of 7
     Place backfill and fill materials in layers not more than 200 mm in
     loose depth for material compacted by heavy compaction                   SECTION 31 00 00,
05
     equipment and not more than 100 mm in loose depth for material                3.3 B
     compacted by hand-operated tampers.
     Before compaction, moisten or aerate each layer as necessary to
     provide optimum moisture content. Compact each layer to
                                                                              SECTION 31 00 00,
06   required percentage of maximum dry density or relative dry
                                                                                   3.3 C
     density for each area classification. Do not place backfill or fill
     material on surfaces that are muddy.
     Place backfill and fill materials evenly adjacent to structures,
     piping, or conduit to required elevations. Prevent wedging action
                                                                              SECTION 31 00 00,
07   of backfill against structures or displacement of piping or conduit
                                                                                   3.3 D
     by carrying material uniformly around structure, piping, or conduit
     to approximately same elevation in each lift.
     Where subgrade or layer of soil material must be moisture
     conditioned before compaction, uniformly apply water to surface
     of subgrade or layer of soil material. Apply water in minimum
                                                                              SECTION 31 00 00,
08   quantity as necessary to prevent free water from appearing on
                                                                                   3.3 G
     surface during or subsequent to compaction operations. Moisture
     content shall be kept within 2 percent above or below the
     optimum as determined by ASTM D 1557
     Percentage of Maximum Density Requirements: Compact soil to
     not less than the following percentages of maximum density, in
     accordance with ASTM D 1557:
     1. Under structures, building slabs and steps, and pavements,
     compact top300 mm of subgrade and each layer of backfill or fill
     material at 95 percent maximum density.
                                                                              SECTION 31 00 00,
09   2. Under lawn or unpaved areas, compact top 150 mm of
                                                                                   3.3 F
     subgrade and each layer of backfill or fill material at 90 percent
     maximum density.
     3. Under walkways, compact top 150 mm of subgrade and each
     layer of backfill/fill material at 95 percent maximum density.
     4. General Fill: Compact each layer of backfill or fill material at 95
     percent maximum density.
                                                                              S18127-0100D-MI-
     Nuclear density gauges, when used, shall have a valid calibration        TDR-SPC-GE-01,
10
     certificate per the requirement of ASTM D2922                            SECTION 312000,
                                                                                   3.25.F
     Surface Tolerances:
     1. Pavements and Walks: Shape surfaces of areas under
     pavement and walks to line, grade cross-section with finish
     surface not more than 20mm above or below the required
     subgrade elevation.
     2. Under Building Slabs: Provide final grades within a tolerance         SECTION 31 00 00,
11
     of 12 mm when tested in a 3 m straight edge.                                   3.3 J
     3. Foundations: Finish surfaces on which footing shall be placed
     to within 25 mm or below the required grades.
     4. Landscaped Areas and Rough Grading: Finish all areas to
     within 50 mm above or below the elevations, grades and cross-
     sections shown.
       10-662171-0000100324-FTC-CIV-ITP-000001_01                                                 Page 4 of 7
REMARKS:
                            Contractor / Third-Party                                                                             Bechtel
Construction Representative*
                                     Work is Complete and Ready for Inspection:
 Name, Initials and Date:
QC Inspector                                                                         Bechtel 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:
             10-662171-0000100324-FTC-CIV-ITP-000001_01                                                                                                  Page 5 of 7
                                         0000100324-Inspection Checklist for Clearing and Grubbing
 Document No. :                                                                           Rev 01         13-Jul-21
                                                                                 NUMBER               DATE           WIR NUMBER
 Clearing and Grubbing
                                                                                                                         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.
       Remove vegetation, debris, unsatisfactory soil materials,
       obstructions, and deleterious materials from ground surface prior
       to placement of fills. Plow strip, or break up sloped surfaces             SECTION 31 00 00,
01
       steeper than 1 vertical to 4 horizontal so that fill material will bond         3.3 A
       with existing surface to depth of 300 mm and compact to required
       depth as directed by the Engineer.
       Remove trees, shrubs, grass and other vegetation,
       improvements or obstructions interfering with the execution of the
                                                                                  SECTION 31 10 00,
02     new construction. Remove such items elsewhere on site or
                                                                                       3.1 A
       premises as specifically indicated. Removal includes digging out
       stumps and roots.
       Clearing and Grubbing: Remove material to be grubbed, together
       with logs and other organic or metallic debris not suitable for
       foundation purposes to a depth of not less than 300 mm below
       the original surface level of the ground in areas indicated to be
                                                                                  SECTION 31 10 00,
03     grubbed and in areas indicated as construction areas under this
                                                                                       3.1 B
       Contract, such as areas for buildings, and areas to be paved.
       Depressions made by grubbing shall be filled with suitable
       material and compacted to make the surface in conformance with
       the original adjacent surface of the ground.
       Remove existing above-grade and below-grade
       improvements necessary to permit construction and other works              SECTION 31 10 00,
04
       as indicated on                                                                 3.1 C
       drawings.
                                                                                  SECTION 31 10 00,
05     Use of explosives shall not be permitted.
                                                                                       3.4 D
       Use of burning at the Project Site for the disposal of refuse and          SECTION 31 10 00,
06
       debris shall not be permitted.                                                  3.3 C
         10-662171-0000100324-FTC-CIV-ITP-000001_01                                                                    Page 6 of 7
REMARKS:
                            Contractor / Third-Party                                                                             Bechtel
Construction Representative*
                                     Work is Complete and Ready for Inspection:
 Name, Initials and Date:
QC Inspector                                                                         Bechtel 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:
             10-662171-0000100324-FTC-CIV-ITP-000001_01                                                                                                  Page 7 of 7