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F12
2. Work Location : POT LINE 1 A (ELECTRICAL Engineer, Supervisor, Electricians and Helpers.
ROOM - Bldg: 5115-01)
Proposed Starting Date :
Yes No Yes No
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
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
Severity x Probability =
Risk
Individual Activities To Identified Hazard(s) Persons Exposed To Precautions and Plan of actions To Be Taken To
Complete Work. List In Associated With Activity Hazard Remove / Control Hazards Residual Risk
Sequence of Activity (Use Risk Estimator
Chart)
PREPARATION. Slips, trips and fall at Emal rep., Engr., After getting valid permit from EMAL only
Supv. Elec, and 2x2=4
the same level. starts work.
Hot environment helpers Engineer / supervisor ensure that the work
Manual handling permit is valid for the date and time
hazards. Electrical room is under Electrical
maintenance team and they should be
informed while doing the installation job.
Electrical room having LV Live panels, care
should be taken not to touch or disturb the
live panel.
Ensure the operatives must be go through
EMAL POTLINE Electrical Hazard Training
and Big Five Training.
All personnel involve in the activities must
wear the required PPEs at all times(eg.hard
hat, appropriate safety glass, electrical
insulated safety shoe, hand gloves, dust
mask, fire retardant long sleeve shirt / pants)
All personnel involve in the activity must be
aware of heat stress, supervisor to ensure
cold drinking water and electrolyte are
available at site all time. Use heat
radiation shield.Ensure that Storage of
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
9. Chemical Analysis (This form to be used as required)
Product Name
Duration of Exposure
Frequency of Exposure
Controls to be implemented