METHOD STATEMENT

POTABLE & FIRE WATER TANKS

CLEANING

Revision Date Description

DR: Potable Water Tanks Cleaning and
00 31st Jan 2023
Filtration System
DR: Potable & Fire Water Tanks
01 28TH Feb 2023
Cleaning

Name Title Date Signature

Sachin Narayan
HSE Manager 28th Feb 2023
Prepared By Dharne

Mohammad M.
Approved By Project Manager 28th Feb 2023
Nazar Karnain

Page 1 FMCO-FM MONTHLY REPORT

 Contents
1. Introduction ........................................................................................ S3
2. Site Address ........................................................................................ 3
3. Location of Work ........................................................................................ 3
4. Scope of Work ........................................................................................... 3
5. Access Details ..................................................................................... 3
6. Responsibilities.................................................................................... 3
6.1. Project Manager ..................................................................................................... 3
6.2. Hard Services Manager .......................................................................................... 4
6.3. Mechanical Engineer: ............................................................................................. 4
6.4. Supervisor/Foreman ............................................................................................... 4
6.5. Safety officer/Engineer: ........................................................................................... 5
6.6. Mechanical Technician ........................................................................................... 5
7. Equipment/Tools .................................................................................. 5
8. Parties of Involvement .......................................................................... 5
9. Health and Safety Hazards .................................................................... 6
10. Relevant Documentation ....................................................................... 6
11. Isolation details ......................................................................................... 6
12. PPE Requirements................................................................................ 6
13. References .......................................................................................... 7
14. Methodology ........................................................................................ 7
14.1 Planning and preparation: ....................................................................................... 7
14.2 Communication and coordination ............................................................................ 7
14.3 Cleaning and Inspection ......................................................................................... 7
14.4 Tanks Inspection Checklist ..................................................................................... 8
15 Restoring/Normalizing the system .............................................................. 9
16 Emergency procedure & Contact Details ................................................... 10
17 Risk Assessment ................................................................................. 11

Page 2 FMCO-FM MONTHLY REPORT

1. Introduction
This document provides a summary of work planned to be performed on the
location with the description below.

2. Site Address
RSG-Desert Rock Camp

3. Location of Work
Utility Area

4. Scope of Work
Below document covers the Cleaning of the water tanks including:
Portable water tank
Firefighting water tank

5. Access Details

Potable Water Tanks: An access ladder will be utilized to access the top of
the tank and a rope impregnated ladder will be used to climb down inside the
storage tanks.
Fire Water Tanks: An access ladder will be utilized to access the top of the
tank and a rope impregnated ladder will be used to climb down inside the
storage tanks.

6. Responsibilities

6.1. Project Manager:

The Project Manager shall have overall responsibility to ensure implementation

and adherence to the Method Statement.

Page 3 FMCO-FM MONTHLY REPORT

 • Ensure that the necessary resources have been allocated to the task.
• To establish and maintain a direct line of communication with RSG-FM.
• Determine the requirements needed to comply with HSE standards and
regulation as required.
• Ensure the compliance of RSG permit to work system (PTW).

6.2. Hard Services Manager:

 Planning and acquisition of resources.

 Ensuring the smooth and on -time execution of the works, according to the
schedule.
 Liaising with the team regarding the progress of the work.
 Hard Services manager is also responsible for HSE Compliance

6.3. Mechanical Engineer:

 Shall report to Hard Services manager and responsible for supervision of the
job at site.
 Mechanical Engineer shall be responsible to ensure the proper maintenance of
the substation along with procedures in accordance with the project
specification, hazardous area classification requirements, standard practices at
site including permits and safety procedures.
 Shall be responsible for co-ordination with team regarding activities at site.
 Shall have overall responsibility to ensure safety at site for working group as
well as the public and environment.
 Shall provide and monitor the schedule target to be achieved for the activity.

6.4. Supervisor/Foreman:

 Shall report to Mechanical Engineer and responsible for supervision at job site.
 Shall be responsible for maintenance works and lead the site team for safe
work execution at site meeting the satisfactory achievement.
 Shall be responsible to report Mechanical Engineer in case of any damages.

Page 4 FMCO-FM MONTHLY REPORT

 6.5. Safety officer/Engineer:

Ensure safety requirements are implemented and adequate safety measures

are undertaken to prevent any damage to the work group, public, environment
as well as properties.

6.6. Mechanical Technician:

Shall carry out mechanical activities as per the supervisor’s instruction and
approved method statement.

7. Equipment/Tools
Required tools/Equipment’s includes the following:
 A Type Ladders
 Hand tools
 De-watering Pump
 Extracting Fan with Hose
 Sewage Lifting Tanker
 Ropes
 LOTO for Gate Valves
 Safety Tripod Set
 Gas Detector
 Head Lamps
 Wet Type Vacuum Pump
 Coarse brush
 Soft brush
Required chemical includes the following:
 Sodium Bicarbonate
 Artificial Vinegar
 Effervescent Chlorine Tablets

Page 5 FMCO-FM MONTHLY REPORT

8. Parties of Involvement
 RSG as a client
 FMCO as FM contractor
 FMCO’s sub-contractor

9. Health and Safety Hazards

 Working at Height
 Confined Space
 Atmospheric Gases
 Usage of sodium chlorate
 Lack of Illumination
 Failure to communicate to all involved personnel.

10. Relevant Documentation

 Work Permits relevant to the task.
 Risk assessment for the task
 PTW (Permit to work) relevant to the task.
 JSA (Job Safety Analysis) / Risk assessment for the task
 TBT (Toolbox Talk) from safety dept.
 Pre Task inspection checklist

11. Isolation details

DR-respective water tanks Isolation as per attached permit
Please refer FMCO LOTO Procedure

12. PPE Requirements

 Rubber gloves
 Cotton gloves

Page 6 FMCO-FM MONTHLY REPORT

  Safety Body Harness
 Hard Hat
 Reflective vest
 Safety googles.
 Waterproof Coverall
 Respiratory mask for team entering the tanks
 Rubber boots

13. References
 ISO 45001:2018
 ISO 14001:2015

14. Methodology
14.1 Planning and preparation:

The plan for cleaning will be shared with RSG for approval. The respective
tanks will be isolated as per agreed schedule.
Before performing the task, all the required tools and equipment’s will be
made available at the location before half an hour to avoid the delays. All the
required barrications and diversions will be allocated on the planned location.
All the Gate valves for the specific tanks under cleaning will be isolated with a
LOTO tag to ensure accidental release of water the safe execution of work.
14.2 Communication and coordination:

An official email notification to RSG & representative to inform the timings

for water tanks isolation.

14.3 Cleaning and Inspection:

After ensuring all the HSE requirements and isolations,

 One day prior cleaning of tank will close the water inlet & inter-connection
gate valves with LOTO tags & have the same tank water to be utilized in the
camp to get it emptied.
 Draining out the remained water by using de-watering pumps with the help of
suction pipe which will be guided from the top of the tank opening through
manhole up to the maximum possibility.

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  Once the water removed, the team members will go inside the tank with the
help of access ladders (IN & OUT).
 The sodium chlorate is prepared and placed in a high-pressure motor with
required water.
 The workers spray the sterilizer on the floors, walls with the high-pressure
force of the motor.
 The floors, walls, and ceiling are cleaned using a coarse brush and a soft
brush to clean the tank from inside.
 The Sludge is removed from the tank manually with the aid of suitable
tools (buckets etc.) and spread in the nearby landfills as no chemicals
are involved.
 The tank is washed with clean water to get rid of dirt and dirt stuck.
 The washed water is transferred to the nearest drainage by connecting a flexible hose
to the tank.
 The worker dries out the tank using sponges & is removed from the tank and
left for10 minutes to dry.
 Thereafter, the cleaning of complete tank with clean water & the tank is ready
for use, sterile, and free of bacteria and germs.

14.4 Tanks Inspection Checklist:

 Check all seams for any distortion.

 Check all seams for any signs of leaks.
 Random check tightness of bolts in all seams.
 Check for foreign material on tank shell, such as mud, oil, etc., clean as
required.
 Check roof for foreign material that may have been blown on roof.
 Check free flowing vents & clean as required.

 Check if level indicator rides smoothly up and down gage board.

15 Restoring/Normalizing the system

After completion of the task or on completion of the approved timing, all the
system will be put back to its normal operating conditions after ensuring the
safety of the system and team working around it. All the LOTO tags will be
removed, and the tanks will get to its normal operating conditions. All the
isolation valves will be opened which were closed.
Please refer FMCO LOTO Procedure

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 16 Emergency procedure & Contact Details

EMERGENCY RESPONSE
 Stop all work immediately.
 Safely shutdown all
equipment
 Initiate first aid.

Call for help and provide the following information: location nature of emergency number of people
hurt and requiring medical assistance, phone number, your name and your badge number.

STEP # 01
Notify FMCO Project Management
Team
EOC
Project Manager
011 212 7111 Mohammed Meraj – 058 138 6583

HSE Manager
Sachin Dharne – 058 251 3474

Security Manager
Essam Alzughaibi – 056 114 7602

URGENT
Not Urgent
STEP # 02
Transport to CMF Notify RSG Project Management
Transport to ISOS Clinic Team

RSG HSE Specialist

Initial Incident Reportsubmit to
RSG-FM-HSE
Abdul Aziz – 053 185 6666
Initial Incident Report RSG Facilities Specialist
submit to RSG Freitch Villarosa Oyon – 054 6323
504

Page 9 FMCO-FM MONTHLY REPORT

 17 Risk Assessment
Kindly find the attached

Page 10 FMCO-FM MONTHLY REPORT

 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Date:
Assessment Type:
Health & Safety √ Environment √ Energy & Sustainability √ HSE Ref No: FMCO-DR-HSE-RA-001
(Please tick as applicable)

Facility Name: Desert Rock Camp Assessment Date: 22-04-2022 Review Date: 26-02-2023

Description of Work: Potable & Fire Water Tank Cleaning Assessment By: Abdul Samad

Likelihood
Descriptor Probability
RISK FACTOR(RF) Environment Health and Safety
Consequence Continuous or will happen Occurs several times a
Frequent 5
frequently year at location
Non-
Insignificant Reportable Reportable Injury Occurs several times a
Major Injury, Multiple Often 5 - 12 times per year year in similar 4
Damage to Injury, minor moderate loss of
single fatality Fatalities industries in KSA
Property loss of Process process or limited
critical loss of Catastrophic Loss Has occurred at least
Probability Equipment, or slight damage to Likely 1 -5 times per year 3
Process/damage of Business or once in KSA
Minor Injury damage to Property or
to property and toxic Has occurred in
or No Property or medium Possible Once every 5 years 2
high environment environment industry (worldwide)
environmental low environment Less than once every 5 Never encountered in
damage damage Rare 1
damage environment damage years industry
damage
1 2 3 4 5 Note: Hierarchy of controls must be followed when identifying control measures. Write
Rare (1) 1 2 3 4 5 all applicable statutory requirements (Local and international regulation) as applicable.
Possible (2) 2 4 6 8 10
Likely (3) 3 6 9 12 15
Often (4) 4 8 12 16 20
Frequent /
Almost 5 10 15 20 25 General Safety and Regulation Hierarchy of Controls
Certain (5) Elimination
15 > 25 Extreme Risk Activity or industry should not proceed in current form Substitution/Reduction
Activity or industry should be modified to include remedial planning and Isolation
8 > 12 High Risk Engineering Control
action and be subject to detailed EHS assessment
Administrative Control
4>6 Moderate Risk Activity or industry can operate subject to management and/or modification Personal Protective Equipment

1>3 Low Risk No action required, unless escalation of risk is possible

Prepared By: Abdul Samad Signature: Date: 26th Feb 2023

Reviewed By: Sachin Dharne Signature: Date: 26th Feb 2023

Approved By Mohammad Meraj Signature Date: 26th Feb 2023

Page 11 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Further Date:
Who might be Additional Actions
What is already being done to control the risk? Controls
ACTIVITY HAZARD harmed and P C RF (Fill up the table below for further P C RF
(Existing control measures) Needed
how? action and by whom)
(Y/N)?
 Incompetency  Only experienced, trained, and literate staff
shall be hired.
 All staff should work under direct supervision of
a full-time appointed supervisor.
 Supervisor should refresh the staff knowledge
through toolbox talk and on job guidance during
the operation.
4 3 12  Wear suitable PPE’s while at work all the time. N 1 3 3
 Never assign any employee to perform the
activity for which he is not trained and
experienced.
 All workers shall have the specific experience
and knowledge related to his job.
 All employees shall attend the safety orientation
Staff Mobilization & Trainings

and job specific trainings.

 Un-  All technicians shall have enough Training and
Familiarization experience to work on machine & equipment’s.
with machine  All technicians shall be aware of the safety
leads to devices in the system.
personal  Technician  Wear suitable PPE’s while at work all the time.
injuries.  Electrician  Never assign any employee to perform the
3 3 9 activity for which he is not trained and N 1 3 3
 Plumber experienced.
 Carpenter  Supervisor should refresh the staff knowledge
through toolbox talk, and on job guidance
 Supervisors
during the operation.
 Labors  Worker must be interviewed for knowledge
check on required intervals.
 Electrocution  All appliances and equipment’s should be RCD
protected, never attempt bypass to safety
devices.
 The equipment must be complying with
grounding requirements
3 4 12  Handling of machinery or equipment must not N 1 4 4
be done with wet hand.
 Control switch must be free from any
obstruction.
 Wear appropriate PPE’s while working on
machineries.

Page 12 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Further Date:
Who might be Additional Actions
What is already being done to control the risk? Controls
ACTIVITY HAZARD harmed and P C RF (Fill up the table below for further P C RF
(Existing control measures) Needed
how? action and by whom)
(Y/N)?
 Damage to  Equipment must be inspected on required
equipment due intervals to ensure the healthiness.
to lack of  Technicians must possess enough Training and
awareness. knowledge to work on the equipment.
 Standard Operating procedures must be
followed while working on any machinery or
equipment.
3 3 9  Use appropriate warning signage to make N 3 3 9
workers aware.
 All technicians shall be aware of the safety
devices in the system.
 Wear suitable PPE’s while at work all the time.
 Never assign any employee to perform the
activity for which he is not trained and
experienced.
 Check for leaks and replace damaged parts, do
not make any unauthorized alterations to the
machine.
 Do not operate any high-pressure machine while
you are intoxicated, under the influence of
certain substance.
 Use appropriate PPE’s while working with Water
 Piercing Skin Jet System. Like Ear defender, face shield,
Injury protective clothing etc.
 Hit by flying  Stay away from the direction of water to avoid
object  Worker any hit by flying object.
3 4 12 N 1 4 4
 Excessive Noise  Technician  Always Point nozzle of the jet away from the
 Electrocution workers to prevent any personal injury.
 All power cables must be free from puncture,
inspected and color coded.
 Power extension must be healthy and kept on dry
surface.
 Only trained workers with sufficient knowledge
must be put into work.
 All appliances and equipment’s should be RCD
protected, never attempt bypass to safety
devices.

Page 13 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Further Date:
Who might be Additional Actions
What is already being done to control the risk? Controls
ACTIVITY HAZARD harmed and P C RF (Fill up the table below for further P C RF
(Existing control measures) Needed
how? action and by whom)
(Y/N)?
 Select tools that are right for the work and the
user.
 Minimize the amount of force needed to do the
Working With Pressure Jet

job. Consider lighter tools for work.

 Try to adjust the location and position of the
work. Where possible, change the height, angle,
and position of the work to suit the person doing
the task.
 Repetitive  Take regular breaks from long or repetitive tasks,
Movement it's better to take smaller, more frequent breaks
(Low Back Pain  Worker than one long lunch break.
Fatigue 2 3 6 N 1 3 3
 Technician  Avoid working in extreme weather condition.
Numbness
 Break up long periods of frequent repetition and
Loss of
static inactivity.
Alertness)
 Ensure sufficient lighting is available in the
workplace so that workers can clearly see what
they are doing.
 A confined space entry permit should be
obtained prior to enter.
 Confined space shall be identified before the
activity starts.
 Entry attendant must be assigned at confined
 Oxygen
space entry.
Deficient 3 5 15 N 1 5 5
 Worker 
Confined Space

Gas monitoring to be done prior to enter and

Atmosphere
 Supervisors during work at certain intervals.
 Positive ventilation shall be ensured (where
 HSE Officer required).
 Manager  Ensure tripod should be installed for rescue in
case of emergency.
 Gas test shall be conducted before entering in
 Presence of confined space.
Toxic Gases 3 5 15  Air blower should be used to ensure fresh air N 1 5 5
circulation and constant air changes.

Page 14 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Further Date:
Who might be Additional Actions
What is already being done to control the risk? Controls
HAZARD harmed and P C RF (Fill up the table below for further P C RF
(Existing control measures) Needed
how? action and by whom)
(Y/N)?
 Dewatering pump should be kept ready at all
 Presence of
the times.
Water in the
3 3 9  Identify the nearby utilities prior to enter the N 1 3 3
Tank
confined space.
 Sudden  Attach all necessary layouts with the permit
Release of  Applying LOTO for controlling sudden
Water operation of Valve
 Watchman to be kept near the valves to
prevent any unauthorized operation
 All workers to be briefed about the LOTO
applied
 Necessary Signage needs to be put for raising
general awareness among the workers and
visitors
 Worker must be in a sound health while put for
work inside Confined Space.
 Worker working at height must wear Safety
harness connected to a suitable anchorage point
 Proper access way must be provided to the
worker working at height
 Ensure proper emergency evacuation and
rescue procedures are in place
 Ensure 3 ft extension of ladder past the level
 Worker fall from
where worker is supposed to stand
height 3 4 12 N 1 4 4
 Do not overload the ladder at any point of time.
 Ladder must be placed on stable and level
surface.
 Always maintain 3-point contact while ascending
or descending the ladder
 Ladder must be inspected for defects, cracks,
and accumulation of dirt, before and after use.
 Worker must not overreach to do work while
on the ladder.
 A bystander must be available to hold the ladder.

Page 15 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Date:
 Secure material properly to avoid material fall.
 Use Tool lanyard to prevent tools from falling
 Ensure to remove objects from unsealed
pockets.
 Secure all the tools while working at height.
 Hard hat and required PPE’s must be worn by
 Fall of material
3 3 9 the workers in the risk of material falling area N 1 3 3
from height
 Provide barricading to prevent any unauthorized
access.

Page 16 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Further Date:
Who might be Additional Actions
What is already being done to control the risk? Controls
ACTIVITY HAZARD harmed and P C RF (Fill up the table below for further P C RF
(Existing control measures) Needed
how? action and by whom)
(Y/N)?
 Always use proper manual handling techniques
to lift the load or material manually.
 Keeps the back straight while lifting any
material from the ground.
Manual Handling

 Workers/  While moving with the load, keep closer to your

 Musculoskeletal Technicians body.
disorder 3 3 9  Finding ways to use mechanical aids to N 1 3 3
 Supervisors
minimize the amounts of manual handling.
 Sharing heavy or awkward loads which are to be
lifted by hand.
 Training workers in safe lifting method and
sensible handling of loads.
 Do not put your hand or finger under the load.
 Working area shall be inspected for emergency
evacuation requirements and obstructions shall
be removed from the access to assembly points.
 ERT Team must practice mock drill to respond
properly during real emergency.
 Work Area shall be well lit and emergency exit
 Inadequate signage shall be available to guide workers to
rescue 3 3 9 nearest assembly point and emergency exit. N 1 3 3
Emergency Response

 Workers  Emergency contact lists shall be posted in all

 Supervisor areas inside the compound.
 Proper communication must be ensured among
 Managers supervisors, HSE department and ERT Team.
 HSE Officer  First aid kits shall be provided at visible location
and workers shall be trained for them to get an
immediate first aid from qualified first
 Emergency evacuation routes and procedure
shall be reminded regularly to the whole staff
by RSG Officials &HSE team.
 Lack of Timely
3 3 9  Communication media (Two-way Radio, Bravo, N 1 3 3
response
or mobile phone) shall be provided to RSG
Official & HSE Team to respond in time in case
of emergency.

Page 17 of 19
 Document FMCO-DR-HSE-RA-001
No:
Revision No: 01
RISK ASSESSMENT Effective 26-02-2023
Further Date:
Who might be Additional Actions
What is already being done to control the risk? Controls
ACTIVITY HAZARD harmed and P C RF (Fill up the table below for further P C RF
(Existing control measures) Needed
how? action and by whom)
(Y/N)?
 Working area shall be inspected for emergency
evacuation requirements and obstructions shall
be removed from the access to assembly points.
 ERT Team must practice mock drill to respond
properly during real emergency.

No. Further Action Required Action By Whom Action Due By Completion Date

1.

2.

3.

Page 18 of 19