SAFE WORK METHOD STATEMENT DOCUMENT

Document Title (to be completed by the Contractor)

Project: Menara Public Mutual

SWMS No: 0166

SWMS Title: Air Leakage Test for Underfloor Air Plenums

This SWMS will be reviewed: ____________ (Date)

OR earlier if conditions and/or circumstances change that introduce
new hazard/s.

Contractor / Service Provider: Daewoo E&C

Document Status (to be completed by Contractor)
Rev
No
00

Date
25/5/2015

Comments
1st submission

Sub-Contractor
review by
Syerifaizal

Main Contractor
review by
MHR/BN/RN

PAB / Lend Lease

verification by
TM

Contractor Review, Verification & Endorsement

REVIEW
I have reviewed all aspects of this SWMS and am satisfied to the best of my knowledge that it meets all Lend Lease acceptance criteria.

Main Contractor Supervisor / Engineer (print name): ...Signed: .. Date: ././.

VERIFICATION
I have verified all aspects of this SWMS and am satisfied to the best of my knowledge that it meets all Lend Lease acceptance criteria.

Main Contractor Main EH&S Team Head (print name): Signed: Date: ././.
ENDORSEMENT
I have verified all aspects of this SWMS and am satisfied to the best of my knowledge that it meets all Lend Lease acceptance criteria.

Main Contractor Project / Construction Leader (print name): Signed: Date: ././.

Enter SWMS No and Version here

Page 1 of 10

SWMS REVIEW CHECKLIST (to be completed by Contractor)

NOTE:
Each Contractor / Service Provider, before commencing work, must provide written Safe Work Method Statement/s (SWMS) for the work to be
carried out. The following checklist is to be completed and reviewed by Main Contractor, and assessed to have met the EH&S Requirements as
per the Contract acceptance criteria in compliance with the requirements outlined in the checklist and any relevant EH&S Legislation, Codes and
Specifications.
This SWMS must be reviewed on a regular basis. When new information on EH&S risks surface, changes occur or after any inspection, incident /
accident that impact on the agreed method of work, the SWMS must be revised accordingly.
Section 1: Compliance Checklist
SWMS Criteria
1.

Sets out step by step how the work activity will be carried out.

2.

Identifies the aspects/hazards associated with each step of the work activity.

3.

Assesses the impacts / risks associated with each step of the work activity.

4.

Defines the controls to manage risks associated with each step of the work activity based
on the hierarchy of controls Eliminate, Substitute, Isolate, Engineer, Administrate and
PPE.

5.

Provides a description of the plant / equipment that will be used in carrying out the work
activity (including equipment maintenance and inspection requirements, certification by
qualified person and / or registration, etc.).

6.

Describes the qualifications and training of personnel carrying out the work activity,
including supervisors experience, competency, licenses, operators certification, etc.

7.

Refers to and confirms compliance with relevant EH&S Legislation, Standards, Codes,
Regulations and / or Lend Lease SMR as per the Contract.

8.

Includes design requirements, engineered details or certification for both temporary and
permanent structures, platforms or access ways / ladders.

9.

Where PPE is nominated, the type of PPE is specifically listed and when it is required.

10.

Defines who is responsible to ensure that the work activity is monitored and carried out in
accordance with the SWMS.

11.

Defines the process and frequency of reviews and methods for ensuring the work
complies with the SWMS controls.

12.

Identifies where any Contractor / Service Provider will be used, who is responsible to
monitor and supervise the works, and how impacts/hazards arising from interaction
between trades will be communicated and managed (e.g. induction into more than 1
SWMS).

13.

For complex or high risk work activities (where appropriate), uses photos / diagrams /
sketches / summary to enhance the SWMS.

14.

Includes the name and signature of the person who developed the SWMS, a current date
and revision number.

15.

The SWMS includes specific EH&S controls for key high risk activities (refer to Planning &
Delivery GMR 4.2 High Risk Activities).

Check
Yes

No

Remarks

Where an exclusion zone is required, the SWMS must clearly state the detail of the required exclusion zone,
including the person responsible for implementation and supervision.

Enter SWMS No and Version here

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APPLICATION (to be completed by Contractor / Service Provider)

Section 1: Scope of Works

Tasks / Activities:
- Pre-start requirements & work location set up
- Raised Floor Installation
- Installation of Testing Equipment
- Air Leakage Test
Work Location (Attach Site Plan): No

Duration: From 1/6/2015 (Date) to 15/6/2015 (Date)

Remarks:

Section 2: Plant / Machinery / Equipment (Attach Inspection Certificates)

1

Type of Plant / Machinery / Equipment

Raised Floor

Is this equipment inspected?

Yes

No

PVC Pipes

Yes

No

Flexible Hose

Yes

No

Testing equipment (DPM Micro manometer/Airflow Duct

Leakage Test Rig)

Yes

No

Remarks
Material to be approved

Calibration Cert and sticker

Section 3: Key Personnel / Qualified Persons (Attach Training Qualification Certificates)

Name
1

Mr. Lee Un Dal

Appointment / Designation
Construction Manager

Mr. Syerifaizal

QAQC Manager

Mr. Khairin

Architectural Coordinator

Mrs. Ain

Safety Officer

Enter SWMS No and Version here

Remarks

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Section 4: Work Processes & Procedures

Inventory of Work Activities
Key Job Steps
These steps are to be copied to:
C Section 2: Risk Assessment &
C Section 3: Safe Work Procedures
1

Pre-start requirements & work location set up

Key Job Step breakdown (if required)

Step breakdowns are to be copied to:
C Section 3: Safe Work Procedures

Material Handling & Storage

SWMS briefing
Mobilising of material
Safety Pre-Start Session
Install task lighting (if required)
Install exclusion zone (if required)
Shifting material to storage area & works location

Raised Floor Installation

Installation of testing equipment

Air Leakage Test

To refer approved SWMS Ref. No.PMB/DEC/P2/SF/0639 Installation of Access Raised Floor (Rev.02)
To refer Attachment 1 which consisting Category 1 and category 2
Completed raised floor shall be completely sealed off.
To refer attached layout for proposed area for leakage test.
Measurement will be taken and properly recorded base on flowrate
value.

Special Instructions/Remarks:
To refer attachment for technical Method Statement

Enter SWMS No and Version here

Page 4 of 10

RISK ASSESSMENT (to be completed by Contractor / Service Provider)

Section 1: General Information

PREPARED BY:

REVIEWED / APPROVED BY:

Name:

Signed: .

Name:

Signed: .

Designation: .

Date: . /. /.

Designation: .

Date: . /. /.

Applicable Environment, Health & Safety (EH&S)

Legislation

Approved Code of Practice (COP) and/or GMR

Risk Assessment Team

Name

Designation

Signature

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

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Consequence Table

IMPACT

Very Small - 1
Unlikely injury or ill-health, or
onsite first aid treatment.
Onsite environmental impact
with straightforward clean-up
or remedy with available site
equipment and controls.
No regulatory notification
required.

Small - 2
Offsite medical treatment.
Onsite and/or offsite
environmental damage
taking 0-3 months to clean
up or remedy.
No regulatory notification
required.
Some community concerns
raised but no impact.

LIKELIHOOD

Medium - 3
Lost Time Injury or
Occupational Illness.
Onsite and/or offsite
environmental damage
taking 3-6 months to clean
up or remedy.
Regulatory notification may
be required.
Limited impact on community
with minor concerns raised.

Large - 4
Permanently Disabling Injury
or Occupational Illness.
Onsite and/or offsite
environmental damage
taking 6-12 months to clean
up or remedy.
Regulatory notification
compulsory but no public
investigation likely.
Major impact on local
community leads to
community protests.

Very Large - 5
Fatality due to Injury or
Occupational Disease.
Evacuation of employees
due to threat of fatality.
Irreversible onsite and/or offsite environmental damage;
or clean-up or remedy from
damage lasting > 12 months.
Regulatory notification
compulsory with public
investigation likely.
Impact on local community
leads to community outrage.

5 (Very High) - A Very High Likelihood:

1) Almost certain to occur; 2) Almost certain to re-occur due to past trends from
reported incidents / issues; 3) Quantified very high exposure to the risk without
any controls in place.

Minor

Moderate

Significant

Significant

Critical

4 (High) - A High Likelihood:

1) Strong evidence to likely occur; 2) Highly likely to re-occur due to past trends
from reported incidents / issues; 3) Quantified high exposure to the risk without
any controls in place.

Minor

Minor

Moderate

Significant

Significant

3 (Medium) - A Medium Likelihood:

1) May occur or known to occur; 2) Infrequent number and regularity of reported
incidents / issues; 3) Quantified moderate exposure to the risk without any
controls in place.

Minor

Minor

Moderate

Moderate

Significant

Negligible

Minor

Minor

Minor

Moderate

Negligible

Negligible

Minor

Minor

Minor

2 (Low) - A Low Likelihood:

1) Could occur at some but not expected; 2) One or two reported incidents /
issues to date; 3) Quantified low exposure to the risk without any controls in
place.
1 (Very Low) - A Very Low Likelihood:
1) Highly unlikely to occur; 2) No evidence of reported incidents / issues in the
past; 3) No quantified and known exposure to the risk without controls in place.
Risk Index

Action

Critical

Operation not permissible; management attention and consultation with Region Head of EH&S required.

Significant

Operation not permissible; risk must be reduced by all possible means (not by interim risk control measures); management attention and consultation with Region Head of EH&S required.

Moderate

Further risk reduction required where possible; remedial action to be taken immediately; frequent review needed to ensure risk level assigned is accurate and does not increase over time;
management attention required.

Minor

Risk tolerable subject to demonstration that risk level is as low as reasonably practicable; remedial action to be taken at appropriate time to further reduce risk level; frequent review needed to ensure
risk level assigned is accurate and does not increase over time.

Negligible

Risk acceptable; discretionary remedial action to be taken.

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Page 6 of 10

Section 2: Risk Assessment

MANDATORY PPE:No

Unless stated otherwise in this document, ALL WORKERS, will wear (at all times during this activity):1 Hard hat, 2 Safety boots 3 Safety gloves 4 Safety glasses 5 Hi-viz reflective vest

Key Job Steps

Aspect / Hazard

Pre-start requirements &

work location set up

Material Handling &

Storage

Raised Floor Installation

Existing Controls
L

Risk
Rating

Electric shock causing

serious or fatal injury

Moderate

Trips causing minor

injury
Minor back injury

Risk
Rating

Negligible

Minor

Cable management
ELCB
Inspect & tag
Cable management

Negligible

2
2

Manual handling

Dust from sweeping

works causing eye injury
and breathe problems.
Minor back injury

Minor

Two people to carry

Negligible

Moderate

Negligible

Supervisor
workers

Minor

Negligible

Supervisor
Workers

Material movement

Moderate back injury

Minor

Negligible

Supervisor
Workers

Manual handling

Moderate back injury

Minor

Proper posture and ergonomics

Negligible

Supervisor
Workers

Use and handling the Testing

equipment ( Test Rig) in proper posture
and ergonomics
Cable management
ELCB
Inspect & tag

Negligible

Supervisor
Workers

Negligible

Surface preparation

Installation of testing
equipment

Manual handling

Minor back injury

Minor

Air Leakage Test

Electricity

Electric shock causing

serious or fatal injury

Moderate

Provide mask and all workers

should wear the 5 PPEs
Pre-wet the area
Use and handling the wheelbarrow/
Pallet Jack in proper posture and
ergonomics
Using of pallet truck/wheel barrow to
move materials

Section 3: Safe Work Procedures

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Page 7 of 10

Risk
Rating

Accountable
person/s & if
applicable follow
up date
Supervisor
Workers

Electricity

Risk Control

Further improvement (if required)

L
I

Risk Control

Manual handling

Uncontrolled
Risk & Impact

Supervisor
Workers
Workers

Supervisor
Workers

MANDATORY PPE:-

Unless stated otherwise in this document, ALL WORKERS, will wear (at all times during this activity):1 Hard hat, 2 Safety boots 3 Safety gloves 4 Safety glasses 5 Hi-viz reflective vest

Key Job Steps

(Copy from B Section 4)
Pre-start requirements & work location set
up

Key Job Step breakdown

(Copy from B Section 4)

Safe Work Procedures

(include images / sketches if required for further clarity)

Permits Required

Additional Equipment /
PPE

Hold Point
Responsible

SWMS briefing

The supervisor will ensure that all workers have been briefed into
the SWMS PRIOR to the work commencing. This will be verified by
signatures on the document.

Yes
Supervisor

Mobilising of material

The supervisor will ensure the mobilisation of material has been

carried out in safe manners.

Yes
Supervisor

Safety Pre-Start Session

The supervisor, team leader OR Safety Officer/Supervisor will lead

a daily pre-start session at the work location immediately prior to the
work commencing. This session will cover hazards & risk
associated with todays activity.

Yes
Supervisor

Install task lighting

The Electrical Engineer will ensure the cable management has

been done in correct manner.

Yes
Supervisor

Install exclusion zone

The Supervisor will brief the workers on the safe method of works
prior commencing of works.

Yes
Supervisor

Material Handling & Storage

Hoisting works
Shifting material to storage area & works
location

The Engineer shall brief to all workers at the work location prior
commencement of works which will cover the safe works procedure,
tools inspection and also potential hazard & risk to the activity.

Yes
Engineer

Raised Floor Installation

To refer approved SWMS Ref.

No.PMB/DEC/P2/SF/0639 - Installation of
Access Raised Floor (Rev.02)

The supervisor, team leader OR Safety Officer/Supervisor shall brief

to all workers at the work location prior commencement of works
which will cover the safe works procedure, tools inspection and also
potential hazard & risk to the activity.

Yes
Supervisor

To refer Attachment 1 which consisting

Category 1 and category 2
Completed raised floor shall be
completely sealed off.
To refer attached layout for proposed
area for leakage test.
Measurement will be taken and properly
recorded base on flowrate value.

The supervisor, team leader OR Safety Officer/Supervisor shall brief

to all workers at the work location prior commencement of works
which will cover the safe works procedure, tools inspection and also
potential hazard & risk to the activity.

Installation of testing equipment

Air Leakage Test

Enter SWMS No and Version here

The supervisor, team leader OR Safety Officer/Supervisor shall brief

to all workers at the work location prior commencement of works
which will cover the safe works procedure, tools inspection and also
potential hazard & risk to the activity.

Page 8 of 10

Yes
Supervisor

Yes
Supervisor

Section 4: Instruction & Communication

This Safe Work Method Statement has been developed through consultation with the following crew members and has been instructed through induction, read and understood, and signed by all employees undertaking
the works.
Name

Designation

Remarks / Comments

Signature

Date

Section 5: Verification
I have provided, accurate and sufficient information and instructions pertaining to this Safe Work Method Statement - the aspects / hazards associated with each work process and activity, the type of potential impact,
incident or accident, and the risk controls / practicable measures to be taken in the course of work and during an emergency - to ensure its / their safe undertaking.
Instructed by (print name): .. Signed: ..

Enter SWMS No and Version here

Date: ..../...../ Time: .............. am / pm

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Enter SWMS No and Version here

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