HS.SAF.09.

F12

CONTRACTOR WORK METHOD STATEMENT (EHS)

1. Contractor Name : Danway EME 3. Trades / Disciplines Involved In Work :

2. Work Location : NEW ABB LAYDOWN Engineer, Supervisor, Electricians and Helpers.
(Near to existing GIS building)
Proposed Starting Date :

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

Portable Tools
MANUAL EXACAVATION FOR UNDERGROUND
FACILITY 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 : G.J. PILLAI Position : Supervisor Company : Danway

Signature : Date : 09-05-2012

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7. Approvals

Contractor Site Rep. 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).

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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 rep., Engr., Supv. Maintain housekeeping around in the working
1x2=2
same level. Elec, helpers. area.

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

Emal rep., Engr., Supv. Wear P.P.E.'s at all times (hard hat, safety
2x2=4
Not using P.P.E.'s Elec, helpers. glass, safety shoes, hand gloves, dust mask,
coverall.

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

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Supervisor to ensure approved PTW, MS and

RA are available on site NO PERMIT NO
WORK.
MANUAL EXACAVATION FOR Ensure that working crew does not enter into
No approved permit to Engr., Supv., Elec., &
UNDERGROUND FACILITY. the operational area. 3x1=3
work from emal helpers
(Ablution tank, Complete the pre-work check list on a daily
telephone,water,power,etc.) basis.
Daily toolbox meetings to be conducted on
days activity, which will include TRA for the
activity.
Post appropriate warning signage which reads
DANGER DEEP EXCAVATION.
Cordon the work area to avoid unauthorized
Deep excavation entry during excavation.
Possible existence of Obtain clearance and excavation permit prior
All workers involved in to excavate.
underground services 3x2=6
the activity Futher necessary precautions to consider for
(power,telephone,
water) excavating 1.2 mtrs depth or more. (Eg.
Confined space entry, hazardous gases,
protective system, proper access & egress.)

Supervisor to conduct daily crew meeting prior

to start the activity.
Fall, trip and slipping All workers involved in Post appropriate warning signage.hard 1x3=3
hazards. the activity barricade the work area to aviod anauthorized
entry.

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Excavation that is more than 1.2 mtrs depth

shall administer protective system. (Sloping of
Cav-ins and collapses of All workers involved in 1:1 ratio or benching not less than 0.6mtr wide
2x2=4
excavation walls the activity level, shoring, etc.)
Keep spoiled sand and other materials atleast
1mter away from the edge of excavation.
Provise a ramp.
Limited and unstable All workers involved in Provide ladder long enough for temporary 1x2=2
access/egress the activity access / egress, atleast one meter above the
ground level.

Emal rep., Engr., Supv. Wear P.P.E.'s at all times (hard hat, safety 2x2=4
Not using P.P.E.'s Elec, helpers. glass, safety shoes, hand gloves, dust mask,
coverall.

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)

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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.

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