Project / Package: CP12.

0 Inspection and Test Plan (ITP) For Excavation & Backfilling and Legends
Compaction Works
Contract No.
20230329004 SCOPE OF WORK Horticulture Works for Propagation and Cultivation of plants - Production Nursery for King Salman Park H - Hold Point R - Review Point

Discipline Civil ITP Reference: KSP-NCC-NU1-CMT-CIV-ITP-0003 Rev. No. 00 Date 01-May-23 W - Witness Point S - Surveillance

Verification and Inspection Points

Task Activity Reference AcceptanceCriteria Verifying
Type of Frequency Remarks
No. Description Inspection Documents Documents Subcon / Main
PMCM3 PMCM1 PMO KSPF Authority
ITL Contractor
1.0 Document Review

As per design drawing Prior to start of

1.1 Pre-Qualification Document work(100%) Approved PQD N/A H R R R R N/A
and Project Engineer's Approval
Submittal Approval Review Submittal
Specification

Material Submittal As per design Prior to start of Approved Shop drawings Approved MAR
1.2 Approval (MAR) Document drawings and Project work(100%) Compliance with Specification Submittal N/A H R R R R N/A
Review Specification

As per design
drawings. Prior to start of Approval on latest revision of Approved Shop
1.3 Shop Drawings Document Project Spec. work(100%) relevant Drawings. drawing N/A H R R R R N/A
Review

As per design
drawings. Compliance with theMaterial
1.4 Method Statement Document Manufacturer / Prior to start of Approval submittal & Specification Approved MES/ N/A H R R R R N/A
Review Supplier KSP-NCC-
work(100%)
recommendation and NU1-CMT-
Project Specification CIV-MES-
0003
2.0 Material Inspection

*One sample for CBR, classification Approved

Physical Each sample
Materials Receiving *Approved drawings (AASHTO M145), and laboratory Material
Inspection (Sub- Inspection shall (Moisture - density) or relative N/A H H S S S N/A
Inspection
grade, Sub-base, *Approved Method represent not density compaction from each
more than Request(MIR)
2.1 Base course, Sand Statement source prior to use.
etc.) 5,000 cu m *All backfill materials shall comply
with the project specified
requirements

*Approved Material Submittal

*Approved stockpile.
* Test report
 Material / Product Manufacturer Data Prior to Project Specs / Approved MAR Manufacturer
Storage and Visual Sheet / backfilling /MES / MIR DataSheet and N/A H S S S S N/A
2.2 Handling Inspection (100%) Recommendation
Recommendations /
Project Specs / s
Weather
Changes/Conditions

3.0 Excavation

3.1 Setting out and Level Visual As per approved shop Prior to Setting out and final levels of the As per approved
Inspection/Sur drawing / Approved Excavation excavation shall be in accordance with shop drawing / N/A H W S S S N/A
vey Check method statement (100%) the approved drawings SurveyReport /
IRF
Over excavated area shall be
backfilled in layers with suitable fill
materials or concrete level make up of
any type

*All finished elevations, lines and

grades shall be in accordance with
approved shop Drawing. Each cross
section shall be checked at maximum
intervals of 25
m, at each change in cross slope and
elsewhere
Over excavation / Visual Approved Shop Before & after
Formation level/Sub- Inspection/Sur Drawing / Approved completion *Elevation tolerances of finished sub- Approved IRF / N/A H H S S S N/A
grade preparation for vey Check Method Statement grade, top of embankment under the Checklist/ Survey
3.2
all excavation sub-grade layer and sub-excavated Report
(undercut) surface shall be as follows:
a) Finished Sub-grade (Soil): +10 or -
30mm
b) Rock (if approved): ±50mm
c)Sub-excavated surface: +10 or -
30mm

For Structure Foundation

a) Finished Sub-grade (Soil):+20 or -
30mm
b) Rock (if approved): ±50mm
c)Sub-excavated surface: +20 or -
30mm

*Max. 30mm depression when tested

w/ a 4m long straight edge

Approved Method During *Excavations more than 1.2 m deep Approved

Sloping and benching Visual Statement excavation works unless capable of free standing Checklist N/A H S S S S N/A
3.3 Inspection without collapsing, must have sides
slope to a safe angle of repose,
battered, or be
shored.

*Shall comply with approved Method

Statement
*Guard rails or barricades must be
provided at least 2.0 m away from all Approved
3.4 Barricading and edge Visual Approved Method During excavation edges and 0.9m high with Checklist N/A W S S S S N/A
protection Inspection Statement excavation works warning and prohibition signs in
languages understandable by the work
force
4.0 BACKFILLING WORKS
 *One sample for CBR, classification
(AASHTO M145), BS-1377 and
laboratory (Moisture - density) or
relative density compaction from each
Backfill Materials Physical *Approved Material Prior to source prior to use. Each sample shall Materials
4.1 (Sub-grade, Sub- Inspection/ Submittal backfilling represent not more than 5,000 cu m. Inspection Test
base, Base course, Third Party Reports N/A H R S S S N/A
Sand etc.) *Approved Method *All backfill materials shall comply with
Statement the project specified requirements

*Approved Material Submittal

*Approved stockpile

*Approved backfill materials

*Each successive layers of backfill

shall contain layer not greater than
4.2 Backfilling for Visual As per approved Each layer 300 mm in thickness before
Structures Inspection drawing / Approved compaction Approved N/A H W S S S N/A
MES Checklist
*Backfill next to walls, b/w columns or
in other confined areas, shall be
compacted by hand or portable
equipment

*Structures shall be backfilled to the

same requirements as specified for the
adjacent embankment
*Approved backfill materials

*Backfill in layers with max. 300mm

thickness (un-compacted)

*Backfill placed around culverts,

Backfilling for Visual *Approved Shop Each layer abutments and piers shall be Approved N/A H W S S S N/A
4.3 Bridges, Inspection drawings deposited on both sides to Checklist
Underpasses, approximately the same elevation at
Overpasses and *Approved Method the same time
Miscellaneous Statement
*All backfill intended to support
falsework loads, including temporary
fills and pier
backfill, shall be designed for the
minimum support required
(Compacted to 90% of Max Density)
*Complying with approved drawings &
method statements

*Selected backfill or surround up to a

level of 300 mm above top of the pipe,
shall be placed and hand compacted
in 150 mm layers

4.4 Backfilling for Pipe Visual *Approved Shop Each layer *Main backfill shall be placed and well Approved N/A H W S S S N/A
Trenches Inspection drawings compacted in layers not exceeding Checklist
300 mm thick before compaction.
*Approved Method Heavy compactors shall not be used
Statement until there is 600 mm cover over pipes.

*Backfilling trenches for pipes with

concrete beds and or surrounds shall
not start before 24 hours after placing
the concrete. Heavy compactors shall
not be used and traffic shall not be
allowed before the elapse of 72 hours
after placing the concrete.
 *Complying w/ approved method
statements & drawings

*The 200 mm depth of embankment

subgrade layer immediately below the
bottom of sub base shall consist of
selected subgrade material

*The material used in rockfill

embankments shall consist
predominantly of rock fragments of
such size that the material can be
placed in layers of the thickness
prescribed conforming to the
requirements

*Surfaces of embankment layers shall

be kept properly shaped and drained
at all
4.5 Embankment Visual *Approved drawings *Prior to start, times Approved N/A H W S S S N/A
Construction Inspection during, and after Checklist
*Approved Method completion of *Rockfill shall not be used in the top
Statement embankment 200 mm of the embankment below the
works subgrade

*Each layer of
backfill shall be *Layers shall not exceed 200 mm
inspected & thickness (after compaction) on the
tested as previously occupied areas
specified
*Each embankment layer shall be
tested and approved prior to placing
the following
layer

*Roadway embankment consisting of

soil or granular material shall be
placed in horizontal layers not
exceeding 250 mm thickness (before
compaction), shall be compacted as
specified and shall be approved prior
to placing the next layer

*Where embankments are to be

constructed to a height in excess of
1.5 m above top of original ground
level the Engineer may approve layer
thickness up to 300 mm (before
compaction)
*Bedding & pipe surround as per
approved drawings

*Previously occupied area: Layers

shall not exceed 200 mm thickness
(after compaction)

*Road embankment: Layers shall not

exceed 250mm (before compaction)

*Subgrade in cut: shall be undercut to

a depth of 200mm
* No rock shall project more than N/A
4.6 Subgrade Visual *Approved shop Each layer 50mm above the undercut surface Approved N/A H W S S S
construction Inspection drawings elevation Checklist

*Approved Method *Subgrade Embankment: shall be

Statement backfilled 200mm min. depth of
suitable materials spread in one layer
over the full width of the top of
embankment

a) Finished Sub-grade (Soil):+10 or -

30mm
b) Rock (if approved): ±50mm
c)Sub-excavated surface: +10 or -
 30mm

For agricultural roads:

a) Finished Sub-grade (Soil):+20 or -
30mm
b) Rock (if approved): ±50mm
c)Sub-excavated surface: +20 or -
30mm
5.0 SAMPLING & TESTING

*FDT on compacted soils: Ave. 1 test

per 100m² of area
*Test Method in accordance with
ASTM D1556, ASTM D2167, or ASTM
D2922
-For Backfill Under Roads, Parking
Areas and Paved Areas up to 500 mm:
95% of maximum dry density

-For Backfill Deeper than 500 mm

Under Same Areas as last Described:
95% of maximum dry density

-Elsewhere such as Landscaped

5.1 Compaction (FDT) Physical *Approved shop Each layer Areas: 90% of maximum dry density Approved IRF / H H H S S S N/A
Inspection/ drawings Checklist / Third
Third Party *For Embankment: party report
*Approved Method -On existing soil type materials: 90%
Statement max. density
-For 600mm embankment material:
95% max. density

-For cohesionless granular mat.:70%

Relative Density
-For 600mm embankment material:
75% Rel. Density

-For every completed layer: 1 test for

each 1500 m² or 100 linear meters
whichever is less.

*For Subgrade Construction

(Subgrade in cut):
-The 200mm min. depth of subgrade
shall be compacted to a 100%
Maximum Density

*For Subgrade Const. (Subgrade in

embankment):
-The 200mm min. depth of subgrade
shall be compacted to a 100% Medium
Density
H - Hold Point W - Witness Point S - Surveillance R - Review
Written notification required. Contractor may not proceed Written notification required. But, Contractor may proceed ifEngineer do No notification required. But, activity may be Record / Documents review for conformance.
activities beyond this point without Approval or Acceptance not attend. subjected to Engineers’ surveillance / monitoring
from the Engineer.
 King Salman Park
CP12.0 / Horticulture Works for
Propagation and Cultivation of Plants -
Production Nursery for King
SalmanPark

Excavation & backfilling and

Compaction Works Inspection
Report
IR No.: Checklist No.: N/A

Drawing No.: ITP No. KSP-NCC-NU1-CMT-CIV-ITP-0003

Location /Area: Package 12.0 Date: 01-06-23

S/N INSPECTION STEPS YES NO N/A REMARKS

Excavation

1
Setting Out and Excavation level Shall be as per approved
IFC/SHD Drawing.
2
Over excavated area (if any) backfilled and compacted as
specified
3 Sloping and benching provided as per approved Method
Statement
4 Barricading / Edge Protection Provided
Backfilling and Compaction
5 Only approved materials are delivered and installed.
6 Fill Material placed in layers.
7 Layer thickness as specified.
8 Backfilling done up to required finish level

9 Appropriate Tools/Equipment’s used for compaction

Field Testing

10 Nuclear Density Gauge calibrated

11 3rd Party Technician approved

12 Testing done

13 FDT done by other method (Sand Cone)

14 Testing Passed
Remarks:

Contractor NCC PMCM: WSP Consultant

CONSTRUCTION REPRESENTATIVE CONSTRUCTION REPRESENTATIVE
Waleid Hassan
Name, Initial Name, Initial
and Date and Date
 QA/QC INSPECTOR QA/QC INSPECTOR

Amran Hossain
Name, Initial Name, Initial
and Date and Date