You are on page 1of 20

New Doha Inte rnati onal Airport

---SKYORYX
JOINT VENTURE
T A IS E I
~.,~, ..."
DBII
@ snup

METHOD STATEMENT
SKY ORYX JOINT VENTURE

TA I S EI IIda
INSTALLATION OF POWER MONITORING AND CONTROL SYSTEM

CONTRACTOR'S VERIFICATION STAMP

PURSUANT TO SPECIAL CONDITION 5, WE, SKY ORYX JOINT VENTURE, VERIFY THAT THIS SUBMITTAL SATISFIES ALL
REQUIREMENTS OF THE CONTRACT , WITH THE EXCEPTION OF THE FOLLOWING CLARIFICATIONS I PROPOSALS
ACCEPTED BY THE ENGINEER:

CONTRACTOR 'S PROJECT MANAGER:

M.HORIKAWA
PRINT NAME ~
~ .N.,.QhO ~
DATE
By JT Thomas at 4:32 pm, Feb 18, 2008

DOCUMENT REVIEW STATUS

o STATUS 1: WOR K MAY PROCEED.

o STATUS 2: REVISE & RESUBMIT. WORK MAY PROCEED SUBJECT TO INCORPORATION OF COMMENTS
INDICATED.

o STATUS 3: REVISE & RESUBMIT. WORK MAY NOT PROCEED. Comments from OBI ES&H dept.
Needed in the Risk Assessment
o STATUS 4: REVIEW NOT REQUIRED. WORK MAY PROCEED. are the following items: Working
with ladders; scaffolding; use of
tools and equipment; interface
PERMISSION TO PROCEED SHALL NOT CONSTITUTE ACCEPTANCE OR APPROVAL OF DESIGN DETAILS,
with
CALCULATIONS, ANALYSES, TEST METHODS, OR MATERIALS DEVELOPED OR SELECTED BY other contractors.
CONTRACTOR AND SHALL
NOT RELIEVE CONTRACTOR FROM FULL COMP LIANCE WIT H THE CONTRACT TECHNICAL SPECIFICATIONS AND
DRAWINGS.

Overseas Bechtel , Inc. Date

Method Statement No: 25045-A1000-18-3GS-E-O LtC Rev.O

Issued by: SKY ORYX JOINT VENTURE

Approved
Rev. No. Date Description Proj. M nager
o 13Jan08 First Issue M. Ho wa

Page 1 of 20
TABLE OF CONTENTS

1. TITLE. Installation of Power Monitoring and Control System

2. SCOPE OF WORK
2.1 General description.
2.2 Plant and equipment.
2.3 Materials.
2.4 Site planning & preparation
2.5 Work methodology.
2.6 Organisation, Responsibilities & Supervision.
2.7 Work Force.

3. HEALTH & SAFETY


3.1 Risk assessments
3.2 NDIA E S & H Contractor Requirements
3.3 Protective & Safety Equipment.
3.4 Contractual Requirements.
3.5 Information to personnel.
3.6 Emergency Procedures.
3.7 Permit Requirements.

4. ENVIRONMENTAL ISSUES
4.1 Environmental Impact assessment.
4.2 NDIA E S & H Contractor Requirements
4.3 Contractual Requirements.
4.4 Emergency Procedures.

5. QUALITY ASSURANCE
5.1 Contractual Requirements.
5.2 Critical works.
5.3 Inspection & Testing.
5.4 Follow up & Evaluation.

6. APPENDICES
6.1 Risk Assessment Form

Page 2 of 20
1. INSTALLATION OF POWER MONITORING AND CONTROL SYSTEM
2. SCOPE OF WORK
2.1 General Description
The document describes the characteristic and general scope of work for the supply
and installation of Power Monitoring and Control System as detailed in Approved
Shop drawing and as describe in Specification section 16920.
The PMCS system
2.2 Plant and Equipment components will be
included within the power
The following equipments and tools are needed to executeequipment
the works. and factory
installed. What part of that
installation does this
• Socket and torque wrench method statement cover?
• Measurement tape
Is this method statement
• Electric drill for the site works under
• Screw drivers section 2.5.4?
• Hammer
• Roughing file If so, you need to identify
what external wiring and
• Ladder and scaffolding equipment, like the
• Megger meter PCW's, this method
• Multi-function tester statement covers.

2.3 Materials
All materials that will be used will be based on approved material submittal,
shop drawing and specifications.

• Power Monitoring and Control System

Material Submittal No -25045-A1000-18-EPD-E-031 By Schneider-Code 2

2.4 Site Planning & Preparation


2.4.1Site Management Plan
Site Engineer and supervisor will ensure that all necessary materials, complete
tools, and equipment for the installation are available at the site prior to start the
activity. Ensure all materials are approved for installation before works start. All
approved submittals, drawings, Method Statement and ITP’s, are on hand for
review by OBI.

2.4.2 Coordination with other contractors


• Coordination meetings with the other trade contractors will be carried out in
order to notify their interfacing works.
Page 3 of 20
• SOJV will inform in advance all related internal sub-contractors and organize a
meeting to prevent future problem during the installation of lighting fixtures.
• In case of any interface issue with other contractor on site,
Call CP18 Interface Manager Mr. George Yousef (Ph: 580-8797)

2.4.3 Traffic Management

• Traffic management is not applicable for the application defined.

2.4.4 Permits & Certificates

• Permit to work

2.4.5 Lay down Areas


What equipment is covered by this statement?
Material and equipment will be laid in pre-determined and designated approved
laydown area and will be shifted partially to a suitable location at site.Ensure
temporary storage area must be free from direct sunlight, accessive moisture
and dust.

2.4.6 Communication

Communication on site will be provided by radios and cellular phones (if the
Cellular phone doesn’t work in all areas, radios will be preferred).

2.5 Work Methodology


The sequence of construction works are as followings:
• Shop drawing preparation
• Inspection of Equipment
• Site Survey
• Installation of Power Monitor and Control System
What part of the PMCS?

2.5.1 Shop drawing preparation

• Prepare shop drawing indicate dimensions, weights, method of assembly,


components, features, and wiring diagram.
• Re-submittal of shop drawing will be prepared taking into consideration all
necessary of this comment of Engineer (if submitted shopdrawing is not code 1).
• Approved drawing will be multiplied and will be distribute to site engineer for
implementation.
Page 4 of 20
2.5.2. Inspection of Equipment

• When equipment is sealed to prevent ingress of moisture or dust, this


shall not be disturbed unless physical damage is observed.

• Check that all supplied items and associated components of the PMCS
system are conformance with the purchase order and specification data
sheets.

2.5.3 Site Survey

Site Engineer shall perform the following task.

• Verify the access route prior to the delivery of equipment on site


are free from physical damage during hauling of the equipment.

• Inform in advance with a report the existence of any foreseen problem


encountered.

2.5.4 Installation

A. PMCS components, including Circuit Monitors, Transformer Temperature


Monitors, included within the power equipment line-ups shall be factory
installed, wired and tested prior to shipment to the job site.

B. All control power, CT, PT and data communications wire shall be factory
wired and harnessed within the equipment enclosure.

C. Where external circuit connections are required, terminal blocks shall be


provided and the manufacturer’s drawings must clearly identify the
interconnection requirements including wire type to be used.

D. All wiring required to externally connect equipment line-ups shall be


provided by the contractor in accordance with the PMCS manufacturer’s
requirements and as specified.

E. Contractor interconnection wiring requirements shall be clearly identified


on the PMCS system shop drawings.
This section needs to identify what
external connections and wiring
needs to be covered by this
method statement for the site
works.

Page 5 of 20
2.6 Organization, Responsibility & Supervision

Item Category Qty Purpose


1 Site Electrical Engineer 1 To coordinate /lead the works
2 Factory Service Representative 1 To monitor the assembly of
switchgear
2 QC Electrical Engineer 1 To inspect the quality of work and
prepare IRF for inspection to
SOJV/OBI
3 Safety Officer 1 Safety and Health matters
4 Foreman 1 Coordinates and control the
performed application done
5 Electrician 6 Skill works
6 General Worker 6 To help the work
7 Drivers 1 Vehicle Driver

2.7 Work Force

• It is ensured that this manpower is adequate and it reflects the manpower


requirement for these activities. Safety talks and work instruction will be catered
to suit and be effectively disseminated.

3. SAFETY AND HEALTH

3.1. Risk Assessment

Please refer to Appendix 6.1.

3.2. NDIA Environmental Safety & Health Requirements


Contractor confirms complying with the Environmental Safety and Health
(ES&H) Requirements contained in Attachment 7 of Special Conditions of
Contract such as following requirements;
ES&H Orientation & Training, ES&H Pre-Task Briefings, ES&H Assessments,
Incident Notification and Investigation, Emergency Response.

Page 6 of 20
In addition, Contractor shall fully comply with the following ES&H
requirements:

- Construction Environmental Control Plan – 25045-M-4CP-G01-01105


- Safety Field Manual – 25045-M-2HP-G01-009
- Health Field Manual – 25045-M-2HP-G01-020
- Environmental Clearance for NDIA
- SOJV CECP-25045-A1000-18-4CP-U-001
- SOJV Safety Plan 25045-A1000-18-2HP-X-001

Upon the failure of contractor to comply with any of the requirements set forth
in these documents, engineer shall have the authority to stop any operations
of contractor affected by such failure until the condition is remedied
acceptable to engineer.

3.3. Protective & Safety Equipment

All workers engaged in the job site shall wear mandatory P.P.E. in
accordance to the NDIA ES&H requirements as follows;
• Safety Helmet
• Safety Shoes / Boots
• Safety Glasses
• High Visibility Luminous Vest

Also there will be additional special PPE to be used in case of necessary as


follows;
• Dust Mask
• Protective Gloves( with high insulated protection)
• Full Body Harness
Additional safety protective equipment shall be issued when and as required.
For equipment, barricades should be used.
Page 7 of 20
3.4. Contractual Requirements

SOJV ES&H PLAN

GC-19 WATCHING and LIGHTING: The Contractor shall in connection with


the works provide and maintain at his own cost all lights, guards fencing and
watching when and where necessary or required by the engineer or by any
duly constituted authority for the protection of the works or for the safety and
convenience of the public or others.

GC-31 COOPERATION with OTHERS:


GC-31.1: There may be other contractors, and agents or employees of the
Employer working at or adjacent to the site during the performance of the
works by the contractor. The contractor shall, at the Engineer’s instructions
and orders, allow those other contractors who might be working for the
Employer the opportunity to enable them to execute their work. The contractor
shall allow the same opportunity to the workers of the said contractors and to
the employer’s workers and to Government workers who might be employed
at the site or adjacent to it, to execute any work not included in this contract or
to execute any contract which might be performed by the employer and which
is related to the works of this contract, annexed to, or complementary to the
works.

SC-21 Site Sanitation:


SC-21.1: Contractor shall furnish and maintain, or arrange to obtain, at each
of its work areas adequate waste disposal, sanitary and washing facilities, and
potable water for the use of its employees and maintain them so as not to
present a health or nuisance

Page 8 of 20
problem. In addition contractor shall comply with all laws, standards, codes,
and regulations relating to sanitation at the site, including the employer’s
requirements as to waste disposal, toilet facilities, and potable water.
SC-21.3: Upon failure of contractor to comply with any of the requirements set
forth herein, the employer shall have the right to stop the works or any part
thereof until contractor does so comply. No part of the time lost due to any
such stop order shall be made the subject of claim for extension of time or for
increased costs or damages by contractor.

SC-11 Site Work Rules:


1. The jobsite normal working hours are 7:00am to 6:00pm Sunday thru
Thursday. The Contractor shall obtain approval from the engineer prior to
conducting site activities outside normal working hours.
2. Contractor shall keep an up to the minute record of its employees working
on site.
3. Contractor shall keep a record of all employees leaving the site at other
than normal quitting or shift change time.
4. Contractor shall take disciplinary action, including discharge, against its
employees for violations including but not limited to;
a. Refusing to work as directed
b. Excessive or chronic absenteeism
c. Consumption, possession of or being under the influence of drugs
or alcohol on the site.
d. Freighting, discrimination and horseplay on site
e. Disregard for Environmental, Health, Safety Rules
f. Theft of Employer’s, Engineer’s or other Contractor’s property.
g. Gambling on site.
h. Possession of deadly weapon(s) on site
i. Damage, misuse/or unauthorized use of permanent plant or
facilities
j. Unauthorized entry to site or site facilities

Page 9 of 20
5. Contractor shall comply with all requirements of the contractors approved
Environmental, Safety and Health Programs.
6. Contractor shall provide and require all its employees to wear approved
hard hats, safety eye protection and safety working shoes and high
visibility vests in any site area designated as a Hard Required Area.
7. Contractor shall provide and require visitors to wear safety helmets, work
boots, high visibility vest and safety eye protection in any site area
designated as a hard Hat Required Area.
8. Contractor’s safety representative on site shall wear green coloured hard
hats. The Contractors supervisors on site shall wear yellow coloured hard
hats.
9. Contractor’s employees shall be subject to Contractor inspection of all
vehicles, tool boxes, carry boxes etc. at the site.
10. Minors (anyone under 18 years of age) will not be permitted on site.
11. No private vehicles will be used on site, outside of designated compounds.
Only Contractors vehicles bearing Contractors logo may be used on Site.
12. Delivery Vehicles
a. All contractors shall ensure that all delivery vehicles entering the
site have paperwork, such as delivery note collection note/off hire
note or NDIA order, stating the purpose of the visit. It is in the
interest of the Project and or services, a correct order number,
name and or location is given at the time of ordering to ensure
correct delivery of those goods, materials etc., and all likely losses
are minimized or traced.
b. All delivery vehicle drivers must have the following Personal
Protective Equipment available for use if his delivery task requires
him to work outside:
Safety Helmet
Hi Visibility Vest
Safety Boot
Safety Glasses

Page 10 of 20
c. Compliance with the above delivery requirements is the sole
responsibility of the Contractor. Failure to ensure compliance will
result in stoppage of offloading.

3.5. Information to Personnel


STARRT briefing will be conducted by supervisors to all team members prior
to any activity on site before the work starts. Application will be given on site
for each shift/location. Supervisors will post STARRT card adjacent to the
activity location.
3.6. Emergency Procedures
In the event of an emergency, such as earthquake, all workers shall be
evacuated and assembled at the secured area.
In the event of an emergency, Contractor shall follow the Emergency
Procedure as instructed by OBI (Ref: 25045-M-TSV-MAHT-18-0047 dated on
20 April 2006);

All the contact numbers should be called only in case of emergency


In case of emergency our contact persons name and their phone numbers
are as follows;
1. Mr. Paul Nel: 5716234, Mr. Atsuta:557-9215, Mr.Huseyin:5851095
2. Dial 999 and giving the location as NDIA Bechtel Construction Site, Ras
Abu Aboud Road.
3. Dial 556-5947 NDIA Emergency Response Number
Dial 581-8965 Project Security to bring the emergency services to the
incident location.

3.7 Permit requirements


All workers shall be inducted and issued with Site Identification Badge prior to
commencement of work.
Wherever applicable, the following passes/permits shall be applied.

• Permit to work

Page 11 of 20
4. ENVIRONMENTAL ISSUES

4.1. Environmental Impact Assessment


In case of spilling of diesel or lubricants, necessary spill kits will be on site.

4.2. NDIA ES&H Contractor Requirements


“Exhibit B” Attachment 7 Section IV – General Environmental
Management Requirements,
13.4: Contractor shall comply with all access restrictions, including
prohibitions on access to certain areas on or adjacent to the jobsite and
require its personnel and those of its suppliers and subcontractors of any tier
comply with all signage and designations related to such restricted areas.
Restricted areas may include, but are not limited to:
i. designated wetlands;
ii. environment mitigation study areas;
iii.cultural/historical/archaeological sites;
iv. designated fish, wildlife, or vegetative habitat.
13.5: Contractor shall immediately stop work in any area where cultural
resources or artifacts with archaeological or historical value are discovered,
and immediately notify employer. No artifacts, items, or materials shall be
disturbed or taken from the area of discovery. Neither contractor nor any of its
suppliers and subcontractors of any tier shall have property rights to such
artifacts, items, or materials, which shall be secured and guarded until turned
over to Employer or the appropriate authorities. Contractor shall also require
that its personnel and those of its suppliers and subcontractors of any tier
comply with this provision and respect all historic and archaeological sites in
the area.
13.6: Contractor shall immediately stop works in any area where
contaminated soil indicators (such as odors or appearance), unknown
containers, piping, underground storage tanks, or similar structures are
discovered, or any other materials which are reasonably suspected to be toxic
or hazardous. Contractor shall then immediately notify employer and stop
Page 12 of 20
work area shall be confirmed by employer. Activity in the stop work area shall
only resume upon employers written approval.
13.7: Contractor shall maintain the cleanliness of roadways when transporting
fill or spoil. Contractor shall provide appropriate facilities to ensure prompt
clean up of mud, dirt and other debris.

4.3. Contractual Requirements


SC-10 Dealing with Hazards and Hazardous Materials:
The employer will be responsible through a specialized contractor for the
treatment, removal or disposal of any hazardous waste or substances
discovered of the works, provided contractor shall notify Employer and
Engineer as soon as practicable following discovery.

4.4. Emergency Procedures


In case of any spilling, spill prevention program shall be applied.

5. QUALITY ASSURANCE

5.1. Contractual Requirements


SOJV’s QA Plan shall be followed. (Doc. No: 25045-A1000-18-GQA-001)

GC-17: The contractor shall be responsible for the true and proper setting up
of the works in relation to original points. Any time during the progress of the
works then any error will appear or arise in the position level dimensions or
alignment of any part of the works the contractor is required so to do so by the
engineer to be rectified such error for the satisfaction of the approved
engineer unless such error is based to incorrect data were supplied in writing
by the engineer.

5.2. Critical Works


N/A
Needs to match the actual needs for on site works.
5.3. Inspection & Testing
ITP for Installation of Power Monitoring and Control System will be submitted
later.
Page 13 of 20
5.4. Follow up & Evaluation
Conduct regular inspection to the progress of works, strict conformance to be
adhered to meet quality and ES&H, review the ITP for Installation of Power
Monitoring and Control System and verify any trend which needs to be
corrected immediately, then conduct QA audits for compliance.

6. APPENDICES

6.1. Risk Assessment Form

Page 14 of 20
NOTE: THIS DOCUMENT SHOULD BE ATTACHED TO THE METHOD STATEMENT. WHEN APPROVED IT
MUST BE KEPT AT THE WORKING PLACE FOR REFERENCE PURPOSES

RA DESCRIPTION INSTALLATION OF POWER MONITORING AND CONTROL SYSTEM


PROJECT Supply ,Installation ,Testing and Commissioning of Electrical Works
LOCATION CONC A, CONC B , CONC C,AND TERMINAL BLDG. DATE:
RISK ASSESSMENT TEAM SITE REPRESENTATION
NAME DESIGNATION SIGNATURE NAME DESIGNATION SIGNATURE

Patrick Cortado Jr. Construction Mngr. Ronald Barroga QA/QC Engineer

Ruelito Rubio QA/QC Engineer Mario Tumamao Site Engineer


Site Engineer
Neil Bosing Elecrical Engineer Joey Valdezco
Site Engineer
Rainier Gumban
Site Engineer
Rene Ciano

Antonio Medel Safety Officer

DESIGNATION INITIALS & SURNAME APPROVED COMMENTS


R/A ORIGINATOR Glen Fortes N/A
CONTRACT MANAGER YES  NO
SAFETY MANAGER YES  NO
OBI REPRESENTATIVE. YES  NO
Installation of Power Monitoring and Control System
Page 15 of 20 Date: 28/01/2008
Rev No.: Revision 1
REQUIRED AND EXISTING CONTROL AVAILABLE ADEQUATE ATTACH TO MS DOCUMENT
MEASURES YES NO YES NO REMARKS
METHOD STATEMENT – STEPS OF THE TASK
PROCEDURES (WORK INSTRUCTION, VENDOR SPECS.)
SPECIAL PERMITS REQUIRED
EQUIPMENT / TOOLS REGISTERS AVAILABLE
TRAINING REQUIRED
COMPETENCY CERTIFICATES REQUIRED

SEVERITY CONSEQUENCE RATING SEVERITY OUTCOME


CATASTROPHIC 5 4 3 2 1 1 FATALITY
CRITICAL 10 8 6 4 2 2 MAJOR INJURY / ILLNESS
SERIOUS 15 12 9 6 3 3 SERIOUS INJURY / ILLNESS
MEDIUM 20 16 12 8 4 4 MINOR INJURY / ILLNESS
MINIMAL 25 20 15 10 5 5 NONE OR SMALL FA

5 4 3 2 1
LIKELYHOOD
IF NOT VERY ALMOST
CONTROLLED UNLIKELY LIKELY VERY LIKELY
UNLIKELY CERTAIN

RISK RANKING (RR) / PRIORITY FACTOR RATING


SCORE 1-2 POTENTIALLY CATASTROPHIC / ACTION NEEDED IMMEDIATELY H+
SCORE 3 -6 POTENTIALLY MAJOR / ACTION TO BE TAKEN WITHIN 12 HRS H
SCORE 7 - 10 POTENTIALLY SERIOUS / ACTION TO BE TAKEN WITHIN 48 HRS M
SCORE 11 - 25 POTENTIALLY MINOR / ACTION TO BE TAKEN WITHIN 7 DAYS L

Installation of Power Monitoring and Control System


Page 16 of 20 Date: 28/01/2008
Rev No.: Revision 1
RISK ASSESSMENT
Worst case E Controlled
No TASKS / ACTIVITY HAZARD AND Rating H PREVENTATIVE & CONTROL MEASURES Rating
RISK IDENTIFICATION L S R S (Eliminate, Reduce, Isolate, Control, PPE, Discipline) L S R
A. Biophysical Hazards
A.1 Dark work area/Insufficient Tripping hazard 2 1 2 H • Proper assesment of minimum lux 5 4 20
light during night work requirements in every work area.
• (Never work on dark).Secure adequate
lighting equipment and accessories.
HOUSEKEEPING
A.2 Usage of Extension chord Tripping hazard 3 3 9 M • Extension chord or any wiring should 5 4 20
not be run across aisles or
walkways.This can cause someone to
trip and wiring can be damaged and
introduce electrocution hazard.

A.3 Scattered work Tripping hazard 3 3 9 M • Materials should be stacked on racks or 4 4 16


pieces/materials,scraps bins and it should be clearly labeled to
prevent substitution.
A.4 Moving vehicles,during Hit by moving equipment 3 3 9 M • Barricading of work area especially on 4 4 16
transport of materials and an open space where transport vehicles
equipment are free to mobilize.
• Install signages and warnings.
• Introduce defensive driving training for
all drivers.
Being crush/hit by the falling 2 3 6 H • Prohibit workers to work under the 5 4 20
objects. suspended load or there is on-going
lifting operation which the location is
within the crane radius.

Installation of Power Monitoring and Control System


Page 17 of 20 Date: 28/01/2008
Rev No.: Revision 1
A.5 Dust from environment Eye irritation, 3 3 9 M • Proper selection of PPE, dust mask, 4 4 16
googles.
• Spraying water to the road or the work
vicinity to reduce dust.
A.6 Dust created by work e.g. Eye injury 3 3 9 M • Acquire drills, tools/equipment that has 4 4 16
cable pulling dust collection mechanism.
• Proper selection of PPE:Dustmask,
googles, hearing/ear protection, long
sleeve, glooves.
• Operators of handpower tools must be
certified user or trained.
B Electrical Hazards
B.1 Direct contact with live Electrocution 3 2 6 H • Periodic and comprehensive inspection 4 4 16
powerlines, grounded tools, should be conducted by a trained
Damaged electrical cords electrician(connection can vibrate,
loose,or corrode,protected insulation on
wirings can get scraped or naked).
• Extension cords should never be used
in place of permanent wiring on
machinery or equipment.
• Extension cord should be equipped with
3 prong, grounded industrial plugs of
the rated capacity.
• Cords with the grounding prong missing
should be removed from services and
tagged for repair or replacement.
• Use only cords that are rated for the
load should be used.
Electrical Tools

Installation of Power Monitoring and Control System


Page 18 of 20 Date: 28/01/2008
Rev No.: Revision 1
• Power cords attached to electrical tools
should be inspected for nicks, cuts or
places where bare conductors are
exposed.
• All blades/prong should be in place(
including the grounding prong) and in
good condition.
• There should be no sign of arcing,
moisture or chemical damaged.
• On & Off switch should operate properly
to prevent sudden, unexpected stop,
starts, or speed changes.
Grounding/Bonding
• Ground Fault Circuit Interrupters GFCI
should be available to provide workers
additional protection or anywhere there
is a significance risk of contacting
grounded surfaces such as metal tanks.
• This should be available whenever
power tools are used outdoors.
• Each GFCI should be checked before
each use to make certain it trips
according to the manufacturer’s
specification.
• Hand power tools must be double
insulated.

Installation of Power Monitoring and Control System


Page 19 of 20 Date: 28/01/2008
Rev No.: Revision 1
RISK ASSESSMENT COMMUNICATIONS FORM.
I, THE UNDERSIGNED HEREBY ACKNOWLEDGE THAT THIS RISK ASSESSMENT HAS BEEN DISCUSSED WITH ME AND THAT I UNDERSTAND THE
CONTENTS AND THE RISKS INVOLVED IN THE TASK TO BE PERFORMED. I HAVE ALSO BEEN INSTRUCTED ON THE SAFE METHODS TO
PERFORM THIS TASK.
NAME CO. NO SIGNATURE NAME CO. NO SIGNATURE

Installation of Power Monitoring and Control System


Page 20 of 20 Date: 28/01/2008
Rev No.: Revision 1

You might also like