SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Description of Activity to be carried out:

Work Location:

INSTALLATION OF FENCE & AREA GRADING

RAS LAFFAN INDUSTRIAL CITY

Risk Assessment Log Section:

Step

1.0

Critical Steps in this Activity:

Loading & unloading pieces of

fence/posts/poles with fork lifter / crane.

JGC approve the use of this MSJSA :

Name:

Position: JGC HSE Manager

Signature:

Date:

Activity Guidelines used:

Potential Hazards:

Personnel injury due to

- Material Fall
- Property Damage

HSE Controls to be Implemented:

Experienced rigging supervisor with

visibility vest will supervise all lifting
activities.
JGC approved operator will operate
the fork lifter / crane.
Lifting & loading area will be
barricaded.

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step
2.0

Critical Steps in this Activity:

Transportation of fence/poles/posts

Potential Hazards:
-

Road Traffic accident

Material falling during transportation
Overloading
Projection of load outside trailer body

HSE Controls to be Implemented:

-

3.0

4.0

Highlight protruding load.

Banks man with vest to guide the
vehicle.
No passenger at the back of the
trailer.
Road traffic signs to be strictly
followed.
Load will not be more than the
capacity of trailer
Load will be secured with tie-ropes to
ensure safe transportation

Survey and Marking for new fence

Fall / Trip and Slip

Fire

Caution against low and overhead

obstructions.

Material Offloading

Material fall during transportation

Improper off-loading

Trained riggers will be used for

unloading of material
No unauthorized personnel to enter
the area

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step
5.0

Critical Steps in this Activity:

Mechanical excavation for post foundation.

Potential Hazards:
-

Defective Tools
Damage of underground services
Exposure to dust during excavation
Fall of personnel into excavated holes

HSE Controls to be Implemented:

-

6.0

Post installation / concreting

Hand injury due to sharp edges.

Fall due to walking on laying pipes
Chemical Burns from direct contact of
skin with concrete.

JGC inspected and certified machine

will be used
Underground facilities should be
marked on drawing and ground.
Metal detector to be used before
boring / excavation to confirm that no
underground facility is present.
Dust mask will be worn
The spoil material to be covered with
polyethylene.
Barricade the area properly.
Fire extinguishers with machines will
be placed
Barricade each hole properly after
boring.

Use proper hand gloves while

working.
Avoid stacking material in walkways,
instead the material should be
stacked in a designated area.
Gloves to be wore by workers
involved

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Step
7.0

Critical Steps in this Activity:

-

Fence Installation

Potential Hazards:
- Hand injury due to sharp edges of fence.
Personnel injury due to
wrong hand tools and cutter.
sharp edges of fence.
- Injury during wire tensioning.
- Fall / Trip during installation

HSE Controls to be Implemented:

-

8.0

Installation of Gate leafs.

Damage of material.
Personal injury

Use proper hand gloves while

working.
Use pre inspected color-coded hand
tools.
While rolling and cutting avoid from
sharp edges of fence.
Toolbox talk to be conducted on
regular basis.
Experienced workers should do this
job.
While tensioning wire keep away
unnecessary workers for wire.
Proper access to be used if it is
beyond approach.
Crane to be properly positioned.
Trained banks man to guide all
equipment movement
Barricade the area properly.
Make sure that hinges members are
in position before releasing it.

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

HSE Information / Requirements
Resources and Competency
Does the Work Team have the necessary capacity, capability, experience & authority to avoid, minimize, monitor and control the risks (Training / Awareness / Equipment, etc.)?
Detail minimum expected requirements:

Peoples have been briefed / trained in hazard & precautions of the job
Communications / Workforce Consultation
Have all members of the Work Party attended the Toolbox Talk, and have they been made fully aware of the risks that they are taking (Residual risks)?

TBT Record No.

Yes

External Risk
Has an assessment been conducted to identify all external (to the activity) hazards and potential risks (3rd parties such as other workforce teams or other adjacent parties)? What is the
result?
Risk Assess. No.

Job Safety Analysis has been carried out keeping in view all external Risks / Hazards. No simultaneous activities are carried out by
other Parties

H&S Training
Employees should be trained in the proper interaction with equipment, and the proper response to incidents involving this equipment. List the training your employee(s) has received.

All employees attended JGC induction training and DESCON HSE training, Emergency training as is conducted also
Specialist Training
Will the workforce require any specialist training?

No

High Potential Risks

YES / NO (IF YES, list the specialist training required for the job):

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Does the task require special access / egress / heavy lifting / entry into confined spaces or work at height / in excavations?
(IF YES, a separate Risk Assessment needs to be completed).

YES / NO

Risk Assess. No.

No
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the Health and Safety of the team members?

YES / NO (If so, please describe below):

No

PTW / Isolations: Other Certificates / Permits

What other precautions (e.g. electrical isolation, permits to work) are required and who will authorize them?

PTW / Cert. Nos.

Yes, RLIC permit will be obtained

Contingency / Emergency Response

Should special emergency procedures be instituted, e.g. Emergency Drill, providing Fire Wardens, extra First Aid cover, etc.?

YES / NO (If so, please describe below):

No

Air Emissions
Will the work you perform produce or cause the release of any air emissions?

No

YES / NO

(If YES, list air emissions and method for preventing impact to the environment):

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Water Discharges
Will the work you perform produce or cause the release of any wastewater?

YES / NO (IF YES, how will the wastewater be handled?):

No
Materials
What materials (chemicals, oils, etc.) and/or equipment will you be handling or bringing on-site to perform the contracted work?

No

Environmental Training
Have employees been trained in the proper handling of materials and equipment, and the proper response to incidents involving these materials? List the training your task employees
have received.

No need
Waste Generation
Will the work you perform result in any wastes? YES / NO (IF YES, list the disposal location, as well as amounts and types of wastes expected and the proposed disposal method):

No
Energy
Will the work you perform consume energy (compressed air )? YES / NO (IF YES, explain what type of energy will be consumed, and how you will minimize consumption):

Yes, Diesel fuel will be used in grader, shovels, cranes, excavators, jackhammers, diesel generator and fork lifter. Equipment will be stopped if it is not
needed to reduce fuel consumption
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the environment?

No

YES / NO (If YES, please describe below):

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Environmental Monitoring
Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:

Not Applicable
Legal requirements
Identify environmental legal requirements applicable to the work that has not already been addressed by the Project.

Not Applicable

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Training modules required to complete Activity:

List Codes of Practice, Legislation, Standards which apply to this Activity:

JSA will be used as a training module

Standard
Codes

List Plant / Equipment / PPE required for this Activity:

Crane, diesel generator, excavator, shovel,

jack hammer, forklifter
PPEs:

Hard hat

List Equipment / Maintenance

Checks required for this Activity:

Pre job equipment check

will be done before starting
the job

Safety glasses

Engineering Certificates / Permits / Approvals required for this Activity

(e.g. RLC Permit Road closure, Utility isolation, Special Waste license, etc.)

No
Type

Reference/Documents

Safety shoes
Coveralls
Hearing protection
Hand gloves
Full body harness and life line
Respiratory protective equipment

Person(s) Responsible for Supervising / Inspecting Work:

Person(s) responsible for supervising the work, inspecting and approving work areas, work methods, protective measures, plant equipment and power / other tools:

NB: List of qualifications/experience is held in local JGC files see JGC HSE Group for details.
Name: .

Mustafa

Position:

Supervisor

Name: .

Naeem Ashraf

Position:

Engineer

Signature: .................................................................

Signature: .................................................................

For a list of names and signatures of staff instructed in this Safe Work Method Statement and JSA, see JGC training records.
Copy 1 - To be posted at the Worksite / Supervisor at the Worksite
Copy 2 - To be retained by JGC HSE Group (24 months)
Copy 3 - To be held by the subcontractor (24 months)

SAFE ACTIVITY PRE-CHECK (SAP) SHEET

Company:

Date:

Foreman (print
name):

Location:

Task Description:
MUSTER / ASSEMBLY POINT LOCATION:
IS YOUR DESIGNATED PLACE OF WORK TIDY? - YES or NO (If "NO" housekeeping must be performed prior to work commencing).
PERMIT TO WORK REQUIREMENTS

YES

Key Task Related Hazards

(tick box)
NO
N/A

Excavations
Access Only
Plant & Equipment
Electrical

Key Preventative Control Measures

Confined Spaces
Isolations
Lock Out / Tag Out
Hot work
Instrumentation
Pre / Commissioning / START-UP
EXCAVATION

YES

NO

N/A

HOTWORK (Non PTW controlled)

SHORED / SLOPED / BENCHED

FIRE EXTINGUISHER

LADDERS PROVIDED

FIRE BLANKET

BURIED SERVICES IDENTIFIED

CYLINDERS UPRIGHT & SECURED

VEHICLE STOP BARRIERS / BOARDS

COMBUSTIBLES REMOVED

EXCAVATION INSPECTED

CONFINED SPACES

NO

N/A

EMERGENCY COMMUNICATIONS
WORK BELOW RESTRICTED

PERMIT to WORK

BARRIERS / SIGNS POSTED

GAS TEST COMPLETED

FLAME ARRESTORS FITTED

TALLY BOARD or similar

WELDING CABLES IN GOOD CONDITION

EMERGENCY ACCESS

CHEMICALS

COMMUNICATIONS

MSDS REVIEWED / AVAILABLE

SAFETY HARNESSES

SKIN / EYE / THROAT IRRITANT

SUITABLE (Ex.) LIGHTING

SHOWER or EYEWASH AVAILABLE

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

SPECIAL PPE AVAILABLE AS PER MSDS

SCAFFOLD INSPECTED

CONTAINERS LABELLED PROPERLY

INSPECTION SCAFTAG POSITIONED & IN DATE

SIGNS POSTED

SAFE ACCESS / EGRESS PROVIDED

RISK ASSESSMENT CONDUCTED

TOEBOARDS, KICKPLATES IN ORDER

HAZARDS COMMUNICATED

HANDRAILS SECURED

GROUNDING

HARNESS & LANYARDS INSPECTED

CONTAINMENT REQUIRED / PROVIDED

STATIC LINES - TIE OFF POINTS

ABSORBENT AVAILABLE IN SITU.

YES

NO

N/A

PORTABLE TOOLS

PLANT & EQUIPMENT INSPECTED

TOOLS, APPLIANCES INSPECTED

LIFTING GEAR, RIGGING INSPECTED & CERTS.

BANKSMAN / COMPETENT PERSON
IDENTIFIED
LIFTING PLAN / CALCS & M/S CHECKED

DEFECTS REPORTED

OPERATOR CERTIFIED

OPERATORS CERTIFIED

CABLES, HOSES INSPECTED

PPE REQUIREMENTS IDENTIFIED

PORTABLE APPLIANCES INSPECTED

EXTENSION CABLE CHECKED & TAGGED

FLAGMEN TRAINED / POSITIONED

OCCUPATIONAL HEALTH

N/A

SPECIAL PPE (VISORS, GLOVES, etc)

VENTILATION

PLANT & EQUIPMENT

NO

FIRE WATCH (Safety Passport check)

YES

STANDBY MAN

SCAFFOLDING

YES

GUARDS POSITIONED

YES

NO

N/A

PPE

SAFE ACTIVITY PRE-CHECK (SAP) SHEET

FIRST AIDER / FIRST AID KIT

HARD HAT

HEAT STRESS

BOOTS

DUST

GLASSES

HYGIENE (FOOD / WATER) CONTAINERS

COVERALLS / HIGH-VISIBILITY VESTS

NOISE

FACE MASKS

VIBRATION

GENERAL WORK GLOVES

YES

ELECTRICITY

NO

N/A

SPECIALIST PPE

PTW REVIEWED (COMPETENT PERSON)

WELDERS, FIRE RETARDANT GLOVES

SYSTEM LOCK OUT

ELECTRICAL RUBBER GLOVES

SYSTEM TAGGED OUT

EAR DEFENDERS / PLUGS

JSA / METHOD STATEMENT IN PLACE

HARNESSES / LANYARDS

SYSTEM DISCONNECTED

WELDERS SCREEN

SYSTEM TESTED

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

FACE MASK (DUST - FUMES)

MANUAL HANDLING

YES

NO

N/A

RESPIRATORS

WORKER(S) TRAINED (Safety Passport check)

SELF CONTAINED BREATHING APPARATUS

LIFTING, PULLING

FIRE RETARDENT CLOTHING

STRETCHING

ENVIRONMENTAL CONSTRAINTS

SHARP OBJECTS, PINCH POINTS

ENV. STUDY REPORT COMPLETED

(TROLLEYS, FORKLIFTS, etc) available

ENV. HAZARDS IDENTIFIED IN MS

SOUND GROUND / UNDERFOOT CONDITIONS

WORK AREA CHECKED (R&E SPECIES)

GENERAL

YES

NO

N/A

WASTE CONTAINERS / AREA IDENTIFIED

FLYING PARTICLES

SPILL CONTAINMENT

CABLES SECURED ABOVE HEAD HEIGHT

ENV. MONITOR INFORMED / AVAILABLE

VOIDS / HOLES COVERED & SECURED

SITE PLANT & VEHICLES

BARRIERS & TAPE PROVIDED

SAFE DISTANCE - VEHICLES & PEDESTRIANS

ALL HAZARDS COMMUNICATED

SIGNS ERECTED AND VISIBLE

OTHER WORKERS SAFETY CONSIDERED

NOISE / EXHAUST HAZARDS IDENTIFIED

Foreman / Supervisor: I have discussed the above potential hazards involved in the task, reviewed the SAP Card with
the employees under my control, and implemented suitable and sufficient controls to minimize the risks involved.
Name (print)

Signature

Employees: I / WE ACCEPT THE RESPONSIBILITY FOR THE SAFE BEHAVIOUR OF MYSELF AND MY CO-WORKERS
DURING THE TASKS IDENTIFIED ABOVE:
EMPLOYEE NAME

SIGNATURE

EMPLOYEE NAME

1.

10.

2.

11.

3.

12.

4.

13.

5.

14.

6.

15.

7.

16.

8.

17.

9.

18.

SIGNATURE