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INSPECTION REQUEST FORM FOR BEAM LAUNCHING WORK NO:

Unless otherwise approved,this inspection request form shall be submitted during the daily

morning meeting among LTA,Contractor and QP(S).

Contractor: Project:

To: Date:

LTA Time:

The work described below has been inspected by our Site Engineer and is completeand read for our ins ection. A checklist is attached overleaf.

Location

Checked and Requested By:

Chainage

Activity

Drawings Used for Construction

Other DescriptionContractor's PM Name & Signature

INITIAL INSPECTION DECISION QP(S)

We have inspected the above referenced works and found them acceptable. You may proceed.However, please return the completed checklist upon completion of the remaining work.

You cannot proceed. Please carry out corrective works as noted on the checklist and

submit a fresh request for inspection.

Other comments:

RTO/RE Name & Signature/ Date

FINAL INSPECTION DECISION BY QP(S)

work approved to start: __________________

LTA

The above process for request for inspection of work by Contractor and approval by QP(S) is noted.

________________________________

QP(S) Name &Singnature/Date

work completed on:____________________

LTA's representative/Date/Time

SAMWOH CORPORATION PTE LTD SK E & C ER296-CONSTRUCTION AND COMPLECTION OF SENTOSAGATEWAY TUNNEL FROM TELOK BLANGAH ROAD TO KEPPEL

ROAD / KAMPONG BAHRU ROAD/ LOWER DELTA ROAD AND

ASSOCIATED ROAD WIDENING WORKS INTERCHANGE

The meeting noted that information provided by Contractor is adequate/not adequate*.

QP(S) may proceed Request Rejected

*delete where appropriate

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CHECKLIST FOR BEAM LAUNCHING WORK

Location:

S/No Description of Works Checked by Confirmed by

Contractor QP(S)

1 Check preparation work for launching

1.1 Check availability of method statement of beam launching

submitted by Contractor's PE including safety precautions

1.2 Check certificate of fitness for lifting crane and lifting chain /

cable / hook etc.

1.3 Check certificate of competency of crane operator

1.4 Check certificate of competency of lifting supervisor

1.5 Check availability of traffic diversion plan

(if road closure is required)

1.6 Visual inspect beam for any cracks, defects and damages

at casting yard

1.7 Check safe means of access for inspection of beam

1.8 Check no physical obstruction eg. Tree, lamp post,

overhead cable affecting launching

2 Check before launching

2.1 Check adequate lighting provided on site

(for night launching)

2.2 Check road and access leading to launching site closed

2.3 Check sufficient warning signs, rotating lights, barricades,etc

placed on site according to C P for Temp Traffic Control

2.4 Check crane parked on firm ground

2.5 Check beam reference number to ensure correct beam

delivered and beam oriented correctly for launching

2.6 Visual inspect beam delivered on site for any cracks,defects and damages

2.7 Check all dowel holes in the beam, if any, are opened and

unobstructed

3 Check during launching

3.1 Check beam properly secured to the lifting chain / cable

before lifting

3.2 Check all workers kept at a safe distance during lifting of

beam to position

3.3 Check beam properly and securely seated on cross head or

temp steel wedge before releasing from the lifting hook

3.4 Check hook completely removed from the beam before

moving the crane

3.5 Check at least 3 independent systems fo restraints provided

to prevent movement of beam immediately after launching4 Check after completion of launching

4.1 Check all warning signs, lights, barricades, etc removed and

road open to traffic

4.2 Check 4.5 m high restriction sign installed

(for beam across carriageway only)

5 Check sufficient temporary traffic devices if lane

closure is required

6 Others

No.

Date/Time: Chainage: