Site Hand Over Form

Pergola

SITE HAND OVER FORM

Contracting & Greenhouses, W.L.L

Project Reference: C/0104/2005

Project Name: Construction of Criminal Evidence and Information Department Building Project Location: Salwa Road, Sailiyah Architect/Author of Plans: Consulting Engineering Group (CEG) Contact No. of Architect/Author: +974 4420020 Project Manager/Consultant: SMEC International PTY Ltd. Contact No. of Consultant: +974 4375290 Owner: Ministry of Interior Contact No. of Owner: Contractor: Pergola Contracting and Greenhouses, WLL Contact No. of Contractor: +974 4423906 Date of Plan Approval: Building Permit No. /Date Issued: 1. RECORD OF SITE HANDOVER WALKROUND (to be completed by Team leader & Site Agent) Project Manager: Date of Walkround: Site Agent undertaking Walkround:

Building: Room/Location: Time of Walkround: Team Leader undertaking Walkround:

2. CHECKLIST OF REQUIREMENTS FOR SITE HAND OVER Ref.

Work Items /Category

Mechanical

Plumbing / Sanitary

Finishing Works / Specialty Trades

INTERNAL WORKS: Walls, Lobby & Corridors Floors, Lobby & Corridors Walls, Rooms/Offices Floors, Rooms/Offices Suspended Ceilings, Rooms/Toilet Suspended Ceilings, Lobby/Corr. uPVC Doors and Windows Timber Doors / Room Entries Timber Doors / Toilets Carpentry and Joinery Works Metal Works, Staircase Handrails Metal Works, Ballustrades Sanitary Wares / Appliances Plumbing Fixtures & Accessories Cold Water Supply System Hot Water Supply System Hot Water Eng'g. Installations Cold Water Eng'g. Installations Hot Water Supply Equipments Cold Water Supply Equipments A/C Units & Accesory Installations Ducts /Diffusers & other installtns Other Engineering Installations Fire Fighting/Fire Alarm Equipmnt AHU Installations/Accessories

Services/Installations and related works Completed & Serviceable? (Tick Appropriate Boxes) Yes

No

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Specify Details if (INC) is checked

Electrical Installations

Lighting Fixtures/Accessories Small Power Installations/Accsrs. SMSB / DB Installations & Accsrs. Cables & Conduits / Accessories Telephone Installations/Accsrs. Farash Call System Installations Computer Data Inst./Accessories Fire Protection Installations Manholes and Accessories MATV Installation/Accessories CCTV Installation/Accessories UPS System Installation/Accsrs. Lightning Protection Inst./Accsrs. Computer Data Inst./Accessories

Yes

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EXTERNAL WORKS: Roof Waterproofing/Accessories Roof A/C Units & Accessories Roof Water Storage Systems Roof Decking/Installations External Electrical Installations Roof Plumbing & Mechanical Inst. Roof Ducts and Accessories External Wall Painting/ Decoration Walkways and Paving Blocks Drainage System / Manholes External Electrical Manholes Soft Landscaping Works Hard Landscaping Works

3. HAND OVER SIGN OFF CHECKLIST Project Documentation Requirements: 3.01 Copy of completed services records and/or

Confirmed:

Comments:

Yes

No

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documentations handed over by the contactor? 3.02 Copy of completed services associated Drawings handed 3.03

3.04 3.05 3.06 3.07 3.08

over by the contactor? Provision of Tools, spare parts and maintenance materials, in accordance to Qatar Construction Specification (QCS) Clause 21.2.1 Sec. 1 of Part 21 Provision of Guarantee, Warrantees and Bonds Mechanical Services Equipment Operation Data Electrical Services Equipment Operation Data Mechanical and Electrical Equipments - Operation and Maintenance Manuals Operational, Field and Performance Testing

3.09 Clearance of Site, in adherence to QCS Part 20

n/a 3.10 Project As Built Drawings to be submitted in accordance to Clause 21.4.2, Section 21 of Part 21, QCS

4. HAND OVER SIGN OFF / COMPLETION CERTIFICATE 4.10 Formal Walkround has now been completed:

Pergola Contracting & Greenhouse, WLL / Representative Name: Owner's Site Agent/Representative: Name:

Signature: Date: Signature:

Time:

Company Name: Date:

Time: