03 OXAGON NEOM Industrial City NEOM Saudi Arabia MAIL TYPE Workflow Transmittal MAIL NUMBER PAR-WTRAN-386936 REFERENCE NUMBER PAR-WTRAN-386936 Final (WF-158673) 4800001134/000 - Method Statement for Formwork and Scaffolding Installation From Mr Ossama Mohamed - SAUDI ARABIAN PARSONS LIMITED To (5) Cc (6) Sent Monday, 4 August 2025 3:38:58 PM AST (GMT +03:00) Status N/A ARUN TITUS - NEOM - Projects (+4 more...) Mr 4800001134 BYT - ABYATONA (+5 more...) DOCUMENT ATTACHMENTS (2) ( 0 selected) File Document No Revision Revision Date Title Status 03-150000-4800001134-BYT-CIV-CRS- 000101 05 26/07/2025 4800001134/000 - Method Statement for Formwork and Scaffolding Installation A - Work May Proceed 03-150000-4800001134-BYT-CIV-MST- 000013 05 26/07/2025 4800001134/000 - Method Statement for Formwork and Scaffolding Installation A - Work May Proceed MESSAGE Workflow Review History The attached documents have completed the "4800001134/000 - Method Statement for Formwork and Scaffolding Installation" workflow with the following results : This transmittal was automatically generated. Doc No Step Participant Review Outcome Comments 03-150000-4800001134-BYT-CIV-MST- 000013 Health & Safety D Benjamin A - Work May Proceed Environment A TITUS A - Work May Proceed Senior Construction Manager O Mohamed A - Work May Proceed 03-150000-4800001134-BYT-CIV-CRS- 000101 Health & Safety D Benjamin A - Work May Proceed Environment A TITUS A - Work May Proceed Senior Construction Manager O Mohamed A - Work May Proceed 22/10/2025, 01:59 Aconex https://ksa1.aconex.com/hub/index.html 1/1 File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 1 of 14 Project name: CONSTRUCTION AND EXTENSION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organization to do work: ABYATONA Contractor’s ref. Description of work to be done: Give a brief scope of the work covered by this method statement Formwork and Scaffolding This Method Statement includes t he procedures to be applied for all formwork and scaffolding Installation as per supplier recommendations and project specs. The purpose of a method statement is to ensure that the entire workforce has a clear understanding of the task ahead and can clearl y identify and mitigate against any potential hazards Workforce representatives were consulted during the Preparation of this method statement: Muhammad Khurram Raja Faisal Ahmad Mashhour QA/QC Manager OHS Manager Project Manager Role Name Role or area of responsibility Date of visit to work location Signed Date Author: Shamas Ul Din QC Supervisor 26 - 07 - 2025 26 - 07 - 2025 Reviewer *: M Khurram QA/QC Manager 26 - 07 - 2025 26 - 07 - 2025 Specialist reviewer: (if required) Ahmad Mashhour Project Mana ger 26 - 07 - 2025 26 - 07 - 2025 The distribution list for method statement: I. Contractor II. Subcontractor III. Safety Team Table of Contents: 1. SCOPE ................................ ................................ ................................ ................................ ............... 2 2. PURPOSE ................................ ................................ ................................ ................................ ........... 2 3. REFERENCES ................................ ................................ ................................ ................................ .... 2 4. DEFINITIONS ................................ ................................ ................................ ................................ ..... 2 5. RESOURCES, ROLES, AND RESPONSIBILITIES ................................ ................................ .............. 3 6. METHODOLOGY FOR FORMWORK INSTALLATION (P ERI) ................................ ............................ 15 7. METHODOLOGY FOR SCAFFOLDING INSTALLATION (PERI) ................................ ........................ 80 8. METHODOLOGY FOR FORMWORK INSTALLATION (UNI STEEL) ................................ ................ 1 39 9. METHODOLOGY FOR SCAFFOLDING INSTALLATION (UNI STEEL) ................................ ............ 17 8 10. SAFTY RISK ASSESSMENT ................................ ................................ ................................ .......... 19 8 11. ENVIRONMENTAL RISK ASSESSMENT ................................ ................................ ........................ 2 30 File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 2 of 14 Projec t name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. 1. SCOPE This method statement is for formwork and scaffolding Installation order No. 4800001134/WO - 1134, Construction and Extension of Box Culverts Under HW 55. This method statement outlines the procedures for formwork and scaffolding Installation works, including assessm ent, preparation, and finishing. 2. PURPOSE The purpose of this procedure is to provide minimum requirements and methods for formwork and scaffolding Installation of Construction and Extension of Box Culverts Under HW 55 and should in accordance with standard s, codes, and related specifications. All works related to this Method Statement shall be executed in accordance with the approved procedure. To ensure that all work will be executed safely and in accordance with the contract requirements and that all qual ity assurance/control activities are conducted in a systematic manner, works are inspected, and conformance is verified and documented. 3. REFERENCES • Neom Contract Agreement - 4800001134/000 • Neom Project Specification. • ASTM: AMERICAN SOCIETY FOR TEST AND MATE RIAL • Project Health and Safety Management Plan Safety Plan 1. • Approved IFC drawings • NEOM Quality MS Procedures • Approved Project Quality Plan (PQP) • NEOM Schedule Q NEOM - NEN - SCH - 002 Rev 04 • Quality Management System Requirements ISO 9001 & 9001: 2015 • Inspection & Testing Plan • Approved Construction Environmental & Soci al Management • Neom Health and Safety Assurance Standards • Project Emergency Response Plan Neom Workers Welfare Standards 4. DEFINITIONS In this Method Statement (as hereinafter defined) the following words and expressions shall have the meanings hereby assigne d to them. ASTM American Society for Testing and Materials BS British Standard CESMP Construction Environmental Social Management Plan CONCRETE is a composite material that consists of a mixture of hydraulic cement, aggregates, and File name: NEOM - NLF - FRM 002.02 Method Statement M ethod Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 3 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 480 0001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. water, with or without admixtures, fibers, or other cementation materials. HSE Health Safety Environment ITP Inspection and Test Plan PQP Project Quality Plan ABYATONA ABYATONA Development Contracting Company SBC Saudi Building code Client “NEOM” The Consultant means the firm o r company named by the Client to act as ‘Consultant’ for the design and supervision of construction, who is PARSONS including its representatives, successors, and permitted assigns. The Contractor means ABYATONA has been nominated by the Client and the leg al successors to execute work. T.S Technical Specification. The Subcontractor means any company who will execute a particular part of the work under control and supervision of the Main Contractors. WIR Work Inspection Request Form 5. RESOURCES, ROLES, AND RESPONSIBILITIES 5.1 PROJECT MANAGER: • ABYATONA project manager has the overall responsibility for ensuring that the Project Team are performing in accordance with the requirements of the Contract Agreement between the Client and ABYATONA, requiring strict comp liance with: Contract Specifications, Contract Drawings, Approved Workshop Drawings, Approved Method Statement, Approved Safety Plan, QA/QC Procedures and with this Method Statement. His responsibilities include as: • Ensuring adherence with ABYATONA Company Policies. • Managing site project activities on behalf of the ABYATONA. • Establishing project requirements, policies, organization, and schedule. Monitoring project’s progress and quality, approving a final resolution of all items of non - conformance. • Approvi ng all subcontracts. File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 4 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. • Ensuring implementation of the ABYATONA QA/QC Program. • Issuing all project directives. • Managing project’s costs. • Initiating and negotiating with NEOM for all change orders and / or work requests and signing change order and / or work requests. • Preparing, approving and submitting progress reports to the NEOM. • Having final authority on all site project activities 5.2 CONSTRUCTION MANAGER: • The Construction Manager controls and coordinates all work activities carried out in the construction s ite. His responsibilities as: • Establishment and implementation of work procedures for the execution of work • Review detailed construction schedule including redefinition of priorities where necessary • Control and coordination of the work entrusted to Sub - con tractors • Planning and scheduling of the work force and equipment • Planning and scheduling of the work force and equipment • Preparation of data required for compilation of the Work Progress Report • Preparation of the change order proposals • Responsible to verif y existing utilities within the proximity of the proposed work, responsible for assuring notification of the Utility owner if utility hit occurs. 5.3 TECHNICAL MANAGER: • ABYATONA Technical Manager has the responsibility for ensuring that the Project Drawings, W orkshop Drawings and Method Statement of all the works have been prepared in accordance with the requirements and fully coordinated with the other parallel activities. 5.4 SITE ENGINEERS: • Co - ordinate all the site activities required for the execution of Work a ccording to the contract. • Liaise with site representatives of Client and Engineer to co - ordinate safety procedures. • Co - ordinate and explain the work to be carried out to the Supervisors /Site Foreman. • Ensure the compliance of works with the related approve d Quality Control Plan. • Responsible to verify existing utilities within the proximity of the proposed work, responsible for assuring notification of the Utility owner if utility hit occurs 5.5 QUALITY MANAGER: • Representing the project for all quality matters. • Developing and maintaining the Project Quality Plan. • Verifying implementation and adherence with QA/QC. • Quality Procedures and / or work instruction. • Preparation of new procedures and / or work instructions. • Reporting items of non - conformance to the Projec t Manager. • Reporting on the corrective action / resolution of non - conformance. File name: NEOM - NLF - FRM 002.02 Method State ment Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 5 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. • Verifies program implementation by conducting project specific audits. • Liaison with NEOM / Parsons to coordinate and assist in NEOM audits, surveillance, inspections and appro vals. • Establishing, maintaining and overseeing the document control and record keeping function. • Establishing, maintaining and overseeing the Non - destructive Testing and Wild Engineering functions. • Quality Monthly Report Preparation. • Evaluation of Supplier s/ Sub - Contractor’s Quality Systems. • Procurement and Project Inspection, witnessing and monitoring in accordance with the approved inspection and test plan. 5.6 ENGINEER / INSPECTOR: • Duties and responsibilities of QA/QC Inspector could be typically enumerated as follows: • Ensure compliance with the requirements of the contract scope of work, technical specifications and contract quality plan. • Conduct quality control inspection tasks in accordance with the requirements of the established inspection plans. • Initiat e WIR after verification of activities to be offered for Inspection. • Signs and dates inspection reports for those inspection steps performed. • Provides final acceptance sign - off of all prescribed inspection reports, attesting to the completeness of the pro ject. • Calibration and use of the necessary measuring and testing equipment. • Coordinate with the third - party agency for the required test. • Initiate preparation of the job site quality control records. • Reporting both verbally and in writing any non - conforman ce discovered. • Reporting daily a description of each day’s work. • Conduct weekly QA/QC Tool meeting. 5.7 CHIEF SURVEYOR • Carry out a pre - construction survey to fix the locations and corresponding elevations as per the approved shop drawings. • Ensure quality and c ompliance during phases of surveying works and the regular checking of the surveying equipment or periodic calibration from third parties. • Ensure the validity and serial number of calibration certificates are available and posted in the survey equipment. • E nsure proper safety guarding of surveying equipment. • To maintain the records of all surveying equipment handled. 5.8 SURVEYOR • ABYATONA Surveyor under the direction of the nominated chief surveyor has the responsibility to check the established main reference a nd check levels at regular intervals. 5.9 SUPERVISORS / FOREMEN • ABYATONA Supervisors have the direct overall responsibility for the supervision of their allocated area including the direct supervision of the fixers and labors involved and the strict implementa tion of safety rules and procedures. File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 6 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. 5.10 SAFETY MANAGER: • Establish and communicate safety rules and standards to all employees and contractors. • Provide appropriate resources, tools, and training for employees. • Award contracts using safety, health, and enviro nmental criteria. • Conduct and document safety meetings. • Conduct inspections and tours regularly to maintain facilities in a safe condition. • Correct unsafe acts and conditions promptly. • Maintain facility emergency plans and conduct regular emergency drills. • Investigate injuries, spills, and other incidents and promptly provide corrective actions. • Review organization and employee safety performance periodically and provide feedback. • Responsible to verify existing utilities within the proximity of the proposed work, responsible for assuring notification of the Utility owner if utility hit occurs. 5.11 SAFETY SUPERVISOR: • Responsible and accountable for their team’s health and safety performance. • Conduct informal health and safety meetings with their employees at leas t monthly. • Enforce all safe systems of work procedures that has been issued; • Report to the Safety Manager any weaknesses in the safe system of work procedures or any actions taken to revise such procedures. These weaknesses may be revealed by either health and safety risk assessments or observations; • Report any jobs that are not covered by safe systems of work procedures to the Safety Manager; • Review any unsafe acts and conditions and either eliminate them or report them to the Safety Manager. • Instruct empl oyees in relevant health and safety rules, make records of this instruction and enforce all health and safety rules and procedures. • Make daily inspections of assigned work areas and take immediate steps to correct any unsafe or unsatisfactory conditions, r eport to Safety Manager those conditions that cannot be immediately corrected and instruct employees on housekeeping standards. • Instruct employees that tools/equipment are to be inspected before each use equipment. Record any infringements of the PPE polic y; Doc • In the case of a serious injury, ensure that the injured employee receives prompt medical attention, isolate the area and the equipment as necessary, and immediately report the incident to the Safety Manager. • In case of a dangerous occurrence, the S upervisor should take immediate steps to correct any unsafe condition and, if necessary, isolate the area and the equipment. As soon as possible, details of the incident and any action taken should be reported to the Safety Manager. • Investigate all acciden ts, serious incidents, and cases of ill health involving employees in assigned work areas. Immediately after an accident, complete File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 7 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisat ion to do work: ABYATONA Contractor’s ref. the accident report form and submit it to the Safety Manager for onward submission to the health and safety adviser. A prel iminary investigation report and any recommendations for preventing a recurrence should be included on the accident report form. • Check for any changes in operating practices, procedures, and other conditions at the start of each shift/day and before reliev ing the on duty Supervisor. A note should be made of any health and safety - related incidents that have occurred since their last working period; • Make a quick check to determine any absentees at the start of each shift/day. Report any absentees to the Safet y Manager. • Make daily spot checks and take necessary corrective action regarding housekeeping, unsafe acts or practices, unsafe conditions, job procedures, and adherence to health and safety rules. • Attend all scheduled and assigned health and safety traini ng meetings. • Act on all employee health and safety complaints and suggestions. • In their assigned area, maintain health and safety signs and notice boards in a clean and legible condition. 5.12 SAFETY OFFICER • Responsible for monitoring and assessing hazardous an d unsafe situations. • Developing measures to assure personnel safety. • Correct unsafe acts or conditions through the regular line of authority. • Exercise emergency authority to prevent or stop unsafe acts when immediate action is required. • Maintains awareness of active and developing situations. • Ensures there are safety messages in each Incident Action Plan. • Participate in planning meetings to identify any health and safety concerns inherent in the operations daily work - plan. • Review the Incident Action Plan fo r safety implications. • Investigate accidents that have occurred within incident areas. • Ensure preparation and implementation of Site Safety and Health Plan (SSHP). • Inspects the site to ensure it is a hazard - free environment. • Conducts tool meetings. • Reviews and approves all subcontractors’ safety plans. • Verifies that injury logs and reports are completed and submitted to Client representative. • Verifies that all tools and equipment are adequate and safe for use. • Promotes safe practices at the job site. • Enforc es safety guidelines. • Trains and carries out drills and exercises on how to manage emergency situations. • and make spot checks of tools / equipment’s condition. • Instruct each new employee personally on job health and safety requirements in assigned work are as. • Provide on - the - job instruction on the safe and efficient performance of assigned jobs for all employees in the work area. • Report any apparent employee health problems to the Safety Manager. File name: NEOM - NLF - FRM 002.02 Metho d Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 8 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. • Enforce PPE requirements, make spot checks to determine that protective equipment is being used and periodically appraise the condition of the Conducts investigations of all accidents and near - misses. • Reports to concerned authorities as requested or mandated by regulations. • Conducts job hazard analysis. • Establishes safety standards and policies as needed. • Watches out for the safety of all workers and works to protect them from entering hazardous situations. • Responds to employees’ safety concerns. • Coordinates registration and removal of hazardous waste. • Receives repo rts from and responds to orders issued by Client. • Arranges for OSHA mandated testing and/or evaluations of the workplace by external agencies/consultants. • Support the development of OHS policies and programs. • Advise and instruct on various safety - related t opics (noise levels, use of machinery etc.). • Conduct risk assessment and enforce preventative measures. • Review existing policies and measures and update according to legislation. • Initiate and organize OHS training of employees and executives. • Inspect premi ses and the work of personnel to identify issues or non - conformity (e.g. not using protective equipment) • Oversee installations, maintenance, disposal of substances etc. • Stop any unsafe acts or processes that seem dangerous or unhealthy. • Record and investi gate incidents to determine causes and handle worker’s compensation claims • Prepare reports on occurrences and provide statistical information to upper management. • Carry out PTW Monitoring and review. 5.13 Temporary Works Coordinator (TWC) – Roles and Responsibi lities: • Ensure all temporary works are planned, designed, and executed in compliance with the approved drawings, specifications, relevant codes, standards, and project - specific RAMS. • Coordinate with the design team, construction team, and other relevant st akeholders to ensure the safe and effective implementation of temporary works. • Review and approve temporary works designs and ensure that any modifications are appropriately controlled and documented. • Maintain a temporary works register and ensure all docu mentation is up to date and accessible. • Ensure that temporary works are inspected, certified, and deemed safe before use, including prior to loading or commissioning. • Liaise with the NEOM Temporary Works Department (if applicable) and ensure all permits an d approvals are secured. • Ensure that all individuals involved in temporary works are competent and adequately briefed on their responsibilities. • Conduct audits and inspections to verify compliance with temporary works File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 9 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom P roject no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. procedures. 5.14 Temporary Works Supervis or (TWS) – Roles and Responsibilities • Assist the TWC in overseeing the implementation of temporary works on site. • Carry out day - to - day supervision of temporary works to ensure they are erected, used, and dismantled safely and in accordance with the approve d design and method statement. • Sign off on permits to load/unload temporary works once inspections are completed and the works are verified as safe. • Report any non - conformities, hazards, or changes to temporary works immediately to the TWC. • Maintain effect ive communication with site personnel and ensure that the workforce understands the controls in place for temporary works. • Ensure that any temporary works components are stored, handled, and used as per the manufacturer’s and design requirements. • Support t he safe coordination and sequencing of temporary works in line with the construction programme. 5.15 ENVIRONMENTAL MANAGER: • Ensure environmental compliance of all formwork and scaffolding operations as per the project’s Environmental Management Plan (EMP). • Ove rsee the implementation of environmental controls (e.g., dust suppression, noise management, spill prevention). • Coordinate with construction teams and subcontractors to address any environmental concerns. • Report any non - conformances and ensure corrective a ctions are taken. 5.16 ENVIRONMENTAL ENGINEER: • Conduct routine inspections during formwork and scaffolding activities to verify compliance with environmental standards. • Monitor specific risks such as chemical handling, waste generation, and noise levels. • Ensur e that spill kits, waste bins, and other environmental controls are properly in place and maintained. • Prepare environmental monitoring reports and assist in toolbox talks or awareness sessions for workers 5.17 NURSE ROLE & RESPONSIBILITIES • Develop and implement health and safety programs. • Provide emergency treatment in the workplace. • Administer over - the - counter medication to employees. • Create a clean, and comfortable sickbay area. • Promote healthy eating and wellness programs. • Document all employee injury and ill ness and keep this information confidential. File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial n o. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 10 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work : ABYATONA Contractor’s ref. • Improve the health of employees through on - going programs and health checks. • Develop strategies to ensure maximum employee work input. • Communicate with management on a regular basis. 5.18 EMPLOYEE (WORKER) • Comply w ith applicable rules, standards, and safe work practices. • Communicate safety rules and standards to contractors and coworkers. • Correct or report unsafe acts or conditions. • Maintain knowledge of safety requirements, including emergency response actions. • Par ticipate in safety meetings. • Operate, inspect, and maintain facilities in a safe condition. • Report injuries, spills, unsafe conditions, near misses, and incidents immediately. • Assist in incident investigations as necessary. 5.19 CONTRACTOR RESPONSIBILITIES • Ensu re that contractor employees and their subcontractors are trained in safety rules and standards and are competent in their craft or skill. • Comply with all safety rules and standards, policies, and procedures. File name: NEOM - NLF - FRM 002.02 Method Statement Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 10 of 13 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. • Report injuries, spills, unsafe acts and cond itions, near misses, and incidents immediately to the Client person in charge. • Operate equipment only with proper authorization. • Hold pre - job meetings and other safety meetings during job execution. 2. 3. 4. Safety DO NOT ... checklist DO NOT ... DO NOT ... DO NOT ... Associated documents: Risk assessment(s) ref. no. COSHH (Control of Substances Hazardous to Health) assessment ref. Lifting Plan required/appended: Other attachments (such as drawings) : Yes:[ ] N/A:[ ] Permits required? Indicate those that apply To enter Electrical (HV (High Voltage)) Electrical (LV (Low Voltage)) General work To break ground Hot work Isolation SBC (Saudi Building Codes) 401 permit Other Traffic Diversion [ ✓ ] [ ] [ ] [ ✓ ] [ ✓ ] [ ] [ ] [ ✓ ] [ ✓ ] W ho is to do the work and supervise it? Give the number and type of personnel — including any specific skills, fitness levels, training or qualifications required. • Project Engineer (Formwork Specialist – certified and experienced) • 2 Site Engineers (Civil) • S upervisors (Scaffolding certified with third party) • 15 Skilled Workers (Formwork Carpenters) • 10 Scaffolders (Third party certified) • All personnel shall be fit for duty and possess valid safety training certificates including: Work at Height, Manual Handlin g, and Basic HSE Induction. File name: NEOM - NLF - FRM 002.02 Method Statement 03 - 150000 - 4800001134 - BYT - CIV - MST - 000013 Rev - 03 Page 133 of 152 Method Statement for F ormwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 11 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. When is it to be done? Give concerning other activities or events or as dates and times where relevant – such as isolations, shut - downs, and the like. The activities shall be executed from between 07:30 to 17:00 hours , in co ordination with other ongoing works and NEOM site restrictions. Critical interfaces include concrete casting operations and utility isolations. A minimum of 48 - hour notice will be given for any isolations or tie - ins. A safe means of access to and from the work: (with adequate routes for pedestrians and vehicles) • Safe pedestrian and vehicular access routes will be established with clearly marked paths and barriers. • Adequate lighting will be provided for early morning or evening activities. • Temporary signage and flagmen will be positioned at key points to ensure controlled entry and exit. A safe place of work: Checks to be made on adjacent activities including any restriction or precautions necessary. Define where to stand and any exclusion zones • Work zones will be barricaded with danger tape and signage. • Exclusion zones will be marked around scaffolding erection and formwork installation areas. • Spotters will be deployed during lifting operations and material handling. Details of the plant, equipment and m aterials required: Include any access equipment and that for materials storage and handling • Steel/plywood formwork panels, props, ties, and brackets • Modular scaffolding sets (ring - lock system) • Hand tools and power tools (grinders, drills, etc.) • Tower li ghts for illumination • Mobile scaffold towers and ladders • Storage containers for materials and tools • Crane or telehandler for heavy lifting File name: NEOM - NLF - FRM 002.02 Method Statement 03 - 150000 - 4800001134 - BYT - CIV - MST - 000013 Rev - 03 Page 134 of 152 Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 12 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CULVERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: N EOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. Mandatory PPE (Personal Protection Equipment) and Mandatory PPE: Task - specific PPE and RPE: additional PPE or RPE required: Safety gloves Hard hat High - visibility vest Safety boots (steel toe and mid - sole) Safety goggles Full arrest harness for working at height Dust masks or RPE for handling concrete and cutting materials Hearing protection when using power t ools Waste removal: Will any waste be produced? Yes:[ ✓ ] No:[ ] If yes, give removal details below Removal arrangements: • Debris and used materials (e.g., formwork off - cuts, scaffold ties) will be collected in designated bins. • Waste will be segregated (wood, metal, general) and removed daily to NEOM - approved disposal facilities by a licensed contractor. Specific environmental considerations: • Dust suppression by water spraying will be conducted as needed. • Noise will be controlled by limiting high - impac t work to daytime hours. • Spillage control kits will be available to handle any fluid or chemical leaks Emergency procedures: Event Action to be taken Emergency contacts Fire: Raise alarm, evacuate to assembly point, use nearest extinguisher Accident : (indicating the location of first aid facilities) Notify HSE, administer first aid, escort to clinic if needed Rescue after a fall: Secure area, initiate rescue plan using trained personnel and equipment Rescue from a confined space: Activate confine d space rescue plan, alert emergency services Contingency arrangements: This section detail the arrangements that need to be implemented in the event of something going wrong that is not an emergency – such as in the isolation of pipelines. • In the ev ent of unplanned utility encounters during excavation, work will stop immediately, and the utility owner will be notified. • For equipment failure, backup scaffolding material and hand tools will be available. • In case of poor weather (e.g., high winds), form work and scaffolding work at height will be postponed. File name: NEOM - NLF - FRM 002.02 Method Statement 03 - 150000 - 4800001134 - BYT - CIV - MST - 000013 Page 152 of 152 Method Statement for Formwork and Scaffolding Installation MS serial no. Rev. Sheet no. 03 - 150000 - 4800001134 - BYT - CIV - MST - 0000013 05 13 of 14 Project name: CONSTRUCTION AND EXTENTION OF BOX CUL VERTS UNDER HW - 55 Neom Project no. 4800001134 Location or site: NEOM - OXAGON Date of prep’n: 26 - 07 - 2025 Organisation to do work: ABYATONA Contractor’s ref. An assessment of the completed method statement shall be carried out by the workforce at the st art of each day’s work. This shall take place at the work location If any problems are identified, this method statement shall be reconsidered and, if necessary, revised. As often as is necessary, the supervisor shall inspect the work and review the RAMS ( Risk Assessment and Method Statements) to verify that the control measures continue to be effective. Any changes required shall be re - assessed and the RAMS shall be updated. Review of method statement when work has commenced: For long - term or recurrent a ctivities, this method statement must be reviewed monthly. Any changes necessary due to changing circumstances should be included below (for example, after any hold points): Date of review Comments Name of reviewer Revisions to this method statem ent: Rev. no. Date Summary of changes Prepared by Approved by NOTE: A copy of this risk assessment and method statement shall be retained at the work location VARIO 8 T 2 Girder Wall Formwork Assembly Instructions for Standard Configuration Edition 0 I 201 03-150000-4800001134-BYT-CIV-MST-000013 Rev-03 Page 11 of 152 C Application C1 T-junctions 90° Obtuse wall connection C2 Oblique angle C3 Elements connections for architectural concrete D System supplements D1 Steel Waler SRU,SRZ D2 Universal Coupling UK 70 Product overview Components 31 32 33 34 36 37 Introduction Overview,Main Components Intended Use Instructions for Use Target Groups Additional Technical Documentation Cross-System System-Specific Storage and Transportation 1 3 3 4 4 5 6 6 A General, Element Assembly A1 Maintenance and cleaning 7 A2 Panel Assembly 9 A3 Assembly of Internal Corner with VSRZ 11 A4 A5 Filler Element Hook Strap for VT,HBU,HBUD 13 15 B Working on the construction site B1 Push-pull Props and Kicker Braces B2 Working and concreting concreting Platform,Scaffold Bracket GB-VT B3 Lifting unit Crane Splice-2 VT 20 B4 External corners B5 Internal corners B6 Panel connections B7 Length Compensations B8 Anchoring B9 Stopend formwork B10 Height extensions 17 19 20 21 23 25 26 27 28 29 Assembly Instructions for Standard Configuration VARIO VT 20 Girder Wall Formwork Content 03-150000-4800001134-BYT-CIV-MST-000013 Rev-03 Page 12 of 152 1 Assembly Instructions for Standard Configuration Introduction VARIO 8 T 2 Girder Wall Formwork B3 B2 B9 B1 B8 B6 A1 Element A2 Internal corner A3 Filler element B1 Push-pull props B2 Working and concreting scaffold B3 Lifting unit B4 / B5 External corner B6 Panel connections B7 Length compensations B8 Anchor B9 Stopend formwork B2 B2 Overview, Main Components 03-150000-4800001134-BYT-CIV-MST-000013 Rev-03 Page 13 of 152 Assembly Instructions for Standard Configuration Element width The element width is determined by the length of the SRZ or SRU steel walers. Element height The element height is determined by the 8 T 2 girder length. The 8 T 2 girder is available in lengths ranging from m to m. Special lengths of up to m are also availa- ble. Fresh concrete pressure The fresh concrete pressure is deter- mined by the planning engineer. The el- ements must be installed according to the specifications. Basic element 1 VARIO panel 2 Girder 8 T 2 3 Steel Waler SRZ/SRU 4 Hook Strap HB/HBU 5 Formlining 6 Formlining fixing (Torx) 7 Crane Splice 2 86 5, 6 2 7 4 3 03-150000-4800001134-BYT-CIV-MST-000013 Rev-03 Page 14 of 152 VARIO VT 20 Girder Wall Formwork Introduction Intended Use Product description PERI products have been designed for exclusive use in the industrial and commercial sectors only by suitably trained personnel. PERI VARIO is a girder formwork sys- tem used for forming walls and col- umns as well as residential, industrial and civil engineering construction. Through the freely selectable arrange- ment of the individual element compo- nents, the formwork can be adapted to suit a wide range of requirements such as element width and height, fresh concrete pressure and concrete sur- face. The element is assembled accord- ing to project specifications. The PERI VT 20 is the cost-effective, 20 cm high solid web girder complete with optimal protection at the girder end . The longitudinally-shaped holes in the steel walers and couplings result in the pos- sibility of continuously variable tight connections (tension and compression) in all applications. System dimensions The VT 20 girder is available in standard lengths of 1.45 m - 5.90 m 5RGEKCN NGPIVJUQH up to OCTGCNUQCXCKNCDNG Square or TGEVCPIWNCTEQNWOPETQUU sections CTGRQUUKDNGCPFECPDG continuously HQTOGFWRVQ 1.20 m x 1.20 m. Application The standard configuration is com- prised of formwork for vertical walls up to 12.00 m high, including push-pull props and safety equipment. Formwork for, e.g. inclined walls, climbing form- work (see PERI climbing systems) and moving the formwork without the use of a crane, is not covered by the in- tended use provision