1 – Task Description

Method Statement
Document Owner: PT Halo Indah Permai
Confidentiality status: STRICTLY CONFIDENTIAL
Document Manager:
Last review date:
Document status: Draft

Table of Contents
1 Task Description...........................................................................................................................2

2 Appendix: Schematics, Blueprints, Maps, Diagrams,......................................................................4

3 Appendix: Scope of Work – Flight Plan Description .......................................................................5

4 Appendix: Risk Assessment ..........................................................................................................6

Company Name: Start Date:

Project Reference YYMMCCC Finish Date:
Project Description Site location /
Address:

Halo Robotics: Company:

Position: Position:
Signature: Signature:

Method Statement Page 1 of 15

Strictly confidential
 1 – Task Description

1 Task Description
Personnel Involved On site contact
Name Role Name
Contact

Description of the Task On site sequence of Operation

Subject to change / amendment
1. On site safety induction
2. Item
Specific staff training 3. Item
4. Etc.

Is Halo Robotics allowed to use the gathered footage for public communication material? No
Is Halo Robotics allowed to disclose the company name for public communication material? No
Elements that may damage the RPAS
Moisture or Elements that may entered the cage Other:
Explosive Wind higher Confined
presence of (Twigs, rods, pipes, any elements that
environment than 10m/s space
water may fall)
Yes No No Yes No
RPAS Recovery after Incident
In case of incident, can the RPAS be recovered?
If left in place, can it damage the asset?
Hazardous Substance – Attach MSDS if necessary
Other:

Toxic Harmful or Corrosive Biohazard Oxidizing Highly Explosive

irritant Flammable
No No No No No No No
Required Personal Protection Equipment
Other:

Safety Safety High Hard hat Eye Ear Overall

boots gloves visibility protection protection
Yes Yes No Yes Yes No No
Identified Residual Hazards First Aid Facilities
All inspection area will be designated as no go zone for all Name: Onsite First Aid
personnel not involved in the operation Person
First Aid Box Location
Nearest Hospital Location

Other Essential Equipment

Key Tools & Equipment
(i.e. generator, power outlet, car ,etc.)
#/Type Drone 110V / 240V Power Supply (onsite)
#/Type Batteries Etc.
#/Type Battery charger Etc.
#/Type Ground Control System
#/Type Accessories, Range Extenders, Additionals

Other Comment

Method Statement Page 2 of 15

Strictly Confidential
 1 – Task Description

Be aware that having a drone on site can generate a lot of interest and curious people may distract the pilot. If
possible, arrange a demonstration prior to operation so that this hazard is minimized.
Etc.

Method Statement Page 3 of 15

Strictly Confidential
 2 – Schematics, Blueprints, Maps, Diagrams

2 Schematics, Blueprints, Maps, Diagrams

Place here: any available Prints, Drawings, Blueprints, Schematics, Diagrams, Maps, CAD Models, etc.

Method Statement Page 4 of 15

Strictly Confidential
 3 – Scope of Work – Flight Plan Description

3 Scope of Work – Flight Plan Description

Place here: any available summary of the Scope of Work and related flight planning.

Method Statement Page 5 of 15

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4 Risk Assessment
RISK MATRIX:
Slight Damage – [ 1 ]
Minor Damage – [ 2 ]
Severity
Moderate Damage – [ 3 ]
Major Damage – [ 4 ]
Massive Damage – [ 5 ]
Guide to Matrix
Job steps
Hazard - Description
Hazard - Effect
Initial Risk - Severity
Initial Risk – Likelihood
Initial Risk – Score
Mitigation
Residual Risk - Severity
Residual Risk – Likelihood
Residual Risk – Score
Method Statement
Strictly confidential
4 – Risk Assessment
Likelihood of Occurrence
Unlikely Seldom Occasional Likely Definite
< 1 : 1,000,000 – [ 1 ] < 1 : 100,000 – [ 2 ] < 1 : 10,000 – [ 3 ] < 1 : 1,000 – [ 4 ] > 1 : 1,000 – [ 5 ]
1 2 3 4 5
2 4 6 8 10
3 6 9 12 15
4 8 12 16 20
5 10 15 20 25
Separate the job into individual tasks and record in sequence
Describe all hazards identified (please note: additional hazards may be caused by interaction with other work)
Describe hazard effect for each task based on observation and experience
From matrix, identify severity with no controls in place for each hazard
From matrix, identify likelihood of occurrence with no controls in place for each hazard
Classify risk rating from matrix for each hazard
list of all controls required
Use initial hazard severity to determine residual risk
From matrix, identify likelihood of occurrence with controls in place for each hazard
Classify risk rating with control from matrix for each hazard
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Hazard
Steps Description
1 - Displacement Around Site & Work Area Checks
1. Loss of Footing while walking
2. Tripping over unseen items on
the ground
3. Dust, foreign materials in the air
4. Loud and/or unpredictable noise
5. Falling debris or dropped objects
2 - Flight Operations – Poor Piloting & Professional Operations
1. Inexperience or poor judgement
2. Personnel focus and discipline
3. Rushed transport, excessive
equipment carried by personnel
Method Statement
Strictly Confidential
4 – Risk Assessment
Initial risk score Residual risk score
Effect Likelihood Severity Score Mitigation (Human & Equipment) Likelihood Severity Score
1. Slips, trips and falls 5 3 15 1. Wear footwear with ankle support. 2 3 6
2. Identify a path before setting off.
3. Don’t carry too much equipment.
4. Make two trips if required.
5. Use backpacks where possible.
6. Walk slowly. Don’t rush!
1. UAS damaged 4 3 12 1. Pilot to be fully qualified with all available 2 3 6
2. UAS Striking a person or equipment competency certifications for the operations.
2. Flight area will be restricted to authorized
personnel
3. All personnel wear required PPE as identified
in Method Statement.
4. Proper functioning of the UAV shall be
checked at low altitude before commencing
survey or inspection
5. Method Statements govern scope and
boundaries of all operations, focusing
operations and eliminating risk of incidents due
to scope creep. Additional requests for UAS
operations are managed by making a new
Method Statement, which ensures review and
approval of any changes or expansion in scope
of already-mobilized onsite flight operations.
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3 - Flight Operations - Wind Speeds
1. Inexperience or poor judgement
4 - Flight Operations - VLOS Operations (Visual Line of Sight)
1. Inexperience or poor judgement
2. Incorrect PPE for situation
Method Statement
Strictly Confidential
1. UAS uncontrollable or limited in
control in excessive winds
1. Loss of view or orientation causing
loss of control
2. Unncessary flight over people or
property
3. Unncessary contact or proximity with
property or objects
4 – Risk Assessment
4 3 12 1. Only fly in wind speeds beneath maximum of 3 2 6
10km/h.
2. Use anemometer to identify ground wind
speed.
3. Check UAS proper behavior after take off.
3 3 9 1. Distance between pilot and UAS must not 3 2 6
exceed _____ meters.
2. Distance boundary between UAS and target
assets/areas may not exceed 30m at any time
unless otherwise specifically required by a
safety procedure – to be detailed in the
Method Statement.
3. Pilot to anticipate any change in visibility i.e.
fog to mitigate against aerial confliction issues.
5. Ensure safety glasses are clean, scratch free
and suitable for the task.
6. Wear sunglasses in bright conditions.
7. Clear eyes in overcast conditions.
8. Be aware of orientation confusion when UAS
is distant or at eye level.
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5 - Flight Operations - BVLOS Operations (Beyond Visual Line of Sight)
1. Inexperience or poor judgement
2. Cluttered environment
6 - Flight Operations - Low or Excessively High Ambient Temperature
1. Operation outside min and max
temperatures stated in UAS
specification
7 - Flight Operations - Outdoor Moisture
1. Inexperience or poor judgement
Method Statement
Strictly Confidential
1. Loss of view or orientation causing
loss of control
2. Loss of the communication link
between UAS & GCS
3. Unneccessary flight over people or
property
4. Unneccessary contact or proximity
with property or objects
1. Malfunction of the System
1. System affected by moisture / wet
conditions
2. System failure causing crash or
damage to property or personnel
4 – Risk Assessment
3 3 9 1. Pilot use the GCS tablet screen for 3 2 6
piloting.
2. Pilot is aware of degradation of
communication link between UAS & GSC.
3. The protective cage of the UAS is in
good condition, and/or any other safety
systems are in good working order.
4. The AOI/asset layout and structures are
well prepared and comprehensively
reviewed. Pilot has a living mental
representation of the space before any
flight operations take place.
5. Flight planning and scenarios are
prepared ahead of time.
4 2 8 1. Maintain operations within the temperature 3 2 6
stated in the system specifications.
4 3 12 1. Flight permissible in conditions not 4 1 4
exceeding light moisture.
2. Monitor weather conditions and ensure you
are aware of the weather forecast.
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8 - Flight Operations - Lost Link Between UAS and GCS
1. Electromagnetic interference
2. Flying behind an obstruction
3. Cluttered environments
Method Statement
Strictly Confidential
1. UAS damage or lost
2. UAS striking a person or equipment
4 – Risk Assessment
3 5 15 1. The use of diversity OFDM data link provides 3 2 6
increased integrity of the signal.
2. However, in the event of a lost link the UAS
will enter in an auto landing mode which will
make it land on the ground and then turn off its
engines.
3. Pilot will be aware of the link quality looking
at the Radio Signal Strength Indicator and at
the degradation of the video quality (only
required if noisy).
4. Check take off area is free from underground
power cables.
5. Check remote control signal link strength
prior to take off.
6. Avoid line of sight between microwave
dishes and other telecommunication
installation.
7. Fishing wire attachment to drone may be
used (depending on situation) to support
recovery in case of loss inside asset.
9. Recon Flights are always performed as the
first flight inside a structure, prior to any
Systematic or Local inspection flights.
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9 - Flight Operations - Use of a Depleted or Flat Battery in the UAS
1. Inexperience or poor judgement
2. Not following checklits
Method Statement
Strictly Confidential
1. UAS damage or lost
2. UAS striking a person or equipment
4 – Risk Assessment
3 4 12 1. Batteries must be checked prior to take off 3 2 6
as part of the take off procedures, battery
records are well maintained according to Ops
Manual policy.
2. The pilot (and the co-pilot) will monitor the
flight time and battery voltage during the flight
by calling out flight time and voltage regularly.
3. Pilot will exit internal structures at 40%
battery as SOP.
3. The UAS will be landed on ground outside
asset within 9mins of flight or if the battery
voltage level reaches 10V which ever is sooner
(therefore never flying below 20% battery in
any circumstance).
4. If a discharged battery is installed in the UAS,
a warning is heard during start up from the GCS
and this battery shall not be used
6. All personnel wear appropriate PPE.
7. Flying area will be checked prior to take off
and any personnel not involved will be asked to
leave the area
8. Strong Reminder: Do not fly longer than
9min or below the voltage of 10V to maintain
safe operations. Relaxed flight discipline:
always pr
ovide plenty of time.
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10 - Charging batteries
1. Inexperience with batteries or
chargers
2. Poor handling of batteries or
chargers
3. Damaged batteries or chargers
Method Statement
Strictly Confidential
4 – Risk Assessment
1. Fire 4 3 12 1. Batteries to be charged in LiPo safe bags and 2 2 4
2. Decreased battery life in a safe area away from potentially explosive
atmosphere.
2. Fire extinguisher to be within vicinity
3. Handle batteries with care and inspect for
damage before and after every use.
4. If in doubt refer to the Battery Handling,
recharge and Transport documentation.
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11 - Handling Lithium Polymer batteries
1. Inexperience with batteries or
chargers
2. Poor handling of batteries or
chargers
3. Damaged batteries
12 - Flight Operations - Flying in Confined Space
1. Inexperience or poor judgement
2. Cluttered environment &
Remote environment
3. Loss of communication link
13 - Flight Operations - Flying in High Risk & Explosive Environments
1. Flammable vapor and gas are
present in the flight area/assets.
2. Flammable liquid or explosives
are present in the flight
area/assets.
3. Toxic, corrosive,
harmful/irritants are present in the
flight area/asets.
Method Statement
Strictly Confidential
1. Loss or damage of the UAS
1. Loss or damage of the UAS
4 – Risk Assessment
4 3 12 1. Batteries to be transported in LiPo safe bags 2 2 4
and stored securely so as to minimize potential
for damage during transit.
2. Inspect batteries before use checking for
damage such as frayed connector cables and
puffing up of pack.
3. If in doubt do not use the battery – refer to
the battery Battery Handling, recharge and
Transport, safety, introduction to maintenance.
3 5 15 1. In case of damage or loss of the UAS in the 1 5 5
confined space, and if the lost UAS is
damageable for the personal or the plant whilst
the plant is in operation, the UAS must be
recovered.
2. No personnel to be in the confined space
whilst the UAS is flying.
3 5 15 1. Drone to be operated in gas free 1 5 5
environment (flammable and explosive
gas/vapors are below threshold levels).
2. Operations obtain ATEX Zone 2 "Hot Works"
permits if/when required, if there is proximity
to possible vapors.
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13 - Localize Gathered Images
1. Large amount of imagery and
spatial data (photo, video, LIDAR,
etc) is hard to process
2. Inexperience of the operator
3. Inconsistent workflow
Method Statement
Strictly Confidential
1. Useless gathered data 3 5
2. Useless inspection
4 – Risk Assessment
15 1. Always have clear communication between 1 5 5
the pilot, the camera operator, and the
inspector.
2. Decompose and label down the environment
into groups and feature.
3. Clear flight plan is written down prior to the
flight. Unless critical issue, the pilot stick to the
flight plan
4. The flight plan is recorded by the drone's
camera.
5. The tablet screen is recorded with the voice
of the operators.
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 4 – Risk Assessment

[END OF DOCUMENT]

Method Statement Page 15 of 15

Strictly Confidential