HS.SAF.09.

F12

CONTRACTOR WORK METHOD STATEMENT (EHS)

1. Contractor Name : SOJITZ 3. Trades / Disciplines Involved In Work :

2. Work Location : EXISTING RT CONTROL Supervisor, Electricians and Helpers.

BUILDING PL 1 & PL 2.

Proposed Starting Date :

4. Brief Description Of Work To Be Undertaken : 5. Tools / Substance

Portable Tools
TRANSFORMER RECTIFIER GROUPS - PHASE 1
- Installation Of Cable Tray, Cable Ladder at Hand Electrical Pneumatic
existing RT control bldg. PL1 & PL2. Hazardous Substances
- DAN-AD400-MS-011 Rev. 01 Toxic Flammable Corrosive
Harmful Irritant
Environment Impact
Health & Hygiene Effect

Environmental Impact Health & Hygiene

Yes No Yes No

Hazardous waste x Significant Dust Generation x

Emissions x Noise (above 85 DbA) x

Discharge to sea or drains x Hazardous substances (if yes attach list) x

If answer to any of the above is yes, please circulate to If answer to any of the above is yes, please circulate to
Manager, Environmental Affairs Senior Occupational Hygienist

6. Person Completing The Work Method Statement :

Name : Takane Position : Company : Fuji

Signature : Date :

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 HS.SAF.09.F12

7. Approvals

Contractors Site Rep. Name Signature : Date :

EMAL Representative Name Signature : Date :

Area Owner Name Signature : Date :

Name Signature: Date:

EMAL EHS Department

The completed Work Method Statement must be submitted at least seven full working days prior to the
commencement of activities.
Where the Work Method Statement indicates the use of Hazardous Substances, a Material Hazard Data
Sheet must be attached.
After the Area Owners approval the Work Method Statement shall be forwarded to EHS department for
approval
The approved Work Method Statement must be attached to the permit(s) to work and all persons involved
in the job instructed in its requirements.

2. RISK ESTIMATOR CHART

The Risk Estimator chart should be used as an assistant for filling out the work
method statement.

Severity
Probability Low x1 Medium x 2 High x3

Low x1 Low Probability x Low Severity LP x MS LP x HS

1x1=1 1x2 = 2 1x3 =3
Medium x2 MP x LS MP X MS MP x HS
2x1 =2 2x2 =4
2x3 =6
High x3 HP x LS HP X HS HP x HS
3 x 1 =3 3x2 = 6 3x3=9

Significant Risk = High Risk (6-9) or Medium Risk (3-4) in terms of probability and severity
Tolerable Risk = Risk reduced to an acceptable level = Low Risk (1-2)
Residual Risk = Risk remaining after implementing recommended control actions (usually very minor).

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 HS.SAF.09.F12

8. Safety Analysis

Severity x Probability =
Risk
Individual Activities To Identified Hazard(s) Persons Exposed To Precautions and Plan of actions To Be Taken
Complete Work. List In Residual Risk
Associated With Activity Hazard To Remove / Control Hazards
Sequence of Activity (Use Risk Estimator
Chart)

All hand tools to be used must

Using damaged be in good condition.
INSTALLATION OF hand tools. Electricians & Inspect before use, periodically
CABLE SUPPORT, 2 x 1 =2
Sharp edges of Helpers maintained.
CABLE TRAY & CABLE
cable support / tray Extra care to be taken while
LADDER.
& ladder. installing cable support / tray & ladder,
use hand gloves.

Incompetent Electricians & Competent workers to be deployed, 2 x 1 =2

workers. Helpers supervisor to check the competency of
the workers.
Electricians ,
Slips, trips and fall at supervisor & Maintain housekeeping around the 2 x 1 =2
the same level. Helpers working area.
Electricians & 3x1=3
Using of bad Helpers Hand power tools must be in good
condition of hand condition with colour coding inspection
power tools. tag.
Drilling without Use clear safety glass inside control
clear safety glass, room, dust mask & ear plug.
dust mask & ear Drilling to be done in phase manner if
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 HS.SAF.09.F12

plug the fire alarm system is close to the

Dust from electric drilling point.
drill may cause of
fire alarm
activation.

Unauthorized Electricians & Only competent and authorized worker

3x1=3
using of hand power Helpers for the using of power tools.
tools.

Supervisor to ensure all power source

to be connected with ELCB and only
Electricians ,
110V industrial socket to be used at
supervisor & 3x1=3
Electrocution / Fire. site.
Helpers
Appropriate fire extinguisher to be
provided if necessary.
Do not use metal step ladder.

Inspect ladder before use, assign

one man to hold the ladder on the
ground while in used.
Using of bad Always climb up and down
condition step ladder. Electricians & facing the ladder.
3x1=3
Fall from height Helpers Don't carry tools or materials in
scaffold or from your hand while climbing up and down
ladder ladder.
Ensure workers on top of
Scaffolders must wear their safety
harness and 100% tie off.

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 HS.SAF.09.F12

Electricians &
Manual handling Helpers
Supervisor to give toolbox talk 2 x 1 =2
hazards. regarding proper manual handling.

Not using proper Wear P.P.E.'s at all times ( e.g. hard

Scaffolding group hat, appropriate safety glass, safety 2x1=2
P.PE.s
shoes, hand gloves, dust mask, long
sleeve shirt & reflective vest.)

This sheet must be properly completed detailing all of the steps required to complete the job along with the sequence of events and each of the hazards
arising. Failure to properly complete the form will result in non-approval.
(Additional sheets to be used as required)

9. Chemical Analysis (This form to be used as required)

Product Name

MSDS supplied Yes / No

Dangerous Goods Class

Hazardous Material Yes / No

Nature of Hazard Irritation / Carcinogen / Corrosive / Toxic / Other

Form Solid /Liquid / Gas / Dust / Vapour / Mist

Exposure Route Inhalation / Skin / Eye / Ingestion

Number of People Exposed 3 workers only

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Duration of Exposure 2 hours

Frequency of Exposure Very rare

As per MSDS
Controls to be implemented

Estimate of Exposure Negligible / Marginal / High

This sheet must be properly completed detailing all the necessary information. Failure to properly complete the form will result in non-approval.

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