SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis Description of Activity to be carried out:
Work Location:
INSTALLATION OF FENCE & AREA GRADING
RAS LAFFAN INDUSTRIAL CITY
Risk Assessment Log Section:
Step
1.0
Critical Steps in this Activity:
Loading & unloading pieces of fence/posts/poles with fork lifter / crane.
JGC approve the use of this MSJSA : Name:
Position: JGC HSE Manager
Signature:
Date:
Activity Guidelines used:
Potential Hazards:
Personnel injury due to - Material Fall - Property Damage
HSE Controls to be Implemented:
-
Experienced rigging supervisor with visibility vest will supervise all lifting activities. JGC approved operator will operate the fork lifter / crane. Lifting & loading area will be barricaded.
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Step 2.0
Critical Steps in this Activity: Transportation of fence/poles/posts
Potential Hazards: -
Road Traffic accident Material falling during transportation Overloading Projection of load outside trailer body
HSE Controls to be Implemented: -
3.0
4.0
Highlight protruding load. Banks man with vest to guide the vehicle. No passenger at the back of the trailer. Road traffic signs to be strictly followed. Load will not be more than the capacity of trailer Load will be secured with tie-ropes to ensure safe transportation
Survey and Marking for new fence
-
Fall / Trip and Slip Fire
-
Caution against low and overhead obstructions.
Material Offloading
-
Material fall during transportation Improper off-loading
-
Trained riggers will be used for unloading of material No unauthorized personnel to enter the area
-
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis Step 5.0
Critical Steps in this Activity: Mechanical excavation for post foundation.
Potential Hazards: -
Defective Tools Damage of underground services Exposure to dust during excavation Fall of personnel into excavated holes
HSE Controls to be Implemented: -
-
6.0
Post installation / concreting
-
Hand injury due to sharp edges. Fall due to walking on laying pipes Chemical Burns from direct contact of skin with concrete.
-
JGC inspected and certified machine will be used Underground facilities should be marked on drawing and ground. Metal detector to be used before boring / excavation to confirm that no underground facility is present. Dust mask will be worn The spoil material to be covered with polyethylene. Barricade the area properly. Fire extinguishers with machines will be placed Barricade each hole properly after boring.
Use proper hand gloves while working. Avoid stacking material in walkways, instead the material should be stacked in a designated area. Gloves to be wore by workers involved
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis Step 7.0
Critical Steps in this Activity: -
Fence Installation
Potential Hazards: - Hand injury due to sharp edges of fence. Personnel injury due to wrong hand tools and cutter. sharp edges of fence. - Injury during wire tensioning. - Fall / Trip during installation
HSE Controls to be Implemented: -
8.0
Installation of Gate leafs.
-
Damage of material. Personal injury
-
Use proper hand gloves while working. Use pre inspected color-coded hand tools. While rolling and cutting avoid from sharp edges of fence. Toolbox talk to be conducted on regular basis. Experienced workers should do this job. While tensioning wire keep away unnecessary workers for wire. Proper access to be used if it is beyond approach. Crane to be properly positioned. Trained banks man to guide all equipment movement Barricade the area properly. Make sure that hinges members are in position before releasing it.
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis HSE Information / Requirements Resources and Competency Does the Work Team have the necessary capacity, capability, experience & authority to avoid, minimize, monitor and control the risks (Training / Awareness / Equipment, etc.)? Detail minimum expected requirements:
Peoples have been briefed / trained in hazard & precautions of the job Communications / Workforce Consultation Have all members of the Work Party attended the Toolbox Talk, and have they been made fully aware of the risks that they are taking (Residual risks)?
TBT Record No.
Yes
External Risk Has an assessment been conducted to identify all external (to the activity) hazards and potential risks (3rd parties such as other workforce teams or other adjacent parties)? What is the result? Risk Assess. No.
Job Safety Analysis has been carried out keeping in view all external Risks / Hazards. No simultaneous activities are carried out by other Parties
H&S Training Employees should be trained in the proper interaction with equipment, and the proper response to incidents involving this equipment. List the training your employee(s) has received.
All employees attended JGC induction training and DESCON HSE training, Emergency training as is conducted also Specialist Training Will the workforce require any specialist training?
No
High Potential Risks
YES / NO (IF YES, list the specialist training required for the job):
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Does the task require special access / egress / heavy lifting / entry into confined spaces or work at height / in excavations? (IF YES, a separate Risk Assessment needs to be completed).
YES / NO
Risk Assess. No.
No Other Impacts Are there any other ways in which the work will be affecting and/or protecting the Health and Safety of the team members?
YES / NO (If so, please describe below):
No
PTW / Isolations: Other Certificates / Permits What other precautions (e.g. electrical isolation, permits to work) are required and who will authorize them?
PTW / Cert. Nos.
Yes, RLIC permit will be obtained
Contingency / Emergency Response Should special emergency procedures be instituted, e.g. Emergency Drill, providing Fire Wardens, extra First Aid cover, etc.?
YES / NO (If so, please describe below):
No
Air Emissions Will the work you perform produce or cause the release of any air emissions?
No
YES / NO
(If YES, list air emissions and method for preventing impact to the environment):
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis Water Discharges Will the work you perform produce or cause the release of any wastewater?
YES / NO (IF YES, how will the wastewater be handled?):
No Materials What materials (chemicals, oils, etc.) and/or equipment will you be handling or bringing on-site to perform the contracted work?
No
Environmental Training Have employees been trained in the proper handling of materials and equipment, and the proper response to incidents involving these materials? List the training your task employees have received.
No need Waste Generation Will the work you perform result in any wastes? YES / NO (IF YES, list the disposal location, as well as amounts and types of wastes expected and the proposed disposal method):
No Energy Will the work you perform consume energy (compressed air )? YES / NO (IF YES, explain what type of energy will be consumed, and how you will minimize consumption):
Yes, Diesel fuel will be used in grader, shovels, cranes, excavators, jackhammers, diesel generator and fork lifter. Equipment will be stopped if it is not needed to reduce fuel consumption Other Impacts Are there any other ways in which the work will be affecting and/or protecting the environment?
No
YES / NO (If YES, please describe below):
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Environmental Monitoring Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:
Not Applicable Legal requirements Identify environmental legal requirements applicable to the work that has not already been addressed by the Project.
Not Applicable
SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis Training modules required to complete Activity:
List Codes of Practice, Legislation, Standards which apply to this Activity:
JSA will be used as a training module
Standard Codes
List Plant / Equipment / PPE required for this Activity:
Crane, diesel generator, excavator, shovel, jack hammer, forklifter PPE’s:
Hard hat
List Equipment / Maintenance Checks required for this Activity:
Pre job equipment check will be done before starting the job
Safety glasses
Engineering Certificates / Permits / Approvals required for this Activity (e.g. RLC Permit Road closure, Utility isolation, Special Waste license, etc.)
No Type
Reference/Documents
Safety shoes Coveralls Hearing protection Hand gloves Full body harness and life line Respiratory protective equipment
Person(s) Responsible for Supervising / Inspecting Work: Person(s) responsible for supervising the work, inspecting and approving work areas, work methods, protective measures, plant equipment and power / other tools:
NB: List of qualifications/experience is held in local JGC files – see JGC HSE Group for details. Name: .
Mustafa
Position:
Supervisor
Name: .
Naeem Ashraf
Position:
Engineer
Signature: .................................................................
Signature: .................................................................
For a list of names and signatures of staff instructed in this ‘Safe Work Method Statement and JSA’, see JGC training records. Copy 1 - To be posted at the Worksite / Supervisor at the Worksite Copy 2 - To be retained by JGC HSE Group (24 months) Copy 3 - To be held by the subcontractor (24 months)
SAFE ACTIVITY PRE-CHECK (SAP) SHEET Company:
Date:
Foreman (print name):
Location:
Task Description: MUSTER / ASSEMBLY POINT LOCATION: IS YOUR DESIGNATED PLACE OF WORK TIDY? - YES or NO (If "NO" housekeeping must be performed prior to work commencing). PERMIT TO WORK REQUIREMENTS
YES
Key Task Related Hazards
(tick box) NO N/A
Excavations Access Only Plant & Equipment Electrical
Key Preventative Control Measures
Confined Spaces Isolations Lock Out / Tag Out Hot work Instrumentation Pre / Commissioning / START-UP EXCAVATION
YES
NO
N/A
HOTWORK (Non PTW controlled)
SHORED / SLOPED / BENCHED
FIRE EXTINGUISHER
LADDERS PROVIDED
FIRE BLANKET
BURIED SERVICES IDENTIFIED
CYLINDERS UPRIGHT & SECURED
VEHICLE STOP BARRIERS / BOARDS
COMBUSTIBLES REMOVED
EXCAVATION INSPECTED
CONFINED SPACES
NO
N/A
EMERGENCY COMMUNICATIONS WORK BELOW RESTRICTED
PERMIT to WORK
BARRIERS / SIGNS POSTED
GAS TEST COMPLETED
FLAME ARRESTORS FITTED
TALLY BOARD or similar
WELDING CABLES IN GOOD CONDITION
EMERGENCY ACCESS
CHEMICALS
COMMUNICATIONS
MSDS REVIEWED / AVAILABLE
SAFETY HARNESSES
SKIN / EYE / THROAT IRRITANT
SUITABLE (Ex.) LIGHTING
SHOWER or EYEWASH AVAILABLE
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
SPECIAL PPE AVAILABLE AS PER MSDS
SCAFFOLD INSPECTED
CONTAINERS LABELLED PROPERLY
INSPECTION SCAFTAG POSITIONED & IN DATE
SIGNS POSTED
SAFE ACCESS / EGRESS PROVIDED
RISK ASSESSMENT CONDUCTED
TOEBOARDS, KICKPLATES IN ORDER
HAZARDS COMMUNICATED
HANDRAILS SECURED
GROUNDING
HARNESS & LANYARDS INSPECTED
CONTAINMENT REQUIRED / PROVIDED
STATIC LINES - TIE OFF POINTS
ABSORBENT AVAILABLE IN SITU.
YES
NO
N/A
PORTABLE TOOLS
PLANT & EQUIPMENT INSPECTED
TOOLS, APPLIANCES INSPECTED
LIFTING GEAR, RIGGING INSPECTED & CERTS. BANKSMAN / COMPETENT PERSON IDENTIFIED LIFTING PLAN / CALCS & M/S CHECKED
DEFECTS REPORTED
OPERATOR CERTIFIED
OPERATORS CERTIFIED
CABLES, HOSES INSPECTED
PPE REQUIREMENTS IDENTIFIED
PORTABLE APPLIANCES INSPECTED EXTENSION CABLE CHECKED & TAGGED
FLAGMEN TRAINED / POSITIONED
OCCUPATIONAL HEALTH
N/A
SPECIAL PPE (VISORS, GLOVES, etc)
VENTILATION
PLANT & EQUIPMENT
NO
FIRE WATCH (Safety Passport check)
YES
STANDBY MAN
SCAFFOLDING
YES
GUARDS POSITIONED
YES
NO
N/A
PPE
SAFE ACTIVITY PRE-CHECK (SAP) SHEET FIRST AIDER / FIRST AID KIT
HARD HAT
HEAT STRESS
BOOTS
DUST
GLASSES
HYGIENE (FOOD / WATER) CONTAINERS
COVERALLS / HIGH-VISIBILITY VESTS
NOISE
FACE MASKS
VIBRATION
GENERAL WORK GLOVES
YES
ELECTRICITY
NO
N/A
SPECIALIST PPE
PTW REVIEWED (COMPETENT PERSON)
WELDERS, FIRE RETARDANT GLOVES
SYSTEM LOCK OUT
ELECTRICAL RUBBER GLOVES
SYSTEM TAGGED OUT
EAR DEFENDERS / PLUGS
JSA / METHOD STATEMENT IN PLACE
HARNESSES / LANYARDS
SYSTEM DISCONNECTED
WELDERS SCREEN
SYSTEM TESTED
YES
NO
N/A
YES
NO
N/A
YES
NO
N/A
FACE MASK (DUST - FUMES)
MANUAL HANDLING
YES
NO
N/A
RESPIRATORS
WORKER(S) TRAINED (Safety Passport check)
SELF CONTAINED BREATHING APPARATUS
LIFTING, PULLING
FIRE RETARDENT CLOTHING
STRETCHING
ENVIRONMENTAL CONSTRAINTS
SHARP OBJECTS, PINCH POINTS
ENV. STUDY REPORT COMPLETED
(TROLLEYS, FORKLIFTS, etc) available
ENV. HAZARDS IDENTIFIED IN MS
SOUND GROUND / UNDERFOOT CONDITIONS
WORK AREA CHECKED (R&E SPECIES)
GENERAL
YES
NO
N/A
WASTE CONTAINERS / AREA IDENTIFIED
FLYING PARTICLES
SPILL CONTAINMENT
CABLES SECURED ABOVE HEAD HEIGHT
ENV. MONITOR INFORMED / AVAILABLE
VOIDS / HOLES COVERED & SECURED
SITE PLANT & VEHICLES
BARRIERS & TAPE PROVIDED
SAFE DISTANCE - VEHICLES & PEDESTRIANS
ALL HAZARDS COMMUNICATED
SIGNS ERECTED AND VISIBLE
OTHER WORKERS SAFETY CONSIDERED
NOISE / EXHAUST HAZARDS IDENTIFIED
Foreman / Supervisor: I have discussed the above potential hazards involved in the task, reviewed the SAP Card with the employees under my control, and implemented suitable and sufficient controls to minimize the risks involved. Name (print)
Signature
Employees: I / WE ACCEPT THE RESPONSIBILITY FOR THE SAFE BEHAVIOUR OF MYSELF AND MY CO-WORKERS DURING THE TASKS IDENTIFIED ABOVE: EMPLOYEE NAME
SIGNATURE
EMPLOYEE NAME
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SIGNATURE
