SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Description of Activity to be carried out:

Work Location:

JGC approve the use of this MSJSA :

SURFACE PREPARATION IN CONFINED SPACE FOR

PAINTING & COATING.

DOLPHIN
PROJECT

Risk Assessment Log Section:

Activity Guidelines used:

ONSHORE

FACILITIES
Name:

Position: JGC HSE Manager

JGC, DOLPHIN, QP AND OSHA STANDARS AND OTHER INTERNATIONAL STANDARDS.

Step

Critical Steps in this Activity:

1.0

Confined Space Entry in RC

&Sulpher Pits, Manholes, and
Trenches.

Potential Hazards:

Suffocation due to deficiency of

Oxygen
Hot weather effects on personnel
body
Limited access
Personnel Injury due to
home made tools/slip/trip
Inadequate / Defective PPEs
Poor Communication
Poor House Keeping
Fall.

HSE Controls to be Implemented:

Inspection of Job location

Area Incharge to be plan the activity to minimize the risk for
human health, safety and environment
Tool Box talk will be conducted regarding hazards Confined Entry
and control measures.
Safe Activity Pre-Checklist to be filled in daily by Supervisor Prior
to start of activity.
Deploy Skilled/ Experienced manpower.
Check the wind speed and direction.
Erreaction of Scaffolding and clear access
Arrange proper ladders
No unauthorized person will be allowed in confined space while
work is in progress.
Wear all applicable PPE
Maintain working area clean and tidy

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

2.0

Critical Steps in this Activity:

Surface preparation use of

wet cement for Coating &
Painting

Potential Hazards:

Dust due to use of cement

Effects on hand and Eyes
Back pain due to sitting in confined
space
Muscular skeletal disease,
Suffocation due to deficiency of
Oxygen
Hot weather effects on personnel
body
Personnel Injury due to
Home made tools
Inadequate / Defective PPE
Lack of Communication
Poor House Keeping
Slip / Trip/Fall.

HSE Controls to be Implemented:

Tool box talk will be conducted by Supervisor.

Supervisor will be responsible to complete safe activity prechecklist sheet (SAP) daily prior to start of work.
Use appropriate PPE as per job requirement.
Arrange Proper Tools
Deployed workers will be wear dust masks & Rubber gloves
Adequate periphery protection will be done
Ensure no obstruction at job location, access/egress
When long period of manual handling is required, give appropriate
breaks.
Properly handling of material, tools or equipment, such as cement,
brushes, rollers, cotton waste, barrows and trolleys,
Assistance should be provided to handlers negotiating a slope or
ramp.
Work area will be barricaded and sign posted as "NO ENTRY
after completion of work

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

Critical Steps in this Activity:

3.0

Storage
of
chemicals,
Nitoproof 30 (Bitumen)

Potential Hazards:

Occupational Health hazard due to

exposure to toxic chemicals
Environmental Hazard due to spillage
Fire hazard due to spread of
flammable chemicals
Improper handling and disposal of
waste
inappropriate housekeeping
Ignition source / hot work near
flammable material

HSE Controls to be Implemented:

The design and specification of chemical storage areas will be in

compliance with JGC Chemical Management Procedure S-0001654-127
Management of spills of chemicals will comply with the measures
stated in the Spill Contingency Procedure S-000-1654-128.
Disposal procedures and control measures for chemical waste will
comply with the procedure and measures stated in the Waste
Management Procedure S-000-1654-126.
Ensure the availability of MSDS of chemicals at storage area
being used.
Flammable liquids to be dispensed over drip trays in a safe area
away from an ignition source
Ensure availability of Fire extinguisher at chemical storage area.
Avoid to direct contact with skin
Use Rubber Gloves and Dust Mask
Waste storage areas will comply with the requirements stated
within the JGC Waste Management Procedure S-000-1654-126.

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

4.0

Critical Steps in this Activity:

Potential Hazards:

HSE Controls to be Implemented:

Control measures and emergency contacts are provided in case

of any spill or fire.
Good housekeeping to be maintained at all the times at chemical
storage area.
Labeling of all chemical containers
Ensure that all containers are tightly packed
No smoking in or around chemical storage area.
No hot work/ignition source nearby chemical storage area
No accumulation of chemicals in work area / walkways where it
poses a health hazard/fire hazard.
All spills to be cleaned immediately.
Flammable liquids not to be used for cleaning machinery or its
parts
Suitable signs to be posted

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

Critical Steps in this Activity:

4.0

Surface
Coating
with
NITOPROOF30 (bitumen),use
on out side of RC & Sulpher
Pit, Manholes, depth approx
4meters

Potential Hazards:

Occupational Health problem due to

inhalation of Chemical fumes
Irritation in eyes.
Trips / Slips / Falls
Inadequate storage / disposal of Nito
Proof 30 and empty container
Non-availability of eye wash kit
Sign boards
Spread of used brushes and Roller
Use of defective paint tools
Eye irritation
Fire Hazard
Environmental hazard due to spillage
of Chemical

HSE Controls to be Implemented:

JGC Chemical Management Procedure S-000-1654-127 will be

used as a guideline in handling chemicals.
Area Incharge to plan the activity to minimize the risk to human
health, safety and environment
TBT to be conducted on the hazards and risk to health by Nito
proof 30 MSDS attached.
Safe Activity Pre-Checklist to be filled in daily by Supervisor
before start of activity.
Avoid to direct contact with skin
Use Rubber Gloves and Dust Mast
Chemical Handling training to the personnel involved in the job.
PPE to be used as an extra protection or where other control
measures are not practicable
Ensure that all containers are tightly packed when not in use.
List of emergency contact numbers is provided.
Only trained personnel will be allowed to use and handle Nito
proof 30
Consumption of food and smoking will be prohibited when
working with paint.
Supervisor to ensure that workforce is aware of all precautions
given in the MSDS of Nito Proof 30 and follow.
Proper dispose off of used brushes, rollers & empty canes

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

Critical Steps in this Activity:

Potential Hazards:

HSE Controls to be Implemented:

High Potential Risks

Does the task require special access / egress / heavy lifting / entry into confined spaces or work at height / in excavations?
(IF YES, a separate Risk Assessment needs to be completed).

YES / NO

Risk Assess. No.

NO
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the Health and Safety of the team members?

YES / NO (If so, please describe below):

YES
Heat Stress
PTW / Isolations: Other Certificates / Permits
What other precautions (e.g. electrical isolation, permits to work) are required and who will authorize them?

PTW / Cert. Nos.

YES
Permit to work will be obtained wherever applicable.

Contingency / Emergency Response

Should special emergency procedures be instituted, e.g. Emergency Drill, providing Fire Wardens, extra First Aid cover, etc.?

YES / NO (If so, please describe below):

YES
AVAILABILITY OF 1ST AIDER, 1ST AID KIT, LIST OF 1ST AIDERS AND EMERGENCY NUMBERS AT JOB SITE.

Air Emissions
Will the work you perform produce or cause the release of any air emissions?

No

YES / NO

(If YES, list air emissions and method for preventing impact to the environment):

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

Critical Steps in this Activity:

Potential Hazards:

HSE Controls to be Implemented:

Water Discharges
Will the work you perform produce or cause the release of any wastewater?

YES / NO (IF YES, how will the wastewater be handled?):

No
Materials
What materials (chemicals, oils, etc.) and/or equipment will you be handling or bringing on-site to perform the contracted work?

Diesel as a fuel for equipments.

Environmental Training
Have employees been trained in the proper handling of materials and equipment, and the proper response to incidents involving these materials? List the training your task employees
have received.

Safe Refueling, Use of Drip tray and Spill Control training will be given to workforce as per their job nature.
Waste Generation
Will the work you perform result in any wastes? YES / NO (IF YES, list the disposal location, as well as amounts and types of wastes expected and the proposed disposal method):

YES
Waste will be disposed off as per JGC Waste Management Procedure S-000-1654-126.
Energy
Will the work you perform consume energy (electricity, compressed air, natural gas, steam, etc.)? YES / NO (IF YES, explain what type of energy will be consumed, and how you will
minimize consumption):

Yes, Diesel fuel will be used in Air Compressors, Generators etc. Equipment will be stopped if it is not needed to reduce fuel consumption
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the environment?

No

YES / NO (If YES, please describe below):

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step

Critical Steps in this Activity:

Potential Hazards:

HSE Controls to be Implemented:

Environmental Monitoring
Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:

Environmental legal requirements given in JGC Environmental Monitoring Procedure S-000-1654-129 will be followed.
Legal requirements
Identify environmental legal requirements applicable to the work that has not already been addressed by the Project.

Not Applicable

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Training modules required to complete Activity:

List Codes of Practice, Legislation, Standards which apply to this Activity:

JSA will be used as a training module

Standard
Codes

ASTM-1599
ASME B31.3
ASME B16.5

List Plant / Equipment / PPE required for this Activity:

Crane, power generator, welding machines,

compressor.
PPES:
Safety Helmet

List Equipment / Maintenance

Checks required for this Activity:

Pre job equipment check

will be done before starting
the job

Safety Shoes

Safety Glasses

Engineering Certificates / Permits / Approvals required for this Activity

(e.g. RLC Permit Road closure, Utility isolation, Special Waste license, etc.)

No
Type

Reference/Documents

Coverall

As per job requirement:

Safety
Gloves,
Dust
Masks,
Hearing
Protection, Face Shield, Air Supplied Blasting
Hood

Person(s) Responsible for Supervising / Inspecting Work:

Person(s) responsible for supervising the work, inspecting and approving work areas, work methods, protective measures, plant equipment and power / other tools:

NB: List of qualifications/experience is held in local JGC files see JGC HSE Group for details.

Name:

Name:

Position:

Position:

Signature: .................................................................

Signature: .................................................................

For a list of names and signatures of staff instructed in this Safe Work Method Statement and JSA, see JGC training records.
Copy 1 - To be posted at the Worksite / Supervisor at the Worksite
Copy 2 - To be retained by JGC HSE Group (24 months)
Copy 3 - To be held by the subcontractor (24 months)

SAFE ACTIVITY PRE-CHECK (SAP) SHEET

Company:

Date:

Foreman (print
name):

Location:

Task Description:
MUSTER / ASSEMBLY POINT LOCATION:
IS YOUR DESIGNATED PLACE OF WORK TIDY? - YES or NO (If "NO" housekeeping must be performed prior to work commencing).
PERMIT TO WORK REQUIREMENTS

YES

Key Task Related Hazards

(tick box)
NO
N/A

Excavations
Access Only
Plant & Equipment
Electrical

Key Preventative Control Measures

Confined Spaces
Isolations
Lock Out / Tag Out
Hot work
Instrumentation
Pre / Commissioning / START-UP
EXCAVATION

YES

NO

N/A

HOTWORK (Non PTW controlled)

SHORED / SLOPED / BENCHED

FIRE EXTINGUISHER

LADDERS PROVIDED

FIRE BLANKET

BURIED SERVICES IDENTIFIED

CYLINDERS UPRIGHT & SECURED

VEHICLE STOP BARRIERS / BOARDS

COMBUSTIBLES REMOVED

EXCAVATION INSPECTED

CONFINED SPACES

NO

N/A

EMERGENCY COMMUNICATIONS
WORK BELOW RESTRICTED

PERMIT to WORK

BARRIERS / SIGNS POSTED

GAS TEST COMPLETED

FLAME ARRESTORS FITTED

TALLY BOARD or similar

WELDING CABLES IN GOOD CONDITION

EMERGENCY ACCESS

CHEMICALS

COMMUNICATIONS

MSDS REVIEWED / AVAILABLE

SAFETY HARNESSES

SKIN / EYE / THROAT IRRITANT

SUITABLE (Ex.) LIGHTING

SHOWER or EYEWASH AVAILABLE

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

SPECIAL PPE AVAILABLE AS PER MSDS

SCAFFOLD INSPECTED

CONTAINERS LABELLED PROPERLY

INSPECTION SCAFTAG POSITIONED & IN DATE

SIGNS POSTED

SAFE ACCESS / EGRESS PROVIDED

RISK ASSESSMENT CONDUCTED

TOEBOARDS, KICKPLATES IN ORDER

HAZARDS COMMUNICATED

HANDRAILS SECURED

GROUNDING

HARNESS & LANYARDS INSPECTED

CONTAINMENT REQUIRED / PROVIDED

STATIC LINES - TIE OFF POINTS

ABSORBENT AVAILABLE IN SITU.

YES

NO

N/A

PORTABLE TOOLS

PLANT & EQUIPMENT INSPECTED

TOOLS, APPLIANCES INSPECTED

LIFTING GEAR, RIGGING INSPECTED & CERTS.

BANKSMAN / COMPETENT PERSON
IDENTIFIED
LIFTING PLAN / CALCS & M/S CHECKED

DEFECTS REPORTED

OPERATOR CERTIFIED

OPERATORS CERTIFIED

CABLES, HOSES INSPECTED

PPE REQUIREMENTS IDENTIFIED

PORTABLE APPLIANCES INSPECTED

EXTENSION CABLE CHECKED & TAGGED

FLAGMEN TRAINED / POSITIONED

OCCUPATIONAL HEALTH

N/A

SPECIAL PPE (VISORS, GLOVES, etc)

VENTILATION

PLANT & EQUIPMENT

NO

FIRE WATCH (Safety Passport check)

YES

STANDBY MAN

SCAFFOLDING

YES

GUARDS POSITIONED

YES

NO

N/A

PPE

SAFE ACTIVITY PRE-CHECK (SAP) SHEET

FIRST AIDER / FIRST AID KIT

HARD HAT

HEAT STRESS

BOOTS

DUST

GLASSES

HYGIENE (FOOD / WATER) CONTAINERS

COVERALLS / HIGH-VISIBILITY VESTS

NOISE

FACE MASKS

VIBRATION

GENERAL WORK GLOVES

YES

ELECTRICITY

NO

N/A

SPECIALIST PPE

PTW REVIEWED (COMPETENT PERSON)

WELDERS, FIRE RETARDANT GLOVES

SYSTEM LOCK OUT

ELECTRICAL RUBBER GLOVES

SYSTEM TAGGED OUT

EAR DEFENDERS / PLUGS

JSA / METHOD STATEMENT IN PLACE

HARNESSES / LANYARDS

SYSTEM DISCONNECTED

WELDERS SCREEN

SYSTEM TESTED

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

FACE MASK (DUST - FUMES)

MANUAL HANDLING

YES

NO

N/A

RESPIRATORS

WORKER(S) TRAINED (Safety Passport check)

SELF CONTAINED BREATHING APPARATUS

LIFTING, PULLING

FIRE RETARDENT CLOTHING

STRETCHING

ENVIRONMENTAL CONSTRAINTS

SHARP OBJECTS, PINCH POINTS

ENV. STUDY REPORT COMPLETED

(TROLLEYS, FORKLIFTS, etc) available

ENV. HAZARDS IDENTIFIED IN MS

SOUND GROUND / UNDERFOOT CONDITIONS

WORK AREA CHECKED (R&E SPECIES)

GENERAL

YES

NO

N/A

WASTE CONTAINERS / AREA IDENTIFIED

FLYING PARTICLES

SPILL CONTAINMENT

CABLES SECURED ABOVE HEAD HEIGHT

ENV. MONITOR INFORMED / AVAILABLE

VOIDS / HOLES COVERED & SECURED

SITE PLANT & VEHICLES

BARRIERS & TAPE PROVIDED

SAFE DISTANCE - VEHICLES & PEDESTRIANS

ALL HAZARDS COMMUNICATED

SIGNS ERECTED AND VISIBLE

OTHER WORKERS SAFETY CONSIDERED

NOISE / EXHAUST HAZARDS IDENTIFIED

Foreman / Supervisor: I have discussed the above potential hazards involved in the task, reviewed the SAP Card with
the employees under my control, and implemented suitable and sufficient controls to minimize the risks involved.
Name (print)

Signature

Employees: I / WE ACCEPT THE RESPONSIBILITY FOR THE SAFE BEHAVIOUR OF MYSELF AND MY CO-WORKERS
DURING THE TASKS IDENTIFIED ABOVE:
EMPLOYEE NAME

SIGNATURE

EMPLOYEE NAME

1.

10.

2.

11.

3.

12.

4.

13.

5.

14.

6.

15.

7.

16.

8.

17.

9.

18.

SIGNATURE