Method Statement Submittal Form

TRS-CN-FRM-0019

General Information
R08-HE4C20 Shura Hotel
Project Name Shura Hotel (HE4) Project Code
(HE4)
Submittal No. TSR-MS-C-02 Date 8-Dec-22
Contract No. R08-HE4C20 Shura Hotel (HE4)
Contract Description Concrete Package

Contractor
Contractor Name TAMEAR Subject MS - TERMITE CONTROL
Specification No. 313116 Drawing Ref. NA
Discipline Civil Other (please specify) NA
Planned Date of Work 15-Dec-22 Submitted For: ☒ Approval ☐ Information
Contractor Authorized Representative

Ali Maarouf 8-Dec-22

Name Signature Date

Design Consultant - Comments

Comments:

Name Signature Date

Engineer’s - Comments
Comments:

Name Signature Date

Status Code

☐ Accepted ☐ Accepted with Comments ☐ Revise and Resubmit

☐ Rejected ☐ Review not Required

Method Statement Submittal Form (TRS-CN-FRM-0019)

Revision 00, Rev. Date 05-May-2019 Page 1 of 1
 Method Statement

TERMITE CONTROL
Prepared for

Project

R08-HE4C20 Shura Hotel (HE4)

Concrete Package Project

Method Statement No. TSR-MS-C-02, C0

 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

REVISION HISTORY

Prepared by
Reviewed by Reviewed by
REV. Date Description Construction
QA/QC Manager Project Manager
Manager
08 Dec. Mohamed
C0 For Approval Mohamed Gad Ali Maarouf
2022 AlTaweel

TSR-MS-C-02, C0 Page 2 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

REVISION RECORD

Rev Date Description for Modification Remarks

C0 4 Dec. 2022 Initial Release

TSR-MS-C-02, C0 Page 3 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

TABLE OF CONTENTS

SEC. DESCRIPTION

COVER PAGE
REVISION HISTORY
TABLE OF CONTENTS
1. SCOPE OF WORK
2. PURPOSE
3. ACRONYMS & ABBREVIATIONS
4. REFERENCES
5. RESPONSIBILITIES
6. MANPOWER / EQUIPMENT / MATERIAL
7. METHODOLOGY
8. QHSE PROCEDURE
9. ATTACHMENTS

TSR-MS-C-02, C0 Page 4 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

1. SCOPE OF WORK

The scope of this method statement is to define all the procedures and inspections to be followed
during Termite control activity in TAMEAR construction site according to approved drawings,
specifications, data sheet and TRSDC Employer Requirements at Shura Hotel (HE4) – Concrete
Package. This work includes site preparation, cleaning of area, handling and storage, and application
of termite control material.

2. PURPOSE

The purpose of this method statement is to describe the methods to be implemented and the
resources to be utilized for Termite Control and procedure to be followed during the activity at the
mentioned project.
Moreover, to ensure that all the required resources are provided to carry out the activity as stipulated
in the TRSDC Requirements. All works will be in accordance and conformance to TRSDC/ ATKINS
surveillance, witness, and approval.

3. ACRONYMS & ABBREVIATIONS

· TRSDC – The Red Sea Development Company.

· TSR – TAMEAR.
· ATKINS – Supervision Consultant.
· HSE – Health safety & Environment.
· JSA – Job Safety Analysis.
· MSDS - Material Safety Data Sheet.
· PPE – Personal protective Equipment.
· QHSE – Quality, Health, Safety & Environment.
· ITP – Inspection & Test Plan.

4. REFERENCES

· TRSDC Employer’s Requirements.

· Project Quality Management Plan.
· Project Health & Safety Management Plan.
· Approved Data sheet.

TSR-MS-C-02, C0 Page 5 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

4.1 PERMITS

Work permits shall be issued as per attached Job Safety Analysis and Safety considerations.

5. RESPONSIBILITIES

5.1.Project Manager

· Ensures that the content of this method statement is understood and implemented at all
times.
· Coordinate with the Construction Manager to ensure that the necessary resources to
implement the approved Method Statement have been allocated to the task.
· Determine all the requirements needed in order to comply with quality and safety standards
and regulations as required.
· The Project Manager is responsible to appoint site supervisory personnel to organize,
coordinate, and oversee the execution of the work detailed in this method statement.

5.2.Construction Manager

· Responsible for the organization and coordination of the work detailed in this method
statement.
· Responsible to provide all resources (Manpower, Materials, and Equipment etc.) to the site
required to execute the job.

5.3.QA/QC Manager

· Will be responsible of the implementation of this procedure.

· Will be responsible for the arrangement of inspection, preparation of all documents and
compiling them for the inclusion in the final documentation packaged.

5.4.QA/QC Engineer

· Responsible to assist/advise the construction team to ensure all works comply with specified
quality requirements.
· Monitor implementation of the controls as required.
· Ensure that the surface to receive the application of termite control is prepared and ready as
per manufacturer’s recommendations.

TSR-MS-C-02, C0 Page 6 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

· Ensure that the rate of application of termite control material is as per manufacturer’s
recommendations.
· Hold inspections to verify work is implemented properly prior to client inspection.

5.5.Site Engineer

The Site Engineer shall be responsible for the overall civil construction work:
· Become familiar with the method statement and quality & safety requirements for the
activity.
· To ensure all approvals are obtained prior to start the work.
· Ensure that applicator of termite control is qualified person to carry out the application
activity.
· Convey all technical data for execution to personnel related to termite control application and
ensure sufficient understanding of activities to be executed.
· Arrange the required resource to execute the work.
· Control productivity and quality of work.
· Attend risk assessment meeting and follow up implementation of requirements.

5.6.Anti-Termite material Applicator

· Ensure that Site preparation is done prior to proceed with the application of termite control
to the area of receiving.
· Ensure that the rate of application is as per manufacturer’s recommendations.
· Execute the works in accordance with the approved Drawings, QC requirements, and HSE
plan.
· Protect the area after the application of termite control by appropriate means as per
manufacturer’s recommendations.
· Ensure that all engaged personnel have right PPE, and all equipment are fit and certified to
execute the works.

5.7.HSE Manager

· HSE Manager is responsible to establish and implement an effective HSE management system
in accordance with TRSDC HSE requirements.
· Ensures the HSE management system requirements are implemented and maintained.
· Coordinates with the Site HSE team and the Construction Management team to ensure
effective implementation of the HSE Procedures.

TSR-MS-C-02, C0 Page 7 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

· Assist risk assessment team to formulate Method Statement and JSA for specific construction
activities.
· He may lead the entire team, maintaining HSE awareness and to create safe culture and
working environment through innovative ideas.
· Planning and coordinating the HSE Trainings for the project.
· Issue necessary directives to Safety Officer / Supervisor and render advice to the Project
Manager, as required.
· Prepare and submit HSE reports to, Client's / TRSDC Safety Executives whenever required.
· Carryout HSE inspections at construction sites with reference to all HSE issues
· Liaise with Client and Consultants HSE Departments.
· Take part in incident investigation and reporting of all Incidents.
· Take part / attend in Client's HSE meetings.
· Monitor and assess HSE measures on visits to sites.

5.8.HSE Officer

· He will ensure that all the activities related to the specified task followed safely and all
workers are wearing PPE.
· Identify hazards and take measure control those hazards and follow JSA/risk assessment.
· He is responsible for monitoring and assessing hazardous and unsafe condition / situations.
· Developing measures to assure personnel safety.
· Correct unsafe acts or conditions through the regular line of authority.
· May exercise authority to prevent or stop unsafe acts when immediate action is required.
· Participate in planning meetings to identify any health and safety concerns inherent in the
operations daily work-plan.
· Inspects the site to ensure it is a hazard-free environment.
· Conduct toolbox meetings.
· Verify that all tools and equipment are adequate and safe for use.
· Promote safe practices at the job site.
· Enforce safety guidelines.
· Trains and carries out drills and exercises on how to manage emergencies.
· Watches out for the safety of all workers and works to protect them from entering hazardous
situations.
· Respond to employees’ safety concerns.
· Advise and instruct on various safety-related topics (noise levels, use of machinery etc.).
· Conduct risk assessment and enforce preventative measures.
· Initiate and organize OHS training of employees and executives.

TSR-MS-C-02, C0 Page 8 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

· Inspect premises and the work of personnel to identify issues or non-conformity (e.g., not
using protective equipment)
· Stop any unsafe acts or processes that seem dangerous or unhealthy.
· Prepare reports on occurrences and provide statistical information to HSE Manager.
· Carry out PTW Monitoring and review.

6. MANPOWER, EQUIPMENT AND MATERIALS

6.1.Manpower

1. Site Engineer.
2. QC Engineer.
3. Applicator.

6.2.Equipment

1. Spraying equipment.

6.3.Materials

1. Termite control material Bi-flex TC / Medronil 5% (TDS attached - approval in progress)

2. Polyethylene sheet.

7. METHODOLOGY

7.1. Handling and Storage of material

· Materials shall be properly protected and packaged during shipment.

· In case of storing at site, it will be ensured that materials is properly stored at chemical store.
· Mixing and application shall be as per manufacturer’s recommendation.
· All safety measure shall be taken during applications.

7.2.Site preparations

· Ensure that area to receive the application of termite control is cleaned from any foreign matters
which can affect the application process.
· Ensure that area to receive the application of termite control is well compacted and levelled.

TSR-MS-C-02, C0 Page 9 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

7.3.Application of Termite Control

· The Termite control sub-contractor should be qualified and approved by TRSDC / ATKINS.
· The rate of application should be as per manufacturer’s Recommendation in attached TDS to
produce the horizontal / vertical barriers and it should cover all the area of receiving.
· The termite treatment shall be provided for the area below the blinding concrete and wherever
as per drawings.
· The anti-termite treated surface shall be protected by approved polyethylene sheet placed over
the soil surface.
· The blinding concrete should be placed within time duration as referred in manufacturer’s
recommendations in attached TDS.
· Application shall be made by a low-pressure spray.
· The area to receive the anti- termite treatment will be barricaded to prevent the people from
entering during or after the application treatment.

8. QHSE PROCEDURE

8.1.QUALITY

8.1.1. General

· All works will be undertaken in compliance with the quality requirements of the Contract, and the
Quality Management Plan.
· Site inspections will be based on approved ITPs and approved drawings.

8.2.SAFETY

· All personnel to join safety induction prior to commencement of site.

· Conduct toolbox talk on routine basis.
· Complete Safety Task Assignment (STA) by using TRSDC Form (TRS-HS-FRM-0002) by the
activity foreman along with his team before to start of work.
· Hazards with regards to the activity and around to be communicated to personnel working at site
and personnel attendance record will be available on site
· Safety officers to ensure safe condition of the workplaces.
· Foreman / supervisor must ensure to rectify all observations indicated by the safety officer/s,
personnel working at site and or observed by anybody.
· Foreman /Supervisor always ensure safe working condition, hazard identification and control
measure implementation.

TSR-MS-C-02, C0 Page 10 of 11
 METHOD STATEMENT
TERMITE CONTROL
PROJECT NAME: Shura Hotel (HE4) – Concrete Package

CONTRACT NO: R08-HE4C20

· Ensure to have all required Works permits before to start activity.

· In the Termite control spray area personnel entry will be restricted during application of spray
and after as per chemical manufacture guidelines.
· Area shall be isolated and specific signage will be posted
· Safety officers will be available in the work area until the work is completed.
· PPE will be provided and have to wear at all times on site.
· Method statements for all activities to be in place and discussed with workers.
· Suitable access roads for equipment shall be provided by TSR.
· The responsible supervisor will periodically check the condition of the barriers, and where
necessary refurbishment will be conducted.
· Safety officer and job supervisor will ensure that PPE (Safety Shoe, Hard Hat, Hand Gloves,
Reflective Vests, Safety Goggles and Mask) are worn by site personnel at all times during the
activity.
· It will ensure the personnel engage on the activity will have relevant experience, further
refresher trainings will be conducted on site at routine basis.
· Emergency response team for any emergency at site will be available further emergency contact
numbers will be displayed at various locations and also TRSDC given emergency number will be
maintained and display at site.
· If there will need to carry out work after normal hours, it shall ensure to comply and follow
TRSDC Extended Hours, Night Work and Holiday Work Control (TRS-HS-COS-0015) permit
system.
· All hazardous waste shall be collected in separate bins; it will be disposed separately through
TRSDC & GAMEP approved contractor. Record of all waste disposal will be maintained and avail
for any future reference.

8.2.1 Environmental Policy Implementation

It is important that everyone involved in the project is aware of the environmental policy and
environmental plan and bound by their requirements. Approved documents should make clear the extent
and standard of environmental performance and assessment that is required as well as requirements for
monitoring and reporting. These requirements need to be cascaded down throughout the entire Project
management.

9. ATTACHMENTS

· TDS.
· MSDS.
· ITP & Checklist.
· JSA.

TSR-MS-C-02, C0 Page 11 of 11
 APPROVED
INSPECTION & TEST PLAN ITP NO
DATE
DISCIPLINE:

TERMITE CONTROL TSR-TRSDC-ITP-02 CIVIL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

R08-HE4C20 Shura Hotel (HE4) TAMEAR

INSPECTION RESPONSIBILITY
ITEM PROJECT PHASE & ASSIGNMENTS
TASK / ACTIVITY REMARKS
NO. ACTIVITY CODE
TSR TRS ATKINS

1.0 DOCUMENT REVIEW

KCC - "RH" of Documents and "H" for Material

Sampling and Testing.
1.1 Material Technical approval RH/ H RH/ H RH/ H TRSDC/Consultanats- "RH" of Documents and "H"
for Material Sampling and Testing.

MATERIAL
2.0
RECEIVING

Material Handling, Storage &

2.1
Protection Inspection
I W W

3.0 INSTALLATION

3.1 Surface Preparation I W W

Termite Control Application

3.1
Inspection
I W W
PRE-
4.0
COMMISSIONING

4.1 Not Applicable

GENERAL NOTES

The first three incidents of each Inspection or testing activity listed require 100 % participation by TRSDC/Consultant Site Inspection Personnel. After this
1 period, TRSDC/Consultant Inspection may adjust the levels of TRSDC/Consultant participation based upon the Contractor’s performance.

2 Surveillance: QA/QC organization to monitor work in progress without notice from Construction Organization
Witness: QA/QC organization shall be notified of the timing of Inspection or test in advance. However, the inspection or test shall be performed as
3 scheduled if the QA/QC organization representative is not present.
Hold: QA/QC organization shall be notified of the timing of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC
4 organization representative in attendance.

5 If TSR delegates the assigned responsibility to the Subcontractor, then the TMR will have the same degree of responsibility as assigned to TRSDC.

LEGEND
H Hold Point for QC Inspection/ Test R Review of Documents
W Witness Inspection/Test RH Review and Approval of Documents
S Surveillance I 100% contractor's Inspection

Page 1 of 1
CHECKLIST Checklist No. Approved Date WIR NUMBER

TSR-TRSDC-IC-02 CIVIL-
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

R08-HE4C20 Shura Hotel (HE4) TAMEAR

LOCATION

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER

SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME QUANTITY INSP.

ACCEPTED
REJECTED

ITEM
ACCEPTANCE CRITERIA REFERENCES PASS FAIL N/A Comments
No.

A Material Receiving Inspections

Manufacturer's
A1 Materials shall be properly protected and packaged during shipment.
Recommendations
Manufacturer's
A2 Confirm the expiration date of material to be utilizd on site.
Recommendations

B Site Preparation

The area to receive the application of termite control is cleaned from any Manufacturer's
B1
foreign matters which can affect the application process Recommendations

The area to receive the application of termite control is well compacted Manufacturer's
B2
and levelled. Recommendations

C Anti-Termite Application
The anti-termite treatment shall be provided for the area below the Manufacturer's
C1 blinding concrete Recommendations

The rate of application is as per manufacturer recommendation to Manufacturer's

C2
produce the barriers and it should cover all the area of receiving. Recommendations

The anti termite applied surfaces shall be protected by polyethylene Manufacturer's

C3
sheet after application Recommendations

REMARKS:

REFERENCE DOCUMENTS:
British Standards

ASTM

Approved Drawing

Specification for Earthworks

TSR / Third-Party TRS / ATKINS

Construction Representative* PMT Construction Representative
Name, Initials and QC Record Reviewed Work Verified
Name, Initials and Date: Work is Complete and Ready for Inspection:
Date:

QC Engineer TRSDC/CONSULTANT QA Engineer

Performed
Work / Rework May Proceed Name, Initials and QC Record Reviewed Work Verified
Name, Initials and Date: Inspection
Date:

QC Manager

Name, Sign and Date: Quality Record Approved:

Page 1 of 1
Job Safety Analysis
TRS-HS-FRM-0001

Instructions for completing Job Safety Analysis (JSA) form

Section I -Enter general information about the site and job task.
Section II - Determine whether any of these operations apply to the job task to be performed. Make note of any special training, permit, certification, and risk assessment
requirements.
Section III - Identify any human/organizational factors that could impact the ability to perform the work safely.

1. Break the job down into steps - Be as specific as possible. Write each job step in a new row of column A (Activity/Step). It’s a good idea to leave an extra row
between steps in case you need them later. Add additional rows to the table as needed, or if completing the JSA on paper, print additional copies of the sheet to
accommodate all job steps.
2. Determine the hazards associated with each job step and write them in column B (Hazards). Use the examples of hazards provided below to trigger your thinking
about different types of hazards and energy sources.
3. List any control measures that will be taken to ensure that step is done safely in column C (Control Measures). Use the control measure examples and hierarchy
provided to trigger your thinking about different types of controls and their effectiveness at reducing risk. Controls toward the top of the table tend to be more
effective at minimizing the severity and/or likelihood of an event than the controls toward the bottom of the table. If this job involves a Life Crucial Operation, continue
to step 4. Otherwise, repeat steps 2-3 for each of the job steps identified, then proceed to step 8.
4. Considering the hazards involved and the control measures that will be in place, determine the worst credible severity of an incident that could result from this job
step. Use the severity table provided. Write the severity number in column D (Severity).
5. Considering the hazards involved and the control measures that will be in place, determine the likelihood that an incident will result from this job step. Use the
likelihood table provided. Write the likelihood number in column E (Likelihood).
6. Multiply the severity number by the likelihood number and enter the product in column F (Risk).
7. Consider the risk rating against the thresholds provided in the Overall Risk Ratings.
i. Very low and low risk ratings of 1-3. This level is generally considered acceptable provided that all control measures are applied.
ii. Medium risk ratings of 4-6. Medium risk requires a planned approach to control the hazard and applies additional controls if required. Action taken must be
documented on the risk assessment form.
iii. High and Very High-Risk ratings of 8-24. For all high and very high risk, Column G (Additional control measures) must be implemented to further reduce the risk
to a medium or low level. Such activities shall not be proceeded until applying additional control measures. The Construction Director/Manager or facility Manager
must personally review the activities with a High or Very High residual risk score and approve additional control measures by signing off the JSA.
8. Repeat steps 2-7 for each of the job steps identified.

Section IV - Provide the name, company, and title of those who prepared and reviewed/approved this form in the signature box provided. The Construction Director/Manager or
facility Manager must review and approve the additional control measures that have a High or Very High-Risk rating before proceeding the task. Additional space is also provided
for crew members to sign the JSA if desired.

Reference Table in completing Section III – Job Safety Analysis (Column B – Hazard)
Biological & Environmental Electrical Chemical Gravity/Height Mechanical & Motion
Altitude Arc Flash Air Emissions Equipment Tipping/Collapsing Being Thrown Off/Under
Animal Bite/Sting Buried Utilities Chemical Products Excavation/Trench Equipment
Blood-Borne Pathogens Damage to Leads/Cables · Carcinogenic Falling Objects Disintegration of Moving
Contaminated Food/Water Damage to Switches · Combustible/Flammable Floor Openings/Edges Components
Insect-Borne Disease Energized Circuits/Conductors · Explosive Grating Removed Driving/Vehicle Traffic
Pests Inadvertent Energization · Toxic Inadequate Support Ejection of Workpiece/Debris
Poisonous Plants Lack of Isolation/Grounding · Corrosive Lack of Access Ladders/Stairs Entanglement
Precipitation Missing/Damaged Insulation · Reactive Suspended Load Friction
Temperature/Humidity Overhead Lines Client/Process Chemicals Unstable/Insecure Materials Movement/Shifting
Unsanitary Conditions Overload of Circuits Lack of Containment Work Above/Below Others Moving Parts
Weather Stored Energy Leakage/Spills Work at Height/Fall Hazards Pinch/Crush Points
Wind/Turbulence (Batteries/Capacitors) Material Incompatibility Walking/Working Surface Projectiles
Pressure Water Near Electrical Produced/Disturbed by Work · Slippery Rotating Equipment
Abrasive Blasting Conductors · Asbestos · Uneven Sharp Edges, Corners, or Points
Compressed Gases Work Environment
· Lead · Obstructed Shearing
High Pressure Fluid Cluttered
· Silica · Steep Stored Energy
Pressure Testing Confined Space · Moving/Swaying/Pitching (Springs/Accumulators)
· Welding Fumes
Pressure Washing/Blasting Damaged Tools/Equipment · Insufficient/Unstable Striking
Radiation Entrapment · Dust Trapped Between Equipment and
Water Discharges Ergonomic
Intense Light Erosion Awkward Postures/Movement Fixed Structures
Lasers Hazardous Atmosphere Wastes Generated Unexpected/Uncontrolled
· Hazardous Excessive Force/ Exertion
Microwaves · Oxygen Rich/Deficient Heavy/Awkward Load Movement
Naturally Occurring · Contaminants · Non-Hazardous
Sound Repetitive Motion
Radioactivity Radioactive Ignition Sources Same Position
Material Inadequate Ventilation Continuous Noise
Intermittent Noise Vibration
X-Rays Poor Lighting/Glare
Restricted Access/Egress Extreme Noise
Runoff Impact Noise

Reference Table in completing Section III – Job Safety Analysis (Column C – Control Measure)
Most Effective Controls Examples

Job Safety Analysis (TRS-HS-FRM-0001)

Revision 01, Rev. Date 29-July-2020 Page 1 of 6
Job Safety Analysis
TRS-HS-FRM-0001

Elimination Ø Make connections at ground level before erecting Ø Remove a dangerous machine from service
(Remove the hazard altogether) a structure to eliminate work at height Ø Provide power outlets to avoid trailing cords

Substitution Ø Use latex rather than oil-based paints

(Replace the material/process Ø Reduce energy, such as speed, force, amperage, pressure, and temperature
with a less hazardous one) Ø Use water-based detergents instead of organic solvents

Engineering/Isolation Ø Ventilation Ø Isolate hazardous energy sources

Ø Secondary containment
(Design effective control Ø Machine guarding Ø Interlocks
Ø Barriers
measures to protect people and Ø Enclosures Ø Platforms and guardrails
Ø Improve lighting
the environment) Ø Circuit breakers Ø Exclusion zones
Warning Ø Signs Ø Horns Ø Labels
Ø High visibility paint
(Alert people to the hazards) Ø Backup alarms Ø Beepers Ø Tags
Administrative Ø Work rotation to minimize exposure
(Provide training, procedures, Ø Inspect safety equipment Ø Training and supervision
etc.) Ø Good housekeeping practices
PPE Ø Safety glasses Ø Fall harness and lanyards Ø Respiratory protection
Least Effective
(Personal protective equipment) Ø Hearing protection Ø Gloves Ø High visibility vests

Reference Table in completing Section III – Job

Reference Table in completing Section III – Job Safety Analysis (Column D –Severity)
Safety Analysis (Column E – Likelihood)
Impact On Likelihood Chances of
Severity Level Probability
People Environment / Community Equipment / Property Level Occurrence
Ø Long-term (multi-year) impacts to air, Ø Extensive losses of high value
surface/ground water, or soil; or equipment/property
Expected to occur
Critical / Single / Multiple Ø Widespread areas including offsite Ø Loses exceeding $1,000,000; Very
6 4 in most 1 in 100
Catastrophic fatalities area/community affected; or or Likely
circumstances
Ø Some adverse publicity/media Ø Major unplanned impact on
coverage project budget and schedule
Ø Lasting (up to one year) impacts to air, Ø Losses of equipment/property
Injury or illness surface/ground water, or soil; or that cannot be readily
resulting in Ø Offsite area/community affected; or replaced; or
Strong possibility
Major 4 permanent total Ø Events that are reportable to Ø Losses exceeding $100,000; Likely 3 1 in 1,000
the event will occur
or partial regulatory authorities; or or
disability Ø Potential for adverse publicity/media Ø Significant unplanned impact
coverage on project budget
Injury or illness Ø Temporary (up to one month) impacts
resulting in to air, surface/ground water, or soil Ø Loss of equipment that can be
medical limited to the project site; or readily replaced; or
The event might
Moderate 2 treatment or Ø Breach of regulatory requirement or Ø Losses exceeding $10,000; or Possible 2 1 in 10,000
occur
temporary limit; and Ø Minor impact on project
disability/loss of Ø No potential for adverse budget
function publicity/media coverage
Ø No direct impact to air, surface/ground Ø No impact on equipment
Injury or illness water, or soil; or functionality Highly unlikely but
requiring first- Ø Effects restricted within buildings or Ø Minor, cosmetic damage; or may occur in
Minor 1 Unlikely 1 1 in 1,000,000
aid treatment containment structures; and Ø Repair costs easily covered exceptional
only Ø No potential for adverse by normal project operating circumstances
publicity/media coverage budget

Reference Table in completing Section III – Job Safety Analysis (Column F – Risk)

Risk Matrix Overall Risk Ratings

Likelihood
Very Low Low Medium High Very High
Severity
Unlikely Possible Likely Very Likely 1 2-3 4-6 8-18 24
1 2 3 4

Critical - 6 6 12 18 24

High and Very High-Risk ratings of 8-24.

Additional control measures must be implemented to further reduce the High and very
Major - 4 4 8 12 16 high risk to acceptable level.
Note: The Construction Director/Manager or Facility Manager must personally review
the activities with a High or Very High residual risk score and approve suitable
Moderate - 2 2 4 6 8 additional control measures by signing the JSA.

Minor - 1 1 2 3 4

Job Safety Analysis (TRS-HS-FRM-0001)

Revision 01, Rev. Date 29-July-2020 Page 2 of 6
Job Safety Analysis
TRS-HS-FRM-0001

Section I – General Information

Emergency Procedures
Emergency Contact Name Emergency Contact Phone Number
Primary Contact Mohamed AlTaweel Primary Contact 0504989920
Secondary Contact Shady Shawkat Secondary Contact 0572546310
Details
Program Number. R08-HE4C20 Shura Hotel (HE4) Company Name TAMEAR
Project Name R08-HE4C20 Shura Hotel (HE4) Date 12/04/2022
JSA /Risk Assessment Title Termite Control Category ☒ New ☐ Revised
Specific Location Shura Hotel (HE4) Building
Plant Tools & Equipment Required Chemicals, Injection Machine Area
Work Scope/Description Termite Control Treatment

Section II – Does this job require any of the following operations?

ü = Requires formal/special training n = Requires certification or Competent/Qualified Person designations

= Requires a permit/form/report ∆ = Life Crucial Operations = Requires full Risk Assessment

Description Yes Description Yes

Aerial Lifts ü ∆ ☐ Cranes - Critical lift ü n ∆ ☐

Confined Space ü n ∆ ☐ Hot Work ü ☐
Dismantling and Demolition n ☐ Loading/Unloading Material ∆ ☐
Electrical Hazards ü n ∆ ☐ Noise Exposure ü ☐
Excavation/Trenching ü n ∆ ☐ Powered Industrial Trucks ü n ∆ ☐
First Line Breaks ü n ∆ ☐ Radiation Area Work ü n ☐
Grating/Floor Plate/ Guardrail Removal ∆ ☐ Respiratory Hazards ü ☐
Hazardous Energy Control ü n ∆ ☐ Roof Work ü n ∆ ☐
Hazardous Materials
Asbestos & Lead Work
ü n ☐ Scaffolding ü n ∆ ☐
Hazardous Materials
Crystalline Silica & Cadmium
ü n ☐ Site/Vehicle Traffic ∆ ☐
Hazardous Waste Operations ü ☐ Steel Erection n ∆ ☐
Heavy Equipment ü n ∆ ☐ Work at Height (> 6 ft) ü n ∆ ☐

Rigging, & Cranes ü n ∆ ☐ Other ☐

Section III – Job Safety Analysis Risk Assessment (Post Control Measures)

Job Safety Analysis (TRS-HS-FRM-0001)

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Job Safety Analysis
TRS-HS-FRM-0001
(A) (B) (C) (D) (E) (F) (G) (H) (I) (J)
Activity/Step Hazards Control Measures Severity Likelihood Risk Additional Control measures Severity Likelihood Risk
Provide induction training, brief
personnel for site rules, regulations
Un-familiar to site rules
and instructions. Ensure toolbox 2 2 4
and regulations
talk in regular intervals,
Post Safety Awareness signages
Chemicals used for termite control
must store at site as per
manufacturer requirements. Use
Improper Storage of
drip trays avoid any kind of spill, 2 2 4
Chemicals
ensure ventilation, post safety
signs. Ensure provision of MSDS
for chemicals.
Ensure provision of fire
extinguishers in nearby area, Brief
Fire in chemical Storage .
personnel for the use of fire 2 1 2
area
extinguishers, Ensure regular
Termite Control inspection of Fire extinguishers
Use proper personal protective
equipment in accordance with the
MSDS / manufacturer
recommendations, avoid staying in
Inhalation of Fumes 2 2 4
the way of wind direction, post
safety warning signs, and
barricade the area to protect
unauthorized entry.
Ensure to have hazardous waste
skip on site, dispose all chemical
wastes properly in accordance with
Improper disposal of the manufacturer
2 2 4
chemical waste recommendations, ensure proper
segregation of wastes, train
personnel for the proper disposal
of wastes.
Emergency contacts detail
to be posted on site.
Emergency response
Lack of awareness in
procedure
case of emergency
Emergency must discuss with site personnel,
Workers are not fully 2 2 4
Response supervisor/HSED prior to
trained/personal
commence the job
injuries
Stand by Emergency vehicle
to be available on site
First aid kit/trained firs
Job Safety Analysis (TRS-HS-FRM-0001)
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Job Safety Analysis
TRS-HS-FRM-0001

aider must be available on site

during works
Never allow a worker to
work alone by him in
remote places unless
proper communication and
emergency
Proper transportation, use,
handling and disposal of
hazardous substances
(spill/contamination) must
Uncontrolled waste be observed Strictly
generation & Concrete waste to be
improper Declare the whole site as
Environmental handling & Disposal “No Burning” zone for all
Hazards (Air, Leaks / spills of types of waste materials
2 2 4
Ground, Water, hazardous liquid Ensure engineering /
Dust, Noise) dust suppression Administrative controls for
measures Air operatives working around
Pollution noisy areas / machines
Ill-health above the workplace
exposure limit for 8 hour
work.

Conduct TBT
Use of proper PPEs
Follow waste management
procedure
Provide adequate waste
Slip , trip fall Dust
bins at site.
Being hit by falling
Clear the waste on regular
objects
inter wells from the site.
Striking against
House keeping Clean up during the shifts 2 1 2
projecting poorly
Day to day clean before
stacked items or
entering the work
misplaced
removal of unused
materials
materials
Inspections to ensure cleanup
is complete walk
ways should be neat and
tidy
Note: Insert additional rows or print additional sheets as necessary to accommodate all job steps.

Section IV – Approval and Signatures

Job Safety Analysis (TRS-HS-FRM-0001)

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Job Safety Analysis
TRS-HS-FRM-0001
Prepared by Company Position
Mohamed AlTaweel TAMEAR CM

Mohamed Yusufaldeen TAMEAR Corporate HS Manager

Reviewed and Approved by Company Position
Ali Maarouf TAMEAR Project Manager

High and Very High residual risk rating (8-24)

Note: All High and Very High residual risk ratings (8-24) require review and approval by Construction Director/Manager or Facility Manager before starting work to ensure that the additional controls are adequate to execute the task safely.
Reviewed and Approved by Company Position
Construction Director/Manager or Facility Manager
Reviewed by Crew Company Position

Job Safety Analysis (TRS-HS-FRM-0001)

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