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F*

Corresponding Permit to Work No.

Method Statement

The Permit Issuer, when developing the respective Permit forms, will use the Method Statement
supplied.
Company : MIGHTY Project : JETTY REPAIR PROJECT Date : 11-
ENGINEERING &  Civil - RC Structure Repair SEPTEMBER-2019
CONSTRUCTION PTE LTD/ Works (Pile Cap, Beam & Slab
RMC Element)

1. Description of works
What does the work entails? The following are the work scope:-
 Remove/ hack off existing damaged RC structure (Localized)
 Clean off corroded rebars
 Apply corrosion protection coating
 Installation of additional rebars (if required)
 Formwork Installation (If required)
 Grouting Works
 Inspection
 Housekeeping

How is the work going to be completed/commissioned?


 After the specified working area has been repaired and inspected by the
consultant/clients.

Will the scope of work/commissioning affect the operations of the live gantry/tank
farm? NO
If yes, how? NA
What will be affected? NA

Duration of the work? (Stating anytime when access to the Terminal will not be
required)
(72) Calendar/work days
Any shift works? Yes/No. Only one shift being 0800hrs to 1900Hrs.
Site location drawings attached? Yes/No
Are there any restrictions e.g. overhead power lines?
Yes.
 Downtime due to vessel berthing
 Jetty loading/unloading (hot works within 15m live discharge with
proper PTW)
Are local permits required (Local regulations)?
Permit to work for: WSH Regulations – Construction Regulation
Any other details
 None

Form F* – JMS (modified by Distribution Permit to Work Page 1 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
Include schedule for this works. Acknowledged (Yes/No)

2. Names of Responsible persons


Who is going to be working on the project?
a) Overall Project Manager: Mr. Alvin Seow/ Mr. Eric Koh (MIGHTY)
b) Site Construction Manager/ Supervisor Shift 1/ Project Engineer: Ismail
Eshak/ Fashius Mark (MIGHTY)
c) Site Superintendent (if any): Tan Chong Bin/ Helal Ahmed (MIGHTY)
d) Safety Coordinator: Joseph Kumar/ Shafiq (MIGHTY - Interim)
e) Permit Applicator: By Maincon (Rotary)
f) General workers: (Attach name list if required)

Who will be in charge?


Managing Director of Contractor/ Vendor: Kellin Tham/ Daniel Ong (MIGHTY)
Who has specific responsibilities? E.g. Plant, personnel, materials, etc.
Overall person responsible at site: Alvin Seow/ Eric Koh (MIGHTY)

Who is the focal point to make contact with local authorities? Ismail Eshak/ Eric
Koh (MIGHTY)

Any other details


None

3. Plant and Equipment


What plant equipment and tools are required to do the job?
Tools (for cold works)
1. Rebar twister
2. Carpenter tools
3. Masonry tools
4. Hilti Gun

Tools (that may generate sparks, ignitions sources, etc.)


1. Generator set (5kVa-25kVa)
2. Air compressor (185cfm)
3. Battery/ Electrical Drill
4. Electrical/ Pneumatic Breaker
5. Power Brush

Cherry pickers used? (Yes/No)


Crane used? (Yes/No) If yes, attach load chart and location in the general
arrangement (GA) layout.
Does the crane(s) have a PMA no(s).? (Yes/No) NA

Form F* – JMS (modified by Distribution Permit to Work Page 2 of


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Scaffolding used? (Yes/No)
 Scaffolding erection for working platform by RMC - Scaffolding

Mobile scaffolding used? (Yes/No)


 If yes, submit the location in the GA. NA
 If yes, when (DD.MM.YY) was the mobile scaffolding inspected by DOSH
approved scaffolding inspector? NA

How are the materials unloaded? Manually Is a forklift required? (Yes/No) Is


he/she an authorized fork lift driver? (Yes/No) NA

How are pressurized gas cylinders kept (if any)? NA

Generator sets have certification? (Yes/No) Hand tools are protected via ELCB
30mA? YES

Sufficient lightings available? (Yes/No) How? Portable Lightings/ genset will


be provide.

Materials to build fire curtains available? (Yes/No) 9Kg Fire-Extinguisher will


be provided.

Usage of mobile Gas Testing equipment available? YES How many units required
and where will it/they be positioned? 1 Gas Detector for Every 4 workers (4-in-
1 Gas Detector).

Are process safety equipment required in this project? No Pressure Safety Valve
(PSV)? NA Thermal Relief Valve (TRV)? NA Pressure Vacuum Relief Valve (PVRV)?
NA Others? No

Non-Destructive Test (NDT) works. Yes. Light hammering or Pull Off Test (as
per the consultant/client’s Engineer instruction.)
Radiographic Testing (RT) to be done at worksite have to be highlighted to
Worksite. Are they informed 5 days in advance? (Yes/No) NA

Will Hydro-testing be performed at worksite? (Yes/No) NA


For HT of the tank, ensure that water is being released into the worksite drain and
interceptors. (Yes/No) NA
For HT of piping/pipelines performed in the worksite, are all pressure HT
equipments in good conditions? (Yes/No) NA

Underwater equipments in good operation? NA Airline from air source on top


deck/jetty? (Yes/No)

Form F* – JMS (modified by Distribution Permit to Work Page 3 of


Version 3.0-A (GL) May 2007
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Qualified and certified divers? NA State what certification. NA Required 2 divers at
any one time. Acknowledged? NA (Yes/No) SCUBA not permitted. Acknowledged?
NA (Yes/No)

Temporary supports to be used within Worksite? YES Attached sketches for the
supports? Will be provided by RMC - Scaffolding

Other equipments, specify. NA

What other certificates, if any, are required for plant or equipment or personnel?
 WSH certification for Safety Officer / Coordinator (Attached?) Yes
 AWSHPP/SWSHPP for all personnel working at site (Attached?) Yes
 Fitness-To-Work (FTW) Certificates for works (Attached?) Yes
 Additional FTW for Confined Space Works and Working at Heights
(Attached?) Yes
 Lorry crane operator certificate (Attached?) NA

What training, if any, is required for operation personnel? Safety Induction (SIT)
performed? Yes

4. Communicating with the workforce


How are the procedures, hazards to be communicated to the workforce?
Method Statement and RA will be explained to the personnel by the Project
Supervisor and Safety Coordinator and together with Port and Shell
Personnel respectively during the daily HITS meeting prior to start of work
on the work scope and the risks/hazard involved. The precaution to be
taken and hazards that can be avoided, etc. This is to ensure all personnel
on site are aware of the job that they undertake and the risk involve.
Minutes of HITS meeting will be recorded together with feedbacks and
recommendations.

Are there any other works taking place near this area of concern. (To be filled by
TOS/M)

What other works which are going on at other location of the terminals? (To be
filled by TOS/M)

Form F* – JMS (modified by Distribution Permit to Work Page 4 of


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Safety Checks
 Safety walkabout to be performed with Shell Terminal Operations?
(Yes/No)
 Safety walkabout to be performed with Vendor/Contractor Top Management?
(Yes/No)
 Unsafe Act Audit/ Unsafe Condition Audit to be performed? (Yes/No)
 Near-miss list recorded, updated and reviewed? (Yes/No)
 Workers’ PPE sufficient? (Yes/No)
 Reminder to comply to Golden Rules, Comply, Intervene, Respect.
Acknowledged? (Yes/No)
 Reminder to achieve Shell Goal Zero targets? Yes Acknowledged ?
(Yes/No)
 Reminder to comply to all the 12 Shell Life Saving Rules (LSR) at all times.
Acknowledged? (Yes/No)
 Line of Fire
 Pinch Point
 Process Fundamental Safety
 PAUSE
o People
o Activities
o Unexpected Event
o Scope of Job
o Exposures

HITS talks, safety meetings etc.


a) HITS meeting to be conducted daily and recorded
b) Weekly progress meeting with Rotary/Shell Project team and to be recorded
c) Monthly committee meeting with Rotary/Shell Project team and to be
recorded

Form F* – JMS (modified by Distribution Permit to Work Page 5 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
Vendor/ Contractor Emergency Response Plan (ERP)
 Submitted? (Yes/No) Attached.
 Any drills to be performed? (Yes/No)
 What is/are the result(s)?
 What is the way forward for improvements?
 Any contractor’s first aider? (Yes/No) If not, what is the contingency plan?

Include records of any such meetings and record attendance.


Same as above.
Others, specify.
Daily report will be recorded.

5. How will the work be completed, i.e. Procedure step by step (Free
text)
a. ORGANIZATION CHART (Indicate personnel based on-site & off-site)
Please see the attachment.

b. MOBILIZATION OF WORKER

• Project Manager (1)


• Project Engineer (1)
• Safety Coordinator (1)
• Superintendent (1)
• Supervisor/Foreman (2)
• General Worker (12 at Peak)

c. HSSE

1. HSSE IC is responsible for all activities related on safety

2. He is in-charge for the development, implementation and monitoring


of HSE procedure regarding site activities

3. He shall review the Risk Assessment/HITS on every particular job at


site

4. Check validity of LEW inspection

5. Control moving-in of materials/equipment according to the sequence


of work for better housekeeping control

6. Monitor work progress according HSSE requirements

d. CIVIL WORKS

1. Concrete Repair for Above Deck and Under Deck

a) Site Preparation Works

Form F* – JMS (modified by Distribution Permit to Work Page 6 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
 Establish and maintain safe workplace allocated at worksite.
 Proper hard barricade shall be prepared in the working
locations.
 For works at underdeck area, scaffold platform will be erected
with PE endorsement.
 Necessary work permits and clearance certificates are obtained
prior to proceeding the work.
 Check site accessibility and ensure safety barriers and
signage’s (only A3 Size) are placed in designated working zone.
 Fire extinguishers to be on site wherever hot work performed
at all the time with valid.
 Tools and materials on platform shall be placed in the container
and loose materials shall be store in bucket or tools bag to
prevent from falling or tripping.

b) Above Deck Repair Works

 Identify the repair locations: - mark and verify the location with
the clients/consultant. Take photographs of the area before and
after repair as a record.
 Hacking, hand chiseling and/or hammering the damaged/
cracked location until sound concrete surface is achieved by
using pneumatic/ electrical tools.
 If rebar is exposed and corroded, preparation to the steel
surface shall be carried out using SSPC-SP3_Power tool cleaning
or as required by the Consultant’s engineer.
 Clean the surface of the concrete with wire brush or power
brush or air hose with air compressor. Surface shall be free from
dust, loose materials, surface contamination and material which
will reduce bonding.
 Upon finishing the surface preparation, the client/consultant’s
Engineer will perform inspection to ensure the surface quality
prior to repairing work.
 Application of anti-corrosive agent to all exposed corroded steel
elements with epoxy zinc rich primer.
 Repair work with shrinkage compensated structural repair
material as approved by the client/consultant’s Engineer.
 Curing time - 3 days. (Pouring water in periodically).
 Inspection & approval by the client/consultant’s Engineer.

c) Under Deck Repair Works

Minor Damage
 Minor Damage is considering 50mm & Less than 50mm hacked

Form F* – JMS (modified by Distribution Permit to Work Page 7 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
off depth (delaminated, weak, damaged & deteriorated
surface.)
 Identify the repair locations: - mark and verify the location
with the clients/consultant. Take photographs of the area
before and after repair as a record.
 Surface Preparation: Surface preparation shall be carried out
by manual chipping using hammer and chisel. Surface shall be
free from dust, loose materials, surface contamination and
material which will reduce bonding.
 Upon finishing the surface preparation, the client/consultant’s
Engineer will perform inspection to ensure the surface quality
prior to repairing work.
 On a well prepared & roughened surface, bonding primer is not
required. The surface should not be dry before application of
the concrete repair mortar. (Wet surface)
 For minor damages, cementitious polymer modified patching
mortar
will be
used as
repair
mortar
by
manual

troweling method.
 Curing time - 3 days. (Pouring Water in periodically).
 Inspection & approval by the client/consultant’s Engineer.

Major Damage
 Major Damage is considering more than 50mm hacked off
depth (delaminated, weak, damaged & deteriorated surface.)
 Identify the repair locations: - mark and verify the location
with the clients/consultant. Take photographs of the area
before and after repair as a record.
 Surface Preparation: Surface must be clean and free from oil of
all dirt, grease, cement laitance, loose material and other bond
inhibition materials. Hacking, hand chiseling and/or hammering
the damaged/ cracked location until sound concrete surface is
achieved by using pneumatic/ electrical tools.
 When doing concrete hacking with the steel reinforcement
exposed, hack further to a minimum of 20-25mm gap behind
the rebar, with approximately 100mm (or more) total depth of
concrete need to be reinstated (including 50-65mm reinstated
concrete cover).

Form F* – JMS (modified by Distribution Permit to Work Page 8 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
Figure 1: Hacking Works
using Pneumatic Breaker to 20mm behind
steel bars

 If rebar is exposed and corroded, preparation to the steel


surface shall be carried out using SSPC-SP3_Power tool
cleaning or as per required by the Consultant’s engineer.
 If the corrosion on the existing rebar is more than 10% of its
original reinforcement area, additional new rebar or wire mesh
will be installed with the required lapping length to compensate
the lost steel reinforcement area.
 If the existing steel rebar has entirely failed/broken off, new
rebar or wire mesh will be installed equivalent to or more than
the existing rebar size with the required lapping length.
 The new shear links shall be chemically anchored into the
existing concrete using Hilti HY200 with minimum depth
150mm.
 Application of anti-corrosive agent to all exposed corroded
steel elements with epoxy zinc rich primer.
 Bonding agent can be applied to the roughen surface for plastic
concrete to the existing hardened concrete (as specified by the
repair material manufacturer).
 Prior to start pouring, about 6 hours of wet-on-wet application
surface must be achieved.
 Formwork will be installed with pour opening to all major
damage repair works. Formworks will be removed after 24
hours of pouring.

Figure 2: Formwork installation for grouting works

Form F* – JMS (modified by Distribution Permit to Work Page 9 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
 After installation of formwork, ensure the formwork is secured
and tightened.
 Dual expansion micro-concrete will be used as structural repair
& structural grouting to achieve high strength. Method of
concrete placing will be by pouring flowable concrete.
 Curing time - 3 days. (Pouring water in periodically).
 Inspection & approval by the client/consultant’s Engineer.

Figure 3: Completed repair works

e. Electrical & Instrumentation


a) Setting-up of temporary Genset (with earthing cables), Air-

Compressor and installation of ELCB, Cables, Enclosures, etc.


b) Monthly LEW inspection – To all electrical tools.
c) Daily checklist for the Genset.

f. Hot Work, Confined Space Entry, Isolation (Mechanical, Electrical),


Excavation, Underwater Works, Lifting safety precautions & plans.
NA
g. NDT and QA/QC works

1. Grout Repair
a) Pull Off test (Per Consultant’s Engineer instruction)

h. Equipment Pre-commissioning/ FAT


N.A.
i. Overall Testing & Commissioning/ SAT

Form F* – JMS (modified by Distribution Permit to Work Page 10 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
N.A.
j. Interface with System/Automation
N.A.
k. Handover to Terminal Operations
N.A.
l. Housekeeping & Waste Management
 Maintain good housekeeping and discipline at all time on the site.
 All tools to be kept in a tool box/bag and do not left it in the work
place.
 Construction waste shall be collected separately and disposed-off by
daily.

m. Demobilization
 The Demobilization of civil material shall include restoration of the
site to its original state condition during hand-over.

n. Documentation & Training

 e-PTW documents and HITS shall be documented

Form F* – JMS (modified by Distribution Permit to Work Page 11 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
ORGANIZATON CHART

Form F* – JMS (modified by Distribution Permit to Work Page 12 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
LOCATION LAYOUT

Form F* – JMS (modified by Distribution Permit to Work Page 13 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
LOCATION LAYOUT

Form F* – JMS (modified by Distribution Permit to Work Page 14 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
LOCATION LAYOUT

LOCATION LAYOUT

Form F* – JMS (modified by Distribution Permit to Work Page 15 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16
LOCATION LAYOUT

Form F* – JMS (modified by Distribution Permit to Work Page 16 of


Version 3.0-A (GL) May 2007
Gerald Lee) System 16

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