Professional Documents
Culture Documents
F12
2. Work Location : RT 11 NORTH WEST SIDE BEAM Engineer, Supervisor, Electricians and Helpers.
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)
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.
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
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.
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)
Product Name
Duration of Exposure
Frequency of Exposure
Controls to be implemented