Method Statement for Trenching and Foundation Works

METHOD STATEMENT FOR TRENCHING
AND CHAMBER FOUNDATION WORKS

Date: 21-11-2021 Document: RWTP-EX-PL1-211111-MST-001 Revision: 03 Page 1 of 24
METHOD STATEMENT FOR TRENCHING AND PIPE LINE

WORKS
(METHOD STATEMENT OF EARTH WORK (Excavation, Bedding and Backfilling) FOR THE
PIPELINE (PL1)
CLIENT RIMA WATER TREATMENT PROJECT LLC

CONTRACTOR ORBITAL PROJECTS AND SERVICES LLC
CONTRACT TITLE DESIGN AND ENGINEERING FOR RIMA WATER TREATMENT PLANT
ON PLOT PIPING - 24" CS+ PE LINED AND 20" GRE UNDERGROUND
PIPELINE (PL-1)
CONTRACT No # RWTP-PU-2021-008
OPS PROJECT NO OPS-EPC-019-21
Mention IFA Revision &

Serial Status
Comments
02
Incorporated
For Review/
01
Comments
BLJ JNP
History of Approved By
Revision
Changes Prepared By Reviewed By RWTP
Document Number: RWTP-EX-PL1-211111-MST-001-R01
Table of Contents
1.0 PURPOSE ..................................................................................................................................................... 3
2.0 SCOPE ........................................................................................................................................................... 3
3.0 REFERENCE DOCUMENTS ...................................................................................................................... 3
4.0 ABBREVIATIONS / DEFINITIONS............................................................................................................ 3
5.0 HSE CONTROLS ......................................................................................................................................... 4
6.0 MANPOWER ................................................................................................................................................. 4
7.0 EQUIPMENTS & TOOLS ............................................................................................................................ 4
8.0 PERSONNEL PROTECTIVE EQUIPMENT - PPE.................................................................................. 4
9.0 PROCEDURE ............................................................................................................................................... 5
9.1 SURVEY & LEVELING ....................................................................................................................................... 5
9.2 EXCAVATION ................................................................................................................................................... 5
9.2.1 EXCAVATION FOR FOUNDATIONS ............................................................................................................. 5
9.2.2 EXCAVATION FOR TRENCHES ..................................................................................................................... 5
9.2.3 DISPOSAL OF EXCAVATED MATERIAL ........................................................................................................ 6
9.3 BACKFILLING & COMPACTION ........................................................................................................................ 6
9.3.1 FOUNDATIONS & PITS ................................................................................................................................ 6
9.3.2 PIPE LINE EXCAVATION .............................................................................................................................. 6
10.0 HEALTH, SAFETY, SECURITY & ENVIRONMENT .............................................................................. 7
11.0 RESPONSIBILITIES .................................................................................................................................... 7
11.1 PROJECT ENGINEER (PE) ....................................................................................................................... 7
11.2 CONSTRUCTION ENGINEER ................................................................................................................... 7
11.3 HSE ADVISOR .............................................................................................................................................. 8
11.4 SITE SUPERVISOR ..................................................................................................................................... 8
11.5 QC Engineer/Inspector ................................................................................................................................ 9
11.6 PERMIT HOLDER ........................................................................................................................................ 9
12.0 QUALITY CONTROL & SUPPORTING DOCUMENTATIONS ............................................................ 9
13.0 EMERGENCY ARRANGEMENTS ............................................................................................................ 9
14.0 EMERGENCY CONTACT NUMBERS.................................................................................................... 10
15.0 INSPECTION AND TESTING................................................................................................................... 10
16.0 RISK ASSESSMENT ATTACHED .......................................................................................................... 10
1.0 PURPOSE
The purpose of this method statement is to describe the procedure for doing the earth works like
excavation, backfilling, compaction, padding grading etc... To be carried out in accordance with
the project specification and standards required for the project scope.
2.0 SCOPE Mention BOQ & Ensure the compliance with RWTP-AS-QA4000R01-211016-Guideline
The procedure shall be applicable to all the earth work activities for pipeline trench excavation of
valve chamber/pit foundations etc... Which are required for the completion of the project.
3.0 REFERENCE DOCUMENTS Laying of PL1

a) Contract specifications Mention the contract specifications
b) Approved drawing for construction. List Of IFC Required.
c) Contract HSE plan
d) Contract Quality plan
Mention the Reference No.
e) Client PTW system

f) International Standards & Specifications for civil construction
Mention Standards & Specifications.
4.0 ABBREVIATIONS / DEFINITIONS
 Client - Rima Water Treatment Project LLC. (RWTP)
 Main Contractor - Orbital Projects and Services LLC. (OPS)
 PMT - Project Management Team
 PPE - Personal Protective Equipment

 HSSE - Health Safety Security Environment
 LV - Light vehicle
 HV - Heavy Vehicle
 ERT - Emergency Response Team
 MS - Method Statement
 CQP - Contract Quality Plan (QCP-Quality Control Procedure)

 PHSSEP - Project HSSE Plan
 ITP - Inspection & Test Plan
 IFC - Issued for Construction

 RFI - Request for Inspection
 NCR - Non-Conformance Report
Add Abbreviation (JSR - Joint Survey Report)

5.0 HSE CONTROLS

OPS site team will ensure that the following safety and control measures are followed during the
works.
a. Only trained & approved personnel will perform job.
b. Proper welfare facilities are available at site during the construction period.
c. All personnel are provided with the right PPE based on their job.
d. Daily Tool Box Talks are conducted to explain the activities of that day, the hazards
involved with each task, the risk assessment performed, and the control measures
implemented, prior to commencement of work.
e. Work is carried out in accordance to RWTP HSSE Policy.
f. Daily checks of vehicles, equipment, tools, and site conditions are conducted before
commencement of the work.
g. All RWTP and ROP Road Safety regulations are adhered to at all times.
h. All equipment and tools are inspected as per norms.
i. Unauthorized entry is not permitted to areas of activity. Only authorised, approved
personnel will be in the work area.
j. All required precautions shall be taken for working in a live plant and hydrocarbon areas.
k. In case of any emergency, work shall be stopped and the ERT will be notified and RWTP
emergency response plan shall be followed.
6.0 MANPOWER Add following manpower in manpower list.

- Land surveyor
The following are the minimum manpower required: - QA/QC Engineer
a. Construction Engineer - 1 Person
b. HSE Officer - 1 Person
c. Supervisor - 1 Person
d. Carpenter - As required
e. Banks man - As required
f. Mason - As required
g. LV Driver - As required
h. Equipment Operator - As required
i. Helpers - As required
7.0 EQUIPMENTS & TOOLS
Check the working condition of machinery and equipment’s like
a. Back hoe (JCB)
b. Excavator Add following tool in tool list
c. Grader Roller compactor - Chisel
d. Plate compactor
e. Jack hammer.
8.0 PERSONNEL PROTECTIVE EQUIPMENT - PPE

a. Coverall
b. Safety Shoes.
c. Safety Goggles
d. Hand gloves
e. Mask
f. Safety Helmet
9.0 PROCEDURE
9.1 SURVEY & SETTING OUT
o Prior to commencement of any civil works safety precautions and necessary permits for
the job shall be taken from client (RWTP). Mention Client Name
o Prior to commencement of activities the control documents should be reviewed.
Specify the documents Available to start execution
o The coordinate and the datum use for the surveying and constructions shall be referred
from fixed controlled Bench Mark (BM) available in the existing facility
Change the instrument to (GPS) Change as (IFC & Existing RWTP facility.)
o All Survey instrument such as Dumpy level/Theodolite /Total station shall be calibrated
and calibration certificate made available for verification. If required.
o Sufficient Pegs shall be set and maintained during progress of civil works as required.
o Every 20 m pegs interval
o Three parties to inspect as inspection for settlement X,Y,Z in JSR.(Susteco, RWTP,
Orbital)
o To be approved by RWTP & Closed by Susteco site representative civil engineer.
o Once JSR & RFI closed them, Subcontractor is permitted to commence excavation.
9.2 EXCAVATION
9.2.1 EXCAVATION FOR FOUNDATIONS
o Prior to start excavation ensure that valid permit is in place.
o Before commencing breaking and excavation, make sure that there is no underground
services passing through the proposed excavation area.
o Excavation shall be executed for the required length, width and depth as per approved
drawing. IFC Number?
o Edge of the excavation shall be kept clear always. The excavated material shall be
deposited at least one meter away from the edge of the excavation to avoid overloading
the sides, avoiding collapse and preventing loose material from falling back.
o Adequate shoring of excavation shall be under taken as required to protect the excavation
faces from the collapsing.
o The bottom of the excavation shall be level and free of loose material.
o Barricade to be placed around the trench
9.2.2 EXCAVATION FOR TRENCHES (See 9.2.1) Do the same

o Prior to start excavation ensure that valid permit is in place.
o Before commencing breaking and excavation, make sure that there is no underground
services passing through the proposed excavation area.
o Excavation shall be executed for the required length, width and depth as per approved
drawing. Mention the approved drawing No.
o Excavation route shall be identified and marked before proceeding the works.
o The trenches shall be sufficient width to allow satisfactory jointing of the pipes and tamping
of backfilling under and around the pipe.
o Proper barrier should be placed on both side of the excavation with sign boards.
o Edge of the excavation shall be kept clear always. The excavated material shall be
deposited at least one meter away from the edge of the excavation to avoid overloading
the sides, avoiding collapse and preventing loose material from falling back.
9.2.3 DISPOSAL OF EXCAVATED MATERIAL

All surplus unsuitable material arising from the excavations shall be disposed of the site
to designate area. Approved Area
9.3 BACKFILLING & COMPACTION

9.3.1 FOUNDATIONS & PITS (?)
RFI for Survey & Setting out, Excavation the previous activity is closed
o Ensure the clients approval as per the approved ITP (With code)
is obtained before starting backfilling.
o Backfilling of foundation and pits shall be placed evenly and compacted not exceeding
150 mm compacted thickness.
o Backfilling shall not contained stones with diameter greater than 100 mm
o Make sure that all sleeves and traps are in place before starting of backfilling
o Make sure the being installation as per the manufacturer requirement
o Confirm the required level of formation after backfilling & compaction as per approved
drawing. Mention the approved drawing No.
o Work place shall be reinstated to its original up on completion of backfilling & compaction.
9.3.2 PIPE LINE EXCAVATION (PL1) (See 9.3.1) and Do the same
o Ensure the clients approval RFI for Survey & Setting out, Excavation the previous is obtained
activity is closed as per the approved ITP (With code)
before starting backfilling.
o Backfilling of foundation and pits shall be placed evenly and compacted not exceeding
150 mm compacted thickness.
o Backfilling shall not contained stones with diameter greater than 100 mm
o Make sure that all sleeves and traps are in place before starting of backfilling
o Make sure the being installation as per the manufacturer requirement
o Confirm the required level of formation after backfilling & compaction as per approved
drawing.
o Work place shall be reinstated to its original up on completion of backfilling & compaction.
10.0 HEALTH, SAFETY, SECURITY & ENVIRONMENT

o Specific safety measures should be strictly followed as applicable, and all safety
measures which are not mentioned here to are covered separately in the Project HSE
Plan (PHSEP).
o For all the site preparation activities, adequate safety barriers and/or warning signs shall
be installed and traffic control will be provided. Warning tape with rope will be installed all
around the area. Steel bars will be used as posts with warning tape on top all- around and
is provided with plastic cap.
o Water will be sprayed on dusty heaps of materials as a method of dust suppressant and/or
dust control.
o The Safety Officer shall perform his duty as safety advisor to the construction team to
eliminate possible safety hazards and near misses including possible Loss Time Injury
(LTI), keeping all workers on site free from any harm at all times.
o Proper care shall be observed at all times to avoid damages.
11.0 RESPONSIBILITIES
11.1 PROJECT ENGINEER (PE)

Project Engineer is reporting to Contracts Manager (Cn.M). During his absence / leave Planning
Engineer shall take care of PE responsibilities. His responsibilities shall include, but will not be
limited to:
o Interact between office and site management during execution of the project and
monitoring of project execution which includes Quality, Health, Safety and Environment
topic.
o Interact between client and maintaining relationships with client.
o Ensure adequate project resources available at site during project execution.
o Planning and monitoring project Policies
o Attend monthly/weekly progress review meetings.
o Continuous monitoring and review of performance & effectiveness of the Project Team.
o Monitors the performance of all major OPS sub-contractors engaged on the Work.
o Responsible for monitoring of overall budgeting, resource planning, execution planning,
and methodology.
o Achieving Customer satisfaction consistently with professional standards and ethics.
11.2 CONSTRUCTION ENGINEER

o The progressing works are carried out according to the planned program and all the
equipment required to execute the works are available as per the project planning and are
in good condition.
o Coordinate with the Client, Contracts Manager, Project Engineer, Surveyor, Safety &
Quality Engineers, and sub-contractor for the safe and proper execution of the work.
o Specific attention to all safety measures and quality control in line with the HSSE and
Quality Plan.
o Provide all necessary information and distribute the responsibilities to his construction
team.
o Ensure and monitor that the work progress is in accordance with the required program
and report the same to the Project Engineer.
o Coordinate with the Safety Advisor to ensure that the works are carried out in a safe
working practice.
11.3 HSE ADVISOR

The HSE Advisor is reporting to HSE Manager and functionally reporting Project Engineer and His
responsibilities are as follows:
o Ensure activity specific risks to personnel involved are assessed and risk analysis is
carried out and men involved are briefed on the hazards and adhere to the risk
assessment.
o Ensure that all plant, transport and equipment operators are qualified to operate the
equipment as per RWTP requirements.
o Ensure all workers are undergone relevant HSE training.
o Ensure that all necessary permits are in place before start of controlled activities.
o Check and ensure works progressing as per conditions of any valid permits
o Ensure all PPE are available with the workmen.
o All required Equipment’s & Tools shall be checked before start of work for suitability and
integrity
o Ensure proper housekeeping shall be maintained in the duration of work and site shall be
cleaned after completion of work.
11.4 SITE SUPERVISOR

o Assigning and controlling the team involved in the activity.
o Preparation of work site and organizing required equipment and machinery.
o Ensuring that the works are implemented in a safe manner as describe in the method
statement and RA and a valid work permit in place by referring the document prior to
execution of work.
o Ensure giving TBT to the workforce before the commencement of the activity.
o Organizing equipment and tools, maintaining all safety precautions and shifting materials
to the site.
o Ensure that all personnel involved in the activity are carrying out their duties in a correct
and safe manner by supervision.
11.5 QC Engineer/Inspector QA/QC Engineer

o Ensure that the works are carried out as per specification and standards
Mention the Spec and Standards.
o Monitor the execution of the works to confirm the compliance with the specification,
approved drawings (IFC Drawings), method statement, ITP.
o Maintain the records of Quality control check sheets / formats required for the activity.
11.6 PERMIT HOLDER As per approved CQP (with code)

o Accept the permit.
o Conduct toolbox talk (TBT).
o Display the permit on work site.
o During the job he should do pause and check for dynamic risk.
o At the end of the job he should keep his place safe and clean.
12.0 QUALITY CONTROL & SUPPORTING DOCUMENTATIONS

The Construction Engineer shall check and verify all Requests for Inspection (RFI) and other related
QC documents prior to execution of any work.
This Method Statement should be read and executed in conjunction with the below reference
documentations.
o Contract Specification and Drawings.
o Project Quality Plan.
o Project HSSE Plan.
o Related Method Statement
o Applicable Quality Control Documents
13.0 EMERGENCY ARRANGEMENTS

o Instruction given for the workers to keep safe distance from the plants on work.
o Emergency response as per approved HSE plan & matrix to be briefed to all employees
before work start.
o Emergency Vehicle & driver on Site at all time.
o Emergency Number for PDO/RWTP - 24385555, 24675555
o Emergency Number for ROP 9999.
o First aider should be available at site.
o Fire Warden should be available at site.
14.0 EMERGENCY CONTACT NUMBERS
SR.
NAME OF PERSON DESIGNATION CONTACT NO.
NO
CONSTRUCTION
1 PRINEESH PRAKASH 97240394
MANAGER
2 BINU MATHEW PROJECT ENGINEER 94768303
3 BALAJI R HSE MANAGER 94053568
4 SAIJU SIMON HSE ADVISOR 95346870
5 RAJAMANI SITE SUPERVISOR 97240413
15.0 INSPECTION AND TESTING

Inspection and testing shall be carried out as per approved ITP With following
- Guidelines for execution
and Asbuilt.
(RWTP-AS-QA4000R01-211016-
Guideline)
16.0 RISK ASSESSMENT ATTACHED
Reference: Doc No: - OPS/GEN/HEMP/001
Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
Significant HSE Hazard Hazard Effect Control Measures after measures
controls
placed
D.19) Loading / Unloading

materials on truck / trailer
 Improper loading
 Defective equipment  Injury to persons due to 4 D H  Follow proper lifting / loading procedures
 Overloading fall from the vehicle  Use proper restraining devices and procedure
 Injury to persons due to  Proper supervision Low Provision of first-aid
 Defective chain binder and first aider Take the
 Lack of proper restraining
fall of load from the  Use of certified restraining accessories
vehicle  Use of trained and experienced personnel injured to the nearest
devices
 Material damage  Ensure competence of the personnel involved clinic. Activate
 Use of extra leverage for
tightening  Movement of load  Capacity of the vehicle should be related to the ORBITAL / RWTP/PDO
during transportation, load to be carried emergency response
 Over tightness / slackness
Dimensions of the load
due to improper  Loaded vehicle should not be more than:- manual
restraining. a) 4.8 mtrs height
 Unsecured Loads
 Accidents, personal b) 3.5 mtrs width
 Use of lifting equipment
injury / death, property c) 1.5 mtr extension beyond rear
 Uncertified tools and damage due to load
Emergency No
tackles d) 1.0 mtr form front
collapse.  Use of point check list or lifting activity RWTP/PDO –
 Comply with SP-2001 24385555, 24675555 &
 Trained banksman with vest 5555
 Length of vehicle on government roads should
not exceed 17 mtrs. ROP - 9999
 Driver shall ensure that loads in the vehicle shall
be secured with ropes, straps, chains binders,
nets or suitable covers.

Residual
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(A,B,C,D,E)
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controls
placed
 Tie down lashing shall be sufficiently tensioned

to provide downward restraint and prevent
sideways/front/and rear movements
 Lashing / anchoring points to be provided to
restrain the load
 Ensure that at least 3.2 mtr clearance between
overhead power line and and the point of
maximum load height.
 Third party inspection of tools and tackles
 Only competent rigger/banksman for rigging
operation
 Conduct Toolbox talk before starting activities
 Site in charge shall ensure that purpose built

vehicle specially designed to provide easy
D.20) Transportation of loading and unloading facilities and having Provision of first-aid
Heavy Plant/ Equipment// adequate anchorage points for lashing is and first aider take the
Material provided. injured to the nearest
 Fatality, Injury, property 4 D H  Crew leader shall ensure that Banksman is Low clinic. Activate
damage. present during maneuvering vehicle in ORBITAL / RWTP/PDO
 Inadequate vehicle for congested area. The position of banks man shall emergency response
equipment / plant be such that he can see the vehicle and have manual
transportation.  Equipment / Plant eye contact with driver.
damage  Proper ladder is used to get on and off the
vehicle. No one shall jump down. All shall wear

Residual
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Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
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(H,M,L)
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controls
placed
 Movement and positioning helmet and helmet shall be securely fastened by Emergency No
of articulated vehicles in chinstrap.
congested area.  Driver shall park vehicle with brakes applied and RWTP/PDO –
 Inadequate access to the reverse gear in position. 24385555, 24675555 &
back of vehicle for securing  Driver of vehicle and plant shall ensure that ramp 5555
the equipment/ plant. of vehicle is secured in position to prevent
ROP - 9999
 Loading of wheeled or movement or slippage while equipment is being
tracked plant on vehicle loaded.
 Over head line  Operator shall ensure that equipment wheels
 Improper route or track are positioned in alignment with
 Transporting without escort vehicle ramp.
vehicle  Movement of equipment on ramp is very
 (JCB/ Excavator/ Rock slow and controlled, movement to be on low
 Breaker/ Side Boom). gear, no jerk. Steady control on steering.
 Concerned supervisor / Site in charge to engage
only drivers experienced in this type of operation.
 Once the plant is loaded driver of the trailer shall
ensure that lashing is done to prevent forward,
reverse and lateral movement during
transportation.
 Proper route survey shall be conducted prior to
transporting Beam pumps
 Escort vehicles shall be provided while
transporting beam pumps.
 Use of chocks for all loading & unloading
vehicles

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
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(H,M,L)
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controls
placed
D.21) Handling & Storage  Follow the company procedure

of waste  Proper inspection
 Handling the waste by proper lifting technique. Provision of first-aid
 Required adequate rest if continuous waste and first aider Take the
handling injured to the nearest
 Manual Handling clinic. Activate
 Personnel injuries 3 B M  All waste handlers should wear proper PPE's. Low
 Not using proper PPE's ORBITAL / RWTP/PDO
 Lumber disorders  Wear chemical gloves if they are handling
 Storage of wastes long emergency response
days  Health effects due to chemical waste
exposure  All waste shall be cleared on a daily basis. manual
 Non availability of waste
bins  Fire, occupational  Prevent storage waste at site and office for a
diseases long days
 Improper segregation
 Separate waste bins is required at camp and
 lack of information about Emergency No
site for solid waste (hazardous waste /
waste collected
Nonhazardous with proper marking) RWTP/PDO –
 Un segregated storage of
 Clinic waste to be segregate separately and it 24385555, 24675555 &
waste
should be disposed at approved location 5555
 Risk to animals
 For chemical waste, data (MSDS/SHOC) card
should be available for easy reference ROP - 9999
 Segregation of waste at the source and further
collected at designated area for further disposal
as per company waste management system.
Use of mechanical lifting instead of manual lifting

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
D.22) Shifting & Storing

Material
 Incorrect use and defective  Tripping over injury 3 D M  Use of competent operator Low Provision of first-aid
lifting equipment  Mechanical failure  Operator shall check soil condition and see that and first aider take the
 Inadequate crane working  Dropped load outriggers are in position before starting lifting injured to the nearest
platform (due to  Tripping over dropped operations clinic. Activate
soft/unstable soil, outrigger load injury  Crane to be operated within SWL ORBITAL / RWTP/PDO
not fully deployed etc)  Injury / Accident  Certification and color coding of equipment/tools emergency response
 Over loading of  Loss of property and tackles manual
Crane/forklift  Fall of material / injury  All rigging, singing and lifting to be done by
 Defective lifting equipment  Tripping of person competent person
 Incorrect rigging, singing  Fire  Prior to use, all equipments to be visually
and lifting practices Emergency No
 Back injury inspected
 Damage to lifting  Hard injury  All persons to be made aware of danger through RWTP/PDO –
equipment since inspection tool box talk
24385555, 24675555 &
 Personnel having body  Ensure sufficient room for operation
5555
part trapped by load  Tag line to be attached to load to prevent
 Moving crane/load hitting swinging ROP - 9999
people / assets  The material not to be stacked too high
 Material stacked too high  Material to be stacked on adequate base
 Inadequate base for  Materials to be secured/covered are kept under
storing materials shelter
 Material not protected from  Good housekeeping to be maintained
bad weather  Material to be adequately segregated
 Lack of segmentation of  Proper ventilation
material (eg. Oil, Gases,  Declare no smoking area
Chemicals etc)  Clean up spillage immediately
 Incompetent operators  Persons to be trained for correct manual lifting
 Spillage of Oil, Chemical techniques
 Use of fire ignition source

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
 Heavy / Sharp object  Use of mechanized techniques & avoid manual

 Person using wrong lifting shifting as far as possible
 Display of SHOC cards
 Eye washer /shower should be available
 Use of absorbent kits
 Availability of suitable fire extinguishers and
smoke detectors
 Proper segregation of materials
Task: CIVIL ACTIVITIES – SECTION - E

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
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(H,M,L)
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controls
placed
E.24) Excavation, Back  PTW with excavation certificates

filling and Compaction  Use approved plant and equipment
 Provision of as-built drawings
 Trial pits, route markers, etc
 Presence of U/g cables,  Use of cable detectors
pipelines, etc (both  Electrocution (due to 4 D H  Adequate clearance from existing structures Low Provision of first-aid
identified and unidentified) contact with unknown  Use of necessary PPE and first aider Take the
 Presence of hydrocarbon cables)  Inspection of excavation frequently by injured to the nearest
and other noxious gases  Explosion / fire as authorized personnel, especially after heavy clinic. Activate
 Lack of as-built drawings Hydrocarbon gas in rainfall/ sand storm/ collapse of excavations. ORBITAL / RWTP/PDO
 Substandard excavation combustible range  Provision of right equipment emergency response
 Dust
comes into contact with  Provision of trained banks man manual
 Open Pit during darkness
an ignition source.  Prove warning light and jersey barriers
 Serious injuries  Warning signboards, barricades, etc
 Plant exhaust system
 Damage to U/g services  Water spraying
located close to trench Emergency No
 Fall of persons, animals  Avoid exposure to dust cloud
 Gas displacing oxygen in
inside the pit  Provision of cross over platform
excavation RWTP/PDO –
 Fall of tools, objects,  Store materials minimum 1 m away from the pit.
 Excavated material stored 24385555, 24675555 &
etc.  Slopping/ shoring of trench
close to edge of trench 5555
 Collapse of excavation  Cross check underground utilities drawing and
 Heavy rain
 Fall of equipment
 Inadequate access/egress copy shall be available with supervisor ROP - 9999
working nearby  Use of prefabs or pre-assembled modules to
 Excessive exposure to
 Inhalation of dust / reduce exposure of workers to operational
hydrocarbon gas vapor.
gases facilities

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
 Vehicle/plant exhaust  Poisoning drowsiness,  The trench will be considered as a confined

located close to excavation Loss of muscular space if it is more 1.2 m deep
/ confined space leading to control, vomiting,  Spark arrestor in plant operation
buildup of carbon unconsciousness  Gas test will be carried out before start every
monoxide  Respiratory problems, day
 Insufficient Oxygen as Gas Asphyxiation  Ensure that exhaust of vehicle /plant areaway
fumes displacing oxygen in  Rupture of pipeline from excavation
an excavation  Coating damage  Adequate drinking water to be stored
 Confined space  Cable cut / damage  Rotate workers for operate vibrator
 Heat stress  Loss of containment  Heat stress management
 Non-compliant earth  Pipeline damage  Provide rest shelter for workers
moving equipment’s  Interruption services  Banks man should present while mechanical
 Unauthorized operator  Accident/ Injuries back filling
 Fall of Dumpers/Trippers/  Injuries to muscles due  Stops for dampers and tippers are to be
excavator in the excavated to vibrations provided
pit  Flashover  Ensure that exhaust of vehicle/ plant are
 Prolonged use of vibrator  Electrocution directed away from excavation
 Excavation underneath  Bites/Stings  Use warning lights in the night.
OHL  Licensed and trained operator
 Working nearby excavation  Regular preventive maintenance & checks
 Disposal of excavated  Equipment stoppers to be used.
material  Regular rest intervals.
 Disposal of waste  Valid PTW
 Reptiles/Snakes and  Access control
scorpion awareness

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
 Prohibit resting underneath vehicles parked at

site.
 Use of proper procedures & checklists.
 Suitable training to personnel engaged in
demolition.
 Ensure proper support to adjacent structures.
 Provide goal post
 Boom movement to be restricted with chain
 Proper isolation of power line if necessary
 Proper reporting of the incident
 Good housekeeping
 Pest control
 Identify scrap yards/disposal area
 Communicate emergency procedure to workers
 Provide emergency contact

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
E.25) Shuttering & De-  Personnel Injury  Use of proper lifting procedures
shuttering  Damage to material  Proper supervision
 Collapse of shuttering  Use of trained and experienced personnel
structure etc. 2 D M  Good housekeeping Low Provision of first-aid
 Tripping and falling  Use of necessary PPE
 Sharp edges and first aider Take the
 Fall of shuttering plates
down  Remove nail from the area after use injured to the nearest
due to improper lifting /  Use quality and standard tools clinic. Activate
positioning  Proper working platform ORBITAL / RWTP/PDO
 Improper storage of  Certified scaffolding emergency response
shuttering plates. manual
 Protruding nail
 Flying objects
 Homemade tools
Emergency No
 Working at height
RWTP/PDO –
24385555, 24675555 &
5555
ROP - 9999
E.26) Working with  Skin allergy  Use of trained and experienced personnel
Concrete  Personnel injury  Use of suitable PPE like, gloves, apron etc.
 Provision of guards to rotating parts

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
 Splashing of concrete  Damage to property / 2 C L  Use wheel stopper Low SHOC Card of cement
 Fall of mortar pan equipment etc.  Proper supervision to be made available at
 Untrained operator  Eye Injury  Proper working platform and fall arrestor site.
 Collapse concrete work  Fall Injury  Trained personnel
 Prolonged exposure to  Respiratory problems  RWTP/PDO approved equipment and Provision of first-aid
dust, noise and cement  Back injury competent operator and first aider Take the
 Poor housekeeping  Obtain PTW injured to the nearest
 Sharp edge of mortar pan  Regular maintenance inspection of plant clinic. Activate
 Rotating parts of concrete  Barricade the area/perimeter barricade ORBITAL / RWTP/PDO
mixer  Warning signs to be placed emergency response
 Improper use of tools or  Restriction of personnel around rotating manual
defective tools equipment
 Incorrect use of or  Tool box talk to be conducted before start works
defective plant, equipment,  Use RWTP/PDO Approval equipment Emergency No
Mixer, JCB, Dumper  Authorized/ competent operator
 Incorrect material handling  Competent signalman RWTP/PDO –
technique  Use PPE: Helmet, shoes, goggle, mask, gloves 24385555, 24675555 &
 Incompetent operator  Tool box talk 5555
 Inadequate maintenance of  Preventive/routine maintenance
plants  Use ear plugs ROP - 9999
 Incorrect form work  Barricade area
 Noise  Warning signs
 Fall/trip  Tool box talk
 Unauthorized movement of  Only authorized personnel
persons  Adequately designed and checked form work

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
 Defective scaffolding  Quality control on concrete

 Operated by untrained  Competent work force
person, untrained  Designated area for different types of waste
signalman  Regular before use inspection of tools
 Improper maintenance of  Scaffold to be erected by certified and trained
equipment Scaffolder only
 Regular inspections of scaffold tags
 Trained and certified riggers only
 Checklist
E.27) Working with Re-bar Provision of first-aid

and first aider Take the
 Sharp edges  Physical injury 3 C M  Use of trained and experienced personnel Low injured to the nearest
 Slip and fall of rebar  Back pain / sprain  Manual handling clinic. Activate
 Bending machine  Other material damage  Follow proper procedures ORBITAL / RWTP/PDO
due to its fall, etc  Capping the edges emergency response
 Provide mushroom cap on re-bars manual
 Use of proper tools
 Use of necessary PPE Emergency No
 Housekeeping and segregation of bars

Residual
Consequence
Risk
(0,1,2,3,4,5)
(A,B,C,D,E)
Risk Rating
Probability
Contingency
(H,M,L)
Rating
controls
placed
RWTP/PDO –
24385555, 24675555 &
5555
ROP - 9999

Method Statement for Trenching and Foundation Works

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Method Statement for Trenching and Foundation Works

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METHOD STATEMENT FOR TRENCHING

AND CHAMBER FOUNDATION WORKS

METHOD STATEMENT FOR TRENCHING AND PIPE LINE

CLIENT RIMA WATER TREATMENT PROJECT LLC

OPS PROJECT NO OPS-EPC-019-21

Mention IFA Revision &

3.0 REFERENCE DOCUMENTS Laying of PL1

e) Client PTW system

 PMT - Project Management Team

 PPE - Personal Protective Equipment

 CQP - Contract Quality Plan (QCP-Quality Control Procedure)

 ITP - Inspection & Test Plan

 IFC - Issued for Construction

 NCR - Non-Conformance Report

Add Abbreviation (JSR - Joint Survey Report)

5.0 HSE CONTROLS

6.0 MANPOWER Add following manpower in manpower list.

8.0 PERSONNEL PROTECTIVE EQUIPMENT - PPE

9.2.2 EXCAVATION FOR TRENCHES (See 9.2.1) Do the same

9.2.3 DISPOSAL OF EXCAVATED MATERIAL

9.3 BACKFILLING & COMPACTION

10.0 HEALTH, SAFETY, SECURITY & ENVIRONMENT

11.1 PROJECT ENGINEER (PE)

11.2 CONSTRUCTION ENGINEER

11.3 HSE ADVISOR

11.4 SITE SUPERVISOR

11.5 QC Engineer/Inspector QA/QC Engineer

11.6 PERMIT HOLDER As per approved CQP (with code)

12.0 QUALITY CONTROL & SUPPORTING DOCUMENTATIONS

13.0 EMERGENCY ARRANGEMENTS

14.0 EMERGENCY CONTACT NUMBERS

3 BALAJI R HSE MANAGER 94053568

4 SAIJU SIMON HSE ADVISOR 95346870

5 RAJAMANI SITE SUPERVISOR 97240413

15.0 INSPECTION AND TESTING

Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

D.19) Loading / Unloading

Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

 Tie down lashing shall be sufficiently tensioned

 Site in charge shall ensure that purpose built

Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

D.21) Handling & Storage  Follow the company procedure

Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

D.22) Shifting & Storing

Task 3: MATERIAL SHIFTING, LOADING, TRANSPORTATION, STORAGE & DISPOSAL – SECTION - D

 Heavy / Sharp object  Use of mechanized techniques & avoid manual

Task: CIVIL ACTIVITIES – SECTION - E

E.24) Excavation, Back  PTW with excavation certificates

Task: CIVIL ACTIVITIES – SECTION - E

 Vehicle/plant exhaust  Poisoning drowsiness,  The trench will be considered as a confined

Task: CIVIL ACTIVITIES – SECTION - E

 Prohibit resting underneath vehicles parked at

Task: CIVIL ACTIVITIES – SECTION - E

Task: CIVIL ACTIVITIES – SECTION - E

Task: CIVIL ACTIVITIES – SECTION - E

 Defective scaffolding  Quality control on concrete

E.27) Working with Re-bar Provision of first-aid

Task: CIVIL ACTIVITIES – SECTION - E

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