HS.SAF.09.

F12

CONTRACTOR WORK METHOD STATEMENT (EHS)

1. Contractor Name : DANWAY (RD10008E) 3. Trades / Disciplines Involved In Work :

2. Work Location : RMU 21 TO RMU 24-NEAR PTM Supervisor, Electricians and Helpers.
BUILDING

Proposed Starting Date :

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

RELOCATION OF 11 KV CABLE FROM EXISTING
Portable Tools
ROUTE TO NEW LOCATION
Hand Electrical Pneumatic
Hazardous Substances
Toxic Flammable Corrosive
Harmful Irritant
Environment Impact
Health & Hygiene Effect

Environmental Impact Health & Hygiene

Yes No Yes No
x
Hazardous waste x Significant Dust Generation
x x
Emissions Noise (above 85 DbA)
x x
Discharge to sea or drains Hazardous substances (if yes attach list)
If answer to any of the above is yes, please circulate to If answer to any of the above is yes, please circulate to
Manager, Environmental Affairs Senior Occupational Hygienist

5. Person Completing The Work Method Statement :

Name : Position : SUPERVISOR Company : DANWAY

Signature : Date :

File: Revision: 0(26-May-2011) Page 1 of 6

 HS.SAF.09.F12

6. Approvals

Contractors Site Rep. Name PRAVEENKUMAR Signature : Date :

EMAL Representative Name Signature : Date :

Area Owner Name Signature : Date :

Name Signature: Date:

EMAL EHS Department

The completed Work Method Statement must be submitted at least seven full working days prior to the
commencement of activities.
Where the Work Method Statement indicates the use of Hazardous Substances, a Material Hazard Data
Sheet must be attached.
After the Area Owners approval the Work Method Statement shall be forwarded to EHS department for
approval
The approved Work Method Statement must be attached to the permit(s) to work and all persons involved
in the job instructed in its requirements.

2. RISK ESTIMATOR CHART

The Risk Estimator chart should be used as an assistant for filling out the work
method statement.

Severity
Probability Low x1 Medium x 2 High x3

Low x1 Low Probability x Low Severity LP x MS LP x HS

1x1=1 1x2 = 2 1x3 =3
Medium x2 MP x LS MP X MS MP x HS
2x1 =2 2x2 =4
2x3 =6
High x3 HP x LS HP X HS HP x HS
3 x 1 =3 3x2 = 6 3x3=9

Significant Risk = High Risk (6-9) or Medium Risk (3-4) in terms of probability and severity
Tolerable Risk = Risk reduced to an acceptable level = Low Risk (1-2)
Residual Risk = Risk remaining after implementing recommended control actions (usually very minor).

File: Revision: 0(26-May-2011) Page 2 of 6

 HS.SAF.09.F12

7. Safety Analysis

Severity x Probability =
Risk
Individual Activities To Identified Hazard(s) Persons Exposed To Precautions and Plan of actions To Be Taken
Complete Work. List In Residual Risk
Associated With Activity Hazard To Remove / Control Hazards
Sequence of Activity (Use Risk Estimator
Chart)

PREPARATION. Slips, trips and fall at Maintain housekeeping around in the

Emal rep., Engr.,
the same level. working area.
Supv. Elec, and 2x2=4
Hot environment All personnel involve in the activity must be
helpers
aware of heat stress, supervisor to ensure
drinking cold water is available.

File: Revision: 0(26-May-2011) Page 3 of 6

 HS.SAF.09.F12

Verify isolations (Obtain isolation permit)

APPROVAL(Permit to Client coordination Emal rep., Engr.,
Supv. Elec, helpers Start work after getting isolation permit from
work from EMAL) fails, job stopped, work
unapproved. Emal.
Engineer / supervisor must ensure that the
Operatives should be work permit is valid for the date and time
aware of emergency All work force are inducted by EMAL
procedure of EMAL All personnel involve in the activities must
wear the required PPEs at all times (hard
hat, Clear safety glass, safety shoes, Hard
hand gloves, dust mask, cover all))
Advance planning by contractor considering
the time consumption to recive the permit
from EMAL.
Emergency procedure must be displayed at 2x2=4
prominent location and cascade to
operatives on regular interval and recorded.
Ensure the operatives must be going
through EMAL and DANWAY safety
induction.
Extra care shall be taken whenever
energized equipment is nearby working
place.
Ensure properhouse keeping from time to
time
Conduct tool box talk to explain procedures
and risks involved in the work to the crew.

ISOLATION OF 11 KV Isolation by EMAL/SLII

BETWWEN RMU 21 TO Representative
RMU 24
File: Revision: 0(26-May-2011) Page 4 of 6
 HS.SAF.09.F12

Manual handling (Injury Use appropriate PPE,s

All workers invlove in
RELOCATION OF 11KV to workers back, Close supervision will be implemented. 1 x 3 =3
the activity
CABLE hands, foot.) Supervisor to give tool box talk regarding
proper manual handling.

Using damaged hand All workers invlove in All hand tools must be in good condition, no
the activity
2 x 1 =2
tools homemade hand tools to be used at site,
supervisor to check.

All workers invlove in All workers involve in the activity must be

Heat stress the activity
3x2=6
aware of heat stress, supervisor to ensure
drinking cold water is available.

Maintain housekeeping within the

Emal rep., Engr.,
working area 2 x 1 =2
Poor housekeeping Supv. Elec, Helpers.
Walkway and gangway to be kept
free of obstruction.

All personnel involve in the activities must

Emal rep., Engr.,
wear the required PPEs at all times (hard 2x2=4
Not using P.P.E.'s Supv. Elec, Helpers.
hat,safety glass,safety shoe, Hard hand
gloves ,coverall)

This sheet must be properly completed detailing all of the steps required to complete the job along with the sequence of events and each of the hazards
arising. Failure to properly complete the form will result in non-approval.
(Additional sheets to be used as required)

File: Revision: 0(26-May-2011) Page 5 of 6

 HS.SAF.09.F12

9. Chemical Analysis (This form to be used as required)

Product Name

MSDS supplied Yes / No

Dangerous Goods Class

Hazardous Material Yes / No

Nature of Hazard Irritation / Carcinogen / Corrosive / Toxic / Other

Form Solid /Liquid / Gas / Dust / Vapour / Mist

Exposure Route Inhalation / Skin / Eye / Ingestion

Number of People Exposed

Duration of Exposure

Frequency of Exposure

Controls to be implemented

Estimate of Exposure Negligible / Marginal / High

This sheet must be properly completed detailing all the necessary information. Failure to properly complete the form will result in non-approval.

File: Revision: 0(26-May-2011) Page 6 of 6