Method Statement For Backfilling Works

Employer PMC Engineer Contractor
PROJECT NAME: CORDOBA (Phase-1) at Bloom Living
Method Statement for Backfilling Works
M-DT-MS-031200-ST-009-A
AD21094-0201S-FM-18 REV 00
Revision History
Sn. Description Rev. No. Date Status
01 1st Submission A 30-03-2023
02
03
Checked and Approvals

Printed initials in the boxes confirmed that the documents have been reviewed and approved.
Sn. Name Position Signature Date
Checked By:
Reviewed By:
Approved By:
AD21094-0201S-FM-18 REV 00 Page 2 of 15

Project Name: CORDOBA (Phase-1) at Bloom Living
Ms For Backfilling Works
TABLE OF CONTENTS
1. OBJECTIVE & SCOPE ..................................................................................................... 4
2. REFERENCES ................................................................................................................ 4
3. TERMS AND DEFINITIONS ............................................................................................. 4
4. RESOURCES ................................................................................................................. 4
4.1 Approved Material ............................................................................................................5

4.2 Approved Sub-contractor and PQ documents. ......................................................................5
4.3 Shop drawings ..................................................................................................................5
4.4 Equipment’s required and third-party certifications. ..............................................................5
4.5 Human resources and RACI Matrix (Contact details to be provided) ........................................5
4.6 Roles, Responsibilities and Authorities .................................................................................5
5. HSE REQUIREMENTS .................................................................................................... 7
6. DETAILED CONSTRUCTION SEQUENCE............................................................................ 8
6.1 Site Planning & Preparation........................................................................................... 8
6.2 Work Methodology ...................................................................................................... 9
6.3 Inspection Requirements ............................................................................................ 11
7. Construction Program ................................................................................................ 11
8. Quality Control Requirements ..................................................................................... 11
9. Third Party Approval Requirements, If Any .................................................................... 12
10. Appendices ............................................................................................................... 12
APPENDIX 1 - INSPECTION AND TEST PLAN (ITP) ..........................................................13

APPENDIX 2 - QUALITY INSPECTION CHECKLIST ..........................................................14
APPENDIX 3 - HSE RISK ASSESSMENT ...........................................................................15
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1. OBJECTIVE & SCOPE
The purpose of this method statement is to define the methodology for execution of
backfilling and compaction procedure related to earthworks of underground structures & to
describe and refer the sequence of activities, utilization of resources, documents & drawings
involved, maintaining & recording documents & data to meet project specific & contractual
obligations.
2. REFERENCES
Codes of practice/Legislative code
- OSHAD SF CoP
- Specification details
- 033000 CAST-IN PLACE CONCRETE
- 071416 COLD FLUID-APPLIED WATERPROOFING
- 311000 SITES CLEARING
- 312000 EARTH MOVING
- 312319 DEWATERING
- 313116 ANTI-TERMITE TREATMENT
3. TERMS AND DEFINITIONS
Abbreviation For
PM Project Manager
CM Construction Manager
Owner Bloom District Properties – Sole Proprietorship LLC
Engineer Dar Al-Handasah
PE/SE Project Engineer / Site Engineer
QA/QC Engineer Quality Assurance & Quality Control Engineer
ITP Inspection & Test Plan
IR / MIR Inspection Request/ Material Inspection Request
Contractor ELM (Emirates Link Maltauro)
HSE Health Safety & Environment
MS Method Statement
4. RESOURCES
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AD21094-0201S-FM-18 REV 00 Page 4
4.1 Approved Material

Only approved material will be used for the backfilling works.
4.2 Approved Sub-contractor and PQ documents.

All the work will be carried out by ELM and if required to hire subcontractors, the ELM will submit
PQ to get approval.
4.3 Shop drawings

All the work will be carried out as per shop drawing.
4.4 Equipment’s required and third-party certifications.

Total Station 1 Setting Out for Construction
Automatic Level 1 Leveling
Excavator As required Excavation, Spreading and Leveling
Dump Trucks As required Hauling
Plate Compactor As required Compaction
Water Tanker As required Water transportation.
Water Pump As required Water spraying and removal.
Wheel Loader As required Unloading the backfill material.
Bobcat As required Spreading & Leveling in small scale.
Hammer As required Driving of Steel Pins
Steel Chisel As required Chipping
Hand Shovel As required Spreading the material.
Safety Equipment As required.
4.5 Human resources and RACI Matrix (Contact details to be provided)
S. No Designation Name Contact Number Remarks

01 Project Manager Ahmad Zeiter 0561266555
02 Construction Manager Ahmad Abdel Ghani 0555458894
03 Project Quality Manager Mohsin Khan 0589899902
04 Project Safety Manager Najm Ul Hassan 0562526739
05 Project Engineer Hany Ghonimy 0501208474
06 QAQC Engineer Muhammad Aamir 0503272119
07 QAQC Inspector Anu Sadanandan 0501651767
08 Site Engineer Hisham Alkhatib 0502387928
09 General Foreman Ram Singh 0568038622
4.6 Roles, Responsibilities and Authorities

Project Manager / Construction Manger
Project Manager/Construction Manager are responsible for overall implementation of this method
statement, and to ensure that project engineer, site engineer and general foreman are well informed
of its required, PM/CM are responsible for
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• Providing all resources in terms of manpower, equipment, and material.
• Controlling the coordination between all involved parties to ensure safety, quality and schedule
requirements are met.
• Controlling the progress of work and ensuring all the submittal are made on time and approved
well before starting certain activity.
• Controlling the progress of work and ensuring final approval is obtained at least 24 hours before
casting schedule date.
• Review & approve the MS & material in coordination with QA/QC & relevant subcontractor.
Project Engineer /Site Engineer

PE/SE are responsible for the following.
• Organize & deploy the manpower as per site requirements & making sure the required machines
and tools are in good working conditions.
• PE/SE will make sure all the foreman and labor involved in the activity have attend the HSE toolbox
prior start working at site.
• PE/SE will make sure all the work is performed as per approved drawings and method statement.
• Check the work at site prior QA/QC inspection making sure work is ready for inspection as per
approved drawings and project specification.
• PE/SE will make sure timely IR will be raised in coordination with QA/QC engineer to get timely
approval to proceed with next activity.
QA/QC Manager / QC Engineer

QA/QC team is responsible for the following.
• QA/QC engineer will ensure all the work is carried out in accordance with the contract specification,
approved drawings, and approved project quality plan.
• Timely raise of ITR as per approved ITP & make sure work is done as per approved drawings and
MS prior consultant approval.
• Visit the site prior consultant visit and make sure work are done as per drawings, specification and
approved method statement.
• Arrange consultant visit and seek their 1st time approval.
• Arrange other relevant clearances to proceed with casting.
HSE Manager / HSE Engineer

The HSE team is responsible for the following.
• Prior commencement of activity, HSE engineer will brief the work force induction talk on project site
safety requirements.
• Maintain records of accidents & enforce PPE on all staff.
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• Inspecting Sites and making sure all the machines and equipment deployed at site complied with fitness
standard.
• Monitoring and providing support during construction of facilities and equipment.
• Identifying hazardous situations and safety-controlled actions.
• Keeping and maintaining company safety records.
• Identify & manage risks associated with the project environment and processes while complying with
regulatory requirements & corporate standard.
• Responsible for Maintain a proactive and demonstrable safety performance that includes compliance
with all safety, health & environmental policies and procedures.
• Manage & submit HSE reports as required.
• Work effectively with various departments throughout the project to resolve compliance issues.
General Foreman
General Foreman is responsible for following.
• Proper distribution of work force as per requirement of work.
• Continuous coordination and follow up of site engineer’s instruction to meet requirements outlined
in method statement during excavation, construction and finishing activities.
• Coordination with site safety officer to maintain safe workplace.
• To ensure that all the workers have the required information and knowledge of their duties.
• Ensure when labor wear suitable eye protection and mask where necessary.
• Ensure materials are being safely stored.
Site Surveyor
The site surveyor is responsible for the following.
• Check layout and level for form work as per drawings.
• Report to CM/PM if any discrepancy found in site condition & drawings and take advice for further
action prior proceeding with next activity.
• Making sure all the equipment used in survey must be calibrated as per planned interval.
5. HSE REQUIREMENTS
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• Compliance with legal requirements.
• Compliance with system framework OSHAD SF CoP.
• Compliance with ADM requirements.
• All workers must be inducted before the start of work.
• MSRA Need to communicate to all the workers.
• TBT should be conducted, and evidence need to maintain.
• Third party Competency certificates are required for all technical job.
• All plants and equipment must be third party certified.
• Close supervision of the area and proactive monitoring of activities.
• Welfare facilities to be provided to the work force at site.
• Site foreman HSE crew should be vigilant at site.
• PTW work must be obtained before the start of the job.
• Internal HSE inspections should be conducted.
• Machinery, Plant must be inspected with aid of checklist.
• All the workers must use PPE’s.
Emergency Phone Numbers
SN. DESCRIPTION CONTACT NUMBER

01 POLICE 999
02 AMBULANCE 998
03 CIVIL DEFENCE 997

04 ADDC Emergency 991
05 DAR Emergency Details to be provided

06 Contractor PM 0561266555
07 Contractor CM 0555458894
08 Contractor HSE 0562526739

6. DETAILED CONSTRUCTION SEQUENCE
6.1 Site Planning & Preparation

Refer to approved baseline schedule for the duration of backfilling works.
Preparation
a. Contractor shall ensure that all gate passes, permits, tools, materials for safety precautions,
manpower and equipment are available before commencement of work.
b. The Site Team shall make sure that access roads are always clear of any obstruction and the site
is always accessible.
Site Clearance
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c. Before commencing the work, the area shall be cleared of all debris, materials, or other
obstructions.
Traffic Management
d. The Site Team with the assistance of the Safety Officers shall coordinate logistics and materials
movement through site following the direction and road signs displayed on site.
e. The Work Permits and Operator Certificates shall be compiled and files for reference by authorized
personnel.
Pre-construction Safety Meetings
The meeting shall be scheduled prior to the beginning of the work and before any Sub-contractor
starts on the project.
f. General contractual safety, health, and environmental requirements.
g. Traffic safety will be discussed to emphasize these meetings.
h. General contractual Safety, Health, and Environmental requirements.
i. Roles of the contractor, subcontractors, Engineers, and all project workers.
j. Accident reporting requirements.
k. Specific details of the work to be performed along with the use of personal protective equipment.
l. Emergency procedure.
6.2 Work Methodology

Excavation for Formation Level
1. The area to be excavated shall be properly marked and clear before starting the works.
2. A surveyor shall periodically check the depth of the excavation to avoid over excavation.
3. the bank of the excavated area shall be slopped 30 degrees and shall be maintained to avoid a
collapse of the back into the excavated area.
4. All excavated material shall be kept a minimum of 1 meter from the edge of excavation or shall
be stockpiled to the area designed approved the engineer.
5. For all excavation activities, adequate safety barriers, signboards, advance warning signs would
be used.
6. As soon the excavation reaches the required depth/elevation the surface shall be leveled and
shall be compacted to 95% of maximum dry density or MDD.
7. All the excavated material determined as suitable by engineers will be utilized as backfill
material.
8. After excavation is completed, ELM shall inform the engineer for approval of depth of
excavation prior to further structural work.
9. All rock and other hard foundation shall be cleared and cut to a firm surface and level as
required.
10. After all soft spots have been made good, the formation shall be finally formed to the required
lines and profiles.
11. Conduct field density test for formation level.
12. Compaction method shall be with roller/plate compactor.
13. Field density test shall be arranged with 3rd party laboratory and engineer will be invited for
witness and results shall be submitted for approval.
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Backfilling Work
1. All the excavated material shall be approved and stored at the designated stockpile area.
2. Excavated materials shall be carried out by using shovel & excavator bucket near the stockpiles.
3. Sufficient number guides to be provided and follow for layer thickness (shall not exceed a
thickness of 300 mm to the levels and will be 250 mm +/- 1% after compaction).
4. The material shall be placed in a layer where the maximum loose (uncompacted) thickness of
each layer shall not exceed 300mm +/- 3%.
5. Ensure that any unsuitable material does not appear in backfilling. Where unsuitable material
appears, it shall be removed.
6. Water shall be used for the compaction of all fill materials within the area of excavation.
7. Backfilling/compaction shall not be stopped at vertical height, for further continuation of
backfilling steps to be provided in each layer, if required.
8. Filling and compaction shall be done fairly in level, undesired elevations and undulations should
be avoided.
9. Water shall be mixed as necessary to ensure the moisture content of the whole layer is +/- 3%
of the optimum moisture content for compaction.
10. Area for backfill material dumping shall be cleaned and barricaded properly prior to starting to
shift.
11. Loose materials shall be removed and area to be cleaned prior to backfilling works.
12. The surveyor shall mark the reference level and top level to be achieved on sides of the
excavation and foreman shall mark each layer level on different locations by using the spray
paint to control & monitor the thickness of compacted layers.
13. In case of insufficient space, backfilling material has to be lowered down mechanically and laid
manually.
14. Plate compactor and moisturizing of the fill material shall be carried out during the compaction
process to meet the required optimum moisture content.
15. Due to excess water/compaction, if air pocket sponge area found then those areas shall be
scratched and replaced with backfill material and shall be compacted.
16. The inspection shall be offered to the Engineer for approval of each layer after completion of
satisfactory compaction i.e., to achieve a minimum CBR of 30% at a compaction of 95% of the
maximum dry density (MDD).
17. Material shall be watered and mixed as necessary to ensure that prior to compaction the
moisture content of whole layer is +/- 3% of the optimum moisture content. Compaction of
layer shall be continued until a density of at least 95% of MDD shall be achieved.
18. Provisions and measures shall be taken to protect the Water Proofing Membrane during
backfilling Ensure underground Concrete protection and Water Proofing is completed and
inspected before proceeding with backfilling around and near the structure.
19. Where required, waterproofing shall be applied up to sufficient height and to be inspected by
The Engineer prior to starting the backfilling work.
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20. If required, ensure all underground services are provided and approved prior to proceeding for
backfilling.
21. The backfill shall be brought to the suitable level above grade to provide for anticipated
settlement and unless indicated otherwise, is to be sloped away from the structure.
22. Backfilling material around the structure shall only be hand placed. Compaction of backfilling
within one meter of the structure shall only be achieved by manually operated tools &
equipment. Towed or self-propelled vibrating rollers or heavy compaction equipment’s shall
not be used within one meter of any structure.
23. The installation of cable ducts for services entries and service pipework is to be completed and
concrete encasement should be provided before placing of the fill to receive the ground slab.
(Suspended slab areas to be filled in one time and provide 1000-gauge polythene sheet on the
top of the filled soil).
6.3 Inspection Requirements

Refer to Appendix 1 ITP
7. Construction Program
All the work activity will be performed as per an approved baseline program.
8. Quality Control Requirements

Backfilling is a crucial process in construction and engineering projects that involves filling up
excavated areas or trenches with suitable material to support the structure or to provide a stable
foundation. Quality control is an essential aspect of the backfilling process to ensure that the work
is carried out to the required standards and specifications. Here are some of the quality control
requirements for backfilling works:
Materials Testing: Before backfilling, the soil, or other materials to be used must be tested to ensure
that they meet the required specifications. The tests should include soil compaction tests, moisture
content tests, and particle size analysis.
Compaction Control: Proper compaction is essential for backfilled materials to provide the required
stability and support. The compaction process should be carefully controlled, and the density of the
backfilled material should be tested regularly to ensure that it meets the required standards.
Inspection and Verification: The backfilling work should be inspected regularly to ensure that it is
being carried out according to the plans and specifications. A qualified engineer should also verify
the work to ensure that it meets the necessary requirements.
Drainage and Water Management: Proper drainage is essential to prevent the backfilled materials
from becoming saturated and losing their stability. The backfilling work should include adequate
drainage systems and water management measures to ensure that the materials remain stable and
reliable.
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Safety and Environmental Considerations: Backfilling works should be carried out with due
consideration for safety and the environment. The work area should be properly marked and
protected, and the backfilled materials should not pose any risks to people or the environment.
By following these quality control requirements for backfilling works, construction and engineering
projects can ensure that the backfilled materials are stable, reliable, and meet the required
specifications.
9. Third Party Approval Requirements, If Any

M-SCA-033000-STR-006-A Prequalification for M/s Arab center as a third party for soil,
concrete, and material testing.
10.Appendices
10.1 Inspection and Test Plan (ITP)

10.2 Quality Inspection Checklist
10.3 HSE Risk Assessment
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Contractor Engineer Employer
M-DT-MS-033000-ST-002-A
APPENDIX 1 - INSPECTION AND TEST PLAN (ITP)
M-DT-MS-033000-ST-002-A
AD21094-0201S-FM-18 REV 00
INSPECTION AND TEST PLAN
PROJECT NAME/NO.: CORDOBA (PHASE 1) AT BLOOM LIVING, ZAYED CITY, ABU DHABI - MAIN WORKS PACKAGE
EMPLOYER: BLOOM DISTRICT PROPERTIES CONTRACTOR: Emirates Link Maltauro LLC
ENGINEER: DAR AL-HANDASAH CONSULTANT SUB-CONTRACTOR:
Doc. Submittal Reference: Rev. No.:
Description: Excavation, Backfilling Works Date: 30-03-2023
QUALITY INSPECTIONS REFERENCES INSPECTION POINT
PROCESS CONTROL FORMS
SN FREQUENCY OF TEST (Mode of ACCEPTANCE CRITERIA (SPECIFICATION, METHOD SUB
DESCRIPTION DATA COMPANY CONSULTANT CONTRACTOR TPI
measurement) STATEMENTS, OTHERS) CONTRACTOR
A Construction Phase
6 Activities
Specification Section # Visual checks &
6.1 Formation Level For each element WIR / Shop Drawing Coordinates
033000 measurement
S W/A R
Specification Section # Visual checks &
6.2 Backfilling For each layer Visual Checklist
313116 measurement
S W/A R
Specification Section #
6.3 Compaction Test For each layer Witness Checklist
313116
FDT S A R TPI
Specification Section #
6.4 Completion of work Building Type WIR checklist & WIR
313116
WIR S A R
LEGENDS: W – Witness H – Hold R – Review A – Approval S – Surveillance TPI – Third Party Inspection Agency
AD20164-0200S-FM-17 REV 00 1
M-DT-MS-033000-ST-002-A
APPENDIX 2 - QUALITY INSPECTION CHECKLIST
M-DT-MS-033000-ST-002-A
AD21094-0201S-FM-18 REV 00
QUALITY CONTROL CHECKLIST

BACKFILLING
PROJECT NAME : Cordoba (Phase 1) At Bloom Living, Zayed City, Abu Dhabi - Main Works Package
CLIENT : Bloom District Properties
CONSULTANT : Dar Al-Handasah Consultant
PROCESS : _______________________________ DATE: _______________

LOCATION OF WORK: __________________________________________________
DRAWING/SPECIFICATION REFERENCES:_________________________________
CHECKED BY ENDORSED BY
ITEM CONTRACTOR CONSULTANT REMARKS
(tick) (tick)
Yes No Yes No
1. Is the level of excavation checked against
A.M. bench mark?
2. Have all service lines been protected,
checked, tested and signed off?
3. Have warning tapes/tiles been provided over
service lines?
4. Is the source and material to be used in
backfilling approved and meets specification
requirements?
5. Is honey comb/voids/damaged to concrete
rectified?
6. Is checking carried out for substructure
waterproofing, if any?
7. Are trenches free of debris and other
deleterious materials?
8. Is the compaction carried out in layers using
the approved compaction equipment?
9. Has In Situ Density Test carried out as per
specification requirements?
10. Has the final level been checked and as per
drawing?
MAIN CONTRACTOR CONSULTANT
Name : _________________________ Name : ____________________________
Signature : _________________________ Signature : ____________________________
Date : _________________________ Date : ____________________________
Rev.0 Issue No. 1 Issue Date:15-07-09

M-DT-MS-033000-ST-002-A
APPENDIX 3 - HSE RISK ASSESSMENT
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AD21094-0201S-FM-18 REV 00
RISK ASSESSMENT
TITLE OF THE ACTIVITY: Backfilling Work
RISK ASSESSMENT REF No.: RA -02 Risk assessors team: PM,CM,PE, HSE Crew and General Foreman
Ahmed Zeiter, Ahmed Ghani, Hany, Najam and Ram sing
ASSESSOR: Safety & Project Departments ASSESSED DATE: 30/03/2023 REVIEWED DATE: 30/03/2023
Additional
Risk Residual Improveme Accept
Implemented control measures
evaluation risk nts in Y/N?
Who may be harmed and controls
Activity Hazard
how Consequences/Impact
RL RL
L S H/M/ L S H/
M/
L L
Collision ➢ Workers due ➢ Personal injuries due to collision with

with to hit with vehicles ➢ Permit / NOC should be obtained from
adjacent moving ➢ Property damage due to contact with appropriate authority prior to commencement of
Mobilization / Demobilization of equipment and materials
structure / task. PTW must be obtained for each area

vehicles / equipment other structure/ Moving vehicles and
separately.
persons. ➢ Equipment machines
➢ Proper instructions to be given to the responsible
Fall of damage due to persons during the mobilization of vehicles and
material and collision. equipment’s.
equipment ➢ Property due ➢ Designated areas to be arrange beforehand with
while
to hit with the client/contractors for the special
loading and
moving arrangements for parking and storing.
unloading.
equipment ➢ Equipment should have reverse alarm, front horn
and revolving light in functional condition. Close
➢ Worker injury
➢ Banks man to be available for guiding equipment supervision of
due to fall of the area.
on site.
load while
➢ Site to be cleared of unwanted materials. Proactive
loading and 3 5 15 2 2 4 monitoring. Y
➢ Workers will not exceed the load limit.
unloading. Arrangement
➢ Heavy or awkward loads should be moved using
for proper
handing aid.
training of the
➢ Mechanical aid will be taken as per requirement. workers
➢ Site to be under competent supervision.
➢ Equipment operator shall be certified.
➢ Safe access for pedestrian and equipment should
be made.
➢ Vehicles and equipment should not be parked or
placed in a manner that can cause disruption in
traffic or pedestrian movement.
➢ Warning signs should be displayed
➢ PPES and coverall should be worn.
➢ First aid facility to be available on site.
Page 1 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
➢ Workers due ➢ Personal injury due to collision with Safety induction informing the necessity of using
Collision of to collision, moving vehicles. PPE to be given for all workers. Inspection of
vehicles equipment
➢ Environment ➢ Personal injury while visiting the site ➢ Permits shall be secured in advance from the
before start the
relevant utility / local authority prior to
Site leveling with the help of JCB and Plate Compactor
with other due to leakage due to slip, trip and fall as there work.
adjacent excavation in the vicinity of existing underground
or damage already piling work is ongoing and Close
structure or services. Equipment must have the third party
underground excavated and uneven surfaces are inspection certificate and Operator must have the supervision of
objects utilities available there. third party competency certificate. the area.
➢ Work force ➢ Property damage due to collision of ➢ Arrangement Plan of proper site safety Regular spray
Contact with due to Noise moving vehicles techniques using safety cones and barricades and of water on the
existing use of proper sign boards to be defined. sand.
and vibration. ➢ Personal ill health /Fatality due to
services / ➢ Only trained and experience labor to be engaged. Use of all
Gas leak.
utilities personal
➢ Lungs effects due to dust. ➢ Site Supervisors to communicate with all the
protective
during site trained personnel’s in the site for the smooth
➢ Hear loss due to sounds generated equipment
grading and work flow by keeping safety on top priority.
by plate compactor. Site survey and
clearance. ➢ TBT to be provided regarding work procedure,
➢ Hands arms tingling and joints pain 3 4 12 2 2 4 HSE site visit/ Y
equipment’s to be used and hazard involved in
Gas leak / of workers those are using the plate Regular
the work before start of work.
explosion. inspection.
compactor. ➢ Emergency contact numbers of ERT and service
Water leak / Report of all
provider to be available on site.
near miss and
flooding ➢ Importance about the usages of PPE’s & Right unsafe act and
Dust tools for the right job should be explained to the condition.
Vibration. staff.
Necessary rest
Person ➢ Acquire current utility drawings. Carry out survey must be
being to confirm depth and line of existing utilities provided to all
(utilize suitable survey equipment relevant to the the works.
collided with scope and scale of the work. Where possible,
moving Emergency
underground electrical services shall be de-
team &
vehicles. energized prior to excavations. Where services
Firefighting
are to be re-routed, no work shall commence
equipment
until services are confirmed as de-energized /
➢ should be
inert.
available at the
Page 2 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
Equipement ➢ Workers due ➢ Personal injury workers moving ➢ A valid permit to be issued.
Back hoe loader, Shovel, Boom loader and bobcat for
collision with to hit with around. ➢ Area should be barricaded and adequate signage
workers, moving ➢ Property damage is to be provided.
Objects and
other equipment ➢ Property/Equipment damage due to ➢ Certified flagman to be used.
moving fire. ➢ Operator / Rigger/Flagman to be certified.
machinery, ➢ Equipment must have the third-party certificate
Excavation and back filling
Equipment.
➢ Utilities should be identified and marked.
Falling Staff should be
Use of Equipment
➢ Activity should be performed under the direct provided the

objects.
supervision. safety induction
Tilting of
➢ Regular inspection of all the equipment with aid before start the
equipment. 5 3 15 2 2 4 Y
of checklist. job.
Fire due to
➢ Firefighting equipment must be available in all Close
heat up of
the equipment. supervision.
equipment.
➢ Equipment must be operated on proper level
Noise and
ground or tracked.
dust
Emission. ➢ Avoid to overload, Overspending, unsafe use of
equipment.
➢ Regular water spray to control the dust.
➢ Regular sound monitoring for all the equipment
and around the boundary fence of project.
Page 3 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
Electricity ➢ Workers due ➢ Cuts, Puncturing due to contact with ➢ Proper inspection/maintenance of tools
contact with sharp personal injury to operator ➢ Replace/repair defective tools
Fire ➢ Use with proper PPE
Rotating moving parts ➢ Personal Injury/ fatality while using ➢ Correct usage as per procedure
parts /Wheel of tools and the tool. ➢ Proper storage of tools
Dust due to electric ➢ Damage to the tool or job-Property ➢ Use only with required protective handles.
Grinder, Drill, Hammer
current damage due to fire. ➢ Use tool with proper guard only
Flying Regular
➢ Trained personnel
objects ➢ Work force ➢ Electric Shock/Fatality inspection to be
➢ Do not use loose cloth while using tools with
Portable Hand/
carried out for

noise due to noise, ➢ Hit by fling fragments
Power Tools
rotating.
power tools.
Vibration Vibration and ➢ Tripping and falling ➢ Do not keep any flammable substances nearby
dust. ➢ Inhalation of dust lungs effected. during hot work activity. Fire Extinguisher & fire
3 4 12 2 2 4 Ensure to be Y
➢ Property damaged. blanket should be available.
full compliance
➢ Hear loss due to prolog use of tools ➢ Regular monitor the noise record.
with OSHAD-SF
producing the sounds ➢ Use proper leather hand glover. Cop 35.0
➢ Hand arms and muscular pain due to ➢ Make proper internal inspection of tools portable power
tools.
use of power tools. ➢ If there any damage in the cable or joints don’t
use the defective tools.
➢ Take proper rest and follow the summer time
break, Use penalty of water to keep body
temperature normal.
➢ Use Proper dust mask
Page 4 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
Manual ➢ Worker force ➢ Muscle sprains, and strains due to ➢ Load must be assessed before lifting, and check
Handling due to lifting lifting heavy items the path for tripping/slipping hazard in which the
load would be carried.
the heavy load ➢ Injuries to muscles, ligaments, discs
Material Handling (Manual)
➢ Assess physical capacity of the persons involved

/ Large in and other structures of the back in lifting. Prefer mechanical aid if possible.
quantity and ➢ Abdominal hernias ➢ Manual handling technique need to apply
oversized. ➢ Chronic pain etc. ➢ Grip the load properly. Ensure synchronization
between the load lifters.
➢ Load must be rested in between in case of
traveling long way. Proper
5 3 15 ➢ Ensure load is not obstructing the vision. 2 2 4 supervision of Y
➢ Engage extra person to guide who is not involved the area.
in the lifting/carrying in case of vision is
obstructed.
➢ Engage extra workers in case of carrying load in
ramps/staircase etc. – where there is a chance of
imbalance.
➢ Adequate supervision and frequent intervals.
➢ Adequate quantity of cool drinking water facility.
➢ First aid facility needs to provide.
Page 5 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
Spillage ➢ Environment
Fire due to
Contact with contamination
body ➢ Workers due
Handling of chemicals normal paint ,Bitumen
Chemical to inhalation
exposure to or contact of
persons body with
paint. ➢ Use of trained personnel
➢ Property ➢ Keep away the source of ignition
damage due to ➢ Contaminate the soil due to leakage ➢ Hot work should not be allowed in that area.
➢ Smoking should not allowed in that area.
fire accident ➢ Burn injury due to fire
➢ Barricading the area Safe storage of
➢ Lungs effected due to inhalation ➢ Proper ventilation the chemicals
➢ Irritation in eyes and skin while ➢ Use of required PPE
4 4 16 2 2 4 Regular Y
contact with body ➢ Inspection, Proper packaging and storage
➢ Follow the instructions from SDS/COSHH monitoring of
➢ Poisoning, Skin allergy site.
➢ Use of the heavy duty mask, Respirator mask per
➢ Environmental Impact. to the instruction of the SDS.
➢ Eye injury ➢ SDS should be explained to all the staff & should
be available in the area at the visible place.
➢ COSHH assessment to be developed.
Page 6 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
➢ Workers due ➢ All known services are to be located by hand and

recorded.
Excavation for substructure work 5 meter deep with Back hoe loader
to fall in,
➢ Use cable avoidance tools to locate cables.
Collapse and ➢ Respective permits to be obtained prior to start.
hit with ➢ Width of excavation will be followed depending
moving on soil condition as per approved shop drawings.
equipment. ➢ Ensure adequate clearance from existing
structures
➢ The sides of all excavations will be battered to
provide a stable slope or supported by a suitable Close
system to prevent cave-in. supervision.
➢ All deep excavation near roads and access shall
Falling provide with fluorescent and blinking lights to Regular
materials warn road user. inspection for
➢ Fatality/Injury due to fall in or the excavation
Falling of ➢ Excavated material will be stockpiled 2m away
collapse of side walls. from the edge of excavation. area.
personnel
➢ Serious injury due to fall of material. ➢ Slopping, benching, shoring & shielding to be Excavation
into
excavation ➢ Damage to underground utilities used base on soil type. checklist to be
➢ Inspection of excavation frequently by authorized attached and
Accumulatio during excavation
4 3 12 personnel 2 2 4 obtain with Y
n of water ➢ Fire & Explosion due to damage of ➢ Provision of banks man with reflective clothing excavation
from rain electrical lines etc. PTW.
Undergroun ➢ Property damage due to fall in of ➢ Gas Testing prior start work Comply with
d utilities. equipment inside the excavated ➢ Avoid exposure to dust cloud OSHAD SF CoP
Cave in ➢ All leading edges are to be fully protected from Refer to
area. fall. OSHAD_SF Cop
➢ Proper steps to be provide to excavated area to 29.0 Excavation
avoid from cave in or collapse of side walls Works.
➢ Proper barricading are to be used to for
protection.
➢ Ladder inspection will be done by competent
person.
➢ Ladders are to be placed at 1 in 4, tied at the top
bottom.
➢ Two ladder access points are to be placed and
maintained to ensure safe egress can be given in
any event.
➢ Use of necessary PPE.
Page 7 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
Backfilling with the help of back hoe, Shovel for the excavated area
➢ Banks man and rigger (certified) to guide the

operator.
➢ Load should not be more than the safe working
load and lifting gears.
➢ Daily inspection of lifting gears.
➢ Avoid workers entry to the place.
➢ Only engage licensed, certified, competent and
experienced operators.
➢ Warning signs should be displayed like “Do Not
Fall of
Enter”, “Over Head Hazard”. Close
material on
➢ Do not remove the edge barricade of excavated supervision.
person.
area except from the point of backfilling till it is Regular
Fall of totally backfilled. inspection for
person and ➢ Maintain safe distance of the equipment from the
➢ Personal Injury due to hit with the excavation
equipment excavation edge marked as per nature of soil &
moving equipment or fall in. area.
in the shall be maintained.
excavated Workers due to fall ➢ Property Damage due to collision or ➢ Instruct workers not to go very near to the edge Excavation
area. in, Collapse and hit 6 3 18 2 2 4 checklist to be Y
fall in of excavation edge and not to cross the
barricade. attached and
Collision of with moving ➢ Lungs effected due to inhalation of
➢ Safety shoes, safety helmet, hand gloves and obtain with
equipment equipment. dust coverall should be worn. excavation
with
Property damage PTW.
workers/obj ➢ Toolbox to be delivered to the workforce on daily
ect/Other due to fall in. basis. Comply with
equipment ➢ Barricade the exit point of area temporarily OSHAD SF CoP
where backfilling activity is going on. 29.0
Dust
➢ Area to be supervised by a competent and
experienced person.
➢ First aid facility should be available on site.
➢ The equipment used for the back filling should
have all the safety devices in the working
condition.
Refer to OSHAD-SF Cop 22.0 barricading of Hazards.
Page 8 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
➢ Fire ➢ Workers due ➢ Personal injury ➢ Hot work PTW should be issued before start of Tool Box Talks
➢ Explosi to exposure ➢ Burn work. (TBT) will be
on with fire /heat ➢ Property damage carried out to
➢ TBT should be conducted by competent person
➢ Gas ➢ Workers due ➢ Vomiting, all workers
and Risk assessment should be communicated explaining the
leakage to inhalation of ➢ Skin rashes, before work start. specific activity
➢ Exposur gas ➢ Fatigue
➢ Check the condition of hose and check for gas on site with its
e with ➢ Stress & Delirium hazards and
leakage.
tempera ➢ Fatality associated risk
ture ➢ Make sure safe transportation of gas cylinders including
➢ Falling used for water proofing. Regulator should be in emergency
good condition, Gage pressure should be fixed preparedness.
of gas
Hot work water proofing
and functional.
cylinder Comply With
➢ Adequate firefighting arrangement should be OSHAD SF Cop
available and trained fire watcher. 28.0
4 5 20 2 2 4
➢ There should be no storage of flammable liquid Weekly
and combustible material nearby. inspection by
competent Y
➢ Person handling the torch for waterproofing must
person
have the third-party competence certificate.
Proper
➢ Activity must be conducted under the direct
maintenance
supervisor of competent supervisor.
for the machine
➢ Make sure the there is no damage oil, Grease and regime to
with torch, Cylinder and pipes. be kept
➢ Safe storage of gas cylinder and safe handling

and transportation of cylinders
➢ Regular inspection for the gas leakage with
soap.
➢ Shade area should be provided for storage and
during work of gas cylinder.
➢ Provide the regular break to the worker, isotonic

fluid, cool drink water and sweat free cotton
clothes.
Page 9 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
➢ ➢ ➢ ➢ Safety footwear to be worn and care taken

to prevent slips and trips
➢ Keep the cylinders always in vertical
condition.
➢ Work area to be clear of any obstructions
which will might cause interruptions to
operation
➢ Clear work area from combustible materials
➢ Safety goggle, Face shield mask with
correct grade lens must be worn. Face
shield should be used.
➢ Where practical suitable partitions to be
placed around work area.
➢ Other persons inside work area must wear
similar PPE’s
➢ Gloves to be worn to prevent burns to
hands and lower arm.
➢ Long sleeve clothing to be worn.
➢ Welding apron with correct grade protection
to be worn.
➢ Any other work participants to follow
same requirements.
Page 10 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
➢ Workers due ➢ Management will provide anti-dehydration

to extreme powder for all workers during hot climate.
➢ Heat stress to the workers ➢ Abu Dhabi summer working time will be followed
Working in extreme hot
hot weather working direct to sun light (June 15 – Sept 15). Close
or due to ➢ Headache to work force ➢ Consultation with employees about health supervision of
long work condition and adequate welfare facility will be the area.
temperature
Excessiv ➢ Dizziness due to increase of body provided at the work location. (Rest area,
e heat without any Proper rest
core temperature Drinking water station, Toilets, First aid facility break
and control ➢ Vomiting, 3 5 15 and emergency arrangements. 2 2 4 Y
measure ➢ Job rotation will be implemented. Rest area with
temperat ➢ Skin rashes, proper
during ➢ Trained first aider available. (As per OSHAD-SF
ure ➢ Heat stroke Cop 9.0 Workplace Wellness) ventilation and
summer ➢ Fatigue air condition
➢ All employees will receive training about heat
➢ Stress & Delirium stress.
➢ Fatality ➢ Provision of Isotonic solution to the workers.
➢ Monitoring the Heat Index
➢ Close monitoring and supervision.
Page 11 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
Personal protective equipment

• Safety Helmet, Safety Shoes, Ear plugs, Face shield/Visor, Appropriate Gloves & Safety Goggles ,safety vest
Information, instruction and training
• All personnel in the team are to be made aware of the safe systems of work.
• Supervisors should ensure that all lifting gear used are in good condition and safe for use.
• Workers and supervisors should be trained in the use of power tools and machinery to ensure that equipment is maintained in good condition prior to and during use.
• Ensure that good house keeping standard is maintained through out.
Emergency procedures
• Site emergency procedures should make provision for the rescue of individuals from injuries.
• First-aid facilities should be available to cope with any significant injuries that may arise from the work.
Monitoring and review
• Work should be monitored by Foreman and charge hand who are trained to ensure that any additional precautions or equipment required are provided.
First Aider contact number : Mr Mukhar : 055-4597615
Page 12 of 14
RISK ASSESSMENT
Additional
Activity Hazard
RL RL
L S H/M/ L S H/
M/
L L
RISK MATRIX Risk Rating (RR) – Severity x Likelihood

LIKELIHOOD
Likely
Rare Unlikely Possible Almost certain
Could happen often (on
Remote possibility (once Could happen but rare Could happen occasionally Could happen frequently (once
L average once a month or
every 3 years or more) (typically once in a year) (on average quarterly) a week or more)
SEVERITY more)
1 2 3 5
(IMPACT) S 4
Low Low Low Low Medium

Insignificant 1
1 2 3 4 5
Low Low Medium Medium Medium
Minor 2
2 4 6 8 10
Low Medium Medium Medium High
Moderate 3
3 6 9 12 15
Low Medium Medium High High
Significant 4
4 8 12 16 20
Medium Medium High High High
Major 5
5 10 15 20 25
RISK BASED CONTROL PLAN
RISK LEVEL ACTION AND TIMESCALE
Quick, easy controls should be implemented immediately and further action planned for when resources permit. Monitoring required
1-4
ensuring controls are maintained. Manage through routine procedures. Go for economic improvements where possible. Incident report
Low
must be completed.
Aim to reduce risks but costs of prevention may be limited. Undertake a risk assessment of the situation / task and implement the
appropriate actions. Actions should have a timescale and should be monitored. Where the risk involves work in progress undertake a
5-12 risk assessment as soon as possible to ensure the safety of the situation or task. Work should not start until the risk is reduced to
Medium an acceptable level. Considerable resources may have to be allocated. Contact your Manager and Risk Manager by telephone about
the actions that should be taken to reduce the risk/s. incident report must be completed. Incident must be added to service risk
register.
Do not commence the activity until a risk assessment has been completed to ensure the safety of the situation or task. If it is not
15-25 possible to reduce or eliminate the risk even with unlimited resources, work must remain prohibited. Inform your relevant Director,
High your Manager and the Risk Manager immediately by telephone. Incident report must be completed. Incident must be added to service
risk register.
Prepared by: Emirates Link Maltauro

Prepared by : Project HSE Eng Approved by : PM
Name : Najam ul Hassan Abbasi Name : Ahmed Zeiter
Sign : Sign :
Page 13 of 14

Method Statement For Backfilling Works

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Method Statement For Backfilling Works

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Employer PMC Engineer Contractor

PROJECT NAME: CORDOBA (Phase-1) at Bloom Living

Method Statement for Backfilling Works

PROJECT NAME: CORDOBA (Phase-1) at Bloom Living

Sn. Description Rev. No. Date Status

01 1st Submission A 30-03-2023

Checked and Approvals

Sn. Name Position Signature Date

AD21094-0201S-FM-18 REV 00 Page 2 of 15

1. OBJECTIVE & SCOPE ..................................................................................................... 4

3. TERMS AND DEFINITIONS ............................................................................................. 4

4.1 Approved Material ............................................................................................................5

5. HSE REQUIREMENTS .................................................................................................... 7

6. DETAILED CONSTRUCTION SEQUENCE............................................................................ 8

6.1 Site Planning & Preparation........................................................................................... 8

6.2 Work Methodology ...................................................................................................... 9

6.3 Inspection Requirements ............................................................................................ 11

7. Construction Program ................................................................................................ 11

8. Quality Control Requirements ..................................................................................... 11

9. Third Party Approval Requirements, If Any .................................................................... 12

10. Appendices ............................................................................................................... 12

APPENDIX 1 - INSPECTION AND TEST PLAN (ITP) ..........................................................13

Codes of practice/Legislative code

- 071416 COLD FLUID-APPLIED WATERPROOFING

- 311000 SITES CLEARING

- 312000 EARTH MOVING

- 313116 ANTI-TERMITE TREATMENT

3. TERMS AND DEFINITIONS

4.1 Approved Material

4.2 Approved Sub-contractor and PQ documents.

4.3 Shop drawings

4.4 Equipment’s required and third-party certifications.

4.5 Human resources and RACI Matrix (Contact details to be provided)

S. No Designation Name Contact Number Remarks

4.6 Roles, Responsibilities and Authorities

Project Engineer /Site Engineer

QA/QC Manager / QC Engineer

HSE Manager / HSE Engineer

Emergency Phone Numbers

SN. DESCRIPTION CONTACT NUMBER

03 CIVIL DEFENCE 997

05 DAR Emergency Details to be provided

08 Contractor HSE 0562526739

6.1 Site Planning & Preparation

6.2 Work Methodology

6.3 Inspection Requirements

8. Quality Control Requirements

9. Third Party Approval Requirements, If Any

10.1 Inspection and Test Plan (ITP)

APPENDIX 1 - INSPECTION AND TEST PLAN (ITP)

APPENDIX 2 - QUALITY INSPECTION CHECKLIST

QUALITY CONTROL CHECKLIST

PROCESS : _______________________________ DATE: _______________

Name : _________________________ Name : ____________________________

Signature : _________________________ Signature : ____________________________

Date : _________________________ Date : ____________________________

Rev.0 Issue No. 1 Issue Date:15-07-09

APPENDIX 3 - HSE RISK ASSESSMENT

Collision ➢ Workers due ➢ Personal injuries due to collision with

structure / task. PTW must be obtained for each area

➢ Activity should be performed under the direct provided the

carried out for

➢ Assess physical capacity of the persons involved

PROCESS : _________________ DATE: _

Name : _ Name : ____

Signature : _ Signature : ____

Date : _ Date : ____