Professional Documents
Culture Documents
F05
Activity Description
Working procedures for Sign Boards Installation and all its related activities.
All supporting documentation must be provided and attached to this form. Failure to provide the required
documents along with the method statement and task risk assessment will lead to rejection.
All Contractor Method Statement and Task Risk Assessment Review forms to be typed and printed, no hand
written statements will be accepted.
Amendment of the Contractor Method Statement and Task Risk Assessment Review form shall be
acknowledged by EGA Contract Owner before submitting for approval to reviewers and approvers.
The Contractor Method Statement and Task Risk Assessment Review form, will be valid for the duration of the
permit only.
ALL METHOD STATEMENTS AND RISK ASSESSMENTS MUST BE SUBMITTED TO EGA FOUR
WORKING DAYS PRIOR TO THE COMMENCEMENT OF ACTIVITIES. FAILURE TO DO SO COULD
RESULT IN THE PERMIT TO WORK BEING DELAYED.
If “excavation” in Part C and within 5m of any service, submit first to EGA Engineering Department for their
review and comments before going to Operations.
If “Hazardous Substances“ or any potential impact to environment or health and hygiene in Part C, the
applicable Material Safety Data Sheet (MSDS) must be circulated to the Environment Department and Health
and Hygiene Department.
Drawings
Roof Plan
Lifting Plan
All parties must review the Contractor Method Statement and Task Risk Assessment by signing the below
required signatory box to be in compliance with EGA EHS Contractor Requirements
Badge/ Empl.
Name Signature Date
No
B Muthurathina
Main Contractor Representative
Prakash
EGA Department
The Contractor Method Statement and Task Risk Assessment form has been verified and is approved to
proceed with permit issuing.
Area Owner
*“No approval, comment, instruction or consent given or made by EGA and no failure to make any comment or instruction in relation to the documents
reviewed shall relieve the Contractor of liability for, or modify, any of the Contractor's duties, obligations or responsibilities in relation to the documents
or under the relevant contract. Notwithstanding any such review or approval by E, the Contractor is required to comply with its obligations under the
contract.”
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
Do mechanical handling
as far as possible.
Improper Manual handling training
manual handling Musculoskelet shall be given to all
X 1 2 2 Yes
of survey al disorder operatives.
instruments, The work will be planned
to ensure safe means of
access/egress is provided.
Always use right tools for
the right Job.
Finger / Hand
Substandard Damage tools must not
X injuries 1 3 3 Yes
Supervisor hand tools use
Chain man Regular inspection & color
Survey and setting- Surveyor and coded for the tools
out works Manual
01 Trained banks men shall
workers
be assigned for vehicle
reversing in congested
area.
Follow site speed limit
Hit by other
No over speeding and No
vehicle working Personal
X overtaking is allowed at 1 3 3 Yes
near by Injury
work site
Vehicle shall be always
reverse parking position
Pedestrian shall not be
mix up with moving
machinery at site
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
PTW shall be obtained
from EGA.
Trial trenching to be done
Before commencing this
Receiving work, any underground
Protection of authority, Damage to and existing services and
Property
existing Supervisor and existing UG X obstruction shall be 1 3 3 Yes
1 .1 Damage
underground Surveyor utilities recorded and clearly
utilities marked and protected or
relocated
Protected by an approved
method and as per
permits.
Striking existing X Damage to the PTW / excavation permit 1 2 2 Yes
services underground shall be obtained from
services EGA
Tool box talk and MSRA
brief shall be conducted by
receiving authority.
If use of any Sharp tools
for manual excavation
must be approved by EGA
Receiving
EGA Engineering
Manual Excavation authority,
department to indicate that
for foundation Supervisor,
(Excavation and manual there is no existing
02 maximum depth workers services prior to start any
1.5 M) excavation.
Underground utilities shall
be identified as per as
built, permits and existing
conditions
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
If any existing, UG utilities
it shall be temporarily
protected
Hand excavation to locate
required within 1 meter of
all utilities
Excavation 1.2 m or more
in depth must be benched,
battered or shored.
Excavated materials
should be kept at least 02
meter from the excavation
edge of excavation.
Safe access and egress
shall be provided to the
excavation.
Falling of Pedestrian walkways must
Poor Access
person or be identified always.
and Egress X 1 2 2 Yes
injury to Vehicle must not be
workers manoeuvring too close to
the edge of excavation.
Warning lamps shall be
fixed at night time
Deep Excavation signs
and barriers shall be
provided to warn of the
work.
Collision or X Personal Drivers shall inspect the 1 3 3 Yes
Impact by Plant injury to vehicle before and after
& Equipment involved use.
person or All heavy equipment must
Revision: 2 (15-Dec-2019) Page 7 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
be fitted with reverse
audible alarm.
Receiving Banks man shall be
Machine Excavation authority, provided for reversing in
for foundation Supervisor, the presence of labours.
03 (Excavation Operators, Avoid overcrowding of
maximum depth drivers and equipment in a limited
1.5 M) manual area
workers
Equipment operation shall
be adequately barricaded
Follow safe speed limit not
damage
exceeding 10KMPH. This
speed must be adhered to,
in order to minimize the
risk of accidents, road
surface disturbance, and
dust and fine particle
suspension in the air.
Restricted visibility at
junctions and corners will
be addressed by placing
proper signage.
X Damage to the Excavation permit shall be 1 3 3 Yes
under ground obtained from EGA
Striking existing services Trial trenching to be done
services, if required.
Engineering drawing to
ensure that there is no
existing services prior to
start any excavation.
No man or machine
Revision: 2 (15-Dec-2019) Page 8 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
excavation has been
carried out without cat
scanning.
No machine excavation
has been allowed within
5meter of buried services.
If existing, nearby
underground utilities shall
be isolated and hard
barricaded with sign
boards
Hand excavation to locate
required within 1meter of
all utilities.
Banks man is required for
all excavation during use
of machine excavator.
If any site condition is
change or observed shall
report to EGA
immediately.
Full consultation will be
held with relevant
authorities to agree
precautions will be carried
out before work begins
Restriction of X Personal Visual aids shall be in 1 2 2 Yes
driver’s vision injury place such as direction
arrow signage.
Warning lights (blinking
lights) shall be provided on
Revision: 2 (15-Dec-2019) Page 9 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
the barrier.
Caution tape/tiger tapes
are not allowed for the
edge protection of
excavation.
A banks man is to be used
where driver's vision is
impaired or operating in
congested areas or where
people are working
closely.
Heavy X Engulfme Excavated materials 1 2 2 Yes
equipment nt Cave-in should be kept at least 02
movement close meter from the excavation
to excavation edge.
Vehicle must not be
manoeuvring too close to
the edge of excavation.
Toolbox talk training shall
be conducted regarding
excavation safety.
All relevant Safety
signage shall be provided (
Men at work, Deep
excavation)
Appropriate access and
egress shall be in place.
All excavation depth
greater than 1 meter must
be properly shored,
benched or sloped at
Revision: 2 (15-Dec-2019) Page 10 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
45degree or as per EGA
civil engineer on the type
of soil.
EGA approved plant and
equipment.
Regular maintenance of
Environmental
equipment and machinery
Impacts
to avoid oil spillages
(Presence of
Planned maintenance of all
contaminated
Oil spillage from fuel driven plant and
X soil (lead, 1 2 2 Yes
machinery equipment
arsenic,
Spill kit shall be provided at
clinical waste
work location.
etc.)
Emergency spill responds
training shall be given to
all operators drivers and
mechanics
Unplanned X Personal MSRA must be briefed 1 3 3 Yes
release or injury with all operatives prior to
dropping of load start activity by the
supervisor.
All lifting operations must
be under control of an
Receiving ‘appointed person’
authority, (rigger/Supervisor) who
Shifting and Supervisor, will be competent to take
installation of Operators, overall responsibility for
04 foundation by drivers and the lifting activities.
Use of mobile crane manual Approved traffic
workers management plan shall be
obtained if road closing is
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
required
All traffic routes are clear
from obstructions.
Banks men/spotter shall
be assigned for reversing
of equipment
Crane must have firm level
base with load bearing
pads on ground to support
weight of crane and load,
shock loading, wind stress
and slewing torques.
No hands unless the load
lowers below the chest
level.
Pre-lift safety checklist
must be completed by
operator.
Crane and lifting gears
shall be inspected by
competent person on
quarterly basis and color
coded as per EGA
requirement.
Persons trapped X EGA approved plant and 1 3 3 Yes
between fixture Finger injury, equipment shall be used.
& moving part of Crush injury EGA authorized operators
crane and riggers.
Lifting zone swing radius
should be identified and
fully barricaded by using
Level-1 barricades
Revision: 2 (15-Dec-2019) Page 12 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
No person will enter the
crane operating area.
Banks men/spotter in
place (outside lifting area)
to control the other
equipment movement /
pedestrians to avoid
entering the lifting zone.
Lifting in progress sign
board shall be placed.
Persons stuck X Road accident PTW from ATA shall be 1 3 3 Yes
by vehicle / obtained
Plant equipment Traffic management plan
while working shall be obtained if
near the roads required
All traffic shall be kept to
designated roads.
Minimize or avoid
personnel working in the
close proximity of the plant
equipment and live roads.
The speed limit as per EGA
green book to be
displayed and followed.
Appropriate sign board
shall be provided for
speed.
Hard barricading shall be
provided for working on
road
Traffic controller in place if
Revision: 2 (15-Dec-2019) Page 13 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
required.
Edge protection –all three-
side truck bed door shall
be locked and in position
to protect the rigger from
falling.
Slip, trips and Personal
Rigger must wear impact
falls while injury to
X resistant gloves. 1 3 3 Yes
slinging loads on involved
person Loose materials must be
the crane.
carried in
boxes/containers.
Housekeeping shall be
maintained in and around
the lift zone
05 Shifting and Receiving Collision or X Personal Driver to check load is 1 3 3 Yes
installation of authority, Impact by Plant Injury stable before lifting
foundation by use Supervisor, & Equipment Area on each side of
of telehandler (Fork Operators, vehicle should be kept
with hook drivers and clear to allow safe
attachment) manual movements
workers Ensure material area
loaded safety before off
loading /transporting
Make sure operator
flagman completed the
training
All webbing sling and
shackle must be third party
certified and color coded.
Do not stand under the
suspended load.
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
Tag line shall be used to
control the movement of
the load
Do not travel long distance
with load.
Keep hand & finger away
from pinch Pont
Line of fire training shall be
given to all employees
Pinch point Personal
X Mandatory PPE shall be 1 2 2 Yes
Injury
worn by all operatives (cut
resistant hand gloves,
safety boot, ear protection,
goggles, helmet etc...)
Damage tools must not
use
Regular inspection and
colour coded
Substandard Personal Ensure appropriate tools
X 1 2 2 Yes
tools Injury are using for the task
Receiving Ensure that fully insulated
Sign board and authority, and colour coded
05 accessories fixation Supervisor, Always use right tools for
and manual the right Job.
workers Pinch points / X Personal Keep hand & finger away 1 2 2 Yes
Caught-in- injury from pinch Pont
between All hand tools must be
inspected prior to use and
color coded
Line of fire training shall be
given to all employees
Revision: 2 (15-Dec-2019) Page 15 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
Mandatory PPE shall be
worn by all operatives (cut
resistant hand gloves,
safety boot, ear protection,
goggles, helmet etc...)
Housekeeping shall be
maintained in and around
Personal the working area
Slip, Trip Fall X injury Access way must be clear
from any obstructions.
Pedestrian walkways must
be identified always.
5.1 Approved Scaffolding
platform/wooden step
ladder shall be used at site
Use of staircase The platform should be
access ladder (1mtr Receiving placed with proper edge
height) for fixing authority, Slip/ trip and fall protection
sign board Supervisor, Personal
The platform should be
and manual from staircase X injury 1 2 2 Yes
placed in ground and level
workers
base
Do not stack material in
the Scaffolding
platform/step ladder
Access way must be clear
from any obstructions.
Manual handling X Musculoskelet Workers should know 1 3 3 Yes
hazards. al disorder proper manual handling
techniques.
Do not carry too heavy or
too long materials.
Revision: 2 (15-Dec-2019) Page 16 of 19
EGA SAFETY PROCEDURE EGA.SAF.GEN.04.06.10.F05
Potential Residual
People Exposed (Risk) Risk
Risk Accepted?
People
Environment
Asset
Likelihood
Severity
Total (L x S)
If ‘yes’ move to next
EGA Emp
Sr. No Activity Hazard/Aspects Hazard Effects Mitigation Measures activity if ‘no’ complete
Contractors
additional control
Visitors & People
measures sheet
with special
needs
Access and egress must
be free of obstruction.
Always use mechanical
lifting aids wherever
possible.
Always maintain good
housekeeping
Follow kinetic method of
lifting. (Back straight, lifting
with the thigh muscles,
Load close to the body
etc.)
Equipment operation area
shall be barricade with red
and white chain.
All heavy equipment must
be fitted with reverse
audible alarm.
Collision / Personal
Backfilling by use of Supervisor, Banks man /signal man
Impact by Use injury to
back-hoe operator shall be provided for
06 of Plant and X involved 1 3 3 Yes
loader/skid steer and manual reversing in the presence
Equipment person or
loader workers of labors.
damage
Follow safe speed limit
Pedestrian walkways must
be identified always.
Defensive driving training
shall be given to all
operators.
TASK: Approval
Date:
Total (L x S)
Additional Controls/Opportunities To Improve EHS
Likelihood
Activity # Hazards Responsible Person Target Date
Severity
Performance
Likely - 3 3 6 9 12 15
Activity operates subject to management approval
4-6 Moderate
and/or modification.
Often - 4 4 8 12 16 20
We hereby declare that we have inspected the work area along with the EGA Contract Owner and that all detailed hazards and control measures were explained to us. The
Contractor Method Statement and Task Risk Assessment was prepared and approved accordingly.
We hereby acknowledge that once the Contractor Method Statement and Task Risk Assessment has been signed and approved by EGA,
it cannot be changed or modified.
We also declare that the Area Owner and Area Safety Superintendent will be informed and work stopped immediately when the Scope of Work has been changed/amended or
new hazards were identified.