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RISK ASSESSMENT and METHOD STATEMENT

Activity/Project: Assessment No.:


Site / Location / Area: Date:
Person(s) or Area Affected: All personnel involved in work activity Assessment By: Project manager/floor engineer/SME
Frequency of Activity: One time Final Score (Use highest final score): 4 Risk
Ranking
No. Task or Activity Risk Source / Hazards Impact (Potential or otherwise) (Initial)
L C R

1. Hit by vehicle due to over speeding, reversing


2. Fall of material
3. Fall of vehicle, toppling
1. Fatal / Permanent Loss of Organs /
4. Fall of persons while climbing on to the vehicle
Functions ( eyes, legs, hands) / Dangerous
5. Blind spot, poor visibility
Occurrence
6. Contact with rotating parts, sharp edges
2. Major injury / health effect / illness
7. Caught in between
1 Material loading,Unloading and manual shifting (fractures, breaking of organs, injury to 3 3 9
8. Inadequate illumination
body parts)
9. Uneven / slippery road surfaces
3. Minor injury / health effect / illness
10. Mechanical failures
4. First Aid Injury / Slight health effect
11. Dust
5. Property Damage
12. Deployment of Untrained workforce
13. Drivers and workforce under the influence of alcohol & drugs.
14. Contact with overhead services"

1. Collapse of mobile scaffolding


2. Fall of materials, hand tools
3. Fall of person due to slip, trip, obstruction in access, openings, failure to anchor
safety harness
4. Usage of defective / damaged materials 1. Major injury / health effect / illness
5. Uneven ground surface (fractures, breaking of organs, injury to
2 Usage of A-type ladder 6. Deployment of untrained & unfit workforce body parts) 4 4 16
7. Overloading / lack of supports 2. Minor injury / health effect / illness
/ fixing of bracings, ties, counter pins, jointers, etc. 3. First Aid Injury / Slight health effect
8. Awkward posture 5. Property Damage
9. Unsecured platform, walkways, Aluminium plywood working platform, etc.
10. Horseplay
11. Poor visibility

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1.Slips & Trips

2.Cut Injury

3.Ergonomical hazards

4.Electrical shock/ Electrocution. 1.Minor Injury

5.Fall of
man /material

6.Dust Inhalation / Breating Problem 2. First Aid Injury

Installation of speakers, ceiling mic, TV unit, and


3 3 4 12
CISCO camera 7.Sharp edges / tools
8.Usage of damaged scaffolds / working platform 3.
9.Obstruction in access Property Damage/Loss of Material
10. Flying fragments

11.Collapse of mobile scaffolding


12.Fall of person due to slip, trip, obstruction in access, openings, failure to anchor 4.Bone Fracture/Muscle
safety harness Damage/Muscle strain
13. Uneven ground surface
14.Deployment of untrained & unfit workforce
15.Overloading / lack of supports/ fixing of bracings, ties, counter pins, jointers, etc.
16. Awkward posture
17. Unsecured platform, walkways, Aluminium plywood working platform, etc.

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1.Slips & Trips

2.Cut Injury

3.Ergonomical hazards

1.Minor Injury
4.Electrical shock/Electrocution.

5.Fall of
man /material
2. First Aid Injury
6.Dust Inhalation / Breating Problem

Removal of Grid Tiles for installing cable,


4 3 4 12
speakers and Mic. 7.Sharp edges / tools
3.
8.Usage of damaged scaffolds / working platform
Property Damage/Loss of Material
9.Obstruction in access
10. Flying fragments

11.Collapse of
4.Bone
mobile scaffolding
Fracture/Muscle Damage/Muscle strain
12.Fall of person due to slip, trip, obstruction in access, openings, failure to anchor
safety harness
13. Uneven ground surface
14.Deployment of untrained & unfit workforce
15.Overloading / lack of supports/fixing of bracings, ties, counter pins, jointers, etc.
16. Awkward posture
17. Unsecured platform, walkways, Aluminium plywood working platform, etc.

1. Use of damaged scaffolds


2. Deployment of untrained workmen
3. Inhalation/Absorption of POP dust
1. Major injury / health effect / illness
4. Fall of man and materials
(fractures, breaking of organs, injury to
5. Slippery floor
5 Marking works body parts) 3 4 12
6. Ergonomics
2. Minor injury / health effect / illness
7. Inhalation/Absorption of POP dust
3. First Aid Injury / Slight health effect
8. Slip & trip due to unwanted materials on floor, slippery surface
4. Property Damage
9. Damaged power tools in use
10. Electrical Hazard

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1. Major injury / health effect / illness
1. Ergonomics
(fractures, breaking of organs, injury to
2. Slip/Trip
6 House Keeping on floors manual and mechanical body parts) 3 2 6
3. Exposure to dust.
2. Minor injury / health effect / illness
4. Use of defective / damaged vacuum machine
3. First Aid Injury / Slight health effect
4. Property Damage

1.Minor Injury / Fracture

1.Fall of person from heigt


2. First Aid Injury
2.Collapse of mobilescaffold

3.Ergonomical hazard
7 Work At Height 4 4 16
4.
3. Propert damage/Loss of
Hit to other person/Cought in between
material
6.Fall of mobile scaffolding/ Material

4.Bone fracture/Musle damage

1. Minor Injury

1. Men and materials falling from the working platform


2. Back & arms strain while lifting up the cables
3. Caught of fingers in between the cables and cable tray 2. First aid
8 Cable laying work injury 2 3 6
4. Slips and Trips.
5. Sharp edges

3. Property damage

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1. Sudden release of energy leading to injury, fatality or property damage
2. Electric shock or fire 1. Fatal / Permanent Loss of Organs /
3. Caught / struck / crush in between Functions (eyes, legs, hands) / Dangerous
4. Arc Flash Occurrence
5. Deployment of untrained workforce 2. Major injury / health effect / illness
Commissioning & energizing of new electrical
9 6. Deviation from OEM procedures (fractures, breaking of organs, injury to 4 4 16
equipment
7. Awkward postures body parts)
8. Contact with sharp edges, rotating parts 3. Minor injury / health effect / illness
9. Use of damaged / defective equipment, tools, etc. 4. First Aid Injury / Slight health effect
10. Poor visibility 5. Property Damage
11. Space constraints

1. Minor Injury

1. Electric shock from power tools


2. Men and materials falling from the working platform 2. First aid
3. Dust inhalation while hammering. injury
4. Injury to fingers while hammering.
10 Hammering and drill work for fixing of TP unit 4 3 12
5. excessive noise.
6. Eye injury due to dust particles
7. Scaffold Collapse 3. Property damage

4.Hand Injury

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1. Fall of man and materials
2. Slips & Trips
3. Sharp edges / tools 1. Fatal / Permanent Loss of Organs /
4. Usage of damaged scaffolds / working platform Functions (eyes, legs, hands) / Dangerous
5. Inhalation / Absorption of dust Occurrence
6. Damaged power tools, lifting tools & tackles in use 2. Major injury / health effect / illness
11 Grid ceiling installation and alligment 7. Damaged cables in use (fractures, breaking of organs, injury to 4 3 12
8. Ergonomics body parts)
9. Electrocution 3. Minor injury / health effect / illness
10. Obstruction in access 4. First Aid Injury / Slight health effect
11. Collapse of partition / frames 5. Property Damage
12. Caught in between
13. Flying fragments

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
Control Measures

1 Licensed drivers to be engaged for vehicle operations.


2. Escort shall be deployed to guide the vehicle
3. Toolbox talks to be given by the vendor to drivers, helpers daily for the precautions to be taken for vehicle movement inside the site.
4. When the material is being shifted from the vehicle to the floor, the vehicle should be provided with proper stoppers for all the tyers.
5. Access to be clear of obstructions, slippery surface for vehicle movement, wheel choke / stoppers to be provided.
6. Safety helmet, safety shoes, safety jacket, dust mask to be used while in the site.
7. Speed limit to be 15 KMPH inside the project site.
8. Relevant legal vehicle / equipment documents to be with valid dates (Registration certificate, pollution, insurance, etc.)
9. Separate pedestrian and vehicle movement area with barricading.
10. Provision of convex traffic mirror, auto glow signages, caution tapes.
11. Lighting to be provided with clear visibility for shifting of material.
12. Trained and experienced workforce to be deployed.

1. Trained, experienced & medically fit workforce to be deployed.


2. Screening of workers to be done.
3. Trained & experienced workers to be engaged for using A type ladder
4. Qualified and experienced person to be deployed A type ladder tag to be signed by daily basis
5. Access to be provided for reaching the work location.
6. A type ladder handrail to be available
7. One persin has to assign to hold the ladder while working on A type ladder
8. Loose material not to be kept on top of A type ladder and not to be overloaded.
9. Hand tools, materials to be secured so that it will not fall even if mishandled.
10. Training for A type ladder to be done by the vendors (Before starting the activity, weekly, fortnightly, monthly).
11. Safety Helmet, safety shoes, Hand gloves to be used.
12. While usage of A type ladder proper supervission to be there
13. Material not to be thrown from the top of the A type ladder
14. Lighting to be provided for clear visibility.
15. Training on emergency rescue to be conducted for the workers engaged in the activity.

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1.Providing Job specific Trainign to shifting team
2.Providing Job Specific/Approved PPE's to team
3. Proving Filter/N95 mask to workers.
4. Deploying Enough/Trained manpower.
5.Proper Training About Ergonomical Hazards.
6. Inspecting work area before starting job.

7. Screening of workers to be done.


8. Trained & experienced workers to be engaged for the work
9. Qualified and experienced person has to work on A type ladder
10.Access to be provided for reaching the work location.
11.Handrails to be available for the A type ladder
12.Loose material not to be kept on top ofA type ladder and not to be overloaded.
13.Hand tools, materials to be secured so that it will not fall even if mishandled.
14.Training for A type ladder to be done by the vendors (Before starting the activity, weekly, fortnightly, monthly).
15. Safety Helmet, safety shoes, Hand gloves to be used.
16. While erection and dismantling, safety watcher need to be deployed and barricading the area below to be done and display of signage to be done as per the activity.
17. Material not to be thrown from the top of the A type ladder
18. Lighting to be provided for clear visibility.
19. Training on emergency rescue to be conducted for the workers engaged in the activity.

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1.Providing Job specific Trainign to shifting team
2.Providing Job Specific/Approved PPE's to team
3. Proving Filter/N95 mask to workers.
4. Deploying Enough/Trained manpower.
5.Proper Training About Ergonomical Hazards.
6. Inspecting work area before starting job.

8. Screening of workers to be done.


9. Trained & experienced workers to be engaged for the usage of A type ladder
10. Qualified and experienced persons to be engaged in work
11.Access to be provided for reaching the work location.
12.Hand rails to be provided in A type ladder
13.Ensure one persons to hold the ladder while performing work at ladder
14.Loose material not to be kept on top of ladder and not to be overloaded.
15.Hand tools, materials to be secured so that it will not fall even if mishandled.
16.Training for A type ladder to be done by the vendors (Before starting the activity, weekly, fortnightly, monthly).
17. Safety Helmet, safety shoes, Hand gloves to be used.
18. While dismantling, safety watcher need to be deployed and barricading the area below to be done and display of signage to be done as per the activity.
19. Material not to be thrown from the top of the A type ladder
20. Lighting to be provided for clear visibility.
21. Training on emergency rescue to be conducted for the workers engaged in the activity.

1. Trained, experienced & medically fit workforce to be deployed.


2. Trained, experienced & authorized applicator to be deployed for the application.
3. Training on the hazards and control measures related to equipment's & related works to be conducted by the vendor (weekly, fortnightly, monthly)
4. Toolbox talks to be given by the vendor to the work force daily for the precautions to be taken in the activity.
5. Area to be barricaded and warning signages to be displayed at the location.
6. Electric cables to be routed overhead, free from naked joints and all portable tools to be routed through 30mA ELCB / RCCB & MCB.
7. Before starting the activity working space need to be keep obstruction free.
8. Unwanted material to be cleared from the floor after completion of work on daily basis.
9. All hand tools, power tools to be inspected and damaged / defective tools to be rectified / removed. Battery operated tools to be preferred.
10. Safety helmet, safety shoes, hand gloves, reflective jacket, goggles, nose mask to be used.
11. Lighting to be provided for clear visibility.
12.A type ladder has to be inspected before using
13.Ensure approval of MSDS beofre using chemical

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1. Trained, experienced workforce to be deployed.
2. Trained, experienced & authorized operator to be deployed for the equipment.
3. Training on the hazards and control measures related to equipment's & related works to be conducted by the vendor (weekly, fortnightly, monthly)
4. Toolbox talks to be given by the vendor to the work force daily for the precautions to be taken in the activity.
5. All hand tools, power tools to be inspected and damaged / defective tools to be rectified / removed.
6. Safety helmet, safety shoes / gumboots, hand gloves, reflective jacket, goggles, nose mask to be used.
7. Stagnated water to be removed.
8. Materials to be segregated, stacked in order as per the shape and size of the materials / objects.
9. Storage area to be identified, barricaded and signage's to be provided.
10. Floor cleaning to be done using floor manual sweeper machines.
11. Sprinkling of water before sweeping the floors to be done.
12. To use proper PPE (including dust mask and safety glass).

13. Use of Cotton waste and suitable vacuumed machines


14. Inspection of vaccum machine to be carried out before start of work

1.A type ladder to be inspected before starting of the activity.


2. While working on A type ladder ensure proper supervission
3.A type ladder should be used as per manufacturers guidelines/ manual.
4.Task Performing area should be clear from obstructon.
5.A type ladder should not move, while person working on/ standing on .
6.Trained & experienced workers to be engaged for height work.
7. Physical illness team members should not perform the height work activity.
8. Full body harness along with double lanyard with buckle type to be used.( above 2 Mtr )
9. Edge protection need to be checked before starting the activity.

1. Ensure the hand rail & toe board as per standard while working on the platform.
2. Do not bend more to take the cables from below
3. Diploy one person to guide the persons below and above the A type ladder
4. Proper communication should there between giver and receiver of cables.
5. The work area should be barricaded.
6. Use proper body position while lifting the cables.
7. Lay the cables with proper communication between each other.
8. Use Cut resistance (EN 388) gloves while laying the cable.
9. Cable should be rolled properly Guiding person should be available
10. All the works men should gone through induction process.
11. Concern supervisor should be given proper training and TBT on the particular activities.
12. Ensure job specific PPE’s like safet shoe, safety helmet, goggles ,hand gloves etc.
13.Proper instruction and guidance has to be provided

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1. Trained, experienced, authorized workforce to be deployed.
2. Training on the hazards and control measures related to equipment's & related works to be conducted by the vendor (weekly, fortnightly, monthly)
3. Toolbox talks to be given by the vendor to the work force daily for the precautions to be taken in the activity.
4. All hand tools, power tools to be inspected and damaged / defective tools to be rectified / removed.
5. Safety helmet, safety shoes / gumboots, hand gloves, reflective jacket, goggles, nose mask to be used. Arc flash suit to be used (if applicable).
6. All rotating parts to be guarded, sharp tools, edges to be insulated / protected.
7. LOTO procedure to be followed before working on live energy. Refer OEM / Supplier instructions
8. Non-conductive hand tools to be used.
9. Discharge of the energy in the system / process to be done. All electrical conductors to be earthed for complete discharge.
10. Access should be free from obstruction, slippery surfaces. Not to enter the work area until the energy is drained from the system.
11. Lighting to be provided for clear visibility
12. Unwanted materials to be removed.

1. Approved machines/tools only should be used.


2. All power tools power should be taken through tested ELCB/RCCB (30mA)
3. All electrical cables should be routed at required height level.
4. Ad-All the workmen should gone through Induction and site entry procedures
5. Particular Activity TBT, Training should be given by supervisor
6. Mobile Scaffold Wheels should be in lockable condition .
7. Loose materials don’t keep at the edge side of the working platform (Tools kit must be used at working platform for keeping the tools)
8. Don’t move mobile scaffold while Men on the platform.
9. Ensure the hand rail & toe board as per standard while working on the platform.
10. Use dust mask while marking and drilling.
11. Use hand gloves to do hammering works.
12. Ensure the grip of hammer with wooden handle is in good condition.
13. Need to ensure all hand tools must be inspected before start up the activity.
14. Be cautious of sharp edges of materials.
15. Use earplugs whenever and where ever necessary.
16. Wear goggle/Shield.
17. Ensure Green tag before enter in to scaffolding.

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
1. Trained, experienced & medically fit workforce to be deployed.
2. Trained, experienced & authorized operator to be deployed for the equipment.
3. Training on the hazards and control measures related to equipment's & related works to be conducted by the vendor (weekly, fortnightly, monthly)
4. Toolbox talks to be given by the vendor to the work force daily for the precautions to be taken in the activity.
5. Material to be stored only at designated material stacking area. Area to be barricaded and warning signages to be displayed at the location.
6. Electric cables to be routed overhead, free from naked joints and all portable tools to be routed through 30mA ELCB / RCCB & MCB.
7. All rotating parts to be guarded.
8. All hand tools, power tools to be inspected and damaged / defective tools to be rectified / removed. Battery operated tools to be preferred.
9. Safety helmet, safety shoes, cut resistance hand gloves, reflective jacket, face shield / goggles, nose mask to be used.
10. Lighting to be provided for clear visibility.
12. Ensure proper supervission while working at height

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
Risk
Ranking
(Residual)
L C R

2 2 4

1 2 2

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
2 2 4

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
2 2 4

1 2 2

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
2 2 4

2 2 4

2 1 2

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
2 2 4

2 2 4

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
2 2 4

Risk Assessment and Method Statement Updated: 2/10/16 EDCS Number: 10849073
Consequence (Impact)
Minor Moderate Serious Severe Disaster
1 2 3 4 5

Very Likely
5 10 15 20 25
5

Likely
4 8 12 16 20
4
Likelihood

Possibility
3 6 9 12 15
3

Unlikely
2 4 6 8 10
2

Very UnLikely
1 2 3 4 5
1

Consequence Criteria

Property
Impact level Rating Health and Safety Natural Environment Legal / Government Heritage Social / Community
Damage

Significant breach of
Global. Significant
applicable
Significant impact on the
environmental
Multiple Fatalities or environmental damage Permanent damage to surrounding social
legislation involving
Disaster 5 permanent >10M to surrounding area significant area of cultural environment with serious
strong likelihood of
disability. with medium- to long- heritage. health risks with good
an investigation and
term consequences. likelihood of litigation.
litigation from the
Local media interest.
authorities.

Moderate breach of
Moderate effects on International. Impact
environmental
the biological and Moderate damage to culture upon surrounding
legislation requiring
Fatality or physical environment. and heritage associated with community with credible
Severe 4 1M-10M notification of
permanent Disability Moderate spread of the the affected area. Requiring risk to human health and
authorities and with
event with short- to remediation and repair. significant complaint
possibility of
medium-term impacts. levels.
litigation.

Risk Assessment and Method Statement Updated : 10/15/15 EDCS Number: 10849073
National. Low level
Low level legal
social impact with a
Limited damage to infringement.
Minor damage to heritage limited risk to public
Lost Time >1 wk, physical environment Possible fine and
Serious 3 500K-1M areas with much of the health and safety. Only
hospitalization with damage only scrutiny from
damage repairable. small likelihood of
short-term. environmental
complaints and/or
regulators.
negative publicity.

Limited damage to Provincial/State. Minor


Lost Time < 1 wk, Minor legal issue.
small area of low social impact with no risk
Moderate 2 Medical treatment, 100K-500K Legal intervention Minor, repairable damage.
significance. Damage of injury or illness. No
restricted work. unlikely.
onsite only. outside complaints.

First aid injury or Minimal damage to


No legal intervention
Minor 1 illness, not requiring <100K small area of low No damages. Local. Affects site.
possible.
treatment. significance.

Likelihood Criteria
Descriptor Rating Description
Is known to have occurred. Likely to occur several times during the implementation of this activity or event, or will occur often in the
Very Likely 5
operation of a large number of similar activities.

Could occur. Likely to occur sometime during the implementation of this activity or event, or will occur several times in the operation of a
Likely 4
large number of similar activities.

Not seen personally, but "I've heard of it happening". Likely to occur sometime during the implementation of a large number of similar
Possibility 3
activities.

Unlikely to occur, but possible to occur sometime during the implementation of this activity or event, or may be expected to occur in the
Unlikely 2
operation of a large number of similar activities.

Practically impossible, so unlikely to occur during the implementation of this activity or event that it can be assumed the event will not occur,
Very Unlikely 1
or it may be possible - but unlikely - to occur in the operation of a large number of similar activities.

Risk Brackets
Risk Rating Class Risk Description

Risk Assessment and Method Statement Updated : 10/15/15 EDCS Number: 10849073
These risks are considered acceptable. No further action is necessary other than to
ensure that the controls are maintained. No additional controls are required unless they
Acceptable to
1 to 5 Low can be implemented at very low cost (in terms of time, money and effort). Actions to
tolerable
further reduce risk are assigned low priority. Arrangements should be made to ensure
that the controls are maintained.

Effort should be made to reduce the risk. Risk reduction measures should be
Risks that
implemented within a defined time period and it might be necessary to consider
should be
suspending or restricting the activity, or apply interim control measures, until this has
reduced so
6 to 12 Medium been completed. Considerable resources might have to be allocated to additional control
that they are
measures. Arrangements should be made to ensure that the controls are maintained
acceptable or
particularly if the risk level is associated with extremely harmful and very harmful
tolerable
consequences.

These risks are unacceptable. Effort shall be made to reduce the risk to a tolerable or
acceptable level. Consider halting the work activity until risk controls are implemented
13-25 High Unacceptable
that reduces the risk so that it is no longer high. If it is not possible to reduce risk the
work should remain prohibited.

Risk Assessment and Method Statement Updated : 10/15/15 EDCS Number: 10849073
Action Items to be implemented:
AV works
Person Responsible Date Action Given Action Details Date Due

Project Manager Name TBA 2/5/2024 Material loading,Unloading and manual shifting 8/30/2024

Project Manager Name TBA 2/5/2024 Usage of A type ladder 8/30/2024

Installation of speakers, ceiling mic, TV unit, and


Project Manager Name TBA 2/5/2024 8/30/2024
CISCO camera

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073


Removal of Grid Tiles for installing cable,
Project Manager Name TBA 2/5/2024 8/30/2024
speakers and Mic.

Project Manager Name TBA 2/5/2024 Marking works 8/30/2024

Project Manager Name TBA 2/5/2024 House Keeping on floors manual and mechanical 8/30/2024

Project Manager Name TBA 2/5/2024 Work at height 8/30/2024

Project Manager Name TBA 2/5/2024 Cable laying works 8/30/2024

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073


Project Manager Name TBA 2/5/2024
Commissioning & energizing of new 8/30/2024
electrical equipment

Project Manager Name TBA 2/5/2024 Hammering and drill work for fixing of TP unit 8/30/2024

Project Manager Name TBA 2/5/2024 Grid ceiling installation and alligmant 8/30/2024

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073


What was done to close the action item? Date Completed
1. Licensed drivers, RC,Insurance to be engaged for vehicle operations.

2.Test Certificate to be Provided for PPE's

3.Relevant legal vehicle / equipment documents to be


with valid dates (3rd party certificate, registration certificate, pollution, insurance ,etc.)
4.TBT To be provided and record to be
maintained .
5.No vehicle/ workmen shall be allowed without escort.

1.Medically fitness certificate


2.Labour induction record to be maintained.

3.Trained person to be deployed for scaffolding


erection.
4.A type Checklist to be maintained with tagging sysytem.
5.PPE's Test certificate.

6.Providing PEP talk before starting work .


7.All Power tools inspection &
recoed to be maintain with checklist.
8.Job Specific PPE's Provided to Workers.
9.Job specific
traininhg provided and record to be maintained .
1. A type ladder tag to be signed by safety officer along with The identification tag .

2.PPE's test certificate


3.LOTO procedure by facility team ( CISCO )

4.TBT training & record to be maintained.


5.Screening documnets to be mintained.

6.Trained person to be deployed for scaffolding erection .


7.A type ladder Checklist to be maintained with
tagging sysytem.
08.Fullbody harness test certificate.
09.All Power tools
inspection & recoed need to maintain with checklist.

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073


1.PPE's test certificate

2.LOTO procedure by facility team ( CISCO )


3.TBT
training & record to be maintained.
4.Screening documnets to be mintained.

5.Trained person to be deployed for scaffolding erection .


6.Mobile scaffold Checklist to be maintained with tagging sysytem.

7.All Power tools inspection & recoed need to maintain with checklist.

1. PPE's test certificate.

1. Medical Fittness Certificate


2.Weekly or Monthly Training Required
3.TBT Training & Record To be maintained

4.All Power tools inspection & recoed need to maintain with checklist.
5.ELCB / RCCB Record need to be maintained ( Monthly once or twice )
6.PPE's Test certificate.
7.Vacume machine inspection & record need to maintained.

1. PPE's test certificate

2.TBT training & record to be maintained.


3. Job specific training record.

1.Workmen details ID proof/Medical documents should be available 2. TBT record

3. JST trainig record

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073


1. LOTO.
2. All tools should be inspected

3. Competent B-licensed electricican should available


4. All power tools inspection checklist
5. Provide Job specific PPE certification
submission required
6. Fire preventive method should
follow/calibration should be available
7. Providing PEP talk before starting work

1.Workmen details ID proof/Medical documents should be available


2.Follow logistic plan and drawings

3.Need to check workmen fitness for height work


4.Providing PEP talk before starting work

1.Mobile sacffold load test certificate


2.Mobile scaffold structural diagram with Authorised seal
& signature
3.Mobile scaffold tag to be signed by safety officer along with scaffold identification tag .

4.Mobile scaffold methodology & mock up to be approved by design consultant


5. PPE's Test certificate

6.TBT training & record to be maintained.


7. Power tools register.

8. Power tools checklist.

9. Medical fitness certificate.


10. Workers induction record.

11. Job specific training record.

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073


Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number:10849073
Method Statement - AV works

Include a detailed sequence of work operations in a logical order, easily understood. Attach relevant drawings/sketches and/or technical information if required.

# Title of Activity Description of Work Activity

1. Material loading and unloading from gate no-05.


2. Material loading and unloading in BGL-14 basement
Material loading,Unloading and manual
1
shifting 3. Manual shifting of materials from BGL-14 baement-01 to respective building and floor floor.
4. Manual shifting of materials from Gate no. 05
toBGL-14 basement

1. Disconnecting all power supply from services items like Smoke Detector, lights,HVAC Systems etc….
2. Removing of all Re-usabe items by manually
Installation of speakers, ceiling mic, TV unit,
2
and CISCO camera
3. Removing of all grid tiles including grid ceiling
4. shifting of all service items to the esignted area

Removal of Grid Tiles for installing cable,


3 1. Removal of tile and fixing of mic, speakers and TV unit support
speakers and Mic.

1. Manpower entry from gate number-05 to basement


4 Marking works 2.Using of A type ladder marking works
3. Marking for for the AV set installation by using A type ladder on ceiling and wall

House Keeping on floors manual and 1. Cleaning material shifting from floor.
5
mechanical 2. Cleaning of floor by using vaccume or groom.

Risk Assessment and Method Statement Updated: 10/15/15 EDCS: 10849073


1. Mark Locations & Route of cables .
2. Mark locations of Anchor Fasteners and drill.
6 Hammering and drill work for fixing of TP unit
3. Holes in wall for inserting & fixing suitable device.

7 Cable laying work 1. Cable laying in respective building and floor floor for permanent supplies.

8
Commissioning & energizing of new 1. Testing of Mic, Spealer, camera, TV
electrical equipment

9 Grid ceiling installation and alligment 1. Alligment of grid ceilign after fixing of mic, speakers etc..

Number of employees anticipated to be on site to carry out the work safely:


8
Plant, equipment and materials to be used: (Include details of inspection/certification requirements.)

1. Drilling machine/Hammering machine 2. AV tools

Details of access and egress to work areas:


CISCO BGL-13, BGL-15, BGL-17 AND BGL-18
Applicable Legislation:
NA
Associated Documents:
Scaffolding documents and workmen ID card

Risk Assessment and Method Statement Updated: 10/15/15 EDCS: 10849073


Risk Assessment and Method Statement Updated: 10/15/15 EDCS: 10849073
Sign off and Approval
As a Cisco Employee or Representative, you are responsible for the safety of your department.
The Risk Assessor and a Manager should sign off on the completed Risk Assessment and required action items.
This signature will indicate that you:
• Concur with the risk assessment findings;
• Consider that the existing controls are adequate to enable the activity to continue; and
• Agree with the further action(s) identified and confirm that you will make arrangements to resource the action(s).

If you have any concerns or issues associated with the content of the risk assessment you should consult the Risk Assessor in the first
place, and/or the EHS department for further advice.

Risk Assessor Signature Date

Manager Signature Date

Risk Assessment and Method Statement Updated: 10/15/15 EDCS Number: 10849073
Instructions
Risk assessments are the primary tool to identify and evaluate risks. Used correctly, they can be used to identify suitable control measures that
will result in a safe workplace. However, it is possible to conduct, what might seem on the face of it, a perfectly adequate risk assessment, only
to find that it is not suitable nor sufficient because it does not take account of prevailing safety legislation, guidance or company standards. If
you are not sure what documentation may be relevant to your risk assessment, or you require help to interpret legislation or guidance, please
contact the EHS Department for assistance.

You may find it useful to identify and refer to certain other documents associated with this risk assessment. This could include, for instance,
operating procedures or standing instructions, or even other risk assessments. Enter the document reference within the control measures
section of the risk assessment template.

Example Hazards for completion of risk assessments


Access
Slips, trips & falls (on same level or from height) Falling or moving objects
Obstruction or projection Passageways clear/suitable surfaces
Access restricted for untrained visitors
Biological
Sewerage or polluted water Soil
Animal infections Disease (e.g. foreign travel - innoculations)
Insect bites
Confined spaces & excavations
Dangerous atmospheres Access and egress
Damage to buried services
Display screen equipment & ergonomics

Electricity
High Voltages Live working
Environment
Noise Lighting
Ventilation Temperature extremes - Hot, Cold
UV light (Sunburn) Wind / movement of air
Fire and explosion

Hazardous substances

Risk Assessment and Method Statement Updated: 10/15/15 EDCS: 10849073


Lone working / violence
Handling of high value items or money Phone in procedures / dead man
Manual handling issues Risk of violence
Female employees High risk area
Manual handling, lifting, moving

Mechanical
Entanglement Cutting
Shearing Stabbing/puncturing
Impact Crushing
Ejection
Mobile workers
Periodic driver checks Vehicles maintained and regularly checked
Noise

Organisation
Poor maintenance Lack or supervision
Lack or training Lack of information
Inadequate instruction Unsafe system
Unsuitable equipment Inadequate monitoring arrangements
Poor housekeeping Shift working
Particles
Inhalation Foreign body in eye
Friction/abrasion
Personal protective equipment
Maintenance Training
Use of identified Availability
Radiation (ionising and non-ionising)
Lasers Microwaves
Radioactive materials
Stored energy
Compressed air Flywheels or other means of mechanical energy storage
Temperature
Heat sources Hot or cold surfaces
The individual
Not suited to work (e.g. fear of heights) Long hours
Risk Assessment and Method Statement Updated: 10/15/15 EDCS: 10849073
Unsafe behaviour Violence to staff
Lone working
Vehicle movement
Internal movements - segregation External movements
Operation of vehicles
Work equipment

Risk Assessment and Method Statement Updated: 10/15/15 EDCS: 10849073


######
#REF!
HSE management standards indicator tool

Instruction: It is recognised that working conditions affect worker well-being. Your responses to the questions below will help us
determine our working conditions now, and enable us to monitor future improvements. In order for us to compare the current
situation with past or future situations, it is important that your responses reflect your work in the last six months.

Sometimes
Seldom

Always
Never

Often
Question
I am clear what is expected of me at work
I can decide when to take a break
Different groups at work demand things from me that are hard to combine
I know how to go about getting my job done
I am subject to personal harassment in the form of unkind words or behaviour
I have unachievable deadlines
If work gets difficult, my colleagues will help me
I am given supportive feedback on the work I do
I have to work very intensively
I have a say in my own work speed
I am clear what my duties and responsibilities are
I have to neglect some tasks because I have too much to do
I am clear about the goals and objectives for my department
There is friction or anger between colleagues
I have a choice in deciding how I do my work
I am unable to take sufficient breaks
I understand how my work fits into the overall aim of the organisation
I am pressured to work long hours
I have a choice in deciding what I do at work
I have to work very fast
I am subject to bullying at work
I have unrealistic time pressures
I can rely on my line manager to help me out with a work problem
Strongly disagree

Strongly agree
Disagree
Neutral
Agree

Question
I get help and support I need from colleagues
I have some say over the way I work
I have sufficient opportunities to question managers about change at work
I receive the respect at work I deserve from my colleagues
Staff are always consulted about change at work
I can talk to my line manager about something that has upset or annoyed me about work
My working time can be flexible
My colleagues are willing to listen to my work-related problems
When changes are made at work, I am clear how they will work out in practice
I am supported through emotionally demanding work
Relationships at work are strained

Printed on 02/06/2024 | Page 36 of 37


My line manager encourages me at work

Printed on 02/06/2024 | Page 37 of 37

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