You are on page 1of 7

HS.SAF.09.

F12

CONTRACTOR WORK METHOD STATEMENT (EHS)

1. Contractor Name : AFC/Danway (CG-4750) 3. Trades / Disciplines Involved In Work :

2. Work Location : RT 11 NORTH WEST SIDE BEAM Engineer, Supervisor, Electricians and Helpers.

Proposed Starting Date :

4. Brief Description Of Work To Be Undertaken : 5. Tools / Substance


Portable Tools
INSTALLATION OF GI TRUNKING FOR FIRE
ALARM SYSTEM CABLE INSTALLATION. Hand Electrical Pneumatic
Hazardous Substances
Toxic Flammable Corrosive
Harmful Irritant
Environment Impact
Health & Hygiene Effect

Environmental Impact Health & Hygiene

Yes No Yes No

Hazardous waste Significant Dust Generation


Emissions Noise (above 85 DbA)
Discharge to sea or drains Hazardous substances (if yes attach list)
If answer to any of the above is yes, please circulate to If answer to any of the above is yes, please circulate to
Manager, Environmental Affairs Senior Occupational Hygienist

6. Person Completing The Work Method Statement :

Name : Position : Company :

Signature : Date :

File: Revision: 0(26-May-2011) Page 1 of 7


HS.SAF.09.F12

7. Approvals

Contractor Site Rep. Name Signature : Date :

SLII Representative Name Signature : Date :

EMAL Representative Name Signature : Date :

Area Owner Name Signature : Date :

Name Signature: Date:


EMAL EHS Department

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.

2. RISK ESTIMATOR CHART


The Risk Estimator chart should be used as an assistant for filling out the work
method statement.

Severity
Probability Low x1 Medium x 2 High x3

Low x1 Low Probability x Low Severity LP x MS LP x HS


1x1=1 1x2 = 2 1x3 =3
Medium x2 MP x LS MP X MS MP x HS
2x1 =2 2x2 =4
2x3 =6
High x3 HP x LS HP X HS HP x HS
3 x 1 =3 3x2 = 6 3x3=9

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).

File: Revision: 0(26-May-2011) Page 2 of 7


SM-CMS.TSK.01.F02

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)

PREPARATION. Slips, trips and fall at the Emal / SNC rep., Engr., Maintain housekeeping around in the working
1x2=2
same level. Supv. Elec,helpers. area.

Emal / SNC rep., Engr., All workers involve in the activity must be
Hot weather. 2x2=4
Supv. Elec,helpers aware of heat stress, supervisor to ensure
drinking cold water is available.

Emal / SNC rep., Engr., Wear P.P.E.'s at all times (hard hat, clear
2x2=4
Not using P.P.E.'s Supv. Elec, helpers. safety glass, safety shoes, hand gloves, dust
mask, fire retardant long sleeve shirt / pants.

Manual handling hazards Supv. Elec,helpers Supervisor to give tool box talk regarding 1x1=2
proper manual handling.

File: Revision: 0(26-May-2011) Page 3 of 7


SM-CMS.TSK.01.F02

Supervisor to ensure approved PTW, MS and


RA are available on site.
Ensure that working crew does not enter into
the operational area.
Complete the pre-work check list on a daily
No approved permit to Engr., Supv., Elec., &
INSTALLATION OF G.I. basis. 3x1=3
work from emal helpers
TRUNKING Daily toolbox meetings to be conducted on
days activity, which will include TRA for the
activity.
Extra care shall be taken about nearby
energized RT control/power panels.
Barricade live panel area with warning tapes.
Using unsafe / Ensure manlift is inspected by Emal with
Emal / SNC rep., Engr.,
damaged manlift Supv. inspection sticker on it and valid certificates
Fire Elec,Helpers,workers are available for the equipment & competent
Incompetent manlift nearby operator.
operator. Provide fire extinguisher.
Ensure personnel inside the man basket wear
their full body safety harness and 100% tie off. 3x2=6
Manlift operator should take extra care while
moving the equipment.
Banks man to be assigned on the ground to
give warning to other workers nearby.

Unwanted fall of
Cordon the work area to avoid unauthorized
objects, tools, and Supv. Elec & helpers entry.
materials may cause
head injury to workers Provide applicable safety warning signboards. 2 x2=4
underneath Use appropriate PPEs

File: Revision: 0(26-May-2011) Page 4 of 7


SM-CMS.TSK.01.F02

All hand tools to be used must be in good


Using damaged hand condition.
tools. Electricians & Helpers Inspect before use, periodically 2 x 1 =2
Sharp edges of G.I. maintained.
Trunking. Extra care to be taken while installing
G.I. pipe, use hand gloves.
Competent workers to be deployed,
Incompetent workers. Electricians & Helpers supervisor to check the competency of the 2 x 1 =2
workers.

Slips, trips and fall at the Electricians , supervisor Maintain housekeeping around the working 2 x 1 =2
same level. & Helpers area.

Bad condition of Elect & helpers Battery operated drill mechine must be in
battery operated drill good condition with valid colour coding 2 x2=4
mechine inspection tag, supervisor to ensure.

Elect & helpers Only competent and authorized worker for


Unauthorized using of using of power tools.
2 x2=4
battery operated drill
mechine

Elect & helpers


All workers involve in working at height must
wear their full body harness and 100% tie off.
Fall from height Barricade the working area by using safety 1x3=3
cones warning tape / signboard.
No materials or hand tools to be stocked on the
top of ladder/mainlift

File: Revision: 0(26-May-2011) Page 5 of 7


SM-CMS.TSK.01.F02

Emal rep., Engr., Supv. All personnel involve in activities must wear
1x2=2
Not using P.P.E.'s Elec & helpers P.P.E.'s at all times (hard hat, safety glass, safety
shoes, hand gloves, dust mask, coverall).
Only competent and authorized person to do the
Unauthorized workers Other workers nearby inspection, ensure notified the client with all 1x3=3
INSPECTION
necessary documents.

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
arising. Failure to properly complete the form will result in non-approval.
(Additional sheets to be used as required)

File: Revision: 0(26-May-2011) Page 6 of 7


SM-CMS.TSK.01.F02

9. Chemical Analysis (This form to be used as required)

Product Name

MSDS supplied Yes / No

Dangerous Goods Class

Hazardous Material Yes / No

Nature of Hazard Irritation / Carcinogen / Corrosive / Toxic / Other

Form Solid /Liquid / Gas / Dust / Vapour / Mist

Exposure Route Inhalation / Skin / Eye / Ingestion

Number of People Exposed

Duration of Exposure

Frequency of Exposure

Controls to be implemented

Estimate of Exposure Negligible / Marginal / High


This sheet must be properly completed detailing all the necessary information. Failure to properly complete the form will result in non-approval.

File: Revision: 0(26-May-2011) Page 7 of 7

You might also like