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 :

SURFACE PREPARATION IN CONFINED SPACE FOR DOLPHIN ONSHORE FACILITIES

PAINTING & COATING. PROJECT Name: Position: JGC HSE Manager

Risk Assessment Log Section: Activity Guidelines used:

JGC, DOLPHIN, QP AND OSHA STANDARS AND OTHER INTERNATIONAL STANDARDS.

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

Confined Space Entry in RC - Suffocation due to deficiency of - Inspection of Job location

1.0 &Sulpher Pits, Manholes, and Oxygen - Area Incharge to be plan the activity to minimize the risk for
Trenches. - Hot weather effects on personnel human health, safety and environment
body - Tool Box talk will be conducted regarding hazards Confined Entry
- Limited access - and control measures.
- Personnel Injury due to - Safe Activity Pre-Checklist to be filled in daily by Supervisor Prior
home made to start of activity.
tools/slip/trip - Deploy Skilled/ Experienced manpower.
- Inadequate / Defective PPEs - Check the wind speed and direction.
- Poor Communication - Erreaction of Scaffolding and clear access
- Poor House Keeping - Arrange proper ladders
- Fall. - No unauthorized person will be allowed in confined space while
work is in progress.
- Wear all applicable PPE
- Maintain working area clean and tidy
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Step Critical Steps in this Activity: Potential Hazards:
2.0
Surface preparation use of - Dust due to use of cement
wet cement for Coating & - Effects on hand and Eyes
Painting - Back pain due to sitting in confined
space
- Muscular skeletal disease,
- Suffocation due to deficiency of
Oxygen
- Hot weather effects on personnel
body
- Personnel Injury due to
- Home made tools
- Inadequate / Defective PPE
- Lack of Communication
- Poor House Keeping
- Slip / Trip/Fall.
HSE Controls to be Implemented:
- Tool box talk will be conducted by Supervisor.
- Supervisor will be responsible to complete safe activity pre-
checklist sheet (SAP) daily prior to start of work.
- Use appropriate PPE as per job requirement.
- Arrange Proper Tools
- Deployed workers will be wear dust masks & Rubber gloves
- Adequate periphery protection will be done
- Ensure no obstruction at job location, access/egress
- When long period of manual handling is required, give appropriate
breaks.
- Properly handling of material, tools or equipment, such as cement,
brushes, rollers, cotton waste, barrows and trolleys,
- Assistance should be provided to handlers negotiating a slope or
ramp.
- Work area will be barricaded and sign posted as "NO ENTRY –
after completion of work
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

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

3.0 Storage of chemicals,

- Occupational Health hazard due to
Nitoproof 30 (Bitumen)
exposure to toxic chemicals
- Environmental Hazard due to spillage
- Fire hazard due to spread of
flammable chemicals
- Improper handling and disposal of
waste
- inappropriate housekeeping
- Ignition source / hot work near
flammable material
- The design and specification of chemical storage areas will be in
compliance with JGC Chemical Management Procedure S-000-
1654-127
- Management of spills of chemicals will comply with the measures
stated in the Spill Contingency Procedure S-000-1654-128.
- Disposal procedures and control measures for chemical waste will
comply with the procedure and measures stated in the Waste
Management Procedure S-000-1654-126.
- Ensure the availability of MSDS of chemicals at storage area
being used.
- Flammable liquids to be dispensed over drip trays in a safe area
away from an ignition source
- Ensure availability of Fire extinguisher at chemical storage area.
- Avoid to direct contact with skin
- Use Rubber Gloves and Dust Mask
- Waste storage areas will comply with the requirements stated
within the JGC Waste Management Procedure S-000-1654-126.
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Step Critical Steps in this Activity: Potential Hazards: HSE Controls to be Implemented:
- Control measures and emergency contacts are provided in case
4.0
of any spill or fire.
- Good housekeeping to be maintained at all the times at chemical
storage area.
- Labeling of all chemical containers
- Ensure that all containers are tightly packed
- No smoking in or around chemical storage area.
- No hot work/ignition source nearby chemical storage area
- No accumulation of chemicals in work area / walkways where it
poses a health hazard/fire hazard.
- All spills to be cleaned immediately.
- Flammable liquids not to be used for cleaning machinery or its
parts
- Suitable signs to be posted
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis
Step Critical Steps in this Activity: Potential Hazards:
4.0 Surface Coating with
- Occupational Health problem due to
NITOPROOF30 (bitumen),use
inhalation of Chemical fumes
on out side of RC & Sulpher
- Irritation in eyes.
Pit, Manholes, depth approx
- Trips / Slips / Falls
4meters
- Inadequate storage / disposal of Nito
Proof 30 and empty container
- Non-availability of eye wash kit
- Sign boards
- Spread of used brushes and Roller
- Use of defective paint tools
- Eye irritation
- Fire Hazard
- Environmental hazard due to spillage
of Chemical
HSE Controls to be Implemented:
- JGC Chemical Management Procedure S-000-1654-127 will be
used as a guideline in handling chemicals.
- Area Incharge to plan the activity to minimize the risk to human
health, safety and environment
- TBT to be conducted on the hazards and risk to health by Nito
proof 30 MSDS attached.
- Safe Activity Pre-Checklist to be filled in daily by Supervisor
before start of activity.
- Avoid to direct contact with skin
- Use Rubber Gloves and Dust Mast
- Chemical Handling training to the personnel involved in the job.
- PPE to be used as an extra protection or where other control
measures are not practicable
- Ensure that all containers are tightly packed when not in use.
- List of emergency contact numbers is provided.
- Only trained personnel will be allowed to use and handle Nito
proof 30
- Consumption of food and smoking will be prohibited when
working with paint.
- Supervisor to ensure that workforce is aware of all precautions
given in the MSDS of Nito Proof 30 and follow.
- Proper dispose off of used brushes, rollers & empty canes
 SAFE WORK METHOD STATEMENT (SWMS) – Incorporating Job Safety Analysis

Step Critical Steps in this Activity: Potential Hazards: HSE Controls to be Implemented:
High Potential Risks
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):
YES
Heat Stress

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
Permit to work will be obtained wherever applicable.

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):
YES
AVAILABILITY OF 1ST AIDER, 1ST AID KIT, LIST OF 1ST AIDERS AND EMERGENCY NUMBERS AT JOB SITE.

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

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

Diesel as a fuel for equipments.

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.
Safe Refueling, Use of Drip tray and Spill Control training will be given to workforce as per their job nature.

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):

YES
Waste will be disposed off as per JGC Waste Management Procedure S-000-1654-126.
Energy
Will the work you perform consume energy (electricity, compressed air, natural gas, steam, etc.)? 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 Air Compressors, Generators etc. 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

Step Critical Steps in this Activity: Potential Hazards: HSE Controls to be Implemented:
Environmental Monitoring
Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:

Environmental legal requirements given in JGC Environmental Monitoring Procedure S-000-1654-129 will be followed.
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 ASTM-1599

Codes ASME B31.3

ASME B16.5

List Plant / Equipment / PPE required for this Activity: List Equipment / Maintenance Engineering Certificates / Permits / Approvals required for this
Checks required for this Activity:
Crane, power generator, welding machines, Activity (e.g. RLC Permit Road closure, Utility isolation, Special Waste
compressor. Pre job equipment check
license, etc.) No
will be done before starting
PPE’S: the job
Safety Helmet Safety Shoes Type Reference/Documents

Safety Glasses Coverall

As per job requirement:
Safety Gloves, Dust Masks, Hearing
Protection, Face Shield, Air Supplied Blasting
Hood
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: Position: Signature: .................................................................

Name: Position: 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
IDENTIFIED PORTABLE APPLIANCES INSPECTED
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.