Professional Documents
Culture Documents
CLIENT
________________________________________________
______________________________________________________
______________________________________________________
COMMENTS:
Date
Rev Description
Island Tower
Prepared
22-08-16
QHSE Plan
10-9-16
QHSE Plan
August 16
Reviewed
Page 1 of 67
Empower
Checked
Approved
Table of Contents
1.
Company Profile
1.1. Introduction
1.2. Ethics
2.
Organization Chart
2.1. Project Organization Chart
2.2. Project Safety Organization Chart
3.
Definitions
4.
Management Responsibility
4.1. Management Commitment
4.2. Responsibility, Authority and Communication
4.2.1. Responsibility and Authority
4.2.2. Internal Communication
5.
Page 2 of 67
August 16
Page 3 of 67
8. Resource Management
8.1 Facility and Infrastructure Management
8.2 Human Resource & Training
8.2.1 Training procedures
9. Measurement, Analysis and Improvement Program
9.1. Measurement of Customer Satisfaction
9.2. Internal QHSE Audits
9.3. Measurement and Monitoring Of Processes
9.4. Measurement and Monitoring Of Services
9.5. Injuries, Incidents and Non- Conformities
9.6. Analysis of Data
9.7. Corrective & Preventive Actions
Annexure:
1.
2.
August 16
Page 4 of 67
3.
Pipelines.
3.3. HSE&S Risk Assessment for Excavation, Backfilling, Leveling and
Compaction.
3.4. HSE&S Risk Assessment for GRP Chilled Water piping.
3.5. HSE&S Risk Assessment for HDPE Pipes and Fittings.
3.6.HSE&S Risk Assessment for Installation of Buried Valve.
3.7. HSE&S Risk Assessment for Cladding of Chilled Water Pipeline.
4.
5.
6.
7.
August 16
Page 5 of 67
1.COMPANY PROFILE
1.1Introduction
Privately owned Company based in Dubai United Arab Emirates was founded under
the able leadership of Mr. Sasikumar. ISLAND TOWER has become rapidly popular in
this highly booming market, credited to the immense sacrifices and hard work of its
entire staff and management.
ISLAND TOWER always believes that client satisfaction comes first, and thus dedicates
itself with vast amount of experience and highly qualified professionals to serve all the
needs of its clients.
1.2 Ethics
The ISLAND TOWER respects and abides by the laws of the countries in
which it operates.
The ISLAND TOWER respects and supports the cultural practices of the
citizens of the countries in which it operates, be they staff, customers, suppliers, officials
or ordinary members of the public.
The ISLAND TOWER values highly the diversity of its staff and their
and harassment based on age, ancestry, color, marital status, medical condition, mental
disability, physical disability, national origin, race, religion, sex, sexual orientation or
veteran status.
August 16
Page 6 of 67
2. ORGANIZATION CHART
2.1 PROJECT ORGANIZATION CHART
August 16
Page 7 of 67
PROJECT DIRECTOR
SASIKUMAR V M
PROJECT MANAGER
UNNIKRISHNA PILLAI
SAFETY ENGINEER
GIRISH SOMAN
SAFETY OFFICER
RAHUL R
SAFETY SUPERVISOR
PRASANNAKUMAR
FIRE WARDEN
FIRST AIDER
August 16
Page 8 of 67
3. DEFINITIONS
Company
Client/Customer
EMPOWER
Project
Quality, Health,
Safety
&
Environmental
System
HSE Policy
Hazard
System Audit
Incident
Non-Conformance
August 16
Page 9 of 67
Practice
Procedure
Program
Risk
Accident
Safety
Self-Assessment
Training
Note on gender
August 16
Page 10 of 67
Page 11 of 67
Construction of Plot/ Buried Valve pit and chemical flushing of existing chilled water
network., as well as complying with all legal and regulatory requirements of Dubai
Municipality/UAE Government.
Valuate and Report on the performance of the HSE plan on JVS DC project.
Organize Management Review meetings.
Establish and co-ordinate the internal HSE audit plans, actions and follow-up .
Review, control, authorizes and distributes HSE system documentation followed on
the project.
Reports to the Managing Director and co-ordinates with others managers for matters
related to Health & Safety and Environment.
Prepare any Corrective Action and Non-conformance Reports on safety culture
followed by the company staffs throughout the project.
Prepare Company HSE Statistics and overall HSEperformance of the company
throughout the project.
Ensures incident & near miss reporting and investigation procedures are followed up
by the appropriate corrective & preventive action.
Liaises with external agencies, government authorities and interested parties
concerning relevant HSE system issues.
Ensures appropriate monitoring of HSE-related issues is carried out to minimise risk /
impact and achieve compliance with the relevant statutory requirements.
Internal Auditors
Responsibilities and authorities relating to HSE system:
Prepare and plan for HSE Systems audits.
Conduct the internal audits and prepare Non Conformity Reports and Audit Report.
Discuss the results of these audits with the relevant section head audited and agree the
corrective actions required and their completion dates.
Carry out follow up audits.
Report to the Safety Engineer/MR.
August 16
Page 12 of 67
4.2.2Internal Communication
The company has defined and implemented processes for communication of QHSE requirements, objectives and
accomplishments throughout the project.
Management
Review / Continuous
Improvement
Monitor / Feedback
Delivery
Input
Statutory, regulatory and
customers requirements
Quotation
Inspection
Order confirmation
Outputs
Project work
Communication Tools
Good infrastructure
Qualified employee
Resources
Knowledge
Process method
Training
Good experience
Support Process
Financial Controller /
Administration
HR
Drawings
Performance
Criteria/Monitoring
Cycle Time
Number of solved and
unsolved complaints
Productivity
Waste reduction
Number of nonconformities
Market share
Health, safety &
environmental parameters
Page 13 of 67
Purpose
ISLAND TOWER Management developed and implemented the Quality, Health, Safety and
Environment System described in this manual to help the organization demonstrate its ability to
consistently provide the services and operate with increased effectiveness and efficiency with
the overall aim of enhancing customer/ client satisfaction.
b) Scope,
The scope of this system covers activities related to Testing, Commissioning and Maintenance,
in the Defects Liability Period, of Existing GRP Chilled Water Piping Networks including
Construction of Plot/ Buried Valve Chambers at Jumeirah Village South Circle and Triangle.
c) Implementation
The processes contributing to overall service can be broadly enumerated as below.
a) Control of Documents & Records
b) Purchase and store
c) Resource management
d) HSE Management
e) Project Management
f) Measurement, Analysis and Improvement program
The procedures are documented to ensure that activities, conditions and tasks affecting quality,
health, safety and environmental protection are planned, organized, executed, reviewed and
improved through the project.
5.3 CONTROL OF DOCUMENTS & RECORDS
The Company has established and maintained procedures for the control of all documentation
relating to the QHSE System.
August 2016
Page 15 of 67
The periods for maintenance of system records are detailed in procedures. The procedures also
define the methods for disposal of system records after prescribed retention periods are carried
out.
PROCEDURE
i.
ii.
QSR (Quality SystemReports)& QSD (Quality System Documents) for this project will
be prepared as per Master list of documents (ISO 9001:2008 standards). Before issue,
issue details are recorded in the Issue control register.
iii.
The pertinent issues of appropriate documents/ records will be kept in the site office (at
JVC and JVT)
iv.
All important documents such as Contract Agreements, Lease Deeds etc and the related
working files shall be under the custody of respective Heads of Departments at our
main office (at Al Quisais,Dubai,)
v.
Any documents of external origin retained for the operation of the organization
including legal register shall be recorded in the Documents of External Origin by the
MR.
vi.
The inward & outward of documents (letters, magazines etc) are recorded in inward &
outward registers respectively.
vii.
All Incoming Mail/ Courier are received at the reception desk. The reception desk shall
segregate the same Department-wise and register the particulars of all mail couriers &
dispatched to the concerned department.
5.4
In purchasing materials, equipment and services, the Company attaches critical importance to
evaluation and selection of subcontractors / suppliers, communication of requirements to
subcontractors / suppliers, receiving inspection and verification of purchased products.
The procedure has been established which ensures that:
Only subcontractors/suppliers included in the Approved List from EMPOWER are used
in this project.
August 2016
Page 16 of 67
Purchasing documents clearly and completely describe ordered products and the HSE
requirements.
August 2016
Page 17 of 67
ix. If any product found defective by in-charge, this should be intimated to Purchase incharge. The product should be returned to the vendor with an intimation letter regarding
the issue and this should be remarked in purchase inspection register.
b) Stock verification
Stock register of each product to be maintained by the purchase in charge and this shall be
verified randomly.
5.4
Management Review meetings are carried out two times per year in order to ensure the QHSE
Systems continuing suitability, adequacy and effectiveness in satisfying the Standards, and in
meeting the Customers requirements.
The Safety Engineer/MR maintains minutes of the meeting and shall ensure the same is
distributed to all key functions and communicate the status of the effectiveness of the HSE
System to the organization as a whole.
The Top Management team consisting of Managing Director, Safety Engineer, and other dept.
Agenda and minutes of management review meeting are prepared and circulated to all the
concerned persons
5.5
Customer Relationship
The Company has defined methods to analyze& monitor client/customer satisfaction of services
delivered. The information collected through Feedback forms is used for analysis of data for
ensuring customer satisfaction and continuous improvement. The results of such review are
submitted for Management Review and subsequent action.
August 2016
Page 18 of 67
HSE Policy
Page 20 of 67
5. Arouse and maintain the interest of employees/ workers and convince them that their
cooperation is needed to prevent accidents.
6. Provide an opportunity for free discussion of accident problems and preventive measures.
7. Initiate safety promotion schemes and set targets for safety improvement campaigns.
6.3.2 Composition of Safety Committee
The Site Safety Committee is to comprise:
1. Project Manager (Chairman)
2. Safety Engineer
3. Safety officer
4. Safety Supervisor
August 2016
Page 21 of 67
f) Institute proper reporting, investigation and costing of injury, damage and loss; promote
action to prelude recurrence and initiate analysis to discover trends
g) Make adequate Security arrangements to ensure the security of all personnel, plant,
equipment and resources
h) Make adequate provision for Welfare arrangements, including the requisite facilities for
the number of employees on site
i) Set a good personal example
Safety Officer
Main responsibilities include:
a)
Knowledge of all the basic hazards and risks encountered in work activities.
b)
c)
d)
e)
Ensure that work, once started, is carried out as planned and in accordance with the
Occupational Safety and Health Legislation regulations and codes of practice.
Site Engineer
Main responsibilities are to:
a) Organise the site so that work is carried out to the required standard with minimum risk to
men, equipment and materials
b) Know the requirements of the Project Safety Plan and Regulations and other relevant
legislation and how it applies to the project.
August 2016
Page 22 of 67
c) Ensure that all plant sent to site is safe and fully efficient, is guarded and equipped with
safety devices and is tested in accordance with the Project Safety Plans.
d) Make certain that all operations and maintenance personnel are only employed for that
which they have been thoroughly trained.
e) Check that all repair and maintenance work carried out on site is in a proper manner and that
emergency repairs are dealt with properly as soon as possible. Call the attention of site
management to the need for dangerous plant to be put out of service.
f) Check that hired plant is safe and that, where appropriate, copies of current test certificates
are available and kept on site with the machine.
g) Give all Foremen and leading hands precise instructions on their responsibilities for proper
working methods; see that they do not require or permit men to take unnecessary risk.
h) Arrange delivery and stacking of materials to avoid risks by double handling; position plant
effectively; ensure that the electricity supply is installed and maintained without endangering
men and equipment.
i) Plan and maintain a clean tidy site, so far as is reasonably practicable.
j) Implement arrangements with subcontractors and other contractors on site to avoid any
confusion about areas of responsibility.
k) Make sure that suitable protective clothing is available and used.
l) Ensure that a qualified first-aider and all items of first-aid equipment as required by the
Project Safety Plan are available and their location known to employees.
m) Cooperate with the Project Safety Representatives and act on his recommendations.
o) Set a good personal example.
Foremen
Main responsibilities are to:
a) Be familiar with the Project Safety Plan regulations applicable to the work on which their
gangs are engaged and insist that those Regulations are observed.
b) Incorporate Job Safety Analysis in routine orders and see that they are obeyed.
August 2016
Page 23 of 67
c) Restrain men from taking unnecessary risks ensuring employees are educated and trained.
d) Ensure that new employees learn to take safety precautions. - Transmit safety knowledge
and company message to his fellow workers.
e) Commend operatives who, by action or initiative, eliminate hazards.
f) Discourage horseplay and reprimand those who consistently fail to consider their own well
being and that of others around them.
g) Report defects in plant or equipments.
h) Set a good personal example.
Workers
Main responsibilities are to:
a) Use the correct tools and equipment for the job; use safety equipment and protective
clothing supplied, e.g. roof ladders, safety helmets, safety shoes, safety harness, goggles, etc.
b) Keep all tools in good working condition according to standard.
c) Report to supervisor, defects in plant or equipment.
d) Develop a personal concern for safety for themselves and for others, particularly
newcomers and young people.
e) Avoid improvising which entails unnecessary risk.
f) Inform new employees of known hazards and run Induction Training first day.
g) Refrain from horseplay and the abuse of welfare facilities.
h) Suggest ways of eliminating hazards.
August 2016
Page 24 of 67
Subcontractors
a)
Subcontractors are required to comply with the requirements of the Project Safety
requirements and intentions to comply with the Project Safety Plan are gained at the sub
contract start-up meeting.
b)
Site safety meetings are held to review sub-contractors safety performance and
agree actions to be taken to ensure safe working methods are adopted. Each subcontractor
is required to appoint a representative to attend the monthly H&S meeting for the period
they are on site.
c)
Subcontractors are involved in the safety training and awareness program for the
Project.
Serious Injury
Natural disasters
August 2016
Any additional emergencies will be added during any review process as identified.
August 2016
Page 26 of 67
Wear the appropriate work clothing and personal protective equipment for your job.
Locate machines, benches, work areas in such a way to allow free movement.
Adequate and suitable firefighting equipment must be provided for all hot works or
areas where combustible or flammable material and Know the exact location of
firefighting equipment to be stored.
Standard emergency kit and first aid equipment must be provided and readily
available at all times.
Smoking is only allowed in designated smoking area. No Smoking signs and all
other warning signs exhibited shall be followed strictly.
All incidents causing injury / damages or not, shall be reported to the site engineer /
supervisor.
Drivers and operators must obey all speed limits and other traffic rules and
regulations at project site.
Check that tools and equipment are in safe condition. Use tools and equipment
correctly.
August 2016
Page 27 of 67
Do not clean your hand with solvents such as gasoline, thinner, Use prescribed
cleansing agents.
Safety Inspections are scheduled by the QA/QC and Safety Engineer for the Project
and conducted by assigned Supervisors
a)
Tour the individual worksite, observing work critically in terms of what is being done
Specific inspections will be carried out as per the Inspection Test plan (ITP) approved
by EMPOWER (Annexure 2) for each specific activities coming under flushing of GRP
pipes and construction of valve pit.
c)
Completed Inspection forms and follow-up Safety Inspection forms will be submitted
to Project Manager and Safety Engineer and QA/QC who will review them and take action
on any outstanding issues.
A Safety Reward Scheme operates on the Project as follows:
The Project will be split into areas and those areas who record the best results recorded on
the Safety Inspection form and who are judged by the Project Manager to have worked
safely will be eligible for Safety Certificates and Safety Vouchers up to a value of Dhs 100
per man.
6.7.
Specific
Construction
Activities
Requirements
from
mobilization
to
August 2016
Page 28 of 67
The scope applies to any plant and equipment, which is used to within Jumeirah Village
South District Cooling Projectworksite by the employees, contractor or visitors
Legal Requirements:
Dubai Municipality, Code of construction safety practice#Chapter14
The plant and equipment used for the purpose this project byIsland Tower
Electromechanical LLC are temporary pumps, Excavation equipment, Back filters,
generators, different types of lifting equipments like chain blocks, lifting pad, webbing
sling etc.
Control of Plant and Equipment:
a) A register shall be maintained for all rolling stocks detailing:
-
Certification status.
b) The Safety Engineer will ensure that only approved machineries, tools and
equipmentare utilized for the operations and the plant shall be operated as specified by the
Manufacturers Instructions/ Manuals ensuring:
-
Machineries, Tools and equipment is equipped with approved rear end markings
Load ratings are marked on plant and they are within specified limits to prevent
overloading
-
August 2016
Page 29 of 67
Monthly Plant & Equipment Safety Checklist - classified plant and equipment and
plant and equipment over 2 tonne
August 2016
Page 30 of 67
The regular operator of each vehicle will complete the inspection checklist and then
forward the completed forms to the Project Safety Representative. The Project Safety
Representative will keep a register of all vehicle and equipment checklists.
All 4WD light vehicles are to be fitted with a roll bar and all station wagons must have a
parcel barrier fitted between the rear section of the vehicle and the used seat.
Access and Public Safety around the Work Site
a) All project personnel to ensure that safe access must continually monitor work areas
adjacent to public thoroughfares and egress is maintained at all times.
b)
Entry and exit to and from the work sites shall only be via designated routes, which
Security fencing erected around the work site must be maintained in good condition
and gates allowing entry/exit to the work site must be kept locked when not in use to
prevent unauthorized access by the public.
HYDREX 2331
HYDREX 5208
HYDREX 2856
HYDREX 7310
August 2016
Page 31 of 67
The potential hazards and risks they may be caused due to its uncontrolled exposure may
result Potential Health Effects like Non irritating to slight transient irritation to skin and
eyes, but no permanent damage, upon heating to high temperatures, or mechanical actions
which may produce vapors or mists, inhalation of product may cause irritation of the
breathing passages.
Particular considerations must be given to the safety of the occupants of the site to ensure
the risks associated with the use of hazardous substances are minimized, no hazardous
substance will be brought on site without approval from EMPOWER. Its subsequent use
will be subject to appropriate controls to ensure personnel know how to use the substance
safely and only use the substance with the correct PPE for the flushing stage of the project.
It is mandatory that before any substance likely to affect the health or safety of persons is
brought to the site, a Material Safety Data Sheet (MSDS) shall be provided at least seven
days prior to the product arrival and a copy maintained at the following locations:
-
Store and handle such chemical safely. Observe statutory requirements for storage,
i.e. Dangerous Goods Regulations and the Factories and Industrial Undertakings
(Dangerous Substances) Regulations.
b)
Identify the chemicals used for the purpose of the flushing during the course of the
project.
c) Check that all containers are correctly labeled.
e) Assess the hazards and formulate the precautions to be taken from the labels or from a
separate MSDS. (Material Safety Data Sheet)
August 2016
Page 32 of 67
f) Obtain all necessary facilities for protecting operations and fire protection.
g)
August 2016
Page 33 of 67
e) Foot Protection
Hazard:-Impact from falling or flying objects
Choice: - Standard safety boots with metal toe caps must be worn by all personnel on
operational areas and in places where foot injury could occur. Ordinary leather or rubber
shoes including slippers / sandals must never be allowed in operational areas or in places
where risk of foot injury exist.
Control Measures
All PPE is to be maintained, replaced, or cleaned as appropriate & necessary information,
instruction and training shall be given to those required to use it.
The minimum PPE requirements for this site will be:
August 2016
6.7.5 Housekeeping
Good housekeeping is an important part of our Companys safety program and it is the
first line of defence against accident/injury. Its everyone job to maintain higher standards
of awareness. Keeping the work area clean and tidy will eliminate most of the accidents
and fire hazards. The co-operation of all employees is required to keep the workplace safe.
Legal requirement: Dubai Municipality, Code of construction safety practice #Chapter 3.2
The different rules for maintaining good standard of housekeeping atJumeirah Village
South District Cooling Project worksite are as follows:
Work areas shall be clean and tidy with no accumulation of scrap, rubbish or waste
material.
Any spillage, oil or greasy liquid shall be cleaned immediately; oily rags shall be
disposed of in a metal container with lid.
Tools and materials should be stowed away when not in use kept clear from the
edges of benches, walkway, and stairs, scaffolding and work platforms.
Keep change room clean and clothes and apparels inside lockers.
August 2016
Page 35 of 67
suitably control the risks associated with the inadvertent energizing of any electrical system
during the project course at Jumeirah Village South District Cooling by Island Tower
Elecromechanical
Legal Requirement: Dubai Municipality, Code of construction safety practice #Chapter16 article 16.2,
16.3, 16.4, 16.5
Safe practices detailed below should be observed strictly:
A proper work permit with electrical isolation / de-isolation must be obtained before
doing electrical works in any restricted area. The established procedures will be
followed strictly.
A non-conductive safety helmet, rubber mats, safety gloves, electrical safety shoes
shall be used.
All electrical work in hazardous areas shall be decided and planned by the supervisor
taking into consideration the hazard, competency of the individual, tools and
equipment, requirement, condition of weather, etc.
During maintenance and repair work, the equipment involved should be isolated and
locked out to ensure physical separation and inadvertent switching on.
At night standard warning signs, barriers, red light, etc. must be used.
Regard all conductors as Live, do not touch them, and use a meter.
ELCB shall be used on all circuits and in extended power from extension rolls
using portable electric power tools. (ELCB - Earth Leakage Circuit Breaker)
Overloading of electric circuits is prohibited. All circuits must be used only for
designated load.
August 2016
Page 36 of 67
Work in pairs on electrically energized equipment, one can check and render aid if
necessary.
Never insert base wires into outlets. Use only approved three pin plugs.
All repair or maintenance work on motors, starters and other electrical apparatus
must be done with devices isolated. Testing shall be done only by authorized
competent persons.
Hot fuses or circuit breakers must be handled with gloves and approved fuse pullers.
Contractors are strictly forbidden to take electrical equipment and tools without first
having such equipment inspected by the service department.
Once the inspection has been completed and services department are satisfied that
the equipment or tools are good construction and safe to use, they will attach an
Inspection Sticker and allow the equipment or tools to be connected to the
electrical system provided.
If the service department is not satisfied with the standard of the equipment or
tools to be used, they will refuse permission for the said items to be used within
Island Tower Electromechanical LLC until such time as the appropriate
rectification is made.
In all cases the, portable electrical tools must be rated at 110 volts supply. In
exceptional circumstances where the use of a supply greater than 110 volts is
unavoidable, approval to use such equipment or tools must be sought from the
Safety Department.
Welding equipment brought on the site by the contractor must be 380v AC with
the secondary voltage being DC.
August 2016
Page 37 of 67
Fire safety is the set of practices intended to reduce the destruction caused by fire. Fire
safety measures include those that are intended to prevent ignition of an uncontrolled fire,
and those that are used to limit the development and effects of afire after it starts.
Legal Requirement:Dubai Municipality, Code of construction safety practice Chapter 5 article 5.4, 5.5.1,
5.5.4, 5.6.1, 5.6.3, 5.12
Island Tower Electromechanical LLC has wide range of effective measures for controlling
such hazards and risks associated with it at the Jumeirah Village South District Cooling
Project worksite by Island Tower Elecromechanical and those are as follows: a) Adequate fire extinguishers shall be made available at prominent position at the work
area.
b) All fire extinguishers shall be checked monthly for serviceability.
c) All leaders of work team shall be trained in the use of extinguishers.
d) Temporary buildings, huts, stores etc, shall be spaced so as to minimize the risk of fire
spreading between buildings or structures.
e) Access to hydrants and fire appliances shall be clearly indicated and accessible at all
times.
f) Smoking will only be allowed in the designated smoking areas. Ash trays or similar
bins will be placed in these areas to prevent the risk of fire.
g) No smoking or No ignition areas shall be demarcated and noted before starting the
work itself.
h) The company shall ensure adequate provision of fire extinguisher through
the works for the duration of the construction period.
i)
Where personnel are carrying out hot work at heights, adequate fire resistant
blankets or the similar must be used to protect persons and equipment on lower level.
August 2016
Page 38 of 67
Temporary
fire
pump
is
suggested
to
be
installed
when
constructing
multistoried station.
6.7.8Working at Height
The purposeof this section is to give instruction, guidelines and considerations to be
adopted by all personnel who are required to work at height.This procedures may be
supported by theissuse of other instructions and informations from time to time as deemed
necessary to maintain safe working practices.
The scope of this section aplies to all employees and contractors of the Island Tower
Electromechanical LLC-DUBAI at all location of the Jumeirah Village South District
Cooling Project worksite, within or without the confines of the Island Tower
Electromechanical LLC-Dubai Rules & Regulations. The contents should also be used as
guidance and advice to confined space crew who may be required to conduct work at
height.
Work at height mean work includes moving around at a lace of work but not travel to or
from a place of work or a place is at height if a person could be injured falling from it, even
if it is at or below ground level.
Legal Requirement: Dubai Municipality, Code of construction safety practice Chapters 3, 4,8, article 4.1,
4.2.1, 4.2.6, 4-2-7,4-2-8, 4-3-2, 3.15, 8 2, 8.3
Examples of activities that are classified as working at height include:
August 2016
Page 39 of 67
Island Tower Electromechanical LLC has wide range of effective measures for controlling
such hazards and risks associated with it and those are as follows: The Working at Height Regulations 2005 require all work at height to be properly planned,
supervised and carried out in a manner which is, so far as reasonably practicable, safe.
Work may only be carried out when weather conditions will not jeopardise the health and
safety of any person involved in the work. There are further requirements to ensure that
planning includes appropriate selection of work equipment for the job and that emergency
procedures are in place for the duration of work. The hierarchy of control for working at
height should followed and are detailed below:
August 2016
Page 40 of 67
Consider using the safest means of working at height as far as reasonably practicable and
determine what control measures can be implemented to reduce the risk of injury. The use
of roof edging, debris netting, mobile or static work platforms and ladders should be
considered. A non-exhaustive safety equipment selection list, which may be suitable for
undertaking work at height, is produced below;
Work Equipment Safety Selection List
Trestles
DUTY HOLDERS
Persons responsible for operations involving working at height are designated as duty
holders, and must ensure the following requirements are met all work at height is properly planned and organized;
all work at height takes account of weather conditions that could endanger health and
safety;
those involved in work at height are trained and competent;
the place where work at height is done is safe;
equipment for work at height is appropriately inspected;
the risks from fragile surfaces are properly controlled; and
the risks from falling objects are properly controlled.
MINIMISE THE LIKELIHOOD OF AN INCIDENT OCCURRING;
Good practice and legislation indicate that where working at height is deemed necessary
arrangements must be made to reduce the risk of injury to a minimum, therefore work at
height should only take place if there is no other practical alternative. Where possible staff
should not be asked to work in any area where there is a risk of falling, if this is not
possible suitable edge protection should be supplied and lone working avoided. All
equipment used during the course of working at height must be suitable and sufficient for
the task, and fall arrest/ fall protection equipment must be provided where necessary.
August 2016
Page 41 of 67
Personal Protective Equipment should only be used when all other safety measures have
been implemented and a residual risk that is un-acceptable remains. Staff working at
height must be adequately trained and any equipment (such as harness/lanyards or fall
arrest equipment) provided must be regularly inspected, visually before use and formal
inspection made and documented by a competent person at minimum 6 monthly periods.
Inspection periods may be more frequent if determined by the condition and use of the
equipment, manufacturers recommendation or risk assessment.
Work environments are also a consideration and hazards such as fragile roofs, working
over water or other high-risk areas must be taken into account, this also includes below
ground level situations. Arrangements must be in place to allow for access, egress and
rescue in an emergency situation.
Equipment such as scaffolds, ladders, work platforms (whether mobile or static) must be
properly selected, built and maintained, inspected and dismantled as detailed in any
specific legislation and guidance that may be applicable. Equipment for working at height
should be regularly inspected by a competent person, and repaired or disposed of as
necessary, the inspection should be documented and items marked to indicate the date
tested.
A Register of equipment should be compiled for use in managing the inspection regime;
equipment manufacturers indicate the frequency of inspection that is required. Visual
inspections should always be made prior to use and defects reported to supervisory staff,
defective equipment should be withdrawn from use until replaced or repaired as
appropriate.
A further consideration relates to objects falling or being thrown from height, it is the
employers responsibility to prevent this, where it is not practicable to prevent such
actions employers must ensure that persons are protected from injury by appropriate
means. Practically this means the provision of personal protective equipment such as head
protection (Hard Hats) or protective items such as debris netting or covered overhead
walkways, and securing of work areas to prevent unauthorised entry and possible injury.
August 2016
Page 42 of 67
August 2016
Page 43 of 67
staff, which have recognised qualifications or suitable scaffold training, and a handover
certificate is properly completed.
Legislation and guidance is in place with regard to use of scaffolds and mobile towers
which must be complied with, risk assessment must also be undertaken and further advice
may be provided on request to the Corporate Health, Safety & Wellbeing team. Inspection
regimes apply to scaffolds and mobile towers and records of inspection must be kept.
Trestles
Various types of trestles and work platforms are used during the course of work, where
possible professional equipment should be supplied and used as those made up of
stepladders and boards are by todays standards considered a safety risk. Risk Assessment
should indicate the need for use of trestles or work platforms and further advice can be
sought from the corporate Health & Safety team.
General control measures of Island Tower Electromechanicl LLC for Work At
Height with respect to this project are as follows:a)
Any open edges from which a person is liable to fall from heights shall be protected
by suitable fencing barriers of a height of between 900 and 1150 mm. The barriers could be
formed by two guardrails with the same height on top and the intermediate guard rail shall
be of height between 450 ~ 600 mm from the toe board.
b)
instructions and shall comply with the prevailing statutory safety requirements.
c)
400 mm wide for passage of persons only and at least 650 mm wide for passage of
materials.
d)
Workers working at height where the erection of fencing barriers is impracticable will
be provided with fall arrest safety harnesses equipped with a suitable fall arrest lanyard.
Suitable and sufficient safe anchorage points or life line system for securing the safety of
the workers will also be provided. Fall arrest safety harnesses are required to be worn at
heights above 2m.
August 2016
Page 44 of 67
6.7.9Confined Space
A Confined Space can be any space of an enclosed nature where there is a risk of death or
serious injury from hazardous substances or dangerous conditions (e.g. lack of oxygen).
Some confined spaces are fairly easy to identify, e.g.
Storage tanks;
Silos;
Open-topped chambers;
Vats;
Ductwork;
It is not possible to provide a comprehensive list of confined spaces. Some places may
become confined spaces when work is carried out, or during their construction, fabrication
or subsequent modification.
Confined spaces can be deadly. On average, work in confined spaces kills 15 people every
year in the UAE across a wide range of industries, from those involving complex plant
through to simple storage vessels and rooms.
seriously injured. Those killed include not only people working in the confined space but
those who try to rescue them without proper training and equipment.
As a part of this project for Island Tower Electromechanical LLC the confined space task
is at the District Cooling Chamber entry for various tasks like overall condition survey,
flushing and pressure testing of the GRP lines.
August 2016
Page 45 of 67
When entry into confined spaces is unavoidable, all hazards have been considered
and there are sufficient safe systems of work and emergency arrangements in place
that will reduce the risk of injury to the persons involved.
8.9.1Hazards
associated
with
the
confined
space
entry
for
Island
Tower
Electromechanical LLC employees for Jumeirah Village South District Cooling Project
are as follows: -`
Lack of oxygen: This can occur:
Where there is a reaction between some soils and the oxygen in the atmosphere;
Following the action of groundwater on chalk and limestone which can produce
carbon dioxide and displace normal air;
In freight containers, lorries etc as a result of the cargo reacting with oxygen inside
the space;
When using inert gases, for example, during some welding operations.
August 2016
Page 46 of 67
August 2016
Page 47 of 67
to the confined space. The enclosure and working space may increase other dangers arising
through the work being carried out, for example:
Gas, fume or vapour can arise from welding, or by use of volatile and flammable
solvents from paints and adhesives etc. It may be necessary to mechanically ventilate the
confined space;
If access to the space is through a restricted entrance, such as a manhole, escape or rescue
in an emergency will be more difficult.
Island Tower Electromechanical LLC has developed a Safe System of Work for handling
Confined Space situations: It is a requirement of the Confined Spaces Regulations that there is a safe system of
work for all confined space entries. To be effective, a safe system of work needs to be in
writing
Appointment of supervisor
Supervisors must be appointed to oversee all confined space work. It is their responsibility
to ensure all the necessary precautions are taken and that the safe system of work is being
followed. It is the responsibility of the relevant Head of School/Service to appoint a
suitably trained and experienced supervisor.
The degree of supervision will be based on the findings of the risk assessment. In some
cases, periodic checks may be sufficient if the work is low risk and routine.
It is more likely that the level of risk will require a competent person to supervise the work
and remain present while the work is being undertaken.
August 2016
Page 48 of 67
Competence
Specific training for work in confined spaces is required for all personnel involved in this
type of work. The training will include topics such as:
Awareness of the Confined Spaces regulations and in particular the need to avoid
An understanding of the work to be undertaken, the hazards, the safe system of work
How emergencies arise, the need to follow prepared emergency plans and the dangers
Communication between people inside and people outside the confined space;
Systems can include speech, tugs on a rope, telephones, radios etc. Equipment to be used in
potentially flammable or explosive atmospheres should be specially protected so they do
not present a source of ignition.
August 2016
Page 49 of 67
Use of portable gas cylinders and diesel equipment should be avoided where possible.
If their use cannot be avoided, then forced ventilation is essential to prevent the
accumulation of gases/fumes.
Warning: carbon monoxide in the exhaust from petrol-fueled engines is so dangerous that
use of such equipment in confined spaces must never be allowed.
Decontamination before entry.
It is essential ensure fumes do not develop from residues etc while the work is being done.
All decontamination requirements must be carried out and the atmosphere tested prior to
work starting. It is the responsibility of the supervisor to ensure effective decontamination is
carried out.
Insertion of blanks.
August 2016
Page 50 of 67
Emissions of fumes/gases.
Risk of electrocution.
Pipes and hoses must be withdrawn from the confined space to a well ventilated area.
Where pipes and hoses cannot be removed, they must be disconnected from the
August 2016
Page 51 of 67
Size of entrance
The access/egress point must be big enough to allow workers wearing all the necessary
equipment to climb in and out easily, and provide ready access and egress in an emergency.
Fire Prevention
Flammable and combustible materials must not be stored in confined spaces that have not
been specifically created or allocated for that purpose. If this type of material is used during
work it must be kept to a minimum and not be allowed to accumulate. Control of ignition
sources and ventilation requirements must also be considered. Smoking is prohibited in all
confined spaces, it may be necessary to extend this exclusion area to a distance beyond the
confined space
Lighting: - Adequate and suitable lighting, including emergency lighting should be
provided. The lighting must be specially protected where flammable/explosive atmospheres
are likely to occur. Lighting may need to be protected from impacts and be suitable for use
in wet environments. Where possible, residual current devices should be utilized to protect
against electric shock.
Permit to Enter a Confined Space
Permission to enter a confined space can only be given by a person who has received
appropriate training and is authorized to sign a confined space Permit to Enter. An
example of a Permit to Enter can be found in Appendix 1. A Permit to Enter is required
for ALL Confined Space work at the University. It must be signed in the authorization and
acceptance section prior to work starting by a competent person. A hand-back signature
must also be completed on the permit when to work is complete or the expiry time
exceeded. It is the responsibility of the supervisor to ensure that a permit to enter has been
completed for every confined space entry.
Suitability of persons
Those persons required to enter confined spaces must by mentally suitable (e.g. not
claustrophobic), physically fit, have received general training in the hazards presented by
August 2016
Page 52 of 67
confined spaces and the procedures to be followed. In addition, prior to entry to any
particular confined space, persons entering must be instructed by the area supervisor in the
specific hazards and precautions applying, and in the confined space rescue plan. All
Confined Spaces training must be recorded. When limiting the working time, consideration
should be given to temperature, humidity, restricted movement, the need to wear PPE/RPE
etc.
Emergency Arrangements
No confined space work must be undertaken unless their emergency plans in place for the
rescue of persons in an emergency. Account needs to be taken not only of accidents arising
out of specified risks, but also any other accident in which a person may need to be
recovered.
To be suitable and sufficient the arrangements for rescue should include consideration of:
Fire safety;
Control of plant;
First aid;
Training.
Page 53 of 67
The purpose of this section is to minimize the risk of fire and explosion by controlling hot
work which is undertaken by Island Tower Electromechanical LLC and to emphasize on
the significance in following 2 lifesaving golden rules where deviation from these rules
may lead to a major injury or death.
i.e.,1. Work with a valid Work Permit when required.
2. Conduct atmospheric test when required.
The scope of this section relates to the control for all hot work in those area where Hot
work process is done within the Jumeirah Village South District Cooling Project worksite.
Legal Requirements:
Procedure
No Hot Work will be performed without a valid permit, signed by the Project Safety
Engineer who will be in charge of completing the Hot Work Permit Form, specifying the
Project Number, visiting and evaluating the location of work and the nature of Hot Work
and arrange for Fire Watch. (1 Hour after completion of the work)
The Project Safety Engineer will notify the following:
Client for approval
Once the Hot Work Permit has been signed by client it will be handed to the Site
Supervision.
Hot Work Permits will be numbered according to the following system: Project / Month /
Permit Number (e.g. project number/Feb/06). Client will maintain a log of permit issued.
Client will maintain and update the Hot Work Permit log at every site.
Any Permit issued will only be valid for a single shift.
On receiving the Hot Work Permit Log the Client will perform periodic / random audits to
check whether Hot Work Permits are in place.
August 2016
Page 54 of 67
Island tower is responsible for ensuring that the area is constantly attended by the Fire
Watch who will ensure that a fire extinguisher is placed near the hot work activity and that
all flammable material is either removed from the area or covered with a fire blanket.
On completion of the Hot Work Activity at Jumeirah Village South District Cooling
Project worksiteby Island Tower Electromechanical LLC will ensure the following:
A 1-hour continuous fire watch is performed immediately following the ceasing of the
activity. (N.B. Hot Working must cease 1 hour before the end of the shift so that this fire
watch can be undertaken)
If an unsafe condition develops the persons conducting the work will cease and consultant
will be notified immediately.
Any responsible person, manager or supervisor can terminate a Hot Work Permit at any
time if conditions are considered unsafe.
Ceasing unsafe hot works will take priority over financial or timescale pressures.
6.7.11. Hoists, & Lifting Equipment
The purpose of this section is to ensure as far as practicable, that all equipment related
to the lifting of are without defect and safe for use. The scope of this section applies to the
examination, testing and inspection of lifting appliances and lifting gear used by Island
Tower Electromechanical Dubai personnel, subcontractors for Jumeirah Village South
District Cooling Project worksite.
Legal Requirements: Dubai Municipality, Local Order #61 of 1991
Dubai MunicipalityEPSS Section Technical Guideline #41
Lifting Operations and Lifting Equipment Regulations (LOLER) 1998
Dubai Municipality, Code of construction safety practice #Chapter 21 article21.1,
22.2,22.3.1, 22.3.2, 22.5,22.7
August 2016
Page 55 of 67
General procedures that are followed by Island Electromechanical LLC are as follows :The daily log book and inspection register must be completed by the operator first using
the machine each day and checked weekly by the Safety Engineer.
All lifting equipment used on the site is to be inspected daily by the Safety Engineer before
use.
Material Hoist
a) The hoist way shall be properly enclosed.
b) Landing place shall be kept closed except during loading and unloading
c) Safe working load shall be clearly and legibly marked on the platform/cage
d) No person shall be carried by material hoist and such notice shall be clearly and legibly
displayed on the platform/cage
e) The winch for driving the hoist shall be constructed such that:
i.
ii.
if it is fitted with pawl and ratchet gear the pawl has to be disengaged before the
platform/cage can be lowered.
e)
August 2016
Page 56 of 67
The hazards and risks associated with excavation works are as follows: Cave-in: People at risk of being caught in a cave-in include workers who repair water,
sewer and utility lines; road builders; and workers who perform digging operations.
Cave-ins can be caused by:
Loose soil due to vibrations from construction equipment or traffic in the construction
area
Soil that does not hold tightly together, such as sandy soil
All excavations in excess of 1.5 meters will be barricaded at least 1 meter back from
the edge on both sides of the excavation using rigid barricading. Excavations within the
construction site less than 1.5 meters in depth shall be protected, or made visible by using
barricade tape.
b)
If access is required to excavations deeper than 1 meter a secured ladder or steps will
be provided and the excavation will be battered, stepped or shored to prevent collapse of
any loose materials.
c) Where possible all excavations shall be back filled on the same day they are opened. If
this is not possible, the excavation is to be barricaded using an approved system of rigid
barricading, erected 1 meter back from the edge. If left overnight flashing lights are to
be placed around the excavation to alert persons to the excavation.
August 2016
Page 57 of 67
August 2016
Page 58 of 67
999
Fire Department
997
Ambulance
999
8. RESOURCE MANAGEMENT
8.1 Facility and Infrastructure Management
The company management has identified and established resources required that satisfy
the regulatory requirements regarding equipment and competent personnel.
The Company has trained personnel who carry out internal audits.
Adequacy of
resources, including; trained personnel, equipment, and software, with regards to meeting
the client requirements and company HSE requirements, are reviewed periodically during
Management Review meetings and any necessary action taken accordingly.
Procedure
i.
The MR shall ensure all assets are segregated and give chronological number.
The details of asset shall be recorded in the Master List of Fixed assets.
The physical assets shall be cross verified with record during internal auditing.
August 2016
Page 59 of 67
If any damages identified, then the details shall be recorded in the remarks column
ii.
Preventive Maintenance
o
The organization shall do the preventive maintenance for its assets as per the
The MR shall maintain a list of supporting servicers/ AMC Contact details with
Telephone numbers
o
The MR shall ensure and verify the preventive maintenance being carried out in all
The maintenance activities shall be verified during the course of internal audit.
The details shall be recorded in Master List of External Service & Maintenance
Contract.
iii.
o
Corrective Maintenance
For corrective maintenance in departments, a Request send to Admin. By the
On receiving the request, the admin will contact the corresponding suppliers to
perform the service & rectify the problem. After completion of work the details shall be
filled in the maintenance record.
Equipments under
servicing
Page 60 of 67
8.2 Human Resources & Training: The Company attaches great importance to ensuring
that all personnel performing activities where their performance may impact on QHSE
issues have adequate experience, skills and qualifications. This is achieved through the
recruitment of suitably qualified personnel and the provision of adequate training. Job
Descriptions for individual designations in the company are documented along with
competence requirements and relevant information communicated.
Procedures require all new personnel to undergo induction training, which includes an
introduction to the companys QHSE Policy, the HSE Management System, legal &
statutory requirements related to the product and, the employees responsibilities and
authority.
The procedure also requires that the training needs of personnel be reviewed at least once
every year. Where training requirements are identified, a plan for further training is
established to ensure appropriate personnel qualification, experience, skills and training
records are maintained. The procedure assigns responsibility for the provision of any
such further training and evaluates the effectiveness of training provided.
8.2.1TRAINING PROCEDURE
The HR department identifies the requirement of the training on a regular and periodical
manner. All department heads try to analyze the staff development requirement and
requests for training to the HR department who in turn obtains approval from the MD.
Once the training is complete, the trainees are evaluated while on Job and an update is
being given by the Head of the departments to the HR departments with regards to the
output of the conducted training sessions.
a)
Induction
All new staff shall undergo induction training to assist them in the process of becoming
integrated to the institution within the shortest time possible. The respective immediate
supervisor in collaboration with the HRD shall conduct induction training.
Induction training shall include the following:
August 2016
The organization shall provide periodic training for all the employees on the following
b)
Performance Appraisal
b.
Quality of Output
c.
d.
e.
Customer service
f.
Cost effectiveness
g.
h.
Administrative skills
i.
j.
August 2016
Page 62 of 67
d)
The HR department in close liaison with the department head closely monitors all the
staff for facilitation skilled and smart employees for promotions (performance appraisal).
If found eligible for an advancement from one level to a higher level, this will be done
with an increment in salary, status, rank and responsibility by obtaining approval from
Managing Director.
An employee if found to be working below the standards of the company or not in line
with the stipulation laid down the company then the employee may be suspended as a
matter of punishment for a specified period with salary deduction and the same has to be
placed on records for reference during the appraisal period.
If the employee continues to be inefficient and if recommended by the Head of the
departments to be terminated, then the recommendation has to be referred to the HR who
in consultation with the MD relieves the staff from his duties as per the rules laid down
by the company.
August 2016
Page 63 of 67
Audits are prepared and planned by trained auditors. The procedure ensures that in all
cases the auditor(s) will be independent of the function or area being audited.
All non-conformities discovered during on audit are recorded and an audit report is
prepared. The results of audits are communicated to respective managers who are
responsible for timely implementation of agreed corrective actions.
Procedure requires that the implementation and effectiveness of corrective action be
verified by a follow-up audit and recording results.
Findings and results of corrective action of audits are presented and reviewed during
Management Review meetings. This information is evaluated to help assess the
effectiveness of the QHSE system in satisfying the interested parties, and achieving the
relevant Standards, and to determine if any improvements in the QHSE system are
required.
9.3Measurement and Monitoring of Processes
All the processes are carried out by qualified personnel according to documented
procedures / process descriptions. All employees undergo training where required for
their assigned job. Procedures for various operations / processes are evaluated through
internal audits and if found inadequate, improvements are made to operations and
documents are revised accordingly.
Procedures are established to monitor and measure the key characteristics of the
operations and activities that may have significant aspects and safety hazards, on a
regular basis. The procedure includes recording of information to track performance with
defined objectives and targets.
Periodic inspections of are planned and conducted to ensure special precautions are in
place and complied with in accordance with procedures. These include the recording of
information to track performance, relevant operational controls and conformance with the
environmental, health and safety objectives & targets.
Monitoring and measuring activities for significant impacts and for objectives and targets
are documented. The HSE Manager/MR will identify the key characteristics of the
activities or services that are associated with the significant environment, health and
safety aspects/ hazards that require monitoring.
August 2016
Page 64 of 67
Programs are in place through the respective departments to ensure that the appropriate
information is collected and maintained to track performance of the operational control.
August 2016
Page 65 of 67
9.5Analysis of Data
The company collects and analyses data to demonstrate the suitability and effectiveness
of the HSE system and to evaluate continuous improvement.
The focus of the analysis is on customer satisfaction (client, company stakeholders,
employees etc), achievement of objectives, product conformance requirements,
preventive action, beneficial supplier relationship and continuous improvement. The
feedback of such analysis is presented during management reviews for review and further
setting the phase for continuous improvement.
9.6 Corrective &Preventive Actions
The non-conformance reports requiring system related or product related corrective
actions shall be attended to immediately and the relevant documents shall be changed
appropriately.
The results of Internal Quality Audits and customer complaints shall be reviewed during
the Management Review Meetings and appropriate corrective actions shall be decided.
Product related non-conformance pertaining to purchase products is reported to the
respective supplier for necessary corrective action. In case of repeated non-conformances,
the supplier is removed from the Approved Supplier List.
When the non-conformance is due to inadequate training of personnel, the concerned
staffs shall be provided with necessary training.
All formal customer complaints regarding products shall be analyzed and results shall be
discussed in the Management Review Meetings to decide on the corrective measures.
Actions required and time frame for completion is specified in the records of such
meetings and is regularly followed up.
The corrective actions implemented shall be verified for their effectiveness during the
Internal Quality Audit and Management Review Meetings.
August 2016
Page 66 of 67
Procedures require that complaints of interested parties, whether written or verbal, are
recorded and reviewed by authorized personnel to establish that they are justified. In the
event of unjustified complaints, a reasonable explanation will be offered to the customers.
All justified complaints are subject to analysis in order to determine the suitable
preventive action. Interested parties are notified of any immediate corrective measures
taken and what preventive action will be taken to avoid recurrence.
Any non- conformities identified are recorded and reported. Procedures ensure that the
reasons for occurrence of non-conformity are thoroughly studied such that the root cause
shall be determined. The preventive actions to be taken is identified and implemented for
this root cause. The results of corrective action taken shall be submitted for Management
Review.
Corrective/preventive actions are implemented commensurate with the magnitude of the
problem. Any permanent changes resulting from corrective action taken are recorded in
appropriate system documentation.
All corrective and preventive actions related to environment, health and safety are
reviewed through the risk assessment process prior to implementation.
Procedure also requires that available information be studied in order to detect, analyze
and eliminate potential causes of non-conformities. Information on subsequent preventive
action taken is submitted for consideration during Management Review.
Personnel are encouraged to indicate areas where potential non-conformities may occur
and report such situations. Any suggestions on possible improvements of the HSE
System are also welcomed from all staff.
August 2016
Page 67 of 67
ANNEXURE 1
Method Statements
QHSE Plan-JVS
TR-164
CLIENT
EMPOWER ENERGY SOLUTONS
FLUSHING CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
SUB CONTRACTOR
INDEX
1.0 SCOPE OF WORK ..........................................................................................................................3
2.0 PURPOSE .......................................................................................................................................3
3.0 REFERENCES AND OTHER RELATED DOCUMENTS ................................................................3
3.1 PROJECT SPECIFICATION ...................................................................................................................3
3.2. STANDARDS AND RELEVANT CODES ..................................................................................................3
4.0 DRAWING REFERENCES/DOCUMENTS .....................................................................................3
5.0 ABBREVIATIONS, TERMS AND DEFINITIONS ............................................................................4
6.0 RESPONSIBILITIES .......................................................................................................................5
7. INSTRUMENT, EQUIPMENT & TOOLS ...........................................................................................7
7.1 INSTRUMENTS ....................................................................................................................................8
7.2 EQUIPMENT & TOOLS .........................................................................................................................8
8. INSTRUMENT/ EQUIPMENT CHECKING & CALIBRATION ...........................................................9
9. FLUSHING AND CLEANING PROCEDURES ..................................................................................9
9.1 PROCEDURE: .....................................................................................................................................9
9.2 PROCESS: .........................................................................................................................................9
9.3
JVS DC
16.0 CONTINGENCY PLAN FOR MITIGATION OF WATER LEAKS AND FLOODING DURING FLUSHING OF CHILLED
WATER PIPELINES .................................................................................................................................19
16.1 OBJECTIVE ....................................................................................................................................19
16.2 PLANNING STAGE ...........................................................................................................................19
16.3 IDENTIFICATION OF MAJOR & MINOR WATER LEAKAGE POINTS ..........................................................20
16.4 IDENTIFICATION OF WATER INGRES TO AREAS..................................................................................20
16.5 COMMUNICATION AND ACCESS TO CONTROL VALVES .......................................................................20
16.6 EMERGENCY WATER LEAKAGE/ FLOODING CONTROL .......................................................................20
16.7 PROTECTION OF SOFT POINTS FROM EXTERNAL IMPACTS .................................................................21
17. CALCULATION OF MEAN FLUSHING VELOCITY ....................................................................................22
18. FLUSHING CHEMICAL REQUIRED........................................................................................................23
19.0 ATTACHMENTS ..............................................................................................................................23
20.0 COMPLIANCE SIGN OFF SHEET ..............................................................................................24
JVS DC
JVS DC
: Commissioning Procedure
HDPE
: High-density polyethylene
RA
: Risk Assessment
ATP
: Authority to Proceed
CIR
PPM
ITEM
HSE
HVAC
BSRIA
TSS
JVS DC
6.0 RESPONSIBILITIES
All employees are responsible for working safely and maintaining a safe and
healthful working environment. It is the responsibility of all personnel involved in the
works to implement this Procedure in accordance with the Risk Assessment
(attached Section), Pre-Commissioning/Flushing and Cleaning of Chilled Water
Piping Plan and project safety rules and regulations.
a. Project Manager (ITEM)
Will have the overall responsibility of the Commissioning for execution, quality and
safety as well as the maintaining of the planning progress and coordination of works
with the Main Contractor for the site execution of different commissioning phases.
Manage the entire flushing and cleaning activities as well as the personnel
(Engineers, 3rd party flushing and cleaning team hired by the contractor, etc.).
Will inform in advance all related internal Sub Contractors and organize a meeting
to prevent future difficulties during the flushing and cleaning of the particular system.
Conduct coordination meetings with the other Sub Contractors in order to organise
their interfacing works.
Monitor that the progressing works are carried out according to the planned program
and all the equipment required to execute the full flushing and cleaning works are
available as per the project planning and are in good condition.
Plans, schedules and coordinates the flushing and cleaning team to implement the
procedure for Flushing and Cleaning of Chilled Water Pipe works.
Ensure ATP System is followed.
Coordination and closeout of open point raised during testing and commissioning.
Report overall commissioning progress to the empower.
JVS DC
Responsible for the day to day activities on site, for test sheet, design information
approval and for the onsite Flushing and Cleaning ensuring that quality standards
are maintained throughout the commissioning process.
Verify that applicable equipment and systems are installed according to the
manufacturers recommendations and to industry accepted standards.
Verify that all flushing and cleaning works are to be carried out according to
specification and approved drawings.
To ensure in consultation with the Project Manager that the manpower involved in
the flushing and cleaning process are moved as agreed and planned.
Coordinate with the Lead Engineer, Flushing and Cleaning Team, and Specialist
Sub Contractor and plan the work in advance as per the work sequence.
Coordinate with the Empower and ensure implementation of any comments raised
by the Engineer.
Monitor and update Testing and Commissioning progress and report to the
Commissioning Manager.
c. 3rd Party Flushing and Cleaning Team/Lead Engineer (ITEM)
Ensure that his Commissioning Team are aware of the job requirements and that
they have enough information to carry out their duties properly.
Provide all necessary information and distribute the responsibilities to his flushing
and cleaning team.
Coordinate with the Safety In charge to ensure that the works are carried out in a
safe working practice.
Ensure the work area is safe for the activities being performed.
Identification of deficiency or areas needing remedial actions and required timing
for completion, such as, immediate need to complete test before further work or
future testing, or before system handover
JVS DC
Shall check the flushing and cleaning works prior to submission for inspection and
approval.
Shall verify that the documentation is complete prior to requesting witness; this
includes documentation to demonstrate review/internal witness of flushing.
Maintain the details and report periodically the progress of flushing and cleaning
works to the Commissioning Engineer.
d. 3rd Party Flushing and Cleaning Team (Technicians)
Verify test results, documentation completeness, proper performance of
equipment and full system.
Maintain proper coordination with the Lead Engineer from time to time regarding
the commissioning status of the particular equipment/system being undertaken.
To provide the Lead Engineer progress report indicating the works achieved and
discuss with him the planned activities for the next day.
To inform the Lead Engineer of the areas/system ready for inspection.
Ensure full coordination with the Safety Officer to maintain safe working and proper
housekeeping of the site.
e. Manufacturer/Specialist Sub Contractor (Chemical manufacturer
Supplier VEOLIA)
Shall co-operate with the Project Manager & Engineer, as far as may be necessary,
to enable them (the main contractor) to carry out their legal duties in health and
safety matters.
Shall provide their own specialist equipment which is not generally on site and this
should be agreed before commencement.
7. INSTRUMENT, EQUIPMENT & TOOLS
The following test instruments will be used for the commissioning and testing
activities. These will be selected as having the maximum field measuring accuracy
JVS DC
and being the best suited to the function being measured, and will be applied as
recommended by the manufacturer.
7.1 Instruments
Temporary Flushing Pumps
Chemical dosing pot (temporary filter skids will use as manual chemical dosing pot).
Chemicals (to be provided by Approved Supplier).
Calibrated Pressure gauges
Water Quality Tester Kit for testing of iron (Fe) content, Total Dissolved Solids,
conductivity and suspended solid.
Spill kits.
First aid kits.
* Instruments requiring a calibration certificate.
7.2 Equipment & Tools
Temporary Flushing Pumps (Drawing attached for each loop)
Filtration housing with bag filter (2 no Filter skids)
Filter bag 50 microns
25 microns
10 microns
5 microns
1 micron.
Effluent water disposal tanker
HDPE fusion welding machine (spark free)
Mobile tank for back flushing.
Power tools (pipe cutter)
Hose and container for draining water
Portable Hand tools
HDPE pipes and fittings for Looping/By passing and Flushing pump connection
JVS DC
=6000 m3
2) JVC Section C2
=7000 m3
3) JVC Section C3
=14500 m3
4) JVT Section T1
=1200 m3
5) JVT Section T2
=620 m3
6) JVT Section T3
=1780 m3
JVS DC
9.3.1 Prerequisites: Location of Temporary Flushing Equipments: The location of temporary flushing equipment is as per attached sketch.
Installation of temporary piping: The network flushing shall be carried out by Temporary pumps, and the temporary
system is connected by temporary HDPE pipes and fittings, Temporary tanks are
used for effluent water collection
Loop the CHW pipe to and from the network by adequate pipe size
Effluent will be pumped to the temporary tanks provided outside of the plant and
tankered out to Municipality approved area.
Relevant work permit must be taken prior to commencing of works.
Samples for the mains water supply will be taken and tested by the Chemical
specialist for analysis and will be offered for inspection to Empower prior to filling
into the system.
9.3.2 Pre-Start Checks
Hydrostatic pressure tests of the pipework completed and signed off.
Clean the temporary tanks before filling the water
Effluent water holding Tanks installed and operational.
Safe system and routes for tankers to remove the Effluent from site.
Availability of continuous fresh water supply for flushing activities.
The location drain and filling points has been identified and as per the approved
drawing.
Ensure that all pipe ends are looped using a dedicated flushing bypass and ensure
no open ends present in the circuits.
JVS DC
10
JVS DC
11
Check the pressure gauges in the system to confirm that the system is fully filled
with water.
After filling, circulate the water for one hour with the flushing pumps connected in
the network and simultaneously water is drained to the temporary drain tank located
on the agreed and specified drain point. During the balance flush the system
pressure is monitored to ensure that the filling and draining is balanced and that we
are not losing water from the upper levels.
Note: The drainage flow must never be more than the clean make-up water flow as
to avoid system pressure lost and drainage.
Whilst maintaining a balance flush, it is important that the velocity of circulating water
is sufficient to force all the debris from the system pipework.
If the flushing pump cannot match/achieve the desired flow/velocity across the
system at the same time. It will be necessary to regulate the system by closing
certain sections to force the pumps total flow through the open sections of the
system thus achieving the required flow velocity. The closed sections will then be
opened and then the open section will be closed so the required velocities will have
been achieved across the system.
During dynamic flushing, all strainer screens and dirt pockets within the system must
be checked and cleaned at regular intervals and recorded, strainer would be cleaned
periodically until the system is free of impurities, during the flushing process until the
screens has no longer show any signs of contaminant and no more deposits are
found. Carry out filling, draining and circulating until the water is visibly clear.
9.3.4. Stage 2 - Flushing with Chemicals: Cleaning with chemical
This process involves the use of chemical HYDREX 2331 which is manufactured
by M/s VEOLIA.
HYDREX 2331 will be poured to the network at the rate of 20ppm through
Temporary filter installed in the system.
JVS DC
12
In this stage after adding the Dispersant chemicals, TSS increasing and the
The product shall circulate in the system minimum 24 hours and maximum 48
hours,
After adding cleaning chemical, we keep collect samples every 2 hours till
TSS increasing then be stable, then starting dynamic flushing. Chemical specialist
will monitor the TSS levels of the chemical and determine when the system is ready
to be drained out.
JVS DC
13
9.0-10.5
<2100 ppm
Conductivity
<3000 Siemens/cm
Total iron
<1 ppm as Fe
Nitrite
800-1200 as NaNO2
JVS DC
14
JVS DC
15
Flushing Plan,
Chemical
submittal &
Water system
schematics
Approval
JVS DC
16
JVS DC
17
requests work permit controlled by Main Contractor will be strictly implemented. All
necessary permits will be in place prior to activities proceeding.
Test instruments should be maintained in a safe condition and the test methods
should not create danger either for the operator or for other persons. All test
instruments shall be registered with the HSE for which Authorised Person is
responsible and making sure that it is regularly inspected, calibrated and is
maintained in good condition
Ensure that all plant drives have been pre-commissioned by the drive supplier prior
to flushing and cleaning.
14.3 Environmental Considerations
After the finalization of the works, the working area should be cleaned from any
waste materials related to the performed work. Disposal of the chemicals by SubContractor should by no means be allowed to enter the municipality drainage system
nor be allowed to run off on soil.
14.4 Task & Safety Lighting
Ensure adequate lighting is available to undertake task. Where sufficient light is not
available, additional task lighting will be provided.
14.5 Emergency Arrangements
a) Site general safety procedures will be followed. In case of emergency the most
senior employee or the Flushing and Cleaning in-charge present will stop the work
in the absence of Safety Officer, and make the necessary emergency arrangements
and report to the assembly points as briefed in the daily Tool box talk
b) Electric shock & Fire Precautions: inform the concern person (team leader/incharge, first aider) & HSE Department at the earliest, giving the location and as much
detail as possible about the accident. It is a requirement that a presence of a
competent authorized person & approved person who know safe isolations must be
available for the start-up and closed out of all equipment (as per LOTO procedure).
JVS DC
18
c) Verbal communication shall be done between the team working inside as well as
the watchman during an emergency and the commissioning in charge/engineer/
safety officer shall assess the situation as well as, communicated to the project
emergency and clinic numbers for necessary supports to manage the emergency.
d) Communications must be maintained and all the people working inside must know
the contacts number of respective engineer/supervisors, HSE officer, projects
Emergency no.
e) Assembly point must be visible, kept clean & tidy to contain the employees during
emergency.
15. QUALITY: - CONTROL PARAMETERS
15.1 Chilled water
Parameters
pH
Total Dissolved solids
Conductivity
Total iron
Nitrite
9.0-10.5
<2100 ppm
<3000 siemens/cm
<1 ppm as Fe
800-1200 as NaNO2
16.0 Contingency Plan for Mitigation of Water Leaks and Flooding during
Flushing of Chilled Water Pipelines
16.1 Objective
To limit the damage of property in the event of water leakage and flooding while
carrying out flushing of chilled water pipe lines.
16.2 Planning stage
Obtain all relevant permit before starting the flushing
Maximum Hydro pressure of the system is 6 bar
Identification of major and minor water leak points
JVS DC
19
JVS DC
20
The appointed person informs the pump operator for flushing activity shut down.
Isolation of valves is immediately done in the nearby upstream and downstream
valves in the network.
Water spills on ground shall be cleaned by cleaning team with mopping equipment
and collected in buckets and put into temporary storage waste tanks.
Major leaks in the network
When a major leakage is identified during the flushing operation:
The appointed person informs the pump operator to stop the flushing activity.
The flushing pump operator stops the flushing pumps immediately and shut down is
done.
The appointed person isolates nearby upstream and downstream valves in the
network.
Upon receiving the information of major leakage, the supervisor inspects the area
and engages emergency team to clean the water by using the following equipment.
a)
b)
c)
Mops and water collection/cleaning equipment like buckets, gum boots, PVC
JVS DC
21
1400 mm
2 m/s
11088 m3/h
Calculation: Flow
= Area A * Velocity V
= r2
= 1.54 m2
Velocity
= 2 m/s
Therefore
= 1.54 * 2
= 3.08 m3/s
= 3.08 * 3600
= 11088 m3/h
1000 mm
2 m/s
5688m3/h
Calculation:Flow
= Area A * Velocity V
= r2
JVS DC
22
0.79 m2
Velocity
= 2 m/s
Therefore
= 0.79 * 2
1.58 m3/s
1.58 * 3600
Q
= 5688 m3/h
Volume (m3)
JVC Section C1
6000
120
15600
600
JVC Section C2
7000
140
18200
700
JVC Section C3
14500
290
37700
1450
JVT Section T1
1200
24
3120
120
JVT Section T2
620
12.4
1612
62
JVT Section T3
1750
35
4550
175
19. 0. Attachments
Risk Assessment
System Acceptance Sheet
Inspection Test Report
Flushing and Cleaning Checklist
Scope matrix
Project organization chart
JVS DC
23
Name
JVS DC
Company
Date
Signature
24
METHODSTATEMENT FOR
HYDROSTATIC PRESSURE TESTING OF GRP PIPIELINES
CLIENT
EMPOWER ENERGY SOLUTONS
CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
INDEX
1.0 SCOPE OF WORK
2.0 PURPOSE
3.0 REFERENCES
4.0 DEFENITIONS
5.0 RESPONSIBILITIES
6.0 PROCEDURE
Page 2 of 9
REFERENCES
4.1 Definitions
4.1.1 CLIENT: EMPOWER
4.1.2 PROJECT: JUMEIRAH VILLAGE SOUTH DISTRICT COOLING PLANT
4.1.3 ENGINEER: ISLANDTOWER Electromechanical Works LLC
4.2 Abbreviations
4.2.1 HSE: Health, Safety Environment & Security
5
RESPONSIBILITIES
Page 3 of 9
Page 4 of 9
PROCEDURE
Page 5 of 9
Testing Overview
Page 6 of 9
On satisfactory completion of the first stage pressure test at 6 bar the pipeline, the end of
the entire section are closed by installing locally fabricated blind flanges as a spade to both
ends. This blind flange is installed after the Butterfly Valve (BFV) by removing the flange
adaptor. The BFV in the pipeline are kept at open position. Both end BFVs are in close
position. Pressurize the pipe line up to 9 bar. Hold the pressure for 2 hours
In case any further leak detected will be rectified and again pressurize the system up to 9
bar and maintain for 2 hours.
Critical Work Areas
Critical Work areas i.e. Flooding Station, High Pressure Station, Pipe ends, Works near
Permanent & Temporary Settlements, Environmental Sensitive areas, Evaporation Ponds
areas etc. shall be clearly identified and cordoned with Safety tapes and adequate warning
signs shall be erected in compliance with the Project HSE Procedures and the Authorities
requirements.
Adequate number and suitable type of fire extinguishers and Sand Buckets as (firefighting
facilities) shall be provided near potential risk areas (e.g. fuel storage, etc.).
First Aiders and well-equipped First Aid Kits shall be provided at all critical work areas
during carrying out the work, in order to obtain First Aid facilities immediately during
emergencies.
6.1.3.1.1
All accidental spills shall be cleaned and contaminated soil disposed as per
local environmental regulations. Spill Contingency Equipment and cleaning tools shall be
placed in required areas
6.1.3.1.2
The following general requirements and precautions pertaining to the work, shall be
observed and complied with during the performance of pressure testing operations:
No one shall be permitted to approach a system never previously tested, which is undergoing
increase of pressure up to final strength test pressure.
The pressure rise during a pressure test should be gradual and under control to allow time
for the material to strain, and time for personnel to check for leaks.
Page 7 of 9
Any ancillary equipment not under test shall be isolated by valves or blind flanged and
vented or disconnected.
Only calibrated test gauges shall be used and they shall be mounted in the upright position.
Pump discharge gauges must be visible to the pump operator for the duration of the test.
A block valve is required on the line from the test pump to the equipment under test.
When draining of test fluid /liquid, the line shall be vented slowly so as to avoid creating an
excessive vacuum inside the line.
Vessels and Tanks shall be depressurized four hours prior to bolt un-tie process; bolts also
should be untied gradually and in a way facing each other.
6.3.2 PRESSURE TESTING AGENTS (LIQUIDS)
6.3.2.1
General
Water is normally the preferred test liquid. Alternatives may be used but they must be
approved by a deviation from a standard and must be detailed within the specific test
procedure or Method Statement.
Salt water must not be used for testing any material subject to stress corrosion cracking in
the presence of chloride ions, unless anti- corrosive agent (chemical) to be added to the salty
water, and subject to approval by the Project Management and relevant Authorities.
Possible changes in pressure due to thermal expansion, contraction or hydrostatic heads
must be taken into account during the planning phase of the pressure testing procedure.
6.3.2.2
Disposal of hydro-test water on land could lead to contamination of the local water sources,
deterioration in quality and an impact to existing or potential users.
6.4 Spill and Contingency Plan
A spill and contingency plan shall be developed and shall be included as a part of the
pressure testing procedure, with the following main objectives and criteria:
Page 8 of 9
To ensure that immediate affective action is taken by Line Management and other Personnel
to minimize the effects on the Environment should an accidental spill or liquid materials
occur during Hydro-testing operations.
Project Line Management shall in the first instance take every effort to prevent accidental
releases of any materials to the environment, which could lead to a pollution incident. This
shall be done by ensuring that all work activities are pre- planned, the risks evaluated and
environmental protection requirements are fully identified.
Personnel shall be given instructions, Tool Box Talks Meeting and guidance on the
precautions they shall take when handling, transferring or transporting potentially polluting
materials.
Personnel shall be given instruction and training on the emergency actions and remedial
measures to be taken should a spillage incident occur.
Accidental release of fuel, chemical or other potentially polluting material shall be cleaned
immediately. Spill Contingency equipment shall be placed at potential areas.
Page 9 of 9
EMP/EXC/MS05/2016
CLIENT
EMPOWER ENERGY SOLUTONS
CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
SUB CONTRACTOR
TABLE OF CONTENTS
1. PURPOSE
2. SCOPE
3. RESPONSIBILITES
4. CO ORDINATION WITH CLIENT
5. PROCEDURE
6. WORKING HOURS
7. MATERIAL AND EQUPMENT
8. SAFETY INSTRUCTIONS
9. INSPECTION TEST PLAN
pg. 2
INTRODUCTION:
This Method Statement is to be read in conjunction with the Project Specific Risk
Assessment, Site Construction Phase Health and Safety Plan.
1. PURPOSE.
The purpose of the method statement is to guide the procedure for e x c a v a t i o n and backfilling
for Buried Valve pit in Jumeirah Village South District Cooling Project. This method
statement covers requirement for the excavation, blinding, casting and backfilling for valve
pit for the chilled water network.
2. SCOPE.
Scope of this method statement covers the following activities. It applies to all employees and
contractor.
Procedure.
Precautions.
3. RESPONSIBILITIES.
3.1
Guide, direct and instruct the PE and other staff belongs to Contractor in such way that the
works are performed to the program and confirm to the requirement of Owner/Engineer. Liaise
with the Owner/Engineer to clarify and confirm the requirements of the Contractor. All field
staffs like PE, HSE, QCE, FOM etc. belongs to the Contractor will be reported to the PM
regarding the progress and status of the work.
3.2
The PC is responsible for monitoring the overall work in accordance with the specifications,
Construction drawings and method statements. He arranges the smooth and uninterrupted flow
of work, resolving the day issues, arranging necessary inspection activities, timely generation
of as-built drawings and co- coordinating at site with all staff including that of Owner/Engineer.
The PC will be reporting all progress and concerns to the PM.
pg. 3
Surveyor to mark the required excavation area and monitor the required depth of excavation.
5.2.2
Ensure there is no underground services in the area need to be excavated, proper care
should be taken.
pg. 4
5.2.4
The Materials excavated from the site or imported from outside shall be checked for
suitability test as back fill materials by third party independent testing laboratory as per
specification requirement.
5.2.5
The Backfill material shall be free from refuse, large stones or rocks that might prevent
proper compaction.
5.2.6
Once the formation level is approved by the Consultant, the approved fill materials shall
be then laid and compacted in accordance with the project specification requirements.
5.2.7
Filling (Class A material) shall be conditioned with water to within +/-2% of OMC
and shall be laid in layers. 150mm / 300 mm (Compacted) depending upon the suitability and
requirements of site condition.
5.2.8
Site excavated material will be used as backfill material since it has passed the suitability
Site excavated materials conforms to class A specification shall be used below and side
of footings and below ground floor slab. (suitability test conducted and approved as class A)
5.2.10
Spreading will be by means of JCB or by any other mechanical means, manual labour
using wheel borrow and other suitable methods that could give a uniform distributed thickness.
Sprinkling of water is applied while filling to attain good compaction result.
5.2.11
Compaction process shall be carried out by using proper equipment such as 5-10 tonnes
The compacted soil shall be tested for compaction density and required compaction
Collecting of soil samples from the site and conducting all the necessary tests as per the
project specification shall be done by an approved Independent Testing Laboratory. Once the
results are approved by the Consultant for the 1st layer of backfilling the above procedures shall
be repeated for the further layers until the required backfilling levels are achieved.
pg. 5
If the test reports fail to meet the project requirements re compaction shall be done and
Once the required levels are achieved all the approved test reports shall be attached to
Working Hours.
The Working hours will be 7am to 6pm, 6 days a week which will include one-hour lunch break and
two refreshment breaks. Overtime will be arranged depends upon the urgency of the work.
Description
No
On duty
Stand by
Total
Bobcat
De Watering pumps
Plate compactor
Roller
10
11
12
1 ton pick up
13
Concrete Vibrator
14
15
16
17
1
1
pg. 6
8. Safety Instruction.
During the Installation all measures shall be adopted to ensure safe working.
Waste management should be strictly followed to keep the job site neat and clean.
The personal protection wears shall be used tagged before used helmet, safety shoes and hand
gloves.
8.1
Prior to the commencement of any activities. The workforce will receive an induction
talk on the project as per the site safety requirements. This induction talk will include
both activity safety issues. As well as general safety requirements.
8.2
Front line supervisor will ensure that personal protective Equipment is worn by site
personnel at all times during construction activities.
8.3
8.4
Adequate cool drinking water. Shade and salt water tablets will be in place
8.5
Plant and Equipment will be provided with back-up alarms, lights and all other
applicable safety devices.
8.6
8.7
Strike UG Services.
Use locater and/or hand excavation (trial holes)
8.8
Excavation Collapse.
Batter sides to safe slope or provide shoring (as directed by Geo Technical
Consultant) and subject to Engineers approval
pg. 7
8.9
Fall in to excavation
Provide fencing guard rails or flagging tape around edges as well as night
lamps
pg. 8
METHODSTATEMENT FOR
HYDROSTATIC PRESSURE TESTING OF GRP PIPIELINES
CLIENT
EMPOWER ENERGY SOLUTONS
CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
INDEX
1.0 PURPOSE
2.0 SCOPE OF WORK
3.0 REFERENCES
4.0 DEFINITIONS AND ABBREVIATIONS
5.0 RESPONSIBILITIES
6.0 TOOLS / EQUIPMENT
7.0 MATERIAL
8.0 HANDLING AND STORAGE
9.0 PROCEDURE
10.0 INSPECTION
11.0 SAFETY INSTRUCTION.
12.0 ATTACHMENTS
Page 2 of 7
1.0 PURPOSE:
The purpose of generating this Method Statement is to define the procedure step by step to
implement the correct practices for Installation of GRP Chilled Water Piping including
valves and accessories through the guide line complies with the requirements of client
within the time limit with maximum satisfactory level.
2.0 SCOPE
This Method Statement refers to various work procedures contained within JVS DC project
control documents, which explains and covers the Installation GRP Chilled Water Piping
including valves and accessories.
3.0 REFERENCES
3.1 HSE Requirements as stipulated in Contract Documents.
3.2 All applicable Local Regulatory Authority requirements and regulations.
3.3 Health, Safety and Environment Plan
3.4 Contract Specifications
4.0 DEFINITIONS AND ABBREVIATIONS
4.1 Definitions
4.1.1
CLIENT: EMPOWER
4.1.2
4.1.3
4.2 Abbreviations
HSE: Health, Safety Environment & Security
5.0 RESPONSIBILITIES
5.1 Project Manager
Project Manager shall be responsible for the implementation of this procedure within his
project
5.2 Project Engineer
The Project Engineer shall be responsible for the management of all pressure testing
activities on the work sites of the project.
Page 3 of 7
He shall ensure that these pressure-testing activities are carried out, by competent and
experienced personnel according to a planned and safe procedure, in compliance with the
Project HSE Plan and relevant Authorities (when applicable).
The Project Engineer shall investigate, in liaison with the Project HSE Engineer any
accident / incident that may occur, take necessary immediate corrective measures and issue
required reports.
5.3 Competent Person(s)
The Competent Person(s) is a person fully trained, qualified and experienced in the planning
and performance of pressure testing operations, and has detailed knowledge of the hazards
and safety precautions applicable to this type of work.
He shall be directly responsible for the pressure testing operations and shall supervise the
activities and performance of all personnel involved, and ensure that all work is performed
by persons who are fully qualified and experienced in this type of work.
He shall be responsible for ensuring that Work Permit (PTW) System (and other permits if
applicable) are strictly adhered to during all related operations. He shall ensure that all
Personal Protective Equipment (PPE) and other safety equipment required for his working
crew are available, in good working condition, and are used as requested.
5.4 HSE Engineer
Shall be responsible to monitor the implementation of this procedure, and the safe work of
the pressure testing operations being carried out at the work site.
Shall provide HSE awareness and advice, e.g. toolbox training, safety and firefighting
equipment and guidance to the Personnel involved in the operation.
Shall investigate, in liaison with the Project Engineer any accident or incident that may
occur, take necessary corrective measures and issue necessary reports.
6.0 TOOLS / EQUIPMENT
6.1 Fork Lift or Crane with capacity & arrangement in line with the Manufacturer's
recommendations, pallet mover and as required at site.
6.2 Hydraulic Trolley
6.3 Portable hand tools.
6.4 Portable Drilling Machine/ Grinding Machine & Angle Cutter.
JVS DC GRP PIPE INSTALLATION
Page 4 of 7
8.2
8.3
All material while unloading shall not be dropped, but lowered to the ground.
8.4
8.5
While stacking, it shall be ensured that pipes of larger sizes are placed below and
smaller sizes on top.
8.6
All pipes ends shall be covered with end caps during transport and storage and
to be kept clean.
8.7
All other items such as valves, fittings, gauges, etc. shall be kept on racks within
site stores and shall be segregated based on size, model, type etc. for easy
retrieval.
8.8
8.9
Insulation material shall be segregated as per size, thickness for easy retrieval.
8.10 The adhesive material shall be stored in a covered and ventilated storage area.
8.11 All supporting materials shall be stored in a covered storage area, segregated
according to size, type, model, etc. for easy retrieval.
8.12 Any items found damaged or not suitable as per project requirements shall be
removed from site. If required to store temporarily, they shall be clearly marked
and stored separately to prevent any advertent use.
9.0 PROCEDURE
9.1
9.1.1
Page 5 of 7
9.1.2
Mark the pipe routing and support locations on the underground as per approved
drawings.
9.1.3
Check the co-ordination of piping layout with other services and decide pipe
route with minimum bends / offsets.
9.1.4
Check and ensure sufficient clearance around pipe is available for insulation.
9.1.5
Check the access and clear space around valves, vent points, drain points
locations for maintenance and servicing.
9.1.6
9.2
INSTALLATION PROCEDURES
9.2.1
Make excavation/trenches for the piping as per the approved method statement.
9.2.2
9.2.3
9.2.4
Flow vanes for elbows shall be installed at Return & Supply line of Pumps,
Chillers, Flow Meters & Check Valves.
9.2.5
Internal of pipes and fittings have to be kept clean before and after the welding.
9.2.6
9.2.7
Prepare the pipe ends according to the type of joints i.e. lamination joints.
9.2.8
9.2.9
9.2.10 After the end preparation clean the pipe ends and ensure no material and dust
are left inside.
9.2.11 Laminate the joints and connections by using approved lamination kit.
9.2.12 Qualified technicians shall be engaged in lamination works.
9.2.13 Insert the approved hard insulating material of suitable thickness between the
pipe and support.
9.2.14 Align and level the piping as per approved drawings.
9.2.15 Sleeves / openings of suitable sizes shall be provided at wall crossings.
9.2.16 Install the piping connections with valves and accessories wherever equipment
is installed.
9.2.17 Fix the blind plugs / temporary valves on all drain, air vent, pressure gauge,
thermometer and test points tapings as applicable.
9.2.18 Automatic air vent with gate valve shall be installed at all valve chambers.
9.2.19 Flange shall be used to fix AAV with pipe.
9.2.20 A gate valve shall be installed for manual air vent system.
JVS DC GRP PIPE INSTALLATION
Page 6 of 7
The personal protection wears shall be used tagged before used helmet, safety
shoes and hand gloves.
Front line supervisor will ensure that personal protective Equipment is worn by
site personnel at all times during construction activities.
Adequate cool drinking water. Shade and salt water tablets will be in place
Plant and Equipment will be provided with back-up alarms, lights and all other
applicable safety devices.
12.0 ATTACHMENTS
Risk Assessment
Page 7 of 7
METHODSTATEMENT FOR
INSTALLATION OF HDPE PIPES AND FITTINGS
CLIENT
EMPOWER ENERGY SOLUTONS
CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
INDEX
1.0 PURPOSE
2.0 SCOPE OF WORK
3.0 REFERENCES
4.0 DEFINITIONS AND ABBREVIATIONS
5.0 RESPONSIBILITIES
6.0 TOOLS / EQUIPMENT
7.0 MATERIAL
8.0 HANDLING AND STORAGE
9.0 PROCEDURE
10.0 INSPECTION
11.0 SAFETY INSTRUCTION.
12.0 ATTACHMENTS
Page 2 of 7
1.0 PURPOSE:
The purpose of generating this Method Statement is to define the procedure step by step to
implement the correct practices for Installation of HDPE pipes and accessories at JVS DC
project through the guide line complies with the requirements of EMPOWER within the
time limit with maximum satisfactory level.
2.0 SCOPE
This Method Statement refers to various work procedures contained within JVS DC project
control documents, which explains and covers the Installation of HDPE pipes and
accessories on chilled water network system.
3.0 REFERENCES
3.1 HSE Requirements as stipulated in Contract Documents.
3.2 All applicable Local Regulatory Authority requirements and regulations.
3.3 Health, Safety and Environment Plan
3.4 Contract Specifications
4.0 DEFINITIONS AND ABBREVIATIONS
4.1 Definitions
4.1.1
CLIENT: EMPOWER
4.1.2
4.1.3
ENGINEER: EMPOWER
4.1.4
4.2 Abbreviations
HSE: Health, Safety Environment & Security
5.0 RESPONSIBILITIES
5.1 Project Manager
Project Manager shall be responsible for the implementation of this procedure within his
project
5.2 Project Engineer
The Project Engineer shall be responsible for the management of all Installation activities
on the work sites of the project.
JVS DC HDPE PIPING
Page 3 of 7
He shall ensure that these pressure-testing activities are carried out, by competent and
experienced personnel according to a planned and safe procedure, in compliance with the
Project HSE Plan and relevant Authorities (when applicable).
The Project Engineer shall investigate, in liaison with the Project HSE Engineer any
accident / incident that may occur, take necessary immediate corrective measures and issue
required reports.
5.3 Competent Person(s)
The Competent Person(s) is a person fully trained, qualified and experienced in the planning
and performance of Installation activities, and has detailed knowledge of the hazards and
safety precautions applicable to this type of work.
He shall be directly responsible for Installation operations and shall supervise the activities
and performance of all personnel involved, and ensure that all work is performed by persons
who are fully qualified and experienced in this type of work.
He shall be responsible for ensuring that Work Permit (PTW) System (and other permits if
applicable) are strictly adhered to during all related operations. He shall ensure that all
Personal Protective Equipment (PPE) and other safety equipment required for his working
crew are available, in good working condition, and are used as requested.
5.4 HSE Engineer
Shall be responsible to monitor the implementation of this procedure, and the safe work of
the Installation operations being carried out at the work site.
Shall provide HSE awareness and advice, e.g. toolbox training, safety and firefighting
equipment and guidance to the Personnel involved in the operation.
Shall investigate, in liaison with the Project Engineer any accident or incident that may
occur, take necessary corrective measures and issue necessary reports.
6.0 TOOLS / EQUIPMENT
6.1 Fork Lift or Crane with capacity & arrangement in line with the Manufacturer's
recommendations, pallet mover and as required at site.
6.2 Mechanical hand tool, Cutting Tools,
6.3 Drilling Machine
6.4 HDPE butt fusion and welding machine
JVS DC HDPE PIPING
Page 4 of 7
7.0 MATERIALS:
HDPE pipes and fittings,
8.0 HANDLING & STORAGE:
8.1
8.2
8.3
All material while unloading shall not be dropped, but lowered to the ground.
8.4
8.5
While stacking, it shall be ensured that pipes of larger sizes are placed below and
smaller sizes on top.
8.6
All pipes ends shall be covered with end caps during transport and storage and
to be kept clean.
8.7
All other items such as valves, fittings, gauges, etc. shall be kept on racks within
site stores and shall be segregated based on size, model, type etc. for easy
retrieval.
8.8
8.9
Any items found damaged or not suitable as per project requirements shall be
removed from site. If required to store temporarily, they shall be clearly marked
and stored separately to prevent any advertent use.
9.0 PROCEDURE
9.1
9.1.1
9.1.2
Mark the pipe routing and support locations on the underground as per approved
drawings.
9.1.3
Check the co-ordination of piping layout with other services and decide pipe
route with minimum bends / offsets.
9.1.4
Check and ensure sufficient clearance around pipe is available for welding.
Page 5 of 7
9.1.5
Check the access and clear space around valves, vent points, drain points
locations for maintenance and servicing.
9.2
INSTALLATION PROCEDURES
9.2.1
9.2.2
9.2.3
Internal of pipes and fittings have to be kept clean before and after the welding.
9.2.4
9.2.5
Prepare the pipe ends according to the type of joints i.e. butt fusion welding.
9.2.6
End preparations for joints shall be spigot with low irregularities and welding
sleeves with projections for welding.
9.2.7
9.2.8
9.2.9
Equipments.
Page 6 of 7
The personal protection wears shall be used tagged before used helmet, safety
shoes and hand gloves.
Front line supervisor will ensure that personal protective Equipment is worn by
site personnel at all times during construction activities.
Adequate cool drinking water. Shade and salt water tablets will be in place
Plant and Equipment will be provided with back-up alarms, lights and all other
applicable safety devices.
12.0 ATTACHMENTS
Risk Assessment
ITP
Page 7 of 7
METHODSTATEMENT FOR
INSTALLATION OF BURRIED VALVE
CLIENT
EMPOWER ENERGY SOLUTONS
CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
INDEX
1.0 PURPOSE
2.0 SCOPE OF WORK
3.0 REFERENCES
4.0 DEFINITIONS AND ABBREVIATIONS
5.0 RESPONSIBILITIES
6.0 TOOLS / EQUIPMENT
7.0 MATERIAL
8.0 HANDLING AND STORAGE
9.0 PROCEDURE
10.0 INSPECTION
11.0 SAFETY INSTRUCTION.
12.0 ATTACHMENTS
Page 2 of 9
1.0 PURPOSE:
The purpose of generating this Method Statement is to define the procedure step by step to
implement the correct practices for Installation ofBuried valve at JVS DC project through
the guide line complies with the requirements of EMPOWER&OEM within the time limit
with maximum satisfactory level.
2.0 SCOPE
This Method Statement refers to various work procedures contained within JVS DC
project controldocuments, which explains and covers the Installation ofBuried Valve on
chilled water network system.
3.0 REFERENCES
3.1 HSE Requirements as stipulated in Contract Documents.
3.2 All applicable Local Regulatory Authority requirements and regulations.
3.3 Health, Safety and Environment Plan
3.4 Contract Specifications
3.5 OEM Instructions
4.0 DEFINITIONS AND ABBREVIATIONS
4.1 Definitions
4.1.1
CLIENT: EMPOWER
4.1.2
PROJECT:
JUMEIRAH
VILLAGE
SOUTH
DISTRICT
COOLING PLANT
4.1.3
ENGINEER: EMPOWER
4.1.4
CONTRACTOR: ISLANDTOWER
4.2 Abbreviations
HSE: Health, Safety Environment & Security
OEM: Original Equipment manufacturer
5.0 RESPONSIBILITIES
5.1 Project Manager
Project Manager shall be responsible for the implementation of this procedure within his
project
Page 3 of 9
Page 4 of 9
TOOLS / EQUIPMENT
Qty
Welding machine
coupling
4
Grinder
Alignment Tool
Cleaning material
Excavation Tools
7.0 MATERIALS:
Buried valves, Coupling, MS Spool pieces
8.0 HANDLING & STORAGE:
8.1
8.2
8.3
All material while unloading shall not be dropped, but lowered to the ground.
8.4
8.5
Any items found damaged or not suitable as per project requirements shall be
removed from site. If required to store temporarily, they shall be clearly
marked and stored separately to prevent any advertent use.
9.0 PROCEDURE
1. Setting out the location of Buried Gate Valve as per the approved shop
drawingby EMPOWER.
JVS DC Buried Valve Installation
Page 5 of 9
2. Trial trench excavation to be carried out using hand shovel as per the approved
shop
drawing
and
method
statement
for
excavation
(Ref:
EMP/EXC/MS05/16).
3. Dewatering is expected since the works are to be carried out below the natural
water table.
4. Joint survey will be done after completion of trial trench in order to complete
the final alignment.
5. After finishing the final alignment with EMPOWER and concerned authorities
(DEWA/NAKHEEL/TRAKHEES etc), excavation will be carried out up to top
of the existing line as per approved method statement for excavation (Ref:
EMP/EXC/MS05/16).
6. Installation section will be isolated by closing the existing valves on the
existing GRP chilled water linenearby the section.
7. Drain the water to make provision to install buried valves
8. Excavate up to 250mm below the existing GRP/HDPEpipe bottom level, cut
and remove pipe as per the approved alignment.
9. Dewatering pump will be used for the removal of water. The discharge will be
made as agreed with EMPOWER.
10. Preparation of reinforced concrete slab as per approved drawing
11. Installation of the buried Gate Valve will be done as per the approved shop
drawing.
12. Bevel the pipe end
13. Weld MS Pipe pieces to both end of the valve using but weld
Page 6 of 9
14. Cut the HDPE/ GRP pipe as per the valve length including MS pipe pieces
18.b
18.c
Wrap the heat shields tightly around the PE jacket next to the Ray Joint. Check that they will
not be covered by the Ray Joint when it shrinks on to the pipe. Wrap a second pair of heat
shields tightly around the Ray Joint. These should be Located next to the pipe end marks.
JVS DC Buried Valve Installation
Page 7 of 9
Use a soft flame to give the heat sufficient time to penetrate the PE jacket. Move the flame
around the circumference in close proximity to the heat shields. Carry on for about two
minutes making sure not to burn the surface.
19. Wrap the sleeve using Denso tape Stem and air vent
20. After ensuring leakage free connection to the existing line, layer by layer
backfilling will be started.
21. After backfilling, valve pit chamber for controlling the valve will be
constructed as per the approved shop drawing.
22. Close monitoring of the connection portion will be done for the next 24 hours.
Page 8 of 9
10.0 INSPECTION
Inspection I
Front line supervisor will ensure that personal protective Equipment is worn by
site personnel at all times during construction activities.
Adequate cool drinking water. Shade and salt water tablets will be in place
Provide fencing guard rails or flagging tape around edges of the excavation
area.
12.0 ATTACHMENTS
Risk Assessment
ITP Plan
Page 9 of 9
METHODSTATEMENT FOR
CLADDING OF CHW PIPELINE
CLIENT
EMPOWER ENERGY SOLUTONS
CONTRACTOR
ISLAND TOWER ELECTROMECHANICAL WORKS LLC
CLIENT
CONTRACTOR
INDEX
1.0 PURPOSE
2.0 SCOPE OF WORK
3.0 REFERENCES
4.0 DEFINITIONS AND ABBREVIATIONS
5.0 RESPONSIBILITIES
6.0 TOOLS / EQUIPMENT
7.0 MATERIAL
8.0 HANDLING AND STORAGE
9.0 PROCEDURE
10.0 INSPECTION
11.0 SAFETY INSTRUCTION.
12.0 ATTACHMENTS
Page 2 of 6
1.0 PURPOSE:
The purpose of generating this Method Statement is to define the procedure step by step to
implement the correct practices for cladding of chilled water Pipe lines through the
compliance with the requirements of client within the time limit and with maximum
satisfactory level.
2.0 SCOPE
This Method Statement refers to various work procedures contained within JVS DC project
control documents, which explains and covers the Insulation of chilled water pipe line work.
3.0 REFERENCES
3.1 HSE Requirements as stipulated in Contract Documents.
3.2 All applicable Local Regulatory Authority requirements and regulations.
3.3 Health, Safety and Environment Plan
3.4 Contract Specifications
4.0 DEFINITIONS AND ABBREVIATIONS
4.1 Definitions
4.1.1
CLIENT: EMPOWER
4.1.2
4.1.3
ENGINEER: EMPOWER
4.1.4
4.2 Abbreviations
HSE: Health, Safety Environment & Security
5.0 RESPONSIBILITIES
5.1 Project Manager
Project Manager shall be responsible for the implementation of this procedure within his
project
5.2 Project Engineer
The Project Engineer shall be responsible for the management of all cladding activities on
the work sites of the project. He shall ensure that these pressure-testing activities are carried
out, by competent and experienced personnel according to a planned and safe procedure, in
compliance with the Project HSE Plan and relevant Authorities (when applicable).
JVS DC CLADDING OF CHW PIPELINE
Page 3 of 6
The Project Engineer shall investigate, in liaison with the Project HSE Engineer any
accident / incident that may occur, take necessary immediate corrective measures and issue
required reports.
5.3 Competent Person(s)
The Competent Person(s) is a person fully trained, qualified and experienced in the planning
and performance of cladding operations, and has detailed knowledge of the hazards and
safety precautions applicable to this type of work.
He shall be directly responsible for the cladding operations and shall supervise the activities
and performance of all personnel involved, and ensure that all work is performed by persons
who are fully qualified and experienced in this type of work.
He shall be responsible for ensuring that Work Permit (PTW) System (and other permits if
applicable) are strictly adhered to during all related operations. He shall ensure that all
Personal Protective Equipment (PPE) and other safety equipment required for his working
crew are available, in good working condition, and are used as requested.
5.4 HSE Engineer
Shall be responsible to monitor the implementation of this procedure, and the safe work of
the Cladding operations being carried out at the work site.
Shall provide HSE awareness and advice, e.g. toolbox training, safety and firefighting
equipment and guidance to the Personnel involved in the operation.
Shall investigate, in liaison with the Project Engineer any accident or incident that may
occur, take necessary corrective measures and issue necessary reports.
6.0 TOOLS / EQUIPMENT
6.1 Portable hand tools like Adjustable spanner.
6.2 .Portable Drilling Machine/ Grinding Machine & Angle Cutter.
6.3 Rivet Gun
6.4 Step Ladder
6.5 Sheet rolling machine.
6.6 Lock former
6.7 Hand Grooving machine
Page 4 of 6
7.0 MATERIALS:
Aluminum Sheet with stucco finish and accessories shall be in line with the approved
material submittal.
8.0 HANDLING & STORAGE:
8.1 On receipt of the material at sites, shall be off-loaded carefully at site using
necessary manpower and required equipment to ensure that no damage is to cause
to the materials, necessary precautions shall be taken for unloading, shifting &
storage.
8.2 Cladding Sheets will be checked to ensure that it complies with the approved
material submittals in terms of make, thickness etc.
8.3 Any discrepancies, damage etc., found will be notified and reported for further
action.
8.4 Site Engineer has to ensure that the material used at site are of free from any
damage or deformity of any kind. Material found not suitable for site use will be
removed immediately from site and the same will be replaced by correct item.
8.5 All packages shall be stored under protected dust area.
9.0 PROCEDURE
9.1 Aluminum sheets of approved type, quantity and thickness are cut as required and
fabricated to give rectangular profile and to form the longitudinal and
circumferential groove.
9.2 Sheet thickness of 0.7 mm is used for cladding of chw pipeline.
9.3 Slip the fabricated aluminum profile on to the insulated pipeline. Care shall be
taken to ensure no damage to insulation.
9.4 Band & Wires shall be installed at an interval of 1.2 meters and at bends, short
lengths, etc. are as applicable.
9.5 Fix the successive cladding and match the rectangular circumferential groove of
previous cladding.
9.6 Cladding should be overlapped not less than 50 mm.
9.7 All longitudinal and circumferential joints are properly sealed by sealant.
9.8 Care must be taken while cladding accessories to avoid restrictions to the
operational parts.
9.9 Care shall be taken to ensure, the cladding surface is free from damages, scratches,
dirt etc.
JVS DC CLADDING OF CHW PIPELINE
Page 5 of 6
The personal protection wears shall be used tagged before used helmet, safety
shoes and hand gloves.
Front line supervisor will ensure that personal protective Equipment is worn by
site personnel at all times during construction activities.
Adequate cool drinking water. Shade and salt water tablets will be in place
Plant and Equipment will be provided with back-up alarms, lights and all other
applicable safety devices.
12.0 ATTACHMENTS
Risk Assessment
ITP
Page 6 of 6
ANNEXURE 2
ITPS For Activities
QHSE Plan-JVS
TR-164
ANNEXURE 2
2.1. INSPECTION AND TEST PLAN FLUSHING OF CHILLED WATER PIPING
QHSE Plan-JVS
TR-164
ISLAND TOWER
Type of Inspection
Reference
Document
Testing Requirement/
Acceptance Criteria
Verifying /Control
Data forms
VEOLIA
Inspection
Description
EMPO
WER
Contract Specification
Shop drawing,
Manufacture's recommendation.
Drawing submittal
log
Mechanical specification,
Manufacture's
instruction/Documents
Comparison of received
material with material
submittals and specification.
Material report
IT
GENERAL
1.1
TESTING PLAN
2.1
Review of
Documents
Visual
ISLAND TOWER
2.2
2.3
2.4
Check that the check sheet Chemical treatmentStage3 has been signed and approved.
2.5
Visual /
Measurement
Mechanical specification,
Manufacture's
instruction/Documents
Visual /
Measurement
Mechanical specification,
Manufacture's
instruction/Documents
Visual /
Measurement
Mechanical specification,
Manufacture's
instruction/Documents
Visual /
Measurement
Mechanical specification,
Manufacture's
instruction/Documents
ANNEXURE 2
2.2. INSPECTION TEST PLAN FOR HYDROSTATIC PRESSURE TESTING.
QHSE Plan-JVS
TR-164
Doc No.
: EMP/HT/ITP01/2016
Rev. No.
Date
: 00
; 28-08-16
Page No. : 1 of 1
Type of Inspection
Review of
Documents
ITP No.
1
1.1
Reference
Document
Testing Requirement/
Acceptance Criteria
Inspection Point
IST
EMPOWER
Verifying /Control
Data forms
GENERAL
Contract Specification
Shop drawing,
Manufacture's recommendation.
Manufacture's
instruction/Documents
Comparison of delivered
plant items with approved
method of statement.
method statemnt
TESTING PLAN
2.1
Visual
2.2
Visual /
Measurement
Mechanical specification,
Manufacture's
instruction/Documents
2.3
Visual /
Measurement
Mechanical specification,
Manufacture's
instruction/Documents
ANNEXURE 2
2.3. EXCAVATION AND BACKFILLING FOR BURIED VALVE
INSTALLATION.
QHSE Plan-JVS
TR-164
Doc No.
: EMP/EXC/MS05/2016
Rev. No. : 0
Date
; 28-08-2016
Page No. : 1 of 1
ISLAND TOWER
ITP No.
1.1
2
2.1
Type of Inspection
Reference
Document
Testing Requirement/
Acceptance Criteria
Inspection Point
IST
EMPOWER
Verifying /Control
Data forms
Approval/permit/preliminaries
Review of
Documents
Visual
method statemnt
Method statement
Method statement
Material Inspection
Measurement
Visual/measuremnt
Approved drawing
specification, Manufacture's
instruction/Documents
Visual
specification, Manufacture's
instruction/Documents
Method statement
Visual
specification, Manufacture's
instruction/Documents
Method statement
ANNEXURE 2
2.4. INSTALLATION OF GRP CHILLED WATER PIPE.
QHSE Plan-JVS
TR-164
REF. No.
REV. No.
DATE
PAGE
:
:
:
:
EMP/GRP/ITP08/2016
00
29-Aug-16
1 of 2
LEVEL
ITEM NO.
1
DESCRIPTION
SPECIFICATION / CRITERIA
Document Approvals
Material Approvals
Material submittals
Quality Documents
Materials Verification
Approved material submittals
Inspection of Materials Received at site
Project Specification
Manufacturer's Recommendations &
Storage
Method Statement no.EMP/GRP/ITP08/2016
Installation
Safety Clearance
Installation
Project Specification
Approved shop drawings of the area
Mehtod statement EMP/GRP/MS08/2016
VERIFYING
DOCUMENT
REF. No.
REV. No.
DATE
PAGE
:
:
:
:
EMP/GRP/ITP08/2016
00
29-Aug-16
2 of 2
LEVEL
ITEM NO.
4
DESCRIPTION
SPECIFICATION / CRITERIA
VERIFYING
DOCUMENT
Cleaning Protection
Method statement No. EMP/GRP/MS08/2016
Handed-over
Document Review
LEGEND
W - WITNESS INSPECTION
S - SURVEILLANCE INSPECTION
ISLANDTOWER
EMPOWER
NAME
NAME
SIGN
SIGN
DATE
DATE
- REVIEW
ANNEXURE 2
2.5. ITP FOR INSTALLATION OF HDPE PIPES AND FITTINGS.
QHSE Plan-JVS
TR-164
: EMP/GRP/ITP08/2016
REV. No. : 00
DATE
: 29-Aug-16
PAGE
: 1 of 2
REF. No.
LEVEL
ITEM NO.
1
DESCRIPTION
SPECIFICATION / CRITERIA
Document Approvals
Design and Shop drawings
Drawing submittals
Material Approvals
Material submittals
Quality Documents
Materials Verification
Approved material submittals
Inspection of Materials Received at site
Project Specification
Manufacturer's Recommendations &
Storage
Method Statement no.EMP/GRP/ITP08/2016
Installation
Safety Clearance
Installation
Joint Installation
VERIFYING
DOCUMENT
ANNEXURE 2
2.6. ITP FOR INSTALLATION OF BURIED VALVE.
QHSE Plan-JVS
TR-164
Doc No.
: EMP/HT/ITP02/2016
Rev. No. : 01
Date
; 04-09-16
Page No. : 1 of 1
ISLAND TOWER
ITP No.
1.1
2.1
2.2
Reference
Document
Testing Requirement/
Acceptance Criteria
Inspection Point
Verifying /Control
Data forms
IST
EMPOWER
method statemnt
Approval/permit/preliminaries
Review of
Documents
Contract Specification
All the documments to have
Shop drawing,
minimum status of-No objection
Manufacture's recommendation. with comments (B)
Material Inspection
Visual
Manufacture's
instruction/Documents
Mock up
Visual
Method statement
Installation of Valve
Visual
specification, Manufacture's
instruction/Documents
Method statement
specification, Manufacture's
instruction/Documents
Method statement
specification, Manufacture's
instruction/Documents
Method statement
specification, Manufacture's
instruction/Documents
Method statement
specification, Manufacture's
instruction/Documents
Work process
Installation of Coupling
Field Jacketing
Wraping of Denso tape
2.3
Type of Inspection
Installtion of stem
Visual
Visual
Visual
Visual
ANNEXURE 2
2.7. ITP FOR CLADDING OF CHILLED WATER PIPELINE.
QHSE Plan-JVS
TR-164
REF. No.
REV. No.
DATE
PAGE
:
:
:
:
EMP/CLD/ITP12/2016
00
30-Aug-16
1 of 2
LEVEL
ITEM NO.
1
DESCRIPTION
SPECIFICATION / CRITERIA
Document Approvals
Material Approvals
Material submittals
Quality Documents
Materials Verification
Approved material submittals
Inspection of Materials Received at site
Project Specification
Manufacturer's Recommendations &
Storage
Method Statement no.EMP/CLD/ITP12/2016
Installation
Safety Clearance
Installation
Project Specification
Approved shop drawings of the area
Mehtod statement EMP/CLD/MS12/2016
VERIFYING
DOCUMENT
ANNEXURE 3
OH&S RISK ASSESSMENT
QHSE Plan-JVS
TR-164
ANNEXURE 3
3.1. HSE&S RISK ASSESSMENT FOR FLUSHING OF CHILLED WATER PIPE
QHSE Plan-JVS
TR-164
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Likelihood
Severity
Outcome
(T/A/M/I)
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Severity
Slight Injury - First
Aid
Likelihood
Minor or Serious
Injury
Multiple Fatalities
10
Certain
10
20
40
60
80
100
Very Likely
16
32
48
64
80
Likely
12
24
36
48
60
May happen
16
24
32
40
Unlikely
12
16
20
Trivial Risk - No further improvements necessary provided control measures are maintained
Adequately Controlled Risk - Risk is tolerable when control measures identified are implemented
Moderately controlled Risk - Further risk reduction measures should be considered
Intolerable Risk - Seek specialist advice/ support
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Likelihood
Shifting flushing
filters, water
tanks and
accessories to
the required
location.
a). Manual
handling failures
and fall of
materials
Back injuries/
Sprain/
Amputations/
Cut injuries
Severity
Outcome
(T/A/M/I)
48
Residual
Risk
(T/A/M/I)
(A)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Supervisor /
operators/H
SE officer
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Likelihood
Severity
Outcome
(T/A/M/I)
Serious
c) Poor area
illumination
Body injuries
d).Improper
Body injuries
& hand injury
injuries, fatal
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
2.
Hazards
(The potential to
cause harm )
Welding / Hot
Works, fumes
inhalation,
prolong
exposure, eye
irritation
electrocution.
Burns, welding
flash eye injury,
fatality,
developing lung
disease,
dermatitis.
Likelihood
Severity
Outcome
(T/A/M/I)
32
Residual
Risk
(T/A/M/I)
(A)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Supervisor /
operators/
fire
warden/HSE
officer
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Likelihood
Severity
Outcome
(T/A/M/I)
Involvement of
Incompetent
welder
Fire, property
damage,
personnel injury &
fatality.
32
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
(A)
Engineer/Su
pervisor
(A)
Engineers/S
upervisor
/operators/
HSE Officer
Storage,
handling,
application of
chemicals
a). Storage and
stacking of
Access blocks
56
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Likelihood
Severity
Outcome
(T/A/M/I)
accessories and
chemicals
And occurrence
of chemical
reactions
Skin burns/
breathing
discomfort /
eye injuries
b). Handling of
Skin - health
illness due to
chemicals
Chemicals
c). Exposure to
hazardous
chemicals
during shifting
Skin burns/
breathing
discomfort /
eye injuries
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
d).Exposure to
hazardous
chemicals during
application to
flushing system.
Likelihood
skin burns/
breathing
discomfort /
eye injuries
Severity
Outcome
(T/A/M/I)
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
5.
Hazards
(The potential to
cause harm )
Flushing works
a Entrapment
into rotating
machinery like
pumps.
hand injury,
Access blocks
Fractures/
Amputation /
Serious cut
injuries
b). Chemical
treatment of the
systems.
Skin - health
illness due to
chemicals
skin burns/
breathing
discomfort /
eye injuries
Likelihood
Severity
Outcome
(T/A/M/I)
36
Residual
Risk
(T/A/M/I)
(A)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Engineers/S
upervisor
/Foreman
/operators/
HSE officer
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
c). Working on
Mob Scaffolding
Likelihood
Falls from
scaffold
platforms
Materials
falling from
scaffold
platforms
Scaffold
collapses.
Scaffold
tipping over.
Severity
Outcome
(T/A/M/I)
task lights.
Area is restricted and crate proper ventilation.
All scaffolds & working platforms will be
constructed in accordance with Manufacturers
instructions
&
comply
with
legislative
requirements.
Scaffolds will only be erected, altered or
dismantled by qualified trained operatives who
hold a Scaffolder's Record Card working for the
appointed contractor;
The erection of a scaffold must be carefully
planned in advance including specialist design if
necessary.
All scaffold components will be inspected before
being used. Defective material will not be used,
including ropes & boards.
Scaffold to be fitted with guard rails and toe
boards.
No scaffold will be used until it has been
inspected by a competent person, who will be
responsible for entries in a scaffold register. It will
be inspected at least every 7 days, or after any
alteration, addition or dismantlement. Any scaffold
erected outside will also be inspected following any
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
d). Working on
Step ladders
Effects
(Consequences)
Likelihood
Falls from
stepladders
Stepladders
collapsing
Dropping
materials/plant.
/
p
l
a
Severity
Outcome
(T/A/M/I)
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Likelihood
n
t
d). Exposure to
chemical spills
in case of any
leakages.
Health illness
due to
chemical
property-skin
rashes
Severity
Outcome
(T/A/M/I)
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
6.
7.
8.
Hazards
(The potential to
cause harm )
Sharp objects
injuring body
and hands
Slip trip and fall
due to materials
scattered on
ground
Fire On site /
Emergency
Evacuation
Trap
Stampede
Fire spread
Likelihood
Severity
Outcome
(T/A/M/I)
Body injuries
12
Body injuries
10
40
Personal
injury
Burns
fatalities
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
(A)
(A)
(A)
Actions
By
Supervisor
/foreman
/HSE officer
Supervisor /
foreman
/HSE officer
Supervisor /
foreman /
fire warden
/ HSE officer
Date
EMP-TR-0164
21/08/2016
0
Chilled Water Flushing
Crane, Welding machine, Scaffolding, Pumps.
Location:
EMP/FLS/RA01/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Likelihood
Severity
Outcome
(T/A/M/I)
Residual
Risk
(T/A/M/I)
ALARP
Demonstr
ated
(Y/N)
Actions
By
Date
ANNEXURE 3
3.2. HSE&S RISK ASSESSMENT FOR HYDROSTATIC AND PRESSURE
TESTING.
QHSE Plan-JVS
TR-164
SN
Hazards
CONSEQUENCES/ IMPACT
RISK EVALUATION
With No Controls
P
Personal Injury
S
6
RISK
LEVEL
H/M/L
48
RESIDUAL RISK
Property Damage
Coordinate with all concerned parties before starting The pressure test
Spilln of water
Water Accumulation
H/M/L
ACCEPT Y/N?
Actions
By
Date
Site
Engineer/Supe
rvisor/store
keepers
Electrical shock
20
Rotating equipment
Site
Engineer/Supe
rvisor/store
keepers
/operators
Only authorised and trained operatives are involed for the task
Ensure safe gaurds are installed to cover the rotating part of pumps
All electrical cables properly insulated
Entanglement
Electricity
Ergonomics
Fire
Vibration
Sparks
Noise
Prior to start use the area must be verified by the engineer/su pervisor for any other
existing/concealed services like post & Pre tensioning cables for concrete,MEP services etc
48
Powered equipment will be fitted with a safety breaker to prevent the tool continuing to
operate incase of any emergencies.
Only tools and plant inspected and in good condition with in-date test tags are to be used.
Power equipment users are to inspect the device & ensure there are no obvious defects
prior to use.
All extension cables are to be kept in a tidy using cable management where they will be
kept of the ground when possible.
No loose clothi ng is to be worn to avoid entanglement within the machines mechanism .
SN
Hazards
CONSEQUENCES/ IMPACT
RISK EVALUATION
With No Controls
P
RISK
LEVEL
RESIDUAL RISK
H/M/L
ACCEPT Y/N?
H/M/L
By
16
Working under
Property damage and personnel
chambers/excavated areas/trench. injury
Fall of materials
Fall from height
Respiratory problems
64
Lack of visibility
48
Actions
Date
SN
Hazards
CONSEQUENCES/ IMPACT
RISK EVALUATION
With No Controls
P
Trap
Burns
Stampede
Fatalities
S
10
RISK
LEVEL
H/M/L
40
RESIDUAL RISK
All the team mates in the site must aware of the different types of fire and different type of
firefighting measures through the periodic tool box talk, meeting, training
ACCEPT Y/N?
H/M/L
By
All operatives will be instructed on the sound of the fire and evacuation ala rm to stop
work immed iately leave behind all tools and equ ipments/materials and leave by the
quickest root.
Once mustered the assembly point , no one shall be return until instructed by the main
contractor emergency control authority
all employees shall be aware of the emergency exists in the site
Fire spread
Collapse
Ensure proper PPE'S are worn by all the workers, working at such places.
Heat Stress
16
Adeq uate cool water and electrolytes should be provided as well as to be consumed
Heat stroke
Illness
Weak/fatigue
Rest areas with proper ventilation for the workers shall be provided .
Periodic tool box talk and training to be conducted for managing the work in hot climate
safely and smoothly
Actions
Date
ANNEXURE 3
3.3. HSE &S RISK ASSESSMENT FOR EXCAVATION, BACKFILLING,
LEVELING AND COMPACTION.
QHSE Plan-JVS
TR-164
Hazards
(The potential to cause
harm )
29/08/2016
Effects
(Consequences)
PHYSICAL HAZARDS
Fatality, Asset loss
Excavation
Equipment Failure
Overturning of
excavator
Worker hit by
excavator
Fatality
Page 1 of 4
Remarks
Severity
Likelihood
Outcome
(T/A/M/I)
10
Medium
Low
Low
Page 1 of 4
Hazards
(The potential to cause
harm )
Hit by vehicles
Poor illumination,
rain, sand storms
29/08/2016
Effects
(Consequences)
Injuries, property
damage
Injuries, property
damage
Dizziness,
unconsciousness
Remarks
Severity
Likelihood
Outcome
(T/A/M/I)
Medium
Medium
10
Medium
Hit by existing
structure
Page 2 of 4
Page 2 of 4
Hazards
(The potential to cause
harm )
Backfilling
Compaction and
levelling
Equipment failure
Unidentified
underground
services
Page 3 of 4
29/08/2016
Effects
(Consequences)
Property damage
Electrocution,
injuries, property
damage
Likelihood
Outcome
(T/A/M/I)
Remarks
Foreman shall ensure that plate and roller compactor have been
properly maintained, daily inspection has been carried out and
maintenance records are being kept.
Plate/Roller compactor shall only be operated by competent and
experienced operatives.
Medium
Page 3 of 4
ANNEXURE 3
3.4. HSE&S RISK ASSESSMENT FOR GRP CHILLED WATER PIPING.
QHSE Plan-JVS
TR-164
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Likeli
hood
Severi
ty
Outcome
(T/A/M/I)
Residu
al Risk
(T/A/
M/I)
Severity
Slight Injury - First
Aid
Likelihood
Minor or Serious
Injury
Multiple Fatalities
10
Certain
10
20
40
60
80
100
Very Likely
16
32
48
64
80
Likely
12
24
36
48
60
May happen
16
24
32
40
Unlikely
12
16
20
Trivial Risk - No further improvements necessary provided control measures are maintained
Adequately Controlled Risk - Risk is tolerable when control measures identified are implemented
Moderately controlled Risk - Further risk reduction measures should be considered
Intolerable Risk - Seek specialist advice/ support
Actions
By
Date
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Severi
ty
Outcome
(T/A/M/I)
Material
handling &
to working personnel
Lifting
Damage of materials
Operations
by miss-handling of
materials or lifting
36
make-shift
arrangement.
Residu
al Risk
(T/A/
M/I)
Actions
By
Supervisor
/
(A)
operators/
HSE
officer
Working
Adjacent
from operations in
working areas.
to other
progress by other
Trades
Supervisor
/
(A)
operators/
fire
warden/HS
E officer
Date
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Severi
ty
Outcome
(T/A/M/I)
Residu
al Risk
(T/A/
M/I)
Actions
By
Involvement
property damage
of
personnel injury
Incompetent
for lamination.
laminators
32
warning labels.
(A)
Engineer/
Supervisor
Storage,
Access blocks
handling,
And occurrence of
Engineers/
application of
chemical reactions
Supervisor
chemicals
Skin burns/
breathing
48
(A)
/operators/
HSE
Officer
over another.
Date
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Severi
ty
Outcome
(T/A/M/I)
discomfort /
eye injuries
case of spills.
Residu
al Risk
(T/A/
M/I)
Actions
By
Working on
Step ladders
Stepladders collapsing
Dropping
materials/plant.
24
Supervisor /
(A)
foreman
/HSE officer
Date
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Severi
ty
Outcome
(T/A/M/I)
Residu
al Risk
(T/A/
M/I)
Actions
By
Body injuries
fall due to
materials
24
scattered on
Supervisor /
(A)
foreman
/HSE officer
ground
7.
Use of Power-
Engineers/
Tools such as
shock causing
Supervisor
Drill Machine
human injury.
or Grinding
Machine
by loose
48
(A)
/operators/
HSE
Officer
Date
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Severi
ty
Outcome
(T/A/M/I)
connections or
of fire incident.
Residu
al Risk
(T/A/
M/I)
Actions
By
wires.
supply to any
Fire On site /
Personal injury
Emergency
Burns
Evacuation
fatalities
Trap
10
40
Engineers/
(A)
Supervisor /
foreman /
fire warden
Date
EMP-TR-0164
29/08/2016
GRP Chilled Water piping
Joint lamination kit, air vents, valves, Hanger & Supports
Location:
EMP/GRP/RA08/2016 Rev.00
Sr.
Hazards
(The potential to
cause harm )
Effects
(Consequences)
Severi
ty
Outcome
(T/A/M/I)
Residu
al Risk
(T/A/
M/I)
Actions
By
Stampede
/ HSE
Fire spread
officer
Date
ANNEXURE 3
3.5. HSE&S RISK ASSESSMENT FOR HDPE PIPES AND FITTINGS.
QHSE Plan-JVS
TR-164
SN
Hazards
Lifting
Equipments
CONSEQUENCES/
IMPACT
Fall of material
Cuts from sharp edges
Irivets
Muscle cramps
Back injury
Cuts
Abrasions
RISK EVALUATION
RISK LEVEL
With No Controls
P
H/M/L
48
RESIDUAL RISK
IMPLEMENTED CONTROL MEASURES
S H/M/L
ACCEPT
Y/N?
Actions
By
Site
Engineer/
Supervisor/
store
keepers/
operators
Date
SN
Hazards
CONSEQUENCES/
IMPACT
RISK EVALUATION
RISK LEVEL
With No Controls
P
RESIDUAL RISK
IMPLEMENTED CONTROL MEASURES
H/M/L
S H/M/L
ACCEPT
Y/N?
By
Use of Electrical
tools &
equipments like
Cutting Tools,
Personnel Injury,
fatality
Electricity
Ergonomics
Vibration
Noise
Fire
Sparks
Moving cutting
edges
Entanglement
48
Actions
Date
SN
Hazards
Working under
chambers/
excavated areas/
trench.
Fall of materials
Fall from height
Respiratory
problems
CONSEQUENCES/
IMPACT
RISK EVALUATION
RISK LEVEL
With No Controls
P
RESIDUAL RISK
IMPLEMENTED CONTROL MEASURES
H/M/L
64
Loss of consciousness
of any person at work
arising from an increase
in body temperature
ACCEPT
Y/N?
S H/M/L
By
16
Lack of visibility
Water leak
testing of HDPE
pipes and
accessories
48
Page 3 of 5
Actions
Date
SN
Hazards
CONSEQUENCES/
IMPACT
RISK EVALUATION
RISK LEVEL
With No Controls
P
RESIDUAL RISK
IMPLEMENTED CONTROL MEASURES
H/M/L
ACCEPT
Y/N?
S H/M/L
By
Fire On site/
Emergency
Evacuation
Trap
Stampede
Personal Injury
All the team mates in the site must aware of the different types of fire
and different type of firefighting measures through the periodic tool
box talk, meeting, training
Burns
10
40
Fatalities
Fire spread
16
Actions
Date
SN
Hazards
Heat Stress
Heat stroke
CONSEQUENCES/
IMPACT
Secondary
hazards
like fall into excavated
area/trenches/valve
chambers
Illness
Weak/fatigue
RISK EVALUATION
RISK LEVEL
With No Controls
P
RESIDUAL RISK
IMPLEMENTED CONTROL MEASURES
H/M/L
P
Periodic tool box talk and training to be conducted for managing the
work in hot climate safely and smoothly
Frequent work break shall be given at regular intervals.
Rest areas with proper ventilation for the workers shall be provided
.
Provide proper slgnage, warning lights etc
Ensure supervisors monitor site regularly on excavated locations
and ensure that no unwanted persons Is around the area.
Ensure confined space Permit to Work (PTW) system followed at
such locations
Ensure the access egresses are clear.
Ensure proper lightings
Page 5 of 5
S H/M/L
ACCEPT
Y/N?
Actions
By
Date
ANNEXURE 3
3.6. HSE&S RISK ASSESSMENT FOR INSTALLATION OF BURIED VALVE.
QHSE Plan-JVS
TR-164
SN Hazards
CONSEQUENCES/ IMPACT
RISK
EVALUATION
With No Controls
P
Shifting of Valves,and
other tools/equipments
S
3
RISK
LEVEL
H/M/L
6
Only trained and competent personnel to be deployed for material shifting and
lifting operations.
ACCEPT
Y/N?
RESIDUAL RISK
P
H/M/L
Actions
By
Proper guidance will be given to workers and close supervision will be done
during shifting or handling of heavy equipment manually.
Materials not to exceed safe working loads of plants & equipments in use.
HSE Officer/
Site Engr/
Supervisor/
Foreman
Adequate protective equipment will be worn such as hand gloves, safety shoes &
helmets.
Trained & Competent personnel to be deputed for mobile scaffolding
Working under
chambers/excavated
areas/trench.
Respiratory problems
Personnel injury
Property damage
16
Respiratory problems
Lack of visibility
12
Fall of materials
Involvement of
Incompetent laminators
Property damage
Personnel injury
HSE Officer/
Site Engr/
Supervisor/
Foreman
HSE Officer/
Supervisor/
Foreman
HSE Officer/
Site Engr/
Supervisor/
Foreman
HSE Officer/
Supervisor/
Date
SN Hazards
CONSEQUENCES/ IMPACT
RISK
EVALUATION
With No Controls
P
Failure of excavation
equipments
Fatality
RISK
LEVEL
H/M/L
10
Asset loss
Person injury
Unidentified underground
services
Electrocution,
Person injury
Property damage
Involvement of
Incompetent person
Person injury
Property damage
Adequate PPE to be worn by site personnel such as safety helmet, safety shoes,
Gloves etc.,
Close supervision will be ensured during insulation works.
rd
Only 3 party certified excavator and competent operator shall be deployed for
excavation works.
Excavator shall ensure proper compaction of sand dunes prior positioning on it to
avoid any sank down.
PTW shall be applied prior excavation which must be signed by authorized
issuer, receiver and safety officer of the area.
Soil condition shall be checked prior excavation.
Trail pit to be done to identified any underground utilities services.
Trained banks man shall be deployed to guide the Shovel/Bobcat operator about
any temporary services
Proper marking and safeguard of exposed underground services.
No work shall be allowed due to poor illumination, rain and sand storms.
Proper illumination shall be provided prior engaging equipment.
No lone worker shall be allowed.
Brief the operatives via toolbox talk / Pre Task briefing, inspection of tools and
Equipments
Read & follow HSE procedures
Adequate PPE to be worn by site personnel such as safety helmet, safety shoes,
Gloves etc.,
ACCEPT
Y/N?
RESIDUAL RISK
P
H/M/L
Actions
By
Foreman
HSE Officer/
Supervisor/
Foreman
HSE Officer/
Supervisor/
Foreman
HSE Officer/
Supervisor/
Foreman
12
All rotating equipment/pumps to be inspected and fitted with correct size guards
in the rotating parts.
All electrical tools shall have emergency stop button near the equipment
Only authorised person to be engaged to operate the pumps . Barricade the
operational areas.
Read & follow manufactures and client HSE procedures
Adequate PPE to be worn by site personnel such as safety helmet, safety shoes,
Gloves etc.,
Close supervision will be ensured during the operations.
HSE Officer/
Supervisor/
Foreman
Date
SN Hazards
CONSEQUENCES/ IMPACT
RISK
EVALUATION
With No Controls
P
10
Welding/Hot work
S
3
RISK
LEVEL
H/M/L
12
ACCEPT
Y/N?
RESIDUAL RISK
P
H/M/L
Actions
By
HSE Officer/
Supervisor/
Foreman
Date
ANNEXURE 3
3.7. HSE&S RISK ASSESSMENT FOR CLADDING OF CHILLED WATER
PIPELINE.
QHSE Plan-JVS
TR-164
SN
1
Hazards
Lifting Operations
CONSEQUENCES/ IMPACT
Risk of falling.
H/M/L
Shifting operations
Trained & Competent personnel to be deployed for material shifting & lifting operations.
Materials not to exceed safe working loads of plants and equipment in use.
Back injury
Risk of getting injuries to working
personnel/damage of materials by misshandling of materials or shifting of
heavy items with make-shift
arrangement.
RESIDUAL RISK
ACCEPT Y/N?
H/M/L
Actions
By
Adequate PPE to be worn by site personnel such as safety helmet, safety shoes,Gloves etc.,
Close supervision will be ensured during heavy lifting operations.
Only trained and competent personnel to be deployed for material shifting and lifting operations.
Proper guidance will be given to workers and close supervision will be done during shifting or
handling of heavy equipment manually.
Materials not to exceed safe working loads of plants & equipments in use.
Adequate protective equipment will be worn such as hand gloves, safety shoes & helmets.
Trained & Competent personnel to be deputed for mobile scaffolding
Switching off the power supply will be made compulsory while leaving the power tool idle for longer
durations or leaving the working locations.
Well maintained power tool will be used at site.
Wherever felt necessary MCBs, will be used for quick disconnection of power supply to any defective
power tool.
Involvement of Incompetent
technicians
property damage
12
personnel injury
Fall of materials
Brief the operatives via toolbox talk / Pre Task briefing, inspection of tools and Equipments using for
insulation.
Read & follow manufacturers instruction & warning labels.
Adequate PPE to be worn by site personnel
Close supervision will be ensured during cladding works.
Toolbox talks to be conducted on confined space, respiratory problems etc
Ensure proper PPE'S are worn by all the workers, working at such places.
Ensure confined space Permit to Work (PTW) system followed at such locations
Periodical check of toxic gases,Oxygen availability /water In the excavated areas.
Barricade the area & Provide proper slgnage, warning lights etc
Ensure supervisors monitor site regularly on excavated locations and ensure that no unwanted
persons Is around the area.
Ensure the access egresses are clear.
Ensure proper lightings
HSE Officer/
Supervisor/
Foreman
HSE Officer/
Site Engr/
Supervisor/
Foreman
Date
ANNEXURE: 4
ENVIRONMENTAL ASPECT IMPACT ANALYSIS
Page 1 of 6
EMR
SEA
3. Responsibility
3.1 EMS Committee
The EMS Committee shall identify the environmental aspects of all activities coming under
flushing of chilled water piping network and evaluate the impact of the same on the environmental
conditions.
The EMS Committee / EMR shall prepare and maintain the Register of Environmental Aspects
with most up-to-date information.
3.2 Top Management
The (Top Management) shall review and approve the Register of Environmental Aspects.
4. Regulations & Requirements
a) Federal Law No. (7) Of 1993 (as amended by Federal Law No. (30) of 2001) has
established the Federal Environment Agency (FEA) as the principal environmental
authority in the UAE.
b) Federal Law No. (24) Of 1999 Protection and Development of the Environment.
c) 29 CFR (Code of Federal Regulations) Part 1926 Labor
Page 2 of 6
Waste management;
Air emissions;
Water pollution;
Land contamination;
Transportation impact.
Page 3 of 6
c) Gaseous emissions from Diesel electricity generators, Pumps and heavy loading machineries
d) Odour result from use of chemicals, accumulation of surface water, washout facilities and due
to improper segregation of chemical.
Accidental spillage of diesel, petrol or lubricants through equipment failure, human error,
or incidents from improper storage or handling of hazardous materials and substances.
b)
c)
Fuels, waste lubricants and hydraulic oil from pumps, generator, and other machineries.
2.
3.
4.
5.
6.
7.
Leakage or spillage of raw materials from pipe fittings and mechanical equipments
Page 5 of 6
All water pipes and fixtures will be inspected for leaks on weekly basis.
g) Groundwater from dewatering wells shall be used for construction purposes such as dust
suppression.
h) Use of low-flow fixtures in the toilets and washing areas.
Record Location/
Minimum Retention
Retention Responsibility
Time
(EAR-01)
Page 6 of 6
Dubai waste water Discharge limits as per the Dubai Municipality Environmental Department
INDICATORS
Physico-Chemical
Biochemical Oxygen Demand
Chemical Oxygen Demand
Chlorides
Chlorine residual
Units
mg/l
mg/l
mg/l
mg/l
System
1,000
3,000
Cyanides as CN
Detergents
Fluorides
Nitrogen, ammonia cal
Nitrogen, organic (Kjeldhal)
Nitrogen, total
Oil & Grease Emulsified
Oil & Grease Free oil
pH (range)
Pesticides, non-chlorinated
Phenols
Phosphorous (P)
Sulfates, total
Sulfides as S
Surfactants
Suspended Solids (SS)
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
units
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
1
30
Temperature
Total Dissolved Solids (TDS)
Metals
Total Metals
Aluminum (Al)
Arsenic (As)
Barium (Ba)
Beryllium (Be)
Boron (B)
Cadmium (Cd)
Chromium (Cr)
Cobalt
Copper (Cu)
Iron (Fe)
Lead (Pb)
Magnesium (mg)
Manganese (Mn)
Mercury (Hg)
Molybdenum (Mo)
Nickel (Ni)
Selenium (Se)
Silver (Ag)
Sodium (Na)
Zinc (Zn)
Bacteriological
0C
mg/l
Fecal Coliforms
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
MPN/100 ml.
10
Drip
Spray
20
10
100
50
500
350
Not less than 0.5 mg/l after
30 min contact time
0.05
0.05
1
5
10
50
1
1
5
30
5
6.0 8.0
5
6.0 8.0
0.1
20
200
0.05
0.1
20
200
0.05
50
10
1,500
1,000
2
0.05
1
0.1
2.0
0.01
0.1
0.1
0.2
2.0
0.5
100
0.2
0.001
0.01
0.2
0.02
2
0.05
1
0.1
2.0
0.01
0.1
0.1
0.2
2.0
0.5
100
0.2
0.001
0.01
0.2
0.02
2.0
500
0.5
200
0.2
500
20
40
150
50
6 10
5
50
30
500
10
500
45 or > 5 of ambient
3,000
10
0.50
2.0
0.3
1.0
1.0
1.0
1.0
0.01
1.0
1.0
Page 7 of 9
**Concentration (mg/kg)
50
400
5
250
100
200
700
2
2
500
2
10
500
1
1
100
1
0.5
1,000
10,000
Page 8 of 9
Allowable Emission Limits from Stationary Sources as per Dubai Municipality Environment
Department
Waste
Visible emissions
Sources
to
which Emission limits*
limit is applicable
Combustion sources
Ring Lemann 1 or
20% opacity
Other sources
Total Particulate
Matter
Carbon Monoxide
Lead and its
compounds
Fluorine
compounds
Chlorine & Chlorine
compounds
Metal fumes in total
Iron Oxide fume
No visible
emissions
0.25 g/Nm3
Large sources
All sources
0.1 g/Nm3
Notes
1. Does not apply to
emissions of water
vapor and a
reasonable period for
cold startup,
shutdown or
emergency operation
1. as above
Gas Volumes
calculated to
12% CO2
0.1 g/Nm3 as
SO3
0.50 g/Nm3
5 mg/Nm3
@ 7% O2 reference
gaseous fuels
0.5 g/Nm3 for
liquid fuels
Power generation by
other fuels
All Stationary sources
All stationary sources
0.15 g/Nm3
Aluminium smelters
0.02 g/Nm3
0.05 g/Nm3
Not applicable to
small units less than
30MW and @ 15 %
O2 Reference
1.5 g/Nm3
10 mg/Nm3
as Pb
0.2g/Nm3
as Cl2
All stationary sources
Iron
and
foundries.
10mg/Nm3
Page 9 of 9
ANNEXURE 5
HSE TRAINING PLAN
QHSE Plan-JVS
Page 1 of 3
The Management of Occupational Health and Safety at Work places a duty on the Company
to:
Take into account an employees capabilities with regards to Occupational Health and
Safety.
In order to achieve this Island Tower Electromechanical LLC will provide adequate health,
safety and environmental training, in particular:
i.
Upon being recruited into the company health, safety and environmental Induction
training will be provided and recorded
ii.
Safety training for construction site workers will be systematically arranged for all
Island Tower Electromechanical LLCemployees and sub-contractors on site.
iii.
Upon being exposed to new or increased risk; Toolbox Talk training will be carried
out, attendance at which will be recorded
iv.
All employees will receive induction training upon joining the Company and all construction
site workers will receive site induction training on attending the site. The training will cover
the following as appropriate:
i)
ii)
iii)
iv)
First Aid
v)
vi)
Welfare provisions
Security
x)
QHSE Plan-JVS
Page 2 of 3
xii) Housekeeping
xiii) Environmental Aspects and Impacts
xiv) Accident Reporting Procedure
xv) Safety & Environmental Audits
xvi) Local Authoritys rules and regulations
The Project Manager, Safety Engineer, Safety Officer and Site Engineer will agree the type
of training required and will make the necessary arrangements to carry out the training. A
record of all training carried out will be maintained by the Safety Engineer on site and these
records will be audited internally and externally to ensure compliance with this procedure.
QHSE Plan-JVS
Page 3 of 3
Standard
Affected Employees
Frequency
Initial/Periodic/Change
Subpart Q
operations.
in Procedure
Initial/Periodic/New
hazardous chemicals
Chemical
Hazard Communication
All workers
Initial/Periodic
All workers
Initial/Periodic/Changes
to Plan
OSHA 29 CFR 1910.120
Response/Spills
Initial/Annual
chemical spills.
Fall Prevention/Walking
Subpart D
Initial/Periodic/Changes
in Equipment or Site
(Ladders, etc.)
Cranes & Hoists
QHSE Plan-JVS
Initial/Periodic
TR-164
Type of Training
Standard
Affected Employees
Frequency
Fire Extinguishers
Initial/Annual
Occupational Exposure to
Initial/Periodic
Hazardous Chemicals
Environmental awareness
All workers
Personal Protective
Initial/Periodic/Change
equipment
in PPE or
Equipment
Annually
hazards/Improper Use
Process Safety
Management of Highly
Initial/ 3 Year
Refresher/Change in
Hazardous Chemicals
Powered Tools
Process
OSHA 29 CFR 1910
in Equipment
Subpart P
Confined Space
Initial/Periodic/Changes
Daily
1926.1211
Initial/Periodic (varies
is not available.)
use recognized,
approved program such
as Red Cross)
QHSE Plan-JVS
TR-164
Type of Training
Standard
Affected Employees
Any entrants, attendants or entry
Frequency
Initial/Annual
Entry
All workers
Initial/Periodic
Prevention/ Signs/Tags
Hazardous waste operations and
Initial/Review
emergency response
Bloodborne Pathogens
Initial/Annual/Changes to Plan
QHSE Plan-JVS
Initial/Periodic/Changes in
Equipment
TR-164
ANNEXURE 6
TRAFFIC MANAGEMENT PLAN
QHSE Plan-JVS
TR-164
LANDSCAPING
AREA
KERB STONES
WORK AREA
839,43
ISOLATION
VALVE
CHAMBER
284,84
743,13
Temporary
Barriers
872,04
ROAD NARROW
REDUCE SPEED
1518,06
B
REDUCE SPEED
REDUCE SPEED
SPEED LIMIT
A
SPEED LIMIT
ROAD NARROW
Men At Work
Sorry for any Delay
Not To Scale
ANNEXURE 7
FORMS AND RECORDS
QHSE Plan-JVS
TR-164
ACCIDENT/NEARMISSREPORT
Reportno:________________________Date:________________________
Project/Office/Workshop
Date&Timeofaccident/incident
Details(Name,Age,Numberetc)ofthe
ProjectNo.__________________
injuredand/orDamagetoProperty
Nameoftheimmediatesupervisor
NameoftheEngineerconcerned
ExactLocationofAccident
Witnessifany(givedetails)
Whoreportedtheaccident/incident?
Towhomwastheaccidentreportedfirst? :
Nature/ExtentofInjury/damage(Details) :
Whatmedicalattentionishereceivingnow?:
DescriptionoftheAccident(attachphotosifany):
Whatwouldhavepreventedtheaccident? :
Actionstakentopreventsimilaraccidentsinfuture:
Signature
Date:
:
Name
(ProjectManager)
________________________________________________________________________________________
Distribution:HeadOffice1.SafetyDept.
2.PersonnelDept.
Siteaspersiterequirement
***YOURSAFETYISOURCONCERN***
DECLARATIONBYVISITORS
This is to declare that I have been briefed about the basic safety requirements to be
followed while being at site. I will exercise enough care, which is expected from a normal
persontosafeguardothersandmyself.Iwillberesponsibleforanyofthemishapsoccurring
duetomynegligenceandcarelessnessatsite.Iagreetofollowallthesafetyprecautionstold
tomewithspecificreferencetothefollowing:
Usageofsafetyhelmetandshoesinprojectarea.
Not entering the hazardous areas, which are barricaded or provided with sign
boardsprohibitingentry.
Notenteringareasotherthanauthorizedtome,whicharerelatedtomywork.
Not interfering with the operation of any of the equipment or any construction
machinery.
Followingthespeedrestrictionsintheproject.
Complyingwithanyothersafetysignsdisplayedattheprojectarea.
Name:
Company
Date
Signature
Time
(ORIGINALCOPYOFTHEDECLARATIONTOBEKEPTBYTHESITEOFFICESECRETARY)
***YOURSAFETYISOURCONCERN***
LaddersInspectionChecklist
(Inspectionshouldbecarriedoutoneverymonth)
Sl.
CHECKPOINTS
No.
1.
Isthenonslipbaseoftheladderinplace?
2.
Isthelockprovidedintheladder(ifany)ingood
condition?
Isthereanysignofcrackorbendinthestileorrung?
Isthereanydefectinthelockingmechanismofthe
extensionladder?
Aretheportableandstraightladdersplacedatcorrect
angle(75degrees)orabasetoheightratioof1:4?
Istheladdersecuredproperlytopreventitsslipping?
Istheladderplacedinsuchawaythatthereisabout1.05
mprojectionabovethelandingplatform,ifitisusedas
approach?
Istheladderstrongenoughandstabletouseitwithout
anotherworkerholdingit?
3.
4.
5.
6.
7.
8.
Commentsontheinspection:
HSERepresentative
Name
Signature
Date
Time
ProjectManager
Name
Signature
Date
Time
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
PortablePowerToolsInspectionCheckList
S.
No.
(Inspectionistobecarriedouteverymonthbyanauthorizedelectricianatsite)
CHECKPOINTS
A B CDE F Remarks
1. Isthereaprovisionforearthingthebodyofthe
tool?
2. Hasaplugtopbeenprovidedtothepowercable?
3. Isthereanyunusualsparkingfrominsidethe
machine?
4. Aretheconnectionsinsidethemachinewell
secured?
5. Isthereanyvibrationorunusualnoisewhilethe
machineisinoperation?
6. Isthereanyleakagecurrentonthebodyofthe
tool?
7. Arealltherotatingpartsofthemachineryproperly
guarded?(Includingthecollapsibleguardinthe
anglecutter)
8. Is the cutting edge of tool (wherever applicable)
sharp enough and properly connected to the
machine?
Comments:
Signature
Name
Date
:
(ElectricalSupervisor)
ProjectManager
Name
Signature
Date
Time
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
SELFINSPECTIONCHECKLIST
(GuidelinesforSiteEngineers/Supervisors/Foremen)
SL.O
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
CHECKPOINTS
Aretheworkmenclearaboutthecompletedetails
aboutthework,withparticularreferencetothe
correctmethodtobeused?
Aretheyawareofthespecifichazardslikelytobe
encounteredwhileperformingthejob?
Havetheybeenbriefedaboutthesafety
precautions
tobetakenforthespecificjob?
Havetheworkmenbeeninformedabouttheir
responsibilitytokeeptheirworkplaceneatand
tidy?
Aretheycleaningtheirworkplaceattheendofthe
jobeveryday?
Istheworkplacefreefromallunsafeconditions?
Isthereadequatelightingavailableattheplaceof
work?
Isthereanyfirehazardinandaroundthework
place?
Dotheportablepowertoolshavingearthing?Are
theyprotectedbyELCB?
Isthereproperapproachtotheplaceofworkforall
theworkmen?
Arethescaffoldsandladdersbeingusedby
workmenfreefromalldefects?
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
HOTWORKPERMIT
PermitNumber
SectionI:
Locationofthehotwork
Date:
:
Descriptionofthework :
Approximatedurationofwork:
Nameofthetaskincharge :
Subcontractor(ifapplicable):
SectionII:Precautionstaken
1.
2.
3.
4.
5.
*Pleaseseethebottomofthispermitforguidanceonthechecks/precautionsthataretobetakenbefore
obtainingthepermit
Irequestforahotworkpermitfortheabovementionedworkatthelocationspecifiedabove.Ihave
personally inspected the work place to ensure that the precautions mentioned above have been
compliedwith.
SupervisorsName:
Signature:
Time:
SectionIII:Approval
Workshallbecarriedout(only)aftercomplyingwiththeprecautionsgiveninsectionIIandthefollowing(if
any):
Thepermitisvalidupto__________Hrs.(Time)__________________(Date)
SectionEngineers/HSERepresentativesName:________________________Signature:______________
SectionIV:Renewalofpermitforextensionfortheday
Theworkisnotcompletedandthepermitisrenewedforanadditionalperiodfrom_______Hrs.to
________Hrs.on...(DateasinsectionIII)
Time
:..
SupervisorsName:.
Date
:.
Signature
:..
Thepermitisrenewedfor:(Thisisapplicableonlyforjobswhereworkandsiteconditionsremainssame)
Date:
Date:
Date:
Date:
Date:
Thepermitmustberenewed
everydayandcanbeusedonly
Time:
Time:
Time:
Time:
Time:
foramaxperiodof6days
Sign:
Sign:
Sign:
Sign:
Sign:
includingdateofissue
SectionV:Closureofpermit
Theworkiscompletedandtheareahasbeencleared
Date:..Time:
SupervisorsSignature:..(asinsectionII)
*Checks/arrangementsforthelisteditemsshouldbecarriedoutbytheconcernedSupervisor
Flammablematerialsnearby
Flashbackarrestor
Leakage/damageofcylinder/fittings
Fireblanket
Cylindertrolley
Personalprotectiveequipments
Fireextinguisher
Protectivescreen
Firewatch
TobereturnedtotheHSErepresentativeafterthecompletionofworkorforrevalidation,if
required.Thispermitisnotvalidforcuttingcontainersofflammables.
***YOURSAFETYISOURCONCERN***
Inspected by:.
DATE:
Action to be
taken by who /
when?
Corrective / preventive
Action Taken (with date/time)
(to be filled in and returned to HSE dept.)
Report to: ..
Copy to:
ote: It will be the responsibility of the concerned engineer/supervisor mentioned above to ensure that necessary corrective /
preventive actions are taken against the observations made.
***YOUR SAFETY IS OUR CONCERN***
TOOLBOXTALK
Project:
Date:
1. TBTwascarriedoutat(time)on(date)by..Thesubjectcovered
inthetalkwere(pleaseseereverseofthissheetfordetails):
a)
b)
2. Thefollowingstaff/operativesattendedthetrainingsession:
Sl.
No:
Name
IDNo.*
Trade
* Ifitissubcontractoremployees,indicatethenameofthecompany)
***YOURSAFETYISOURCONCERN***
Signature
Address of Job:
Task Description:
Date:
Hole size:
Duration:
mm/mts Wide by
to
mts Long by
mm/mts Deep
Potential Hazards
Communication/Telstra lines
Underground power
Overhead power
Gas lines
Pressurised water line
Falls from above
Falls to below
Traffic
Public
Difficult Access
Manual handling
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Controls Required
No
No
No
No
No
No
No
No
No
No
No
Chemical ingression
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
Shoring to be used
No
Sewage Isolation
No
Water Isolation
No
Electrical Isolation
No
No
No
No
No
Issue of Permit to Enter and Excavate in the designated area is outlined above:
min
Person in Control to complete: I understand the requirements of this permit and will comply
with the instructions given
This trench is assessed as safe for excavation and entry provided all conditions on this permit
are met. Persons working under this permit have been instructed on the control measures to be
observed and the control measures identified in this permit are in place and being observed.
Approval has been gained from the Responsible Persons in the following sections.
Grounds:
Plumbing:
Electrical:
ITD:
Name
Initial
Name
Initial
FM Operations Manager or
delegate:
Emergency Response
2. Tell them who you are, where you are, what the emergency is, what help you need.
Site left in a secure condition, posing tolerable risk to people, property, equipment and environment.
Responsible Person:
Date:
ime:
10
MONTHLYHEALTH&SAFETYREPORT
Forthemonthof
General
NameoftheOffice/site/div
:.
Totalnumberofstaff
:.
Averageno.ofworkmenemployed
duringthemonth
:....
Manhoursworkedduringthemonth :.
(Totalemployeesxnumberofhours/dayxnumberofworkingdays+OTworked)
Numberoffirstaidcases
:.
Numberofhospitalreferredcases
:.
NumberofLTAs*
:.
Mandayslostduetoaccident
:.
Nearmissincidentsreported
:
Activities
No.oftoolboxtrainingconducted
:..
(givesubjects)
:..
No.ofattendeesintoolboxtalks
:.
No.ofemployeesreceivedinductiontrg:.....
:..
No.ofHSEmeetingsheld(byETA)
AnyHSErecommendationgiven
bySO/Maincontractor/Client/authorities
:..
whichcouldnotbeimplemented?
(Ifyes,givedetails)
ListoutotherHSEinspections
conducted
(scaffolding,ladders,powertools,etc.)
UsageofPPEbythestaffandworkmen
atsite
:.....
:...
:.
:.....
:(
(
)Good
)Bad
( )Satisfactory
( )Unsatisfactory
Commentsifany:
Sign:..
Name:..
Date:..
(ProjectManager)
_______________________________________________________________________________________
note:ThisreportshouldbesendtotheSafetyDept.onorbefore5thofeverymonth.
* LTAistheoneresultinginadisabilityperiodofmorethan48hours.
***YOURSAFETYISOURCONCERN***
11
HSEINDUCTIONTRAINING
PROJECT:
DATE:
1. TheFollowingStaff/Technicians/Operativeshavejoinedandcommencedworkatsite.
Theyhavebeengivenproject"HSEInductiontraining"andhaveexplainedaboutproject
healthandsafetyplan,DubailocalrulesandotherlocalordersonHealthandSafety.The
pointscoveredinthetrainingareasperAnnexure12oftheHSEplan.
2. Thetrainingwasconductedby..
UNDERTAKING
I, the undersigned, have attended the HSE induction training and understood the
requirementsoffollowingHealth&Safetyrulesinworkplaceandagreedtofollowthem.My
signatureisappendedbelow.
Sl.
No:
Staff/Card
No:
Sticker
Position/
Name
Trade
***YOURSAFETYISOURCONCERN***
Signature
referenceNo.
12
HSEINDUCTIONTRAINIGPOINTS
General.
a) Explanationofthecontract.
b) RequirementsoftheSafetyProgram.
c) AbuDhabiGovt.regulations
d) ETAH&Sstandards
e) ETASafetyPolicy
f) ProjectH&Sstandards
g) SiteSafetyorganization
2.
SiteSafety
a) PPErequirements
b) FallPreventionProcedures
WorkingPlatforms
Ladders
Scaffolds
Heightphobia
Windhazards
3.
Barricadesandperimeterguards
4.
Housekeeping
5.
FireProtectionandFirePrevention
WorkPermitsystems
6.
7.
LockoutTagoutprocedure
8.
Safetysigns
a) Safesigns,
b) Mandatorysigns
c) Prohibitionsigns
d) Warningsigns
9.
EmergencyProcedure
10.
Evacuationprocedure
11.
Welfarefacilities
12.
MaterialHandling
Riggingandliftingequipment
13.
14.
ElectricalSafety
15.
COSHH
16.
Environmentprotection
a) Wastemanagement&spillage
b) Energyconservation
c) Disposalofwastewater
d) Noisereduction
17.
Accidentreporting
18.
Firstaidfacilities
19.
Trafficregulations
Accesscontrol
20.
21.
Smokingpolicy
[Thosewhoprovidingthetraininghastoexplainthesepointstoallemployeesduringtheinductiontraining.]
1.
***YOURSAFETYISOURCONCERN***
13
EMERGENCYPROCEDURE
IFSERIOUSACCIDENTOCCURSATSITETHEFOLLOWINGMUSTBEIMPLEMENTED
DONOTPANICANDBECALM
SENDSOMEONETOCALLFORTHEAMBULANCE
TELEPHOE:
997
998
999
CIVILDEFENCE
AMBULANCE
POLICE
GIVE
YOURNAME
SITELOCATION
ACCESSTOTHESITEENTRANCE.
SENDFORTHEDUTYNURSE/TRAINEDFIRSTAIDER.
APPOINTONETOGOTOTHENOMINATEDSITEENTRANCEREADYTOGIVEDIRECTIONTOTHE
AMBULANCECREW.
ENSURESOMEONESTAYSWITHTHECASUALTYATALLTHETIMES.
IFOUTSIDETHENORMALWORKINGHOURSITISTHERESPONSIBILITYOFTHESENIORMOST
PERSONATSITETOASSESSTHESITUATIONANDINFORMPROJECTDIRECTOR,PROJECT
MANAGER&SAFETYOFFICER.
IMMEDIATESUPERVISORTOACCOMPANYTHECASUALTYTOHOSPITAL.
WITNESSOFTHEACCIDENTTOREPORTTOSAFETYOFFICER/SAFETYCOORDINATOR.
BARRICADETHEAREAANDPROTECTITFORFURTHERINVESTIGATIONBYTHEPOLICEOR
GOVT.AUTHORITIES.
SAFETYOFFICERSHALLBEPRESENTTOGIVEALLASSISTANCETOTHEPOLICE.
PROJECTINCHARGETOCOORDINATEALLACTIONSATSITEANDINFORMHOACCORDINGLY.
REMEMBER
MOVETHEINJUREDPERSONONLYONINSTRUCTIONSFROMTHECOMPETENTPERSONi.e.THENURSE
ORTRAINEDFIRSTAIDER
OR
THEREISARISKOFFURTHERINJURYTOCASUALTYIFTHEYREMAINWHERETHEYARE.
***YOURSAFETYISOURCONCERN***
14
PERMITTOWORK
(HV/LV/Electrical/PlantRoom)
SectionI
PermitNo:
REQUEST
Locationanddescriptionofthework
Permitisrequiredfrom(indicatetimeanddate) :.Hrsto..Hrson
.(date)
Numberofworkersrequiredfortheoperation
:
(Indicatetheirnamesatthebacksideorinaseparate
sheet)
Requestedby:
Name:
Signature:.
Designation:
Date:...
Company:.....
Time:.
SectionII
ISSUE
IssuedtoMr.of
Worktobecarriedout:(specifytheexactjob).
..
Iherebydeclarethatitissafetoworkontheaboveapparatus/unit/plantwhichisdeador
isolated and earthed. It is safe to carry out the specified work during the time mentioned
below.AllnecessaryprecautionshavebeentakenincludingLockoutTagOutprocedure.
Thispermitisvalidfrom..Hrsto..Hrson.(date).Issuing
Authority.
Name:..Designation:.Signature:..
Date:Time:
(IssuingauthorityhastobeaqualifiedEngineerandhemustbeauthorizedbytheProjectIncharge)
SectionIII
RECEIPT
IherebydeclarethatIacceptresponsibilityforcarryingouttheworkontheapparatus/unit/
plantdetailedonthispermitandthatIwillnotattemptorallowmysubordinatestoattempt
toworkonanyotherapparatus/unit/plant.
Competentperson.
Name:.Signature:.Date/Time:..
(Competentpersonhastobeaqualifiedelectricianorelectricalengineerauthorizedtocarryoutthework.)
SectionIV
CLEARANCE
Iherebydeclarethattheworkforwhichthispermitwasissuedisnowsuspended/completedand
that all personnel under my control have been withdrawn. The area has been cleared and the
tools/gearshavebeenremovedandismadesafe.
Competentperson.
Name:..
Signature:Date/Time:
SectionV
CANCELLATION
ThisPermitisherebycancelled.
IssuingAuthority.
Name:..Designation:.Signature:..
Date:Time:
(Copyofthepermitshallbesendtothesafetyofficerbeforeandaftercancellationofworkforinspectionandrecords.)
***YOURSAFETYISOURCONCERN***
15
MobileTowerScaffoldingsCheckList
SL.
CHECKPOINTS
NO
1.
Isthescaffoldapprovalsystembeingfollowedproperly?
2.
Arethecastorwheellocksinmobilescaffoldingoodworkingcondition?
Hastheheightofthemobilescaffoldbeenrestrictedto3.5timesthe
minimumbasewidthwhileworkinginsidethebuildingand3timeswhile
workingoutside?
3.
4.
Isallthebracinginplace?
5.
Istheworkingplatformprovidedwithhandrail,guardrailandtoeboard
onallsides?
6.
Aretheplanks/platformfixedproperlytothescaffoldingpipes/frames?
7.
Trapdoorisavailabletoaccesstheplatform?
8.
Arethepartsfreefromdefectssuchasknots,cracks,splitends,etc.?
9.
Isthereaproperaccesstotheworkingplatformanditissecuredproperly
withthescaffolding?
(The scaffold will be inspected, as per the checklist after erection and it will be tagged. The tag will
becomeinvalidifanycomponentsareremovedorchanged.)
Commentsifany:
HSERepresentative
Name
Signature
Date
Time
ProjectManager
Name
Signature
Date
Time
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
16
HouseKeepingChecklist
Thisinspectionshallbecarriedoutoneveryweek
SL.O
CHECKPOINTS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Generalneatnessofworkingarea
Materialisstackedproperlyandnotscatteredatsite
Extramaterialremovedfromsite
Adequatelightingisprovided
Passagewaysandaislesarekeptclear
Regulardisposalofwasteandrubbishisarranged
Wastecontainersareprovidedandused
Properaccessandegressisavailableatallworkplaces
Restareaismaintainedproperly
Toiletfacilitiesarekeptclean
11.
Drainagefacilitiesaremaintainedproperly
12.
13.
14.
15.
Commentsifany:
Name
Date
:
:
ProjectManager
Name
:
Date
:
Signature
Time
:
:
Signature
Time
:
:
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
17
MaterialHandling&StorageChecklist
Thisinspectionshallbecarriedoutoneveryweek
SL.NO
CHECKPOINTS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
IsMaterialproperlystoredorstacked?
Arepassagewaysclear?
Stacksonfirmfootings,andatcorrectheight
Adequatemanpowerisavailableformaterialhandling
Aremenliftingloadcorrectly?
Allliftingtoolsandtacklesareofgoodcondition
Validtestcertificatesareavailable?
Storageisareaiscleanandtidy
Necessaryfireprecautionsareinplace
Isvehiclemovementsarecontrolledatstorearea?
11.
Isthereanyspillageofchemicalsorothermaterials?
12.
Wastedisposalsareperformedaspertheacceptedplan?
13.
14.
15.
Commentsifany:
Name
Signature
Date
Time
Signature
ProjectManager
Name
:
Date
:
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
18
HEALTHANDHYGIENECHECKLIST
Thisinspectionshallbecarriedoutoneveryweek
SL.O
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
CHECKPOINTS
Therearesufficientandsuitablelavatories
Therearesufficientandsuitablewashingfacilities
Therearesufficientandsuitableeatingfacilities
Therearesufficientandsuitablerestingfacilities
Therearesufficientandsuitablefirstaidfacilities
Alltheaboveareasaremaintainedproperlyandareingood
condition
Wasteandrubbishareremovedregularly
Foodwasteisnotaccumulated
Theofficepantryismaintainedandisclean
11.
12.
13.
14.
15.
Commentsifany:
HSERepresentative
Name
Signature
Date
Time
ProjectManager
Name
Signature
Date
Time
Columns:A,B,C,D,E,F
A:yes
B:no
C:good
D:satisfactory
E:bad
F:needsattentionimmediately
***YOURSAFETYISOURCONCERN***
19
EMERGENCYPROCEDURE
IFAMAJORFIREACCIDENTOCCURSATSITETHEFOLLOWINGMUSTBEIMPLEMENTED
DONOTPANICANDBECALM
TRYTOPUTOFFTHEFIREWITHEXTINGUISHERPROVIDED
DONOTPUTYOURSELFINDANGER
DONOTWAITTOCOLLECTYOURBELONGINGS
RAISEALARM
CALLCIVILDEFENCEAUTHORITIES
TELEPHONE:
997
998
999
CivilDefense
Ambulance
Police
GIVE
YOURNAME
SITELOCATION
ACCESSTOTHESITEENTRANCE.
Uponhearingthefirealarmallpersonsaretoevacuatetheworkareabythenearest
availablefireescaperoute.Ensurethefollowing:
Report to your supervisor / fire warden of your
areaGotothenearestAssemblyArea
Witnessoftheaccidenttoreporttosafetyofficer/safetycoordinator.
Barricade the area and protect it for further investigation by the police or
Govt.authorities.
Safety officer shall be present to give all assistance and information to the
police.Projectmanagertocoordinateallactionsatsite.
Haveaheadcountandreportifsomebodyismissing.
DONOTENTERTHEAREAUNLESSDECLAREDSAFE
***YOURSAFETYISOURCONCERN***
20
ACCIDENT/INCIDENTINVESTIGATIONREPORT
ReportNo:______(ProjectGONo.)/_______
AccidentReportRef.No:___________
[Thisreportmustbecompletedassoonastheinvestigationisover.TheformistobecompletedindetailbytheSupervisor,
SectionEngineer,ProjectManagerandSafetyAdvisorintherespectivesections]
SectionI
AccidentDetails(tobefilledbythesupervisorofthelocation)
1. TypeofAccident
:Injury/Illness/NearMiss/Chemicalspill/PropertyDamage
2. LocationofAccident:
a) Project/Office/Workshop/Camp:
b) Date:
c) Time:
3. DescriptionoftheAccident:(attachadditionalsheetsifrequiredwithphotographs)
..
..
..
..
..
4. Detailsofthewitnessifany:Name:
Number:
Section:
5. ImmediateActionsTaken:
.
..
Name:
SectionII
Signature:
Date:
TobefilledbytheDepartment/Sectionincharge
1. Detailsoftheinjuredemployee
a) Nameinfull
:
b) Number
:
c) Age
:
d) Nationality
:
e) LengthofService
:
f) Section/Dept
:
g) JobTitle
:
h) ImmediateSupervisor:
2. DetailsofthePropertyDamageorIllnessorInjuryresultedfromtheaccident:
..
...
3.HadtheinjuredreceivedHSEinductiontraining?(attachtheinductionrecord)
Yes/No/NA
4.Wastheinjuredperformingthejoballocatedtohim?
Yes/No/NA
5.Wastheemployeebriefedaboutthehazardsaboutthejobtobeperformed?
Yes/No/NA
6.WastheemployeeprovidedwithnecessaryPPEtoperformtheallocatedjob?
Yes/No/NA
7.Wastheemployeeprovidedwithallequipmentrequiredtoperformthejob?
Yes/No/NA
8. WhatistheDirectCauseoftheaccident?
...................................................................
9. Whatarethecorrective/Preventiveactionstaken?
....................................................................................
......
...
Section/DepartmentHeadattheproject/location:
Name:
Signature:
***YOURSAFETYISOURCONCERN***
Date:
SectionIII
(TobefilledbytheProjectManager/FactoryManager)
1. Thecorrective/preventiveactionstakenareinplace.
2. TheSiteEngineers/SupervisorshaveconductedtoolboxTalks
andoperativesaremadeawareoftheaccidentandthecauses.
3. Therootcausehasbeeneliminatedinallouroperations
4. Theinjuredpersonhasbeenprovidedwithallnecessarymedicaltreatment.
(attachmedicalreportifavailable)
5. Lossofmandayslikelytoloseduetothisaccident:
(attachmedicalcertificatealongwiththereportifavailable)
6. Istheaccidentduetonegligencefromanybody?
(ifyesgivedetails)
Name:
Signature:
Yes/No*
Yes/No
Yes/No*
Yes/No
Yes/No
Date:
* IfanswerisNopleaseprovidethetargetdateforcompletion
SectionIV
(TobefilledbytheHSErepresentative)
1.
2.
3.
4.
5.
6.
Isthehazardidentifiedintheriskassessment?
AreallcontrolmeasuresindicatedintheRiskAssessmentfollowed?
IsallcontrolmeasuresindicatedintheRiskAssessmentadequate?
Accidentsite/locationhavebeenvisited.
Injuredperson/witnessoftheaccidenthavebeeninterviewed.
CorrectiveandPreventivemeasuresmentionedinSectionIandIIare
adequatetopreventanyrecurrenceandareinplace.
7. Anyotherpoints:
Name:
Signature:
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA(attachthesignedstatement)
Yes/No/NA
Date:
Note:
ThisreportshallbesenttoHSEDepartmentatHOwithinthreeworkingdaysfromthedateof
theaccident.
Insuranceclaimwillnotbeprocessedwithoutthisinvestigationreport.
ThisreportisinadditiontotheAccidentReport,whichshallbepreparedimmediatelyaftertheaccident.
***YOURSAFETYISOURCONCERN***
21
WARNINGNOTICESAFETYVIOLATION
Project:
WarningNoticeNo:.
1. Warningissuedto:
Name:
Designation:
StaffNumber:
2. a) You were found working unsafely at site, which could have resulted in serious accident and thus
injuringyouand/orothersatapproximately_________on____.Theviolationisasfollows:
i.
b) Youwerefoundworkingunsafely/allowingtheoperativesworkingunderyoutocarryoutworkinan
unsafe manner thus putting in danger their life as well as others working nearby at approximately
__________on___________.Theviolationisasfollows:
i.
ThisisagainsttheCompanySafetyPolicyandthelocalRulesgoverningtheHealthandSafetyof
employees.Thefollowingactionwillbetakenagainstyou:
ForWorkers
ForStaff
1stWarning
2ndWarning
WrittenWarning(toberecordedintheregister).To
attendtheSiteSafetyinductionTrainingagain.
Writtenwarningtobegivenandcopytobesent
personneldepartmentforEmployeesConfidentialFile
(ECF).
3rdWarning
SuspendedfromworkandtoreporttoExecutive
DirectoratHO.WarningcopytoECF.
Verbalwarningwillgiven(tobe
recordedintheregister)
Individualwillbeissuedwithawritten
warningandtoattendSafetyInduction
Trainingagain.
SuspendedfromworkandsendtoHO
forSafetyTraining.
Safetyviolationnoticedby:
Name:
Designation:
Signature:
Date:
Designation:
Signature:
Date:
SafetyWarningissuedby:
Name:
***YOURSAFETYISOURCONCERN***
22
ToolBoxTalkTopics
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
Abrasivewheels
Accidentcauses
Alcohol&Drugs
AnchorFasteners
CompressedGases
Dust&fumes
Electricityonsite
Excavation
Firedrill
Fireextinguishers
Firstaid
Flammableliquids&adhesives
Forklifts
Handtools
Heatstroke
Legaldutiesofemployees
Mobiletowers
Nearmiss
Repetitivemotiondisorders
Seatbelts
Skinprotection
Slips,trips&falls
Vibration
Weilsdisease
Welding
Workatheight
Safestackingofmaterials
Ladders
Stepladders
Energyconservation
Wastemanagement
Landcontamination
Waterpollution
***YOURSAFETYISOURCONCERN***
23
Confinedspacepermit
PermitNumber:
SectionI(tobefilledbytheworkincharge(SiteEngineer/SiteSupervisor)
Locationofwork:
Natureofwork:
Approximatedurationofwork:
From.(time)to.(time)
on..(date)
Nameofworkincharge:..
Thefollowingconditionshavebeenensuredtocarryouttheworksafely
1. Hastheareabeenfenced/cordonedoff?
2. Hasproperilluminationbeenarranged?
3. Havetrafficdiversionsigns(flashersatnight)beenkept?
4. Haveallconcerned/affectedpersonsbeeninformed?
5. Hasgastestbeendonetochecktheabsenceofflammablegases?
6. Isthereenoughventilation?
7. Havelowvoltageandflameprooflightingbeenarranged?
8. Havenecessarysafetyappliancesbeenprovided?
9. Hasastandbyworker(buddy)beenarranged?
10. Istheconfinedspacecheckedforoxygendeficiency?
11. Ifanytoxicgasesareanticipated,hasitbeenchecked?
12. Havetheemergencyprecautionstakenandprocedurebeenbriefedtoall?
13. Anyotherprecautionstaken?(Pleasespecify)
Yes
No NA
IhavecheckedpersonallythattheaboveprecautionshavebeentakenandIhavebriefedalltheworkmen
involvedinthisactivityaboutthesafetyrequirementsofthejob.Workcontrolmeasuresprescribedinany
otherworkpermitissuedforthesameareawillalsobefollowedalongwiththeseprecautions.
Name:
Signature:
Designation:
Date&Time:
SectionII(tobefilledbytheauthorized/approvedpersonafterphysicallyinspectingtheplace)
The work may be carried out provided the precautions mentioned above are in place. I authorize
Mr....tosend...numberofworkmeninsidetheconfinedspacetocarryoutthework
asmentionedinSectionI.
Name:.
Signature:
Designation:.
Date&Time:
SectionIII(tobefilledbyworkinchargeaftercompletionofthework)
Theworkisoverandtheareahasbeenmadesafeat_______(hrs.)on__________(date).Allextra
arrangementmadehasbeenremovedandtheareaiscleared.
Name:
Designation:
Signature:
Date:
note:
*ThepermitistobeobtainedforallpermitrequiredconfinedspaceworksandtheHSEprofessionalwilldecideifPTWis
necessary.*ConcentrationofH2Sshallberestrictedtolessthan10PPMandpercentageofO2shallbenotlessthan20%.
*Theoriginalpermitmustbeavailableatplaceofwork.
*Copyofthepermittobeissuedtothesafetyofficertomonitorthework.
***YOURSAFETYISOURCONCERN***
24
PartA:SITESPECIFICASSESSMENT
(ThissitespecificassessmentmustbecarriedoutatsiteinconjunctionwiththegenericassessmentbytheEngineer
incharge,inordertoaddressanyadditionalhazardsthatmayariseduetolocation,environment,adjacentactivities
etc.)
Project:
Locationoftheactivity:
Maximumnumberofpeopleinvolved:
Additionalhazardsnoticedandcontrolmeasurestaken:
No.
Hazards
Date:
ControlMeasures
ResponsiblePerson
(toimplement)
Theactivityisallowedtobecarriedoutoncethespecifiedcontrolmeasuresareinplace.
DateandTime:
Name:
Signature:
Distribution:[Tickwhicheverisapplicable]
MainContractor:
Client/Consultant:
ProjectManager:
Subcontractor:
HSEOffice:
Note:
Severityassessment:
Negligible
Nofirstaidrequiredandno
materialdamage
Minor
Firstaidcaseandno
furtherlosstime
Losttime
injury
Notavailablefordutynext
day
Major
Severe
Fatality
Risk
Action
required
Absencefromworkfor
morethan3days
Multipleinjuries;single/
severaldisabilities
Single/Multiple
High
Specialequipments,training,
PTW,closesupervision,
alternativemethodsof
controllinghazardsetcshould
beconsidered
Others:
Likelihoodassessment:
Controlmeasuresunlikelyto
Very
1
breakdownorbeeasily
unlikely
removed
Multiplecontrolmeasuresin
2 Unlikely
placeandfailureofonedoes
notresultinaccident
Failureofcontrolmeasures
May
e.g.,failureofthemachinery
3
occur
orlackofproperactionfrom
otherworkers
Controlmeasurestobein
4
Likely
placeaswellasPPE
Very
Controlmeasuresrequired
5
likely
constantlyincludingPPE
Constantexposuretothe
6
Certain
hazard
Medium
Low
Risksnotacceptable.Hazards
andcontrolsneedinvestigation
toconsiderreasonable
practicableimprovements
Acceptablerisk.Further
controlmeasuresmaybe
takenonlywithoutadditional
costs
25
PERMITWeight of Load:
Estimated or Known?
CONTACT INFORMATION
Name
Company
Phone Number
SAFETY REVIEW
CRANE If the answer to any of the following questions is NO, lifting operations shall not proceed.
Yes No
NA
Yes No
NA
Yes No
NA
Yes No
NA
RIGGING If the answer to any of the following questions is NO, lifting operations shall not proceed.
9. Has the rigging been inspected? (shackles, chains, wire, rope, etc.)
10. Is the rigging attached to the pole at the proper angle?
LOAD If the answer to any of the following questions is NO, lifting operations shall not proceed.
11. Has the need for taglines been evaluated?
12. Is the load to be lifted stable? (no liquid or other resulting load)
13. Have the lifting lugs and pad eyes been inspected?
CRITICAL LIFT ASSESSMENT If the answer to any of the following questions is YES, a critical lift plan must be completed.
14. Are people being lifted? If yes, refer to Section 5.7 of the Lifting Operations Defined Practice.
15. Are power lines within twice the maximum boom swing radius plus the equaled clearance?
16. Are two or more lifting machines being used to simultaneously lift one load?
17. Is this a lift that presents a risk of significant property damage or high potential of personal injury?
18. Will the crane or hoist operator lose sight of the lead original person at any time during the lifting operation?
19. Is the weight of the load more than 80% of the dynamic or static capabilities of the lift equipment?
20. Is the lift being conducted over energized or pressurized equipment?
Page 1
Yes No
1.
Does this lift involve lifting personnel? If YES, attach manbasket inspection checklist.
2.
Are there nearby power lines that are closer than twice the distance of the maximum length of the boom?
3.
Are the power lines energized? If YES, then stop the job and contact the Electrical Service Provider (ESP) to request the power turned off.
4.
Do you have documentation from the ESP that all electrical power lines have been de-energized?
5.
6.
Is there a spotter?
7. Will there be a representative of the ESP on site during the lift? Name:
NOTE: There may be instances that require lifts that are closer than twice the boom radius to be made near a live electrical power line. These must be
very carefully planned and require approval from the Area Lift Champion and a Regional Manager or Deputy Regional Manager.
AUTHORIZING SIGNATURES
I certify the total weight of the lift is less than the allowable load (from the load chart) at the planned boom radius.
TITLE
NAME
SIGNATURE
Page 2
DATE/TIME
NA
26
WeeklyHSEReport
Project/FactoryName:
Sl.No.
fortheweek:
Description
previousweek
TrainingDone
a) SafetyInduction
b) ToolBoxTalk
Accident/Incident
a) NoofFirstAidCases
b) NoofHospitalreferredcases
c) NoofLostTimeAccidents
d) Property/MaterialdamageIncidents
e) Nearmiss Incidents
AvgNo.ofemployeesworkedduringtheweek
TotalManhoursWorked
AccidentFrequencyrate*
AccidentSeverityrate**
Numberofsafetyviolationnoticesreceived
Numberofsafetyviolationnoticesrectified
NumberofSafetyMeetingsconducted
NumberofSafetyviolationsrecorded
Numberofwarningnoticesissued
InspectionsCarriedout
a) Health&SafetyInspectionreport
b) Health&Hygiene
c) LadderInspection
d) MobileScaffolding
e) PortablePowertool
f) FireSafetyInspection
g) MaterialStorage&Stores
3
4
5
6
7
8
9
10
11
12
currentweek
Name
Designation
HSERep
ProjectManager
Note:
/2016to
cumulative
/2016
Remarks
Signature/Date
27
EXCAVATION CHECKLIST
(TobecompletedbyaCompetentPerson)
Indicateforeachitem:YESNOorN/Afornotapplicable
SITELOCATION:
DATE:
TIME:
SOILCLASSIFICATION:
COMPETENTPERSON:
EXCAVATIONDEPTH:
EXCAVATIONWIDTH:
TYPEOFPROTECTIVESYSTEMUSED:
1. GeneralInspectionofJobsite:
A.Excavations,adjacentareas,andprotectivesystemsinspectedbya competentpersondailybeforethe
startofwork.
B.Competentpersonhastheauthoritytoremoveemployeesfromthe excavationimmediately.
C.Surfaceencumbrancesremovedorsupported.
D. Employees protected from loose rock or soil that could pose a hazard by falling or rolling into the
excavation.
E.Hardhatswornbyallemployees.
F.Spoils,materials,andequipmentsetbackatleasttwofeetfromtheedgeof theexcavation.
G.Barriersprovidedatallremotelylocatedexcavations,wells,pits,shafts,etc.
H. Walkways and bridges over excavations four feet or more in depth are equipped with standard
guardrailsandtoeboards.
I.Warningvestsorotherhighlyvisibleclothingprovidedandwornbyall employeesexposedtopublic
vehiculartraffic.
J.Employeesrequiredtostandawayfromvehiclesbeingloadedorunloaded.
K.Warning systemestablishedandutilizedwhenmobileequipmentis operatingneartheedgeofthe
excavation.
L.Employeesprohibitedfromgoingundersuspendedloads.
M. Employees prohibited from working on the faces of slopes or benched excavations above other
employees.
2. Utilities:
A.Utilitycompaniescontactedand/orutilitieslocated.
B.Exactlocationofutilitiesmarked.
C.Undergroundinstallationsprotected,supported,orremovedwhen excavationisopen.
3. MeansofAccessandEgress:
A.Lateraltraveltomeansofegressnogreaterthan25feetinexcavationsfour feetormoreindepth.
B.Laddersusedinexcavationssecuredandextendedthreefeetabovetheedge ofthetrench.
C.Structuralrampsusedbyemployeesdesignedbyacompetentperson.
D.Structuralrampsusedforequipmentdesignedbyaregisteredprofessional engineer(RPE)
E.Rampsconstructedofmaterialsofuniformthickness,cleatedtogetheron thebottom,equippedwith
noslipsurface.
F.Employeesprotectedfromcaveinswhenenteringorexitingtheexcavation.
4. WetConditions:
A.Precautionstaketoprotectemployeesfromtheaccumulationofwater.
B.Waterremovalequipmentmonitoredbyacompetentperson.
C.Surfacewaterorrunoffdivertedorcontrolledtopreventaccumulationin theexcavation.
D.Inspectionsmadeaftereveryrainstormorotherhazardincreasing occurrence.
5. HazardousAtmosphere:
A. Atmosphere within the excavation tested where there is a reasonable possibility of an oxygen
deficiency,combustibleorotherharmful contaminantexposingemployeestoahazard.
B.Adequateprecautionstakentoprotectemployeesfromexposuretoan atmospherecontainingless
than19.5%oxygenand/ortootherhazardous atmospheres
C. Ventilation provided to prevent employeeexposure to an atmosphere containing flammable gas in
excessof10%ofthelowerexplosivelimitofthe gas.
D.Testingconductedoftentoensurethattheatmosphereremainssafe.
E.Emergencyequipment,suchasbreathingapparatus,safetyharnessand lifeline,and/orbasket
stretcherreadilyavailablewherehazardous atmospherescouldordoexist.
F.Employeestrainedtousepersonalprotectiveandotherrescueequipment.
G.Safetyharnessandlifelineusedandindividuallyattendedwhenenteringbell bottomorotherdeep
confinedexcavations.
6. SupportSystems:
A.Materialsand/orequipmentfor supportsystemsselectedbasedonsoil analysis,trench depth, and
expectedloads.
B.Materialsandequipmentusedforprotectivesystemsinspectedandingood condition.
C.Materialsandequipmentnotingoodconditionhavebeenremovedfrom service.
D.Damagedmaterialsandequipmentusedforprotectivesystemsinspectedby aregisteredprofessional
engineer(RPE)afterrepairsandbeforebeing placedbackintoservice.
E.Protectivesystemsinstalledwithoutexposingemployeestothehazardsof caveins,collapses,or
threatofbeingstruckbymaterialsorequipment.
F.Membersofsupportsystemsecurelyfastenedtopreventfailure.
G.Supportsystems provided inensure stabilityofadjacent structures, buildings, roadways,sidewalks,
walls,etc.
H.Excavationsbelowthelevelofthebaseorfootingsupported,approvedby anRPE.
I.Removalofsupportsystemsprogressesfromthebottomandmembersare releasedlowlyastonote
anyindicationofpossiblefailure.
J.Backfillingprogresseswithremovalofsupportsystem.
K.Excavationofmaterialtoalevelnogreaterthantwofeetbelowthebottom ofthesupportsystemand
onlyifthesystemisdesignedtosupporttheloads calculatedforthefulldepth.
L.Shieldsystemplacedtopreventlateralmovement.
M.Employeesareprohibitedfromremaininginshieldsystemduringvertical movement.
28
SIGNATURE:
WEATHER:
PROJECT:
Yes
No
Woodshoring
Water
Werevisualsoiltestsmade:
type?
Type ofSoil:
Stable Rock
Sloping
Sewer
Yes
Type A
Surfaceencumbrances:
type?
Water conditions:
Wet
No
Type B
Yes
Dry
Ifyes,what
Type C
No
Ifyes,what
Submerged
Yes
No
(Ifyes,followconfinedspaceentryprocedurespolicy;completeconfinedSpaceEntryPermit;monitorfortoxicgas(es))
Length
Width
Yes
No
No
(Ifyes,warningvestsrequired)
Yes
No
(Water,sewer,gasorotherstructures)
No
Yes
Yes
No
No
No
No