SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Description of Activity to be carried out: Work Location: JGC approve the use of this MSJSA :

INSTALLATION OF FENCE & AREA GRADING RAS LAFFAN INDUSTRIAL CITY

Name: Position: JGC HSE Manager

Signature: Date:

Risk Assessment Log Section: Activity Guidelines used:

Step Critical Steps in this Activity: Potential Hazards: HSE Controls to be Implemented:

1.0
Loading & unloading pieces of Personnel injury due to - Experienced rigging supervisor with
fence/posts/poles with fork lifter / crane. - Material Fall visibility vest will supervise all lifting
- Property Damage activities.
- JGC approved operator will operate
the fork lifter / crane.
- Lifting & loading area will be
barricaded.
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Step Critical Steps in this Activity: Potential Hazards: HSE Controls to be Implemented:

2.0
Transportation of fence/poles/posts - Road Traffic accident
- Material falling during transportation
- Overloading
- Projection of load outside trailer body
- Highlight protruding load.
- Banks man with vest to guide the
vehicle.
- No passenger at the back of the
trailer.
- Road traffic signs to be strictly
followed.
- Load will not be more than the
capacity of trailer
- Load will be secured with tie-ropes to
ensure safe transportation

3.0
Survey and Marking for new fence - Fall / Trip and Slip - Caution against low and overhead
- Fire obstructions.

4.0
Material Offloading - Material fall during transportation - Trained riggers will be used for
- Improper off-loading unloading of material
- No unauthorized personnel to enter
the area
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Step Critical Steps in this Activity: Potential Hazards:
5.0
Mechanical excavation for post foundation. - Defective Tools
- Damage of underground services
- Exposure to dust during excavation
- Fall of personnel into excavated holes
6.0
Post installation / concreting - Hand injury due to sharp edges.
- Fall due to walking on laying pipes
- Chemical Burns from direct contact of
skin with concrete.
HSE Controls to be Implemented:
- JGC inspected and certified machine
will be used
- Underground facilities should be
marked on drawing and ground.
Metal detector to be used before
boring / excavation to confirm that no
underground facility is present.
- Dust mask will be worn
- The spoil material to be covered with
polyethylene.
- Barricade the area properly.
- Fire extinguishers with machines will
be placed
- Barricade each hole properly after
boring.
- Use proper hand gloves while
working.
- Avoid stacking material in walkways,
instead the material should be
stacked in a designated area.
- Gloves to be wore by workers
involved
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Step Critical Steps in this Activity: Potential Hazards:
7.0
- Fence Installation - Hand injury due to sharp edges of fence.
Personnel injury due to
 wrong hand tools and cutter.
 sharp edges of fence.
- Injury during wire tensioning.
- Fall / Trip during installation
8.0
Installation of Gate leafs. - Damage of material.
- Personal injury
HSE Controls to be Implemented:
- Use proper hand gloves while
working.
- Use pre inspected color-coded hand
tools.
- While rolling and cutting avoid from
sharp edges of fence.
- Toolbox talk to be conducted on
regular basis.
- Experienced workers should do this
job.
- While tensioning wire keep away
unnecessary workers for wire.
- Proper access to be used if it is
beyond approach.
- Crane to be properly positioned.
- Trained banks man to guide all
equipment movement
- Barricade the area properly.
- Make sure that hinges members are
in position before releasing it.
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

HSE Information / Requirements

Resources and Competency
Does the Work Team have the necessary capacity, capability, experience & authority to avoid, minimize, monitor and control the risks (Training / Awareness / Equipment, etc.)?
Detail minimum expected requirements:
Peoples have been briefed / trained in hazard & precautions of the job

Communications / Workforce Consultation

Have all members of the Work Party attended the Toolbox Talk, and have they been made fully aware of the risks that they are taking (Residual risks)? TBT Record No.

Yes

External Risk
Has an assessment been conducted to identify all external (to the activity) hazards and potential risks (3rd parties such as other workforce teams or other adjacent parties)? What is the
result?
Risk Assess. No.

Job Safety Analysis has been carried out keeping in view all external Risks / Hazards. No simultaneous activities are carried out by
other Parties

H&S Training
Employees should be trained in the proper interaction with equipment, and the proper response to incidents involving this equipment. List the training your employee(s) has received.
All employees attended JGC induction training and DESCON HSE training, Emergency training as is conducted also

Specialist Training
Will the workforce require any specialist training? YES / NO (IF YES, list the specialist training required for the job):
No

High Potential Risks

 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Does the task require special access / egress / heavy lifting / entry into confined spaces or work at height / in excavations? YES / NO Risk Assess. No.
(IF YES, a separate Risk Assessment needs to be completed).
No

Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the Health and Safety of the team members? YES / NO (If so, please describe below):
No

PTW / Isolations: Other Certificates / Permits

What other precautions (e.g. electrical isolation, permits to work) are required and who will authorize them? PTW / Cert. Nos.

Yes, RLIC permit will be obtained

Contingency / Emergency Response

Should special emergency procedures be instituted, e.g. Emergency Drill, providing Fire Wardens, extra First Aid cover, etc.? YES / NO (If so, please describe below):
No

Air Emissions
Will the work you perform produce or cause the release of any air emissions? YES / NO (If YES, list air emissions and method for preventing impact to the environment):
No
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Water Discharges
Will the work you perform produce or cause the release of any wastewater? YES / NO (IF YES, how will the wastewater be handled?):
No

Materials
What materials (chemicals, oils, etc.) and/or equipment will you be handling or bringing on-site to perform the contracted work?
No

Environmental Training
Have employees been trained in the proper handling of materials and equipment, and the proper response to incidents involving these materials? List the training your task employees
have received.
No need

Waste Generation
Will the work you perform result in any wastes? YES / NO (IF YES, list the disposal location, as well as amounts and types of wastes expected and the proposed disposal method):
No

Energy
Will the work you perform consume energy (compressed air )? YES / NO (IF YES, explain what type of energy will be consumed, and how you will minimize consumption):
Yes, Diesel fuel will be used in grader, shovels, cranes, excavators, jackhammers, diesel generator and fork lifter. Equipment will be stopped if it is not
needed to reduce fuel consumption

Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the environment? YES / NO (If YES, please describe below):
No
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Environmental Monitoring
Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:

Not Applicable
Legal requirements
Identify environmental legal requirements applicable to the work that has not already been addressed by the Project.

Not Applicable
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Training modules required to complete Activity: List Codes of Practice, Legislation, Standards which apply to this Activity:

JSA will be used as a training module Standard

Codes

List Plant / Equipment / PPE required for this Activity: List Equipment / Maintenance Engineering Certificates / Permits / Approvals required for this Activity
Checks required for this Activity:
Crane, diesel generator, excavator, shovel, (e.g. RLC Permit Road closure, Utility isolation, Special Waste license, etc.)
jack hammer, forklifter Pre job equipment check
No
will be done before starting
PPE’s: Hard hat the job
Safety glasses Type Reference/Documents

Safety shoes
Coveralls
Hearing protection
Hand gloves
Full body harness and life line
Respiratory protective equipment

Person(s) Responsible for Supervising / Inspecting Work:

Person(s) responsible for supervising the work, inspecting and approving work areas, work methods, protective measures, plant equipment and power / other tools:
NB: List of qualifications/experience is held in local JGC files – see JGC HSE Group for details.
Name: . Mustafa Position: Supervisor Signature: .................................................................

Name: . Naeem Ashraf Position: Engineer Signature: .................................................................

For a list of names and signatures of staff instructed in this ‘Safe Work Method Statement and JSA’, see JGC training records.

Copy 1 - To be posted at the Worksite / Supervisor at the Worksite

Copy 2 - To be retained by JGC HSE Group (24 months)
Copy 3 - To be held by the subcontractor (24 months)
 SAFE ACTIVITY PRE-CHECK (SAP) SHEET

Company: Date:

Foreman (print Location:

name):
Task Description:

MUSTER / ASSEMBLY POINT LOCATION:

IS YOUR DESIGNATED PLACE OF WORK TIDY? - YES or NO (If "NO" housekeeping must be performed prior to work commencing).
(tick box) Key Task Related Hazards
PERMIT TO WORK REQUIREMENTS
YES NO N/A
Excavations
Access Only
Plant & Equipment
Electrical
Confined Spaces Key Preventative Control Measures
Isolations
Lock Out / Tag Out
Hot work
Instrumentation
Pre / Commissioning / START-UP
EXCAVATION YES NO N/A HOTWORK (Non PTW controlled) YES NO N/A
SHORED / SLOPED / BENCHED FIRE EXTINGUISHER
LADDERS PROVIDED FIRE BLANKET
BURIED SERVICES IDENTIFIED CYLINDERS UPRIGHT & SECURED
VEHICLE STOP BARRIERS / BOARDS COMBUSTIBLES REMOVED
EXCAVATION INSPECTED FIRE WATCH (Safety Passport check)
CONFINED SPACES YES NO N/A SPECIAL PPE (VISORS, GLOVES, etc)
STANDBY MAN EMERGENCY COMMUNICATIONS
VENTILATION WORK BELOW RESTRICTED
PERMIT to WORK BARRIERS / SIGNS POSTED
GAS TEST COMPLETED FLAME ARRESTORS FITTED
TALLY BOARD or similar WELDING CABLES IN GOOD CONDITION
EMERGENCY ACCESS CHEMICALS YES NO N/A
COMMUNICATIONS MSDS REVIEWED / AVAILABLE
SAFETY HARNESSES SKIN / EYE / THROAT IRRITANT
SUITABLE (Ex.) LIGHTING SHOWER or EYEWASH AVAILABLE
SCAFFOLDING YES NO N/A SPECIAL PPE AVAILABLE AS PER MSDS
SCAFFOLD INSPECTED CONTAINERS LABELLED PROPERLY
INSPECTION SCAFTAG POSITIONED & IN DATE SIGNS POSTED
SAFE ACCESS / EGRESS PROVIDED RISK ASSESSMENT CONDUCTED
TOEBOARDS, KICKPLATES IN ORDER HAZARDS COMMUNICATED
HANDRAILS SECURED GROUNDING
HARNESS & LANYARDS INSPECTED CONTAINMENT REQUIRED / PROVIDED
STATIC LINES - TIE OFF POINTS ABSORBENT AVAILABLE IN SITU.
PLANT & EQUIPMENT YES NO N/A PORTABLE TOOLS YES NO N/A
PLANT & EQUIPMENT INSPECTED TOOLS, APPLIANCES INSPECTED
LIFTING GEAR, RIGGING INSPECTED & CERTS. DEFECTS REPORTED
BANKSMAN / COMPETENT PERSON
PORTABLE APPLIANCES INSPECTED
IDENTIFIED
LIFTING PLAN / CALCS & M/S CHECKED EXTENSION CABLE CHECKED & TAGGED
OPERATOR CERTIFIED OPERATORS CERTIFIED
CABLES, HOSES INSPECTED PPE REQUIREMENTS IDENTIFIED
FLAGMEN TRAINED / POSITIONED GUARDS POSITIONED
OCCUPATIONAL HEALTH YES NO N/A PPE YES NO N/A
 SAFE ACTIVITY PRE-CHECK (SAP) SHEET

FIRST AIDER / FIRST AID KIT HARD HAT

HEAT STRESS BOOTS
DUST GLASSES
HYGIENE (FOOD / WATER) CONTAINERS COVERALLS / HIGH-VISIBILITY VESTS
NOISE FACE MASKS
VIBRATION GENERAL WORK GLOVES

ELECTRICITY YES NO N/A SPECIALIST PPE YES NO N/A

PTW REVIEWED (COMPETENT PERSON) WELDERS, FIRE RETARDANT GLOVES
SYSTEM LOCK OUT ELECTRICAL RUBBER GLOVES
SYSTEM TAGGED OUT EAR DEFENDERS / PLUGS
JSA / METHOD STATEMENT IN PLACE HARNESSES / LANYARDS
SYSTEM DISCONNECTED WELDERS SCREEN
SYSTEM TESTED FACE MASK (DUST - FUMES)
MANUAL HANDLING YES NO N/A RESPIRATORS
WORKER(S) TRAINED (Safety Passport check) SELF CONTAINED BREATHING APPARATUS
LIFTING, PULLING FIRE RETARDENT CLOTHING
STRETCHING ENVIRONMENTAL CONSTRAINTS YES NO N/A
SHARP OBJECTS, PINCH POINTS ENV. STUDY REPORT COMPLETED
(TROLLEYS, FORKLIFTS, etc) available ENV. HAZARDS IDENTIFIED IN MS
SOUND GROUND / UNDERFOOT CONDITIONS WORK AREA CHECKED (R&E SPECIES)
GENERAL YES NO N/A WASTE CONTAINERS / AREA IDENTIFIED
FLYING PARTICLES SPILL CONTAINMENT
CABLES SECURED ABOVE HEAD HEIGHT ENV. MONITOR INFORMED / AVAILABLE
VOIDS / HOLES COVERED & SECURED SITE PLANT & VEHICLES YES NO N/A
BARRIERS & TAPE PROVIDED SAFE DISTANCE - VEHICLES & PEDESTRIANS
ALL HAZARDS COMMUNICATED SIGNS ERECTED AND VISIBLE
OTHER WORKERS SAFETY CONSIDERED NOISE / EXHAUST HAZARDS IDENTIFIED

Foreman / Supervisor: I have discussed the above potential hazards involved in the task, reviewed the SAP Card with
the employees under my control, and implemented suitable and sufficient controls to minimize the risks involved.

Name (print) Signature

Employees: I / WE ACCEPT THE RESPONSIBILITY FOR THE SAFE BEHAVIOUR OF MYSELF AND MY CO-WORKERS
DURING THE TASKS IDENTIFIED ABOVE:
EMPLOYEE NAME SIGNATURE EMPLOYEE NAME SIGNATURE

1. 10.

2. 11.

3. 12.

4. 13.

5. 14.

6. 15.

7. 16.

8. 17.

9. 18.