Safe Work Method Statement

Project Name: Amazon Data Centre Address: Hyderabad

Company Name: ABS Fujitsu General PVT LTD Activity/Trade: (Duct Insullation)
Address:IInd floor, No- 7-1-214/4, D.K road, Ameerpet, Hyderabad,
Telangana-500016 Office Contact No:040-42007338

Person
Procedure (in steps) Possible Hazards Risk Control Measures
who will
(Break the job down into steps. Each (Identify the hazards associated with each Rating (Describe what action or procedure will be taken to eliminate or
step should accomplish some major step. Examine each to find possibilities that (See minimize the risk of injury or damage. Use the Hierarchy of ensure this
Controls below as a guide happens
task and be in logical sequence.) could lead to an accident or potential harm below)
arising.) 1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
Unloading and shifting of M  We ensure adequate trained and qualified people shall Engineer
Stress & Strain be utilized for lifting and shifting of material and proper in charge
insulation material :
Slip & trip PPE’s shall worn,the area shall be cleaned all the
Obstructions unwanted material shall be removed from the workplace,
i) Clearing of Pathways in Fall of materiall proper access shall be maintained and the area shall be
material stack yard Cut injuries barricaded ,auntheorized people shall be allowed into
the work area to perform the job.

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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 Safe Work Method Statement

Person
Procedure (in steps) Possible Hazards Risk Control Measures
who will
(Break the job down into steps. Each (Identify the hazards associated with each Rating (Describe what action or procedure will be taken to eliminate or
minimize the risk of injury or damage. Use the Hierarchy of ensure this
step should accomplish some major step. Examine each to find possibilities that (See
Controls below as a guide happens
task and be in logical sequence.) could lead to an accident or potential harm below)
arising.) 1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
ii) Gate entry of truck into the Slip and trip H  We ensure trained and qualified truck driver with valid Supervisor
material stack yard Rash driving driving license and documents shall be allowed to in charge
Over speed operate the truck into the site and the vehicle speed will
Failure of truck not be exceeded more than 10km/hr.
Truck hit by objects  Signal man /helper will give proper guidance to the truck
Property damage driver to move the vehicle into the location
Injuries to the people
Fatal accidents

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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 Safe Work Method Statement

Person
Procedure (in steps) Possible Hazards Risk Control Measures
who will
(Break the job down into steps. Each (Identify the hazards associated with each Rating (Describe what action or procedure will be taken to eliminate or
minimize the risk of injury or damage. Use the Hierarchy of ensure this
step should accomplish some major step. Examine each to find possibilities that (See
Controls below as a guide happens
task and be in logical sequence.) could lead to an accident or potential harm below)
arising.) 1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
iii) Unloading of insulation Slip and trip M  We ensure adequate manpower shall be utilized for Engineer
material Stress and strain unloading of duct material, proper PPE’s ,appropriate in charge
Fall of material hand gloves shall be provided.
Cut injuries  We ensure insulation material will not be thrown from
truck to the ground level if it was happened immediately
BSL competent person shall take proper action.
 We ensure all the ducts shall be stacked in proper level
and the area was barricaded.

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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 Safe Work Method Statement

Person
Procedure (in steps) Possible Hazards Risk Control Measures
who will
(Break the job down into steps. Each (Identify the hazards associated with each Rating (Describe what action or procedure will be taken to eliminate or
minimize the risk of injury or damage. Use the Hierarchy of ensure this
step should accomplish some major step. Examine each to find possibilities that (See
Controls below as a guide happens
task and be in logical sequence.) could lead to an accident or potential harm below)
arising.) 1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
iv) Shifting of insulation material Slip and trip M  We ensure proper PPE’s shall worn ,appropriate hand Supervisor
to the work area Stress and strain gloves shall be provided proper illumination and access in charge
Obstructions shall be maintained in pathways and staircases.
Fall of material  Insulation material shall be shifted to the work area by
Cut injuries staircase with proper handling and the weight more than
30kg, 02no’s of work men will carry the material and
stacked in the work place.

iv) Insulation for ducting Slip & Trip, Stress & Strain M  We ensure proper PPE’s shall worn, nose mask Engineer
Obstructions provision, resin shall be used for pasting of insulation in charge
Fire material and it will be placed well ventilated area and the
Asphyxiation area shall be barricaded.
 We ensure trained and qualified people shall be allowed
to perform the job, Fire extinguisher shall be placed near
the insulation work area, all the combustible material
shall be removed from the work place.
 We ensure Insulation work shall not be done near hot
work areas and work men shall keep away by providing
nose mask from harmful vapors of resin.
 We ensure workmen shall not over reach the height of
the scaffold and move the scaffold from work place
while doing insulation works for ducting.
E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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 Safe Work Method Statement

Person
Procedure (in steps) Possible Hazards Risk Control Measures
who will
(Break the job down into steps. Each (Identify the hazards associated with each Rating (Describe what action or procedure will be taken to eliminate or
minimize the risk of injury or damage. Use the Hierarchy of ensure this
step should accomplish some major step. Examine each to find possibilities that (See
Controls below as a guide happens
task and be in logical sequence.) could lead to an accident or potential harm below)
arising.) 1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
v) House keeping Slip and Trip L  We ensure all the insulation scrap material shall be Engineer
removed from the work place and shifted to the debris in charge
yard.
 Stand by person shall be available at work area and
proper instructions shall be given for safe completion of
job

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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 Safe Work Method Statement

Personnel Summary
SUPERVISOR’S DETAILS
Supervisors Name & Qualifications: Name:
Experience:
Qualifications:
Supervisor’s Responsibilities:

In addition to the above, the supervisor is to provide training in the use of this WMS, issue PPE and provide training in the same, supervise the
work, ensure conformity with this WMS, amend the WMS when additional hazards are found (and if applicable, ensure all workers receive a tool-
box talk to discuss the control measures for the additional hazards).

DESCRIPTION OF TRAINING THAT HAS BEEN GIVEN TO PEOPLE INVOLVED WITH THE WORK

H&S GENERAL INDUCTION: All workers must have successfully completed industry induction training

WORK ACTIVITY TRAINING: All workers need to have been trained in the activities outlined in this safe work method statement.

SITE INDUCTION: All workers are to be site inducted by the Principal Contractor, prior to commencing work on site.

OTHER: (List other training undertaken by workers): (eg: Confined Space, Manual Handling, Traffic Control etc)

TICKETS, PERMITS or LICENCES REQUIRED to undertake this work (ie. Certificates of Competency, Confined Spaces etc):

N.B. - Copies of the above must be shown to the Principal Contractor during site induction.

LEGISLATION, CODES OF PRACTICE and GUIDELINES applicable to this work

All work to comply with the <insert location> H&S Acts and Regulations and amendments, Workplace Injury Management & Workers Compensation Acts

Additional Codes and Standards applicable to this trade:

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 Safe Work Method Statement

Equipment & Material Summary

PLANT and EQUIPMENT used and MAINTENANCE FREQUENCY :

Serial Plant/Equipment Contractor Government Plant Hazards Maintenance/service records and log books sighted
Registration No. identified and by Principle Contractor prior to equipment being
controlled within used on site?
(Where applicable)
WMS?
Yes No Sign Date

1 Welding machine, cutting

machine, Drilling machine, Fire
extinguishers, Scaffold, Ladder,
Chipping Machine etc..
2
3

ELECTRICAL EQUIPMENT USED DURING THE WORKS (Attach Electrical Equipment Register if applicable):
Item Tag/Item Testers Name & Signature License Number Test Date Result Test Date Result
Number
____ /____ /____ ____ /____ /____
____ /____ /____ ____ /____ /____

HAZARDOUS SUBSTANCES or DANGEROUS GOODS USED IN THE WORKS and anticipated volumes (Attach MSDS if applicable):
MSDS
Purpose Location & Volume Used Controls
Date on Site Date Left Site Product Name MSDS Date Attached
(ie. Application on site) on Site (& PPE to be worn)
(Y/N)
/ / / / / /

/ / / / / /

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 Safe Work Method Statement

/ / / / / /
N.B. - All workers must be trained in the safe use of all chemicals and provided with the PPE required when using and storing these chemicals. Disposal is to be as per the waste disposal methods
in the MSDS. Spillage and leaks are to be cleaned up as per the spill/leak procedures identified in the MSDS.

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 Safe Work Method Statement

We agree that we have been consulted in the hazards and control measures and agree to complete the work in accordance with our Work
Method Statement (WMS).
We have been provided with training in all tasks outlined in our WMS and in the Codes of Practice applicable to our work.

Employee / Worker Signature Date Employee / Worker Signature Date

1. / / 8. / /
2. / / 9. / /
3. / / 10. / /
4. / / 11. / /
5. / / 12. / /
6. / / 13. / /

Reviewed by: Signature: Date:

(Principal Contractor’s Representative)

Any changes, additions or deletions made to this WMS are to be covered with the above personnel and the Principal Contractor’s representative at a Toolbox
meeting (Record date and time of Toolbox meeting below):

Date: Time:
Comments:

A copy of the Toolbox Meeting must be attached to this WMS.

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