Water Infrastructure - Permit To Work (FIDIC)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

  Engineer's Representative

  Assistant Resident Engineer

  Water Supply Engineer 1

  Water Supply Engineer 1
• Location
  Address

• Personnel

Work Plan

• Is the location of excavation submitted to engineer ? ( GTS 5.1.2, PTS 1.2.2 )

  Yes

  No

  N/A

• Define the reason ?

• Is the excavation indicated at Contractor's Three Week Programme ?

  Yes

  No

  N/A

• Define the reason ?

• Is the traffic division informed about excavation ?

  Yes

  No

  N/A

• Define the reason

• Which utility operator is informed ?

  Select MESKI Electricty Telecom Natural Gas Aykome Erdemli Municipality Others

  • MESKI
  • Electricty
  • Telecom
  • Natural Gas
  • Aykome
  • Erdemli Municipality
  • Others

• Define the reason why not informing ?

Environmental Precautions

• Is there any precautions related to Noise Control ?

  Yes

  No

  N/A

• Explain the reason

• Shoot the photo of equipment related to Noise Control

  Media

• Is there any precautions related to Dust Control ?

  Yes

  No

  N/A

• Explain the reason

• Shoot the photo of equipment or ground conditions

  Media

• Is there any precautions related to Waste Control ?

  Yes

  No

  N/A

• Explain the reason

• Shoot the photo of equipment related to Waste Control

  Media

Health and Safety Precautions

• Is fire extinguisher provided properly ?

  Yes

  No

  N/A

• Is first medical aid provided properly ?

  Yes

  No

  N/A

• Is the personnel protective equipment ( ppe ) provided ?

  Yes

  No

  N/A

• Define the name of the staff is not used the PPE.

Person

• Name and Surname of Staff

• Shoot the Person's photo

  Media

• Define the PPE is not used or not proper.

  Select Safety Helmet Ear Protection Safety Shoes Vest Gloves Dust Mask Welding Mask Safety Glasses Safety harness Protective Clothing Others

  • Safety Helmet
  • Ear Protection
  • Safety Shoes
  • Vest
  • Gloves
  • Dust Mask
  • Welding Mask
  • Safety Glasses
  • Safety harness
  • Protective Clothing
  • Others

• Is there any pedestrian access need near the working area ?

  Necessary

  Not Necessary

• Is there any pedestrian bridge located ?

  Yes

  No

  N/A

• Explain why not ?

• Add media

  Media

• Is there any vehicle access need near the working area ?

  Necessary

  Not Necessary

• Is there any vehicle routing set ?

  Yes

  No

  N/A

• Explain why not ?

• Add media

  Media

• Are the site signs provided properly at working area ?

  Yes

  No

  N/A

• Add media

  Media

• Are the barriers located and secured the excavation area on site ?

  Yes

  No

  N/A

• Add media

  Media

• Are equipment, machines and transportation vehicles in a good state, having no noxious effects concerning environment and human life ? ( H&S Plan )

  Safe

  At Risk

  N/A

Material and Equipment

• Are all equipments which is indicated in work method statement at site ?

  Yes

  No

  N/A

• Please indicate which equipment is absent

• Shoot all equipment located at site

  Media

• Are the materials stocked up safely on working area ?

  Safe

  At Risk

  N/A

• Shoot the material on site

  Media

• Do pipes and fittings comply the specifications ? ( GTS 5.2 and PTS 7.2 )

  Yes

  No

  N/A

• Define HDPE fittings

HDPE Fitting

• Connection Type

  Select Stubend sortneck Stubend Longneck Loose Flange Bling Flange End Cap Nozzle Bend Puddle Flange Weldneck Flange Sandwitch Flange Concentric Reducer Tee

  • Stubend sortneck
  • Stubend Longneck
  • Loose Flange
  • Bling Flange
  • End Cap
  • Nozzle
  • Bend
  • Puddle Flange
  • Weldneck Flange
  • Sandwitch Flange
  • Concentric Reducer
  • Tee

• HDPE Fittings
  http://www.acindia.in/hdpe-fittings.php

• Define the DI fittings

DI Fitting

• Connection Type

  Select Flanged Sockets Double Socket Bends 11 1/4 Double Socket Bends 22 1/2 Double Socket Bends 45 Double Socket Bends 90 Collar Single Socket Bends 11 1/4 Single Socket Bends 22 1/2 Single Socket Bends 45 Single Socket Bends 90 All Socket T Double Socket T with Flanged Branch Double Socket Taper All Flanged T Flanged Spigot Double Flanged Bends 11 1/4 Double Flanged Bends 22 1/2 Double Flanged Bends 45 Double Flanged Bends 90 Duckfoot Bends 90 Double Flanged Tapers Double Flanged Eccentric Tapers Anchoring Pipes Flanged Bell Mouth

  • Flanged Sockets
  • Double Socket Bends 11 1/4
  • Double Socket Bends 22 1/2
  • Double Socket Bends 45
  • Double Socket Bends 90
  • Collar
  • Single Socket Bends 11 1/4
  • Single Socket Bends 22 1/2
  • Single Socket Bends 45
  • Single Socket Bends 90
  • All Socket T
  • Double Socket T with Flanged Branch
  • Double Socket Taper
  • All Flanged T
  • Flanged Spigot
  • Double Flanged Bends 11 1/4
  • Double Flanged Bends 22 1/2
  • Double Flanged Bends 45
  • Double Flanged Bends 90
  • Duckfoot Bends 90
  • Double Flanged Tapers
  • Double Flanged Eccentric Tapers
  • Anchoring Pipes
  • Flanged Bell Mouth

• Ductile Iron Fittings from SMS
  http://www.samsunmakina.com.tr/_en/_products/fittings.html

• Define the pipes

Pipes

• Material

  HDPE

  DI

  Steel

• Diameter

  Select DN32 DN40 DN63 DN110 DN200 DN250 DN300 DN400 DN500 DN800

  • DN32
  • DN40
  • DN63
  • DN110
  • DN200
  • DN250
  • DN300
  • DN400
  • DN500
  • DN800

Permit to Work

• Have the all requirements met by Contractor on site ?

  Yes

  No

  N/A

• Define the critical issues should be completed.

• Should be sign by Contractor's Site Manager or Representative

• I understood the requirements that not exist on site. We have no claim rights due to this situation

  Sign

• Date and time of suspending the permit

  Date

• Excavation Permission is given providing the above appropriate conditions. Further part of this audit will be filled after finishing the works.

• Permit start by
  Address

• Permit is expired after

  Date
• Permit should be refreshed when Contractor reached to
  Address

• Contractor's Site Manager

  Sign

• Should be sign by Hüseyin Dönertaş. (In case of absence of him, it's contractor's risk of any failure)

• Consultant's Site Supervisor

  Sign

• MESKI's Staff

  Sign

F/O Cable

• Has F/O Cable conduit been placed correctly ? (PTS 4.13.4, PTS 4.13.5)

  Yes

  No

  N/A

Backfilling

• Has backfilling been completed properly ?

  Yes

  No

  N/A

• Do material types of bedding, filling and backfilling comply the specifications ( GTS 5.1.6)

  Yes

  No

  N/A

• GTS 5.1.6
  https://podio.com/alter-muhendislik-musavirlik/erdemli-water-project/apps/gts/items/77

Reinstatement

• Is there any excavation works less than 1 m height ?

  Observed

  Not observed

• Has concrete cover, where the depth of pipe is less than 1.00 m, been complied ? ( GTS 5.2.6.8, GTS 6.1 )

  Yes

  No

  N/A

• Is curing applied to concrete satisfactory ?

  Yes

  No

  N/A

• Add media

  Media

• Has surface been reinstated to first condition after excavation ?

  Yes

  No

  N/A

• Reinstatement details

reinstatement

• Type of surface at part of road

  Asphalt

  Concrete

  Water bound macadam

  Earth
• From
  Address
• To
  Address

• Lenght is

• Made by

Site Safety After Works

• Is there any opening remain at working area ?

  Observed

  Not observed

• Is it safe for citizens ?

  Safe

  At Risk

  N/A

• Add media

  Media

Measurement

• Permit from
  Address
• Permit to
  Address

• Pipe installation

Pipe

• Material

  HDPE

  DI

  Steel

• Diamater

  Select DN32 DN40 DN63 DN110 DN200 DN250 DN300 DN400 DN500 DN800

  • DN32
  • DN40
  • DN63
  • DN110
  • DN200
  • DN250
  • DN300
  • DN400
  • DN500
  • DN800

• Confirmation by Contractor's Site Manager

  Sign

• Should be sign only Site Manager (Hüseyin Dönertaş)

• Confirmation by MESKI

  Sign

• Confirmation by Consultant

  Sign

• This form is not giving the right to Contractor hand-over the works to Client. Performance Guarantee and Contractor's responsibility is still valid according the Contract terms.