Project Management Department

Project Management Department

Task Planning
Permit/Work Order No: Name of Company: Department: Date:
Mohtarefo Al Maden Electrical 16th Oct 2019
Contracting Est.
Task Description: FMP 1990 Full Shutdown of Panel 4304A-PP-01A Retail from main source to change
the main breaker

Emergency Action Plan (Risk Management)

Area / Unit / Building Name (please Exact Work Location:
specify): H-4304-A Teen Space
Emergency contact number/s: Nearest Evacuation Route:
Dial 911 (from a landline phone) Nearest Emergency exits should be located before starting the
Dial 012-8080911 (from a mobile phone) work
Nearest Assembly Area: Safety shower / eye washer located  Yes  No
Where?
Communication
Stop work conditions (reminders)
Adjacent work hazards
Chemical spills or releases Excessive noise Fires and explosions

Fire/Toxic Gas Evacuation

Change in conditions Extreme weather Unusual odours
alarm
Supervisor and worker comments / change in conditions:

Approvals/Revie Print Name KAUST ID# Mobile Signature Date

w Number
Project PTW
Receiver
Contractor Jamal Hussain N/A 0593706334
Project Engineer
Contractor Safety Shebaz Saiyed 174941 0558661096
Representative
E&PM Non
Academic _ Sajid Reyaz 123932 0542787632
Project Engineer
E&PM Non
Academic _ HSE

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To be filled by service provider / contractor

DEPARTMENT NAME POSITION BADGE/ID DATE
NO.
Mohtarefo Al Maden
Abdul Rahman Supervisor 158251 16th Oct. 2019
Contracting Est.
EXACT WORK LOCATION:
H-4304-A Teen Space

Supervisor Details:
Name Company BADGE /ID Qualifications Yrs. Of
No. Experience in
Role
Mohtarefo Al Maden Foreman Electrician
Nasar Ali Contracting Est. 149043 8 Yrs.

Operatives Details
Name Company Badge/ID Trade/skills Yrs. of Experience
No. in Role
Mohtarefo Al Maden Foreman Electrician
Nasar Ali 149043 8 Yrs.
Contracting Est.
Mohtarefo Al Maden Electrician
Muhammad Zahid 147286 5 Yrs.
Contracting Est.
Mohtarefo Al Maden Electrician 5 Yrs.
Mohd. Attiq 147124
Contracting Est.
Mohtarefo Al Maden Electrician
Farzand Ali 149780 3 Yrs.
Contracting Est.
Mohtarefo Al Maden Electrician
Haider Jan 149779 3 Yrs.
Contracting Est.

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RISK ASSESSMENT MATRIX

Damage Injury

4 4
Total Fatality 4 8 12 16
Failure

3 3
Major Major 3 6 9 12
OUTCOME

2 2
Minor Minor 2 4 6 8

1 1
Nil No Injury 1 2 3 4

1 2 3 4
Unlikely Possible Probable Definite

PROBABILITY

RISK = PROBABILITY x OUTCOME

* Probability means the likelihood of something going wrong.

* Outcome means the result when something goes wrong.
* The simple Matrix below allows calculation of risk even for non-skilled operatives

METHOD STATEMENT

A Method Statement is an agreement between the workforces, Service Provider and the Person or Organization
requesting the work and that the work being undertaken is being managed and any risk is mitigated to an acceptable
level.
The method of work must be clearly communicated and understood by all parties involved. Operatives undertaking the
works the works supervisor and line managers must sign the document as agreement with the method of works.

It must be noted that more than one method statement may be required for any sequence of works.
Method statements and risk assessments go hand in hand, as the method of work is dictated by the risks identified, and
the risk is identified by the proposed method of work.

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ENSURE YOU COLOR CODE THE RISK SCORES (refer to above matrix)

Please write details of work to be undertaken step by step

Separate work permit for shutdown and termination.

Steps to take prior to work:

Ensure the requirement of Work Permit Process (HSE-OHSMS-SOP-09) shall be applied for in advance of the
activity. (Confined space entry PTW)
Ensure that signatures are obtained from all relevant KAUST personnel, including MACC, O&M, building
management, HSE and EMS.
Notify KAUST fire service & obtain approval prior of start work.
PPE, tools and equipment will be checked by supervisor.
Barricade to working area and providing warning signs.

Task 1: Full Shutdown of Panel 4304A-PP-01A Retail to change the main breaker

Method of statement:

Shutdown

 Inform the KAUST maintenance team for shutdown job after complete the work permit process
 Isolate the required panel from main source by KAUST maintenance team and Test the residual energy through
MultiMate
 Place sign over breaker, Lock distribution board, Place sign on the panel notifying LOTO in place
 Remove the front cover from panel 4304A-PP-01A Retail
 Remove the main cable the main breaker
 Replace the main breaker
 Re-Connect the main cable and tie it properly
 Make sure the bolts are tied well and check the other wire terminals as well for its tightness
 Fix the front cover back on the panels

Re-Energization

 Inform the KAUST maintenance team for Re-Energization after complete all the activities
 Before energization, make sure the power panel is in safe condition
 Ensure all the cables & wires are properly terminated
 Check all the terminal one by one for its tightness
 After making sure everything is OK then Switch on the require breaker from the main source (By KAUST
Maintenance team)

RISK RISK
SCORES SCORES
Hazard RISK PROPOSED CONTROLS WITHOUT WITH
CONTROLS CONTORLS

 Safety Tool Box should be

 Electrical shock/
conducted prior to start the activity
 Damage and Electricity tripping
to explain the safe (Electricity
exposed burns injuries
Safety) working procedure,
8 3
electrical wires.  Arc Blast
emergency exit or route clearance &
 Explosion
good housekeeping etc.

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 Check the tools by supervisor before

its use and make sure all the require
 Minor physical
 Using damaged tools are applicable and safe for job
injuries
or improper
 Abrasions
Suitable signs and barriers should be 8 3
Hand tools provided to avoid person from
 Cuts
passing under the work.
 Use insulated hand tools
 Do not carry out work operations in
poor lighting. Ensure staffs know
 Unattended when further operation would be
 Minor or major injury
tools or objects unsafe
above the
 Slip, Trip, fall or falling
 Remove or adapt obstacles if
6 4
Objects
panel. practicable
 Proper Housekeeping required to
avoid slip, trip and fall
 Good Housekeeping and cleaning of
 Poor
Housekeeping
 Slip, trip and fall the working area is require and 4 1
must be checked by the supervisor
 In case of any nearby electrical
 Electrical shock
 Existing source that affect the work,
 Burns
Electrical power
 Electrocution
Isolation will be done with the 9 3
source coordination maintenance team.
 Arc Blast
LOTO/Testing will be applied
 Add more lighting fixtures in
 Hit with objects
appropriate place if needed
 Tripping
 Poor Lighting
 Slipping
 Do not position workstation with 6 3
lighting fixtures directly behind
 Eye strain
worker
 Complicate processes  Good planning is all in the details,
and delay the but before you can get there
 Lack of completion of tasks  Teams work best when everyone has
Coordination &  Make a smart decision a role that plays to their strength 6 3
Communication  Leverage  Prove through your words and
communication actions that you're trustworthy
resources  Avoid making quick assumptions.

Note: Test before Touch

 Task 2: Housekeeping after each work

RISK RISK
SCORES SCORES
Hazard RISK PROPOSED CONTROLS WITHOUT WITH
CONTROLS CONTORLS
 Good housekeeping routine
orderly prior to respective
 Dust Allergy
 Poor area of work.
 Slip, Trip & Fall
housekeeping.  Proper segregation of
 Dust inhalation. materials, chemicals and 4 2
tools
 Provide waste trash or
garbage plastic.

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PLANT AND EQUIPMENT

TEST
SERIAL DATE OF LAST
ITEM NAME CERTIFICATE REMARKS
NUMBER MAINTENANCE
ATTACHED

Insulated Hand
N/A
Tools
Clamp Meter 0694357
Insulation
CP 05943
Tester

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LIST OF SAFETY EQUIPMENT and PPE

TEST
SERIAL DATE OF LAST
ITEM NAME CERTIFICATE REMARKS
NUMBER MAINTENANCE
ATTACHED

Hard Hat - - -

Safety Shoes - - -

Protective
Leather - - -
Gloves

Face Mask - - -

Safety - - -
Goggles
Safety - - -
Barricade
- - -
Warning Sign

Face shield

Rubber MAT

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All Personnel Should Read, Agree & Sign on this sheet before starting the Activity
Acknowledgement
OPERATIVES SIGN OFF SHEET
I acknowledge receiving and understanding these instructions, I will fully comply with the assigned task
requirements
NAME COMPANY BADGE/ID NO. Position / SIGNATURE
Trade / Skills
Mohtarefo Al Maden
Mohd. Khalid Contracting Est. 136544 Supervisor
Electrical
Mohtarefo Al Maden Electrician
Fazal Rahman Contracting Est. 147120

Mohtarefo Al Maden Electrician

Muhammad Zahid Contracting Est. 147286

Mohtarefo Al Maden Electrician

Mohd. Attiq Contracting Est. 147124

Mohtarefo Al Maden Electrician

Farzand Ali Contracting Est. 149780

Mohtarefo Al Maden Electrician

Haider Jan Contracting Est. 149779

Mohtarefo Al Maden Foreman

Nasar Ali Contracting Est. 149043 Electrician

(Supervisor will ensure completed combined Method Statement and Risk Assessment forms are forwarded to the Area /Bldg. Manager and
PTW Office)