CONTRACT NO.

CONTRACT TITLE: ENGINEERING, SUPPLY, INSTALLATION & CONSTRUCTION OF PEDESTAL

FOUNDATION AND MANHOLE VALVE CHAMBER

DOCUMENT TITLE:

METHOD STATEMENT FOR CONCRETE COVER SLAB

COMPANY:

CONTACT INFO:

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Contents
1 INTRODUCTION ................................................................................................................................................ 2
2 PROJECT BACKGROUND ................................................................................................................................... 2
3 PROJECT SCOPE OF WORK ................................................................................................................................ 2
4 REFERENCE STANDARDS & DOCUMENTS ......................................................................................................... 3
5 CLIENT Standards. ............................................................................................................................................ 3
6 DEFINITION & ABBREVATION ........................................................................................................................... 3
7 EMERGENCY PROCEDURE FOR IN CASE OF CONTINGENCY AT THE PLANT. ...................................................... 3
8 RESPONSIBILITY ................................................................................................................................................ 4
9 NATURE OF WORKS AND ACTIVITIES TO BE CARRIED OUT ............................................................................... 4
10 HEALTH SAFETY AND ENVIRONMENT: .......................................................................................................... 5
10.1 COVID19 INFECTION AND PREVENTION ................................................................................................... 5
10.2 SITE PREREQUISITES FOR HEALTH & SAFETY ENVIRONMENT ................................................................... 5
11 WORK PERMITS ............................................................................................................................................ 6
12 WORK METHODOLOGY: PROCEDURE ........................................................................................................... 7
12.1 Scope: - ..................................................................................................................................................... 7
12.2 Material and Equipment: - ........................................................................................................................ 7
12.3 Procedure : - ............................................................................................................................................. 7
12.4 DEMOBILIZATION:..................................................................................................................................... 8
13 JOB HAZORDOUS ANALYSIS - ........................................................................................................................ 8

1 INTRODUCTION
CLIENT has awarded “PO # 16012023013 ENGINEERING, SUPPLY, INSTALLATION AND CONSTRUCTION
OF VALVE CHAMBER to M/s Sibylline Trading and contracting and further detail Vendor engineering
and execution.

2 PROJECT BACKGROUND
CLIENT has awarded the project to _______ and CONTRACTOR has awarded the civil works
Construction of valve chamber.

3 PROJECT SCOPE OF WORK

Purpose of this method statement is to describe the construction methodology adopted for Civil
foundation works for Concrete cover slab , associated works and ensure that all activities are done
in accordance with approved drawing, CLIENT HSE regulations and standards.

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4 REFERENCE STANDARDS & DOCUMENTS
• Contract Document:

5 CLIENT Standards.
• CLIENT - HSE Procedure requirements

6 DEFINITION & ABBREVATION

Main Contractor
CLIENT
Work Location As per the Drawing
AFC Issued for construction.
BA/ H2S Breathing Apparatus/ Hydrogen Sulphide
HSE Health Safety Environment
HIRA Hazard Identification and Risk Assessment
PPE Personal Protection Equipment
PTW Permit to Work
TBM Temporary Benchmark
IP Intersection Points
E.G. L Existing Ground Level
QCS Qatar Construction Standards

7 EMERGENCY PROCEDURE FOR IN CASE OF CONTINGENCY AT THE

PLANT.
Type of Emergency at site during the work execution:
1. Gas leak Alarm /Fire Alarm in plant area.
• Move to work site - Assembly point/Muster point.
• Inform work site supervisor /Safety officer.
• Inform Control room /CLIENT -Site operator.
• Wait for all clear & Permit reissue from permit controller.
2. Any Medical Emergency at site.
• Inform work site supervisor /Safety officer.
• Move to safe place.
• Inform Project Engineer / Project Co-Ordinator.
• Project Engineer Contact detail:
• Safety offer contact detail:
Note: Any Emergency occurred at site during the work progress, site emergency procedure to be
followed as per HSE plan.

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8 RESPONSIBILITY
The safety and overall responsibility of carrying out all the activities mentioned in this procedure.

CLIENT staff: The CLIENT Representative shall have the overall responsibility of HSE of the project
A. CONTRACTOR staff:
• Project Manager: Will be overall responsible for satisfactory execution of the project and will
liaise with the CLIENT on all matters. The Project Manager will be the focal point of contact on
all techno-commercial issues.
• Project Engineer: Will directly supervise the Site Supervisors on the site and has full control
over use of the labors and equipment. He ensures that the work is carried out in full compliance
with all CLIENT HSE Standards and Safety requirements. He shall liaise with CLIENT on day- to-
day basis and all maintenance activities shall be carried out under his supervision in accordance
to maintenance plan.
• IMS Representative: Responsible to review and ensure the quality of documents submission in
accordance to the project scope and requirements.
• Planning Engineer: Responsible to prepare the planning package in accordance to the project
scope and assets.
• Work site Supervisor / PTW Holder: A Full Time Site Engineer or supervisor / PTW Holder shall
be at site when the work is in progress, and he is accountable for work progress including safety
aspects.
• Technicians (All discipline): Responsible to carry out the work in accordance to the worksite
supervisor’s instructions.
• QA/QC Personnel: Responsible for monitoring the quality of works and implementation as per
procedures as identified in approved quality plan.
• Safety Officer: Responsible for Monitoring and Ensuring compliance of health, safety, and
environmental related matters such as work permits, PPEs, Toolbox talks, maintaining hygiene
in workplace, inspection of tools and tackles.
• Fire watcher: Responsible for monitoring the hot work activities at site.

9 NATURE OF WORKS AND ACTIVITIES TO BE CARRIED OUT

ACTIVITIES TOOLS TO BE USED

Hilti, powered jack hammer with

Earth breaking tools
excavations Manual Hand tools
3-ton pickup
Dump truck
Levelling instruments
Levelling, Compaction test equipment’s by TPI
surveying 1-ton Pickup
/compaction Plate Compactor – Diesel operated

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 Concreting work Transit Ready mixer Vehicles, Vibrator -
/ Grouting works Diesel operated
Hand Tools , concrete pump.
Dump truck
Backfilling/Reins Plate Compactor – Diesel operated
tatement Hand Tools, jumping rammer, hand

10 HEALTH SAFETY AND ENVIRONMENT:

All the personnel involved in the project execution will adhere to CLIENT’s safety regulations as per
CLIENTs HSE Policy. Some of the key safety parameters that need to be followed are as follows:

10.1 COVID19 INFECTION AND PREVENTION

a. All work crew are requested to download ETHERAZ on their mobile phone and entry to site
is restricted with green colon code.
b. Wear a mask if you are working or travelling with 1.5 m distance from your colleague. Follow
the instruction how to wear the mask. Make sure that you don’t have flu symptoms: fever
and cough and shortness of breath, if you have any of the above symptoms or feel tired
inform your supervisor and report immediately to related health care.
c. Frequent hand wash with soap and water.
d. When coughing and sneezing, cover mouth and nose with flexed elbow or tissue. Dispose
of the tissue responsibly in a trash bin and immediately wash your hands.
e. Maintain a clean environment & sanitize surfaces.
f. Avoid touch of eyes, mouth & nose before washing the hands.
g. Medical screening shall be done for all the individuals participating in the activity h. Strictly
adhere Qatar MOPH & OSHA3990 regulations.

10.2 SITE PREREQUISITES FOR HEALTH & SAFETY ENVIRONMENT

a. Before commencing any work, it shall be ensured that all permits are valid until the
completion of the activity.
b. JHA will be prepared and explained to all prior to the work. Compliance to PTW safety
requirements all hazards shall be removed from worksite prior to start or for continuing the
work.
c. All staff and workmen shall wear approved type of Personnel Protective Equipment i.e., Full
harness, Safety Helmet, Steel Toed Safety Boots, Ear plugs, Safety Goggles etc. where
necessary.
d. Toolbox meeting shall be conducted every day before commencement of work and every
change of situation.
e. Experienced work men shall be deployed for the work.
f. General HSE training is conducted by CONTRACTOR safety for all employees and Safety
Officer is responsible for maintaining records for completion of training. Upon CLIENT
request, HSE training details will be provided.

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 g. CLIENT HSE Training is conducted by CLIENT safety at CLIENT facility. All the employees will
undergo HSE training prior to start of activities. CLIENT will maintains record of completion
of CLIENT Specific HSE Training which is available upon request.
h. Based on Hazard Identification and Risk Assessment and Environmental Aspects, mandatory
training shall be identified for personnel before start of work. The following trainings will
be undertaken by CLIENT

HSE Course / Training Target Population

CLIENT Product Safety Training All Personnel

Site- Specific Emergency Training All personnel

Site Hazardous Waste Awareness All personnel

i. Any additional training identified during the execution of the project shall be arranged and
provided to the employees by Sibylline.
j. Sibylline will maintain an up-to-date list of personnel employed in the project, training
courses they have attended and the dates of attendance.
k. Hazard identification will be done during toolbox meetings especially for heat exhaustion,
sandstorm, etc.
l. For dusty working environment, dust mask will be used.
m. All tools & tackles shall have CLIENT approval prior to mobilization / use at site
n. Full time safety supervisor shall be engaged in site to implement the safety regulation. o.
Risk assessment shall be prepared prior to start any works.
p. Emergency Response Procedures shall be explained to the workers to make them aware of
the procedure when emergency situation arises.
q. All access / exit points to working areas shall be maintained free from obstacles, materials,
and equipment.
r. Barricades, sign boards must be present at the work site. s. Good housekeeping shall be
maintained.

11 WORK PERMITS
All necessary inspection certificates and work permits shall be obtained prior to the commencement
of any activity at site as per CLIENT procedure.

a) All the permits shall be renewed and revalidated as and when required for completion of the
work.
b) All the work permits shall be obtained by site supervisor
c) Depending on the work nature, the following work permits shall be applicable and raised from
concerned department.
I. Cold work Permit
II. Excavation Certificates & Permit

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 III. Hot work Permit
IV. Spark Potential Permit.
Note: Approved JHA shall be attached along with the method statement of an approved work permit.

12 WORK METHODOLOGY: PROCEDURE

12.1 Scope: ‐
This method statement outlines the procedure for the construction of a concrete slab cover. It covers
the installation of the reinforcement, formwork, pouring of concrete, and finishing of the slab cover.

12.2 Material and Equipment: ‐

1: Reinforcement bars (rebar)
2: Concrete mix
3: Formwork materials (plywood, timber, steel)
4: Reinforcement spacers
5: Concrete vibrator
6: Concrete finishing tools (trowels, floats, edgers)
7: Measuring tape
8: Level
9: Safety equipment (hard hat, gloves, safety glasses, etc.)
10: Construction tools (hammers, wrenches, etc.)

12.3 Procedure : ‐
1: Preparation:
A: Ensure that the site is cleared and levelled, and any necessary excavation work is completed.
B: Check the dimensions and layout of the slab cover as per the approved drawings.
C: Obtain the necessary permits and approvals before commencing the work.
D: Ensure all required materials and equipment are available at the site.

2: Installation of Formwork:
A: Install formwork around the perimeter of the slab cover using suitable materials (plywood,
timber, steel) according to the approved drawings.
B: Secure the formwork firmly using nails or bolts to prevent any movement during concrete
pouring.
C: Install additional formwork supports or props as required to ensure stability and proper
alignment.

3: Reinforcement:
A: Place the reinforcement bars (rebar) in the formwork according to the approved rebar shop
drawings and spacing requirements.
B: Use reinforcement spacers to maintain the correct cover between the rebar and the formwork.
C: Secure the rebar using tying wire at intersections and overlaps.

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 D: Ensure proper lap lengths and anchorage of reinforcement bars as per design specifications.

4: Pouring of Concrete:
A: Prepare the concrete mix according to the approved mix design.
B: Place the concrete mix into the formwork in layers, ensuring proper compaction using a concrete
vibrator.
C: Monitor the pouring process to avoid segregation of aggregates and ensure even distribution of
the concrete.
D: Maintain a consistent pouring rate to prevent cold joints or delays in the concrete placement.

5: Finishing:
A: After the concrete has been placed, screed the surface using a straightedge to achieve the
required level and smoothness.
B: Use a concrete float to further level the surface and eliminate any imperfections.
Apply any necessary surface finishes or textures as per the project requirements.
C: Use edger’s to create chamfered edges or desired profiles.
D: Allow the concrete to cure as per the recommended time before removing the formwork.

12.4 DEMOBILIZATION:
a) Demobilization will commence after completion of all detailed survey activities and all permits
shall be closed and handed over to CLIENT.
b) It shall be ensured that all construction related job as per scope is completed and informed to
CLIENT.

13 JOB HAZORDOUS ANALYSIS ‐

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 Area: Utility Job Location:
JHA No :001 Revision No: 0 Date: 17/01/2023

Job Ref (Project No./ Work Order No.): ENGINEERING, Hazardous Area Classification: Zone 0 , Zone 1 , Zone 2 , Non
SUPPLY, INSTALLATION & Construction of Pedestal Hazardous
foundation
Job Description: Permit Type & No.: Hot / Cold works
Civil Foundation works – Earth excavation and Back-filling works, concreting works

S/N Activities (Job Steps) Potential Hazard Risk Rating Controls / Mitigation Residual Risk/ Action Party / Remark
Before Measures Rating
mitigation

1 PTW & Tool Box Talks Inexperienced person /Lack
before commencing Job. of safety awareness may
lead to accident.
3B 1.Obtain work permit 1B Work Site Supervisor
from the client prior to and Safety Officer
enter their premises.
2.Comply with all
general job
requirements
mentioned on PTW.
Conduct Toolbox Talks
on this particular
activity

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2 HSE check list & 1. Lack of safety awareness 3B 1. Ensure all 1B Work Site Supervisor
mandatory may lead to accident personnel’s have valid and Safety Officer
activities before 2. Noncompliance of PPE Gate Pass, and QAFAC
commencing HSE Induction card at
the various site and have
tasks experience in working
inside existing live plant.
2. All safety
requirements stated on
the work permit must
be fulfilled.
3. Ensure lifting gears
have valid color code
and inspected.
4. Ensure that all
personnel wear their
proper PPE.

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 1. Proper Material
3 1. Injury to handling (Manual)
workers through 2. Manual excavation –
hitting stones, use of manual tools.
sharp edges, civil 3. Use of safety
tools, etc. barricades, warning
Excavation 2. Heat Stress tapes, Safety signs and Work Site
works for 3. Damage to 2B Traffic diversions (if 0B Supervisor
foundation underground any). and Safety
works utilities such as 4. Identify any Officer
cables & pipes. underground utilities
4.Traffic hazards and isolate them from
damage.
5. Isolation of nearby
running system
6. Summer Timings
with appropriate OCP
shall be followed.
7.Required drinking
facility and rest to
workers

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4 Usage of compressor 1. Personal Injury, Abrasion
/ laceration
3B 1. Bursting of pressure 1B Work Site Supervisor
hose component and Safety Officer
/equipment, Sudden
Release of air pressure
2. Unattended free
end of the pressure
hoses
3. Hose Joint leaks /
puncture due to sharp
edge
4. Prior to start of
equipment’s, Use
certified and inspected
by TPI machine to be
used at site.
5. Never use damage
hose and clips
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5 Backfilling works after 2. Injury to 2B 1. Use of hose clip to 0B Work Site Supervisor
foundation works workers secure the hose joints and Safety Officer
through hitting 2. Proper Material
stones, sharp handling (Manual)
edges, civil tools, 3. Manual excavation –
etc. use of manual tools.
3. Heat Stress 4. Use of safety
4. Damage to barricades and warning
underground tapes.
utilities such as 5. Isolation of nearby
cables & pipes. running system
5. Traffic hazards 6. Summer Timings
with appropriate OCP
shall be followed.
7. Required drinking
facility and rest to
workers.
8. Proper housekeeping
to remove any
hazardous materials.

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6 Compaction Works 1. Injury to workers through
hitting stones, sharp edges,
civil tools, etc.
2. Heat Stress
3. Damage to underground
utilities such as cables &
pipes.
4. Traffic hazards
2B 1. Proper Material 0B Work Site Supervisor
handling (Manual) and Safety Officer
2. Use of QAFAC
Inspected compaction
tools.
3. Use of safety
barricades and warning
tapes.
4. Isolation of nearby
running system
5. Summer Timings
with
OCP shall be followed.
6. Required drinking
facility and rest to
workers.
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7 Concrete Foundation works 1. Slips/Trips/Falls
2. Protruding Rods
3. Exposure to Cement dust
4. Contact with concrete
5. Concrete Ready Mixer
vehicle
8 Working in adverse 1.Heat stress
weather conditions 2. Suffocation and bronchial
1. Working in high dusty asthma.
environment 3. Falling objects.
2. Working in high wind
3B 1. Maintain Good House OC Work Site Supervisor
Keeping and Safety Officer
2. Provide Proper Work
Platform
3. Usage of Dust Masks
4.Usage of Proper
Personnel Protective
equipment like Rubber
hand Gloves, Gum boots
5.Usage of certified
inspected vehicle
2C 1. Avoid exposure to 0C Work Site Supervisor
direct sunlight. and Safety Officer
2. Drink ample water.
3. Follow safety
message from HSE dept.
4. Use proper PPE for
dusty environment.
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9 House keeping Hand injury 2B 1. All safety 0B Work Site Supervisor
requirements stated on and Safety Officer
the work permit must
be fulfilled.
2. Clear the area after
finishing the job
3. Use hand gloves for
cleaning the material

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TOOL BOX TALK:

CONTRACT PO # 16012023013 DATE

PROJECT ENGINEERING, SUPPLY, INSTALLATION & Construction of Pedestal Foundation

TOPIC

Sl.No Name Staff Signature Remarks

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Owner - OPERATIONS

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