GULF CONTRACTING COMPANY W.L.

Barzan Onshore Early Site Works Project

BF-S-B00-1520-002 APPENDIX - 3

Specification Deviation Request (SDR)

From Vendor

From Sub-Contractor

From CONTRACTOR

Section 1: DETAILS OF REQUESTED DEVIATION

FROM:

SDR Number: SDR-5858-GCC-001

Rev.0

GULF CONTRACTING CO. WLL

Issued Date: 16.10.2011

LOCATION: LEAN CONCRETE WORKS FOR PACKAGE # 2

TRACKING REF: (Purchase Order/Requisition/Subcontract Number

DETAILS OF REQUESTED DEVIATION

Specification Title, Number & Rev:
SPECIFICATION FOR CONCRETE MATERIALS, MIX, CONSTRUCTION
AND PILING , DOC.NO.S-B00-1320-002 REV.02

Section/Clause/Paragraph:
Sections 4.3.11

Component/Equipment/Material Description, Affected Tag or Item No(s).

CONCRETE SETTING TIME

Is this SDR issued due to a pending or unresolved quality deficiency (NCR/CAR/SR)?

No

System/Sub-System:
N/A

Yes

Current Spec Requirements: (quote as stated in above specification)

THE MAXIMUM TIME BETWEEN MIXING AND PLACING CONCRETE SHALL NOT EXCEED ONE (1) HOUR.
Proposed Deviation to Specification

THE MAXIMUM TIME BETWEEN MIXING AND PLACING CONCRETE SHALL NOT EXCEED (1.5) HOUR.
Attach additional sheets, if necessary.
Technical Justification to Deviate: (Full and detailed appraisal required and attach additional sheets if necessary)

Concrete mix design D will be used for lean concrete as described in sec.7.3 of S-B00-1320-002

Initial setting time as per the attached trail mix (D) from RMQ No. 007-012 is 225 280 minutes.

The concrete mixers will travel around 45 minutes to reach the project site gate, the setting time needs to be extended to
give the construction time for the concrete placing and other related activities.

Slump and temperature of concrete will be maintained as required in the specifications. Refer attached RMQ letter for more
details.
Issued By Responsible Personnel Name:
H.K.MANJUNATH

Title/Discipline:

Signature:

Date: 16-10-2011

SENIOR PROJECT MANAGER

SECTION 2: (To be completed by CONTRACTOR) ESTIMATE OF IMPACT OF CHANGE/RISK TO PROJECT

Check all that apply:
Safety/Health/ Environmental

Impact
(Yes/No)
No

Quality

No

Regulatory

No

Cost

No

Schedule

No

Engineering / Construction

No

Corrosion Protection

No

Operability

Yes

Other (state here)

No

If Yes, Brief Description of Impact of SDR

Contractor Recommendation/Comments: Provide details below i.e. Recommend Accept/Reject. Outline the positive or negative aspects if ticked
above. Estimated cost or schedule benefits if this SDR is approved. Define applicability i.e which LNG Train? If needed, Contractor should consider
prior discussion and COMPANY concurrence before completion of Section 2 Estimate of Impact and Risk & SHE Evaluation.
Contractor Comments:
Will enhance the constructability of concrete works as the batching plant is not close to the site location and construction activities
needs to be given enough time.

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GULF CONTRACTING COMPANY W.L.L

Barzan Onshore Early Site Works Project

BF-S-B00-1520-002 APPENDIX - 3

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GULF CONTRACTING COMPANY W.L.L

Barzan Onshore Early Site Works Project

BF-S-B00-1520-002 APPENDIX - 3
SDR Number: SDR-5858-GCC-001 Rev.0

RISK AND SHE EVALUATION (BY Contractor)

Cat
A

Definition
Possibility of
Repeated
Incidents
Possibility of
Isolated
Incidents

Probability Definitions
Working Definition
20 or more times per facility life: or 5 or more
times during project execution

Possibility of
Occurring
Sometimes
Not Likely To
Occur
Practically
Impossible

D
E

Cat
I

Health/Safety
Fatalities/Serious
Impact to Public. One
or more fatality

II

Serious Injury to
Personnel/ Limited
Impact to Public.
Severe but non-fatal

III

Medical Treatment for

Personnel/No Impact
on Public. Lost Time
Incident

IV

Minor Impact on
Personnel. First aid
only

5 times in facility life or once during project

execution
Once in facility life cycle or 10% likelihood
during project execution
10% likelihood of occurring once in facility life
or 1% likelihood during project execution
Once in 100 or more facility lives or 0.1%
likelihood during project execution

XY

A
C
O
N
S
E
Q
U
E
N
C
E
S

PROBABILITY
B
C
D

Risk Level(Y):

XY

II
III

LOW

IV
HIGHER RISK
MEDIUM RISK
LOW RISK

Contractor

Consequence Considerations
Public Disruption
Environmental Impact
Large Community.
Major/ Extended
Impact on a large
Duration/ Full-Scale
scale and
Response. Requires
communicated by
corporate assistance
national/ international
and picked up by
media
national/ international
media.
Small Community.
Serious/ Significant
Impact on public is
Resource Commitment.
limited, attracts
Oil spill response,
national media
communicated by
media
Minor. Isolated
Moderate/Limited
impact, no coverage
Response of Short
by national media
Duration. Oil spill
response
communicated by
media
Minimal to None
Minor/Little or No
Response Needed

Financial Impact
Corporate. More
than 50USMD
loss of assets or 4
month delay

Regional Affiliate.
Between 2 &
20USMD, or 2
month delay
Division/Site.
Between 2 USMD
and 500 USKD, or
2 week delay
Other. No
financial impact

Instructions for Users of Risk Matrix:

Before Proposed Deviation - Mark an X on both the Probability & Consequences
tables above indicating the current highest risk scenario. Then transfer the X to the
matrix.
After Proposed Deviation Repeat the above process using Y.
Enter resulting High, Medium or Low classification in the Risk Level (Y) box.

Name

Title

Reviewed by:

RAM MOHAN D

SITE QA/QC MANAGER

Approved by:

H.K.MANJUNATH

SENIOR PROJECT MANAGER

Signature

Date
16-10-2011
16-10-2011

SECTION 3: To be completed by COMPANY

PROJECT ENGINEERING INITIAL ASSESSMENT
In concurrence with Contractors Estimate of Impact and Risk & SHE Evaluation in Section 2?

Yes

No

Deviation requests entering the Medium Risk and High Risk Areas or remaining in the High Risk Area of the Risk Matrix and all deviations to S
(Safety) designated paragraphs; require additional COMPANY SME review and endorsement.
If the proposed deviation is considered higher risk or the risk level increases (further left on matrix) compared to the baseline document, then
approval must be obtained according to the levels detailed in Tables 6.8 and 6.9 of CPQ-3 Venture Quality Management System Rev 2 Dated May
2010.
Spec Deviation Request is technically acceptable Recommend Acceptance as a one-time deviation to Project Specification
Spec Deviation Request is technically unacceptable, incomplete and/or lacking supporting evidence - Recommend rejection. (See comments)
Recommend Alternative (see comments)

Comments / Explanation: As necessary by PMT Engineer to support decision above.

If acceptance is recommended, detail any additional conditions of acceptance not already proposed. Also, if not already noted in Sect 2, list here what
supporting documentation is required to be supplied by Vendor/Contractor to verify actual implementation.

PMOC Recommended?

Yes

No

Recommend that a Permanent Revision to Project Specification be considered and Applicable to All Current Project Work?

Yes

No

COMPANY SME EVALUATION OF DEVIATION REQUEST REQUIRED? (when med, high, safety risk or requested by PMT)

Yes

No

COMPANY PMT Engineer Name: (Print)

Signature:

Date:
SDR Number:

SDR-5858-GCC-001 Rev.0

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GULF CONTRACTING COMPANY W.L.L

Barzan Onshore Early Site Works Project

BF-S-B00-1520-002 APPENDIX - 3
COMPANY SME EVALUATION OF DEVIATION REQUEST (when med, high, safety risk or when requested by PMT)
Deviation endorsed

Deviation endorsed with exceptions

Deviation not endorsed

Proposed alternative

SME Comments (explain endorsement/non-endorsement of SDR or propose acceptable alternatives)

COMPANY SME Name:

Signature:

Date:

COMPANYS FINAL DISPOSITION OF DEVIATION REQUEST

Deviation Request APPROVED as is

Deviation Request REJECTED

Deviation Request ACCEPTED with CONDITIONS as noted

Alternative Proposed

PMOC Required

Management Comments: (i.e. is a further estimate required to verify accuracy of cost and schedule impact?)

Engineering Manager Name: (mandatory)

Signature:

Date:

Project Manager Name: (not required if low risk)

Signature:

Date:

SECTION 4: To be completed by Contractor

VERIFICATION OF IMPLEMENTATION
Comments: Was the SDR implemented as stated throughout and were all conditions of acceptance (if any) carried out?

Is all requested documentation attached that supports satisfactory implementation and closure?
Contractor Authorized Representative Name:
Signature:

Date:

PMT Authorized Name: (sample verification based on criticality)

Date:

Signature:

DOCUMENT DISTRIBUTION
Project File Ref:
Project Distribution (designate recipients):
Operations Rep

Vendor/Subcontractor/Contractor (Name/Organization): for adding

to MRB
Procurement

Construction

Information Management

RA/SHE

Engineering Disciplines

Quality

SME Stakeholder or Centralized Spec Control

Business (Cost and Schedule)

Other: (specify)

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