Professional Documents
Culture Documents
F12
Yes No Yes No
Signature : Date :
7. Approvals
The completed Work Method Statement must be submitted at least seven full working days prior to the
commencement of activities.
Where the Work Method Statement indicates the use of Hazardous Substances, a Material Hazard Data
Sheet must be attached.
After the Area Owners approval the Work Method Statement shall be forwarded to EHS department for
approval
The approved Work Method Statement must be attached to the permit(s) to work and all persons involved
in the job instructed in its requirements.
Severity
Probability Low x1 Medium x 2 High x3
Significant Risk = High Risk (6-9) or Medium Risk (3-4) in terms of probability and severity
Tolerable Risk = Risk reduced to an acceptable level = Low Risk (1-2)
Residual Risk = Risk remaining after implementing recommended control actions (usually very minor).
8. Safety Analysis
Identified Hazard(s) Persons Exposed To Precautions and Plan of actions To Be Taken Severity x Probability =
Individual Activities To Associated With Activity Hazard To Remove / Control Hazards Risk
Complete Work. List In
Sequence of Activity Residual Risk
(Use Risk Estimator
Chart)
1.PREPARATION. Slips, trips and fall at the Maintain housekeeping around in the working
same level. Emal / SNC rep., Engr., area. 1x2=2
Supv. Elec,helpers.
Manual handling Elec. & help. Supervisor to give toolbox talk regarding 1x2=2
proper manual handling.
Hand tools
Elec., & helpers 2x2=4
Dust All hand tools must be in good condition, no
home made hand tools to be used at site,
supervisor to check.
CONTROL AND
PROTECTION PANEL
Workers may slip, trip & Maintain house keeping around the area
Engr., Supv.
fall at same ground or 3x1=3
Elec,helpers Walkway and gangway to be kept free of
from height
obstruction
This sheet must be properly completed detailing all of the steps required to complete the job along with the sequence of events and each of the hazards
Product Name
Duration of Exposure
Frequency of Exposure
Controls to be implemented