QIDDIYA INVESTMENT COMPANY
Document No. QIC-00000-00-B00-XCS-TEM-ASR-000870 Issued By XCS Assurance - Quality Revision No. 0D
Reference Guideline No. QIC-00000-00-B00-XCS-ACG-ASR-000834 Document type Template Date Issued April 17, 2023
Asphalt Batch Plant Initial Survey Report
CONTRACTOR shall survey the BatchPlant and fill this form for submission to to the ENGINEER and EMPLOYER (Qiddiya) for review and Approval.
Project Information
Project C02535 - Tree Holding Facility (THF) Project Code QRX0116361
BP Commercial Name Date of survey
BP Location Mobile Phone
Assessor Name (BPI) Email Address
General Information
1 What is the total weight of Hot Mix Asphalt required for this project?
2 What is the total distance (in kilometers) from the batch plant to the discharge point? (Max. = 300km) Approx. 8,400 m³ (Precise quantity will be provided upon completion of the detailed design)
What is the total travel time (in minutes) of Asphalt truck from the batch plant to the discharge point?
3
(Maxi. = 60 minutes)
4 Internal ABP Hot mix asphalt quality control laboratory, IMTE & personnel? Yes No Other
5 Planned completion date of the project? 26-Jun-2025
I- Batch Plant Details
1 Plant type, pugmill and model
2 Capacity (ton/batch, ton/hour)
3 Asphalt BP Manager Name Email
4 Name of Asphalt BP Inspector?
II- Statutory & Regulatory Compliance:
1 Commercial Reg. No Validity Date
2 GOSI Registration:
3 Land Use Permit Validity Date
III-Quality Management System Yes No
1 ISO 9001:2015 Accreditation Number & Validity available?
2 ABP QMS Manual available?
3 Name & Email of Asphalt BP Quality Manager available?
4 ABP Organization chart is available, updated & personnel are available in the batch plant?
5 ABP QMS Manual is being implemented and updated?
6 Personnel Training, Internal audit, NCR Log & Management review meeting are being implemented?
7 ABP is identified of Batch plant name & Logo available?
IV- Bituminous Asphalt mix Material Quality Control Testing, Laboratory & Records Yes No
1 Documented Batch Plant sampling, testing & reporting procedure is available at the batch plant?
2 Latest inventory of IMTE per ASTM D3666 is available and updated?
3 Latest TPCTL raw materials & Hot Mix Asphalt Quality Test records are available & controlled?
4 Name, location & contact mobile phone & email of TPCTL available?
5 Plant internal QC Laboratory Test records on HMA raw materials available?
V- Mineral Aggregates Handling & Stockpiling Methods Yes No
1 Name of Aggregate source & location available?
2 Are the aggregates of different sizes properly separated, identified & stockpiled less than 8m high?
3 Are coarse and fine aggregates placed on rigid, well drained surface & each 3m distance away?
4 Are rejected & over size coarse and fine aggregates identified & quarantined?
5 Are crusher dust identified & in separated stockpile from aggregates?
6 Is there any visual evidence of contamination (such as foreign objects, oils, organic materials)? If yes, explain
VI- Central Mixer or Pugmill Yes No
1 Type Capacity (ton) ?
2 Condition of pugmill inside with Built-up hardened Asphalt, aggregate, dust or other material?
3 Clearance between mixing blades and drum tiles (2.5 cm Maximum for base course)?
4 Equipped with safe inspection access platform, walkway & inspection ladder?
5 Equipped with safe inspection manhole and handle?
VII- Mineral Aggregate Stockpile
Sieve Sizes No. Quantity (m3) Identified Source (N am e & Location of the Crusher)
1-1/2” Yes No
1” Yes No
3/4” Yes No
1/2” Yes No
3/8” Yes No
Crusher Dust Yes No
Sand Yes No
VIII- Mineral Aggregate Cold Bins
Sieve Sizes No. Quantity (m3) Identified Source (N am e & Location of the Crusher)
1-1/2” Yes No
1” Yes No
3/4” Yes No
1/2” Yes No
3/8” Yes No
Crusher Dust Yes No
Sand Yes No
IX- Cold Aggregate Feeder
1 Capacity (t/hr.)
2 Condition of belt conveyor
3 Dust emission control system (1500ppm Max) Accept Reject With NCR
4 Noise emission control system (90dB Max) Accept Reject With NCR
X- Cold Aggregate Elevator
1 Capacity (t/hr.)
2 Condition of belt conveyor
3 Dust emission control system (1500ppm Max) Accept Reject With NCR
4 Noise emission control system (90dB Max) Accept Reject With NCR
XI- Aggregate Dryer
1 Capacity (t/hr.)
2 Condition of Drum Insulation?
3 Number of Bag Filters?
4 Condition of Drum (with leaks)?
5 Dust emission control system (1500ppm Max) Accept Reject With NCR
6 Noise emission control system (90dB Max) Accept Reject With NCR
XII- Vertical Stack
1 Vertical Height (meters)
2 Equipped with wind bag for dust direction?
4 Dust emission control system (1500ppm Max) Accept Reject With NCR
5 Noise emission control system (90dB Max) Accept Reject With NCR
XIII- Bitumen Farm & Storage Tanks
Temp.
Insulated Temp. Gauges Leakage
Reading
Tank No. Capacity (Tons) Identified Calibration Due Date
Yes No Yes No yes No Yes No
1 The TP calibration agency? Name Address
2 Equipped with safe inspection ladder?
3 Equipped with common elevated inspection catwalk, flatform & walkways?
4 Tank leakage and condition of insulation
XIV- Hot Bins Screening Unit
1 Number of Hot Bins?
2 Size of Each Screen?
3 Condition of Screens?
4 When was the last Maintenance Date?
5 Availability of Overflow Pipe? Yes No
6 Sampling Method? Through the Mixer From Hot Bins
XV- Hot Bin Trial Mix at the plant:
1 Quantity of trial batch (Ton)
2 Type, Class & Grade of HMA?
3 Penetration Grade of Bitumen?(%)
4 Temperature of Bitumen? (°C)
5 Temperature of Aggregate?
6 Temperature of produced HMA?
7 % Coating of HMA aggregate per AASTHO T-195? Yes No, Reason:
8 HMA are uniform and no segregation? Yes No, Reason:
9 Batch weight is documented & approved? Yes No, Reason:
10 Batch printout is controlled, documented & accepted? Yes No, Reason:
Above Hot Bin Trial Batch was witnessed by:
Batch Plant Manager
Name Date Signature
Contractor QA/QC Manager
Name Date Signature
Supervision Consultant Quality Engineer OR Qiddiya Quality Representative (if No Supervision Consultant is Assigned, Qiddiya Quality Represetative shall sign.)
Name Date Signature
Note: Final approval is subject to Qiddiya Representative endorsement via Aconex.
