A  21/02/2017    Issued for Review  
Reviewed & Approved
Reviewed by Reviewed by Reviewed &
Rev. Date Status Description by
Construction HSE Checked by QC
DOOSAN PMT
CONTRACTOR’s & COMPANY’s APPROVAL STATUS
OWNER:

FADHILI CHP PROJECT – CIVIL & BUILDING WORKS (PACKAGE-1)

DOOSAN JOB No. XXXXXXXX
SUBCONTRACT No. XXXXXXX
MAIN CONTRACTOR:

SUBCONTRACTOR:

Document Title: NAME SIGNATURE DATE

Prepared by JM. Ando 21 Feb. 2017

METHOD STATEMENT
21 Feb. 2017
FOR Checked by A. Kojok

Approved 21 Feb. 2017

EARTHWORKS M. Hussain
by

Checked
JMA 21 Feb. 2017 
by QA/QC

Document No.:
REVISION A
YERP4/KCS/MS/0001
NUMBER

Document Status:

□ FOR INFORMATION ■ FOR APPROVAL ■ FOR REVIEW

□ FOR CONSTRUCTION □ AS BUILT

 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
CONTENT

1. GENERAL INFORMATION

Introduction
Purpose
Scope of Work
Location
Definitions

2. QA / QC

Reference Standard
Inspection, Test and Measurement

3. EXECUTION

Materials
Tools & Equipments
Procedure of Work
Responsibilities

4. SAFETY

Safety / Highlight of Potential Risk

Responsibilities
Hazard Analysis

5. APPENDIXES

APPENDIX-1 Job Safety Analysis (JSA) For Earthworks

APPENDIX-2 Risk Assessment (RA) For Earthworks

 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
1. GENERAL INFORMATION

1.1 Introduction
DOOSAN Heavy Industries & Construction, the Contractor of FADHILI CHP Project has awarded the Civil &
Building Works (Package-1) contract to the Subcontractor, Kettaneh Construction S. A. Ltd (KCS).

1.2 Purpose

The purpose of this Method statement is to create awareness and communicate the tasks involved in
executing the earthwork and to ensure the compliance of this activity with the contract specifications and
with HSE requirements. It is to guide and take precautionary measures and to safeguard traffic within the
area of work and possible environmental impact.

This method statement shall be communicated and be understood by all personnel associated with the task
before commencing the activity.

1.3 Scope of Work

This method statement deals with the earthworks for FADHILI CHP Project – Civil & Building Works (Package-
1). It encompasses preparation and layout, mechanical and or hand excavation, leveling, moisture
conditioning & in-situ compaction for the excavated area, sand bedding (where applicable), and Backfilling.

Application of this Method Statement is limited to KCS scope of work under FADHILI CHP Project – Civil & Building
Works (Package-1)
Earthworks include:
 Excavation;
 Bracing and shoring;
 Dewatering (where applicable);
 Selection of fill material;
 Preparation and compaction of existing sub grade;
 Backfilling.

1.4 Location

FADHILI CHP Project – Package 1

1.5 Definitions

 Contractor : DOOSAN HEAVY INDUSTRIES & CONSTRUCTION

 Sub Contractor : Kettaneh Construction S. A. Ltd. (KCS)
 Company : ENGIE
 CMS : Construction Method Statement
 ITP : Inspection & Test Plan
 QA / QC : Quality Assurance / Quality Control
 RFI : Request for Inspection

 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
2. QA/QC

2.1 References

 Project Specifications, Standards & Procedures

 Company Construction Safety Manual
 Approved Project Quality Plan
 Approved Project Safety Plan

2.2 Inspection, Test and Measurement

 The QA/QC Inspector has to make sure that all required Inspection & test has been carried out as per
applicable ITP(s);
 A Request for Inspection (RFI) shall be submitted to Contractor/Company Inspection Team, 24 hours & 48
hours in week end in advance;

 The following inspection forms & check lists shall be fill-out and sign by the Subcontractor & Contractor QC
Inspectors and Company PMT who performed the actual inspections required:

1. Soil Sampling, Testing and Review of Test Reports;

2. Fill, Select-Fill and General Fill Materials Receiving Inspection;
3. Soil Protection and Control, Drainage and De-watering(where applicable);
4. Fill Placement and Compaction Inspection;
5. Compaction Testing;
6. Final Fill Inspection.

 Bi-weekly Reports including all Test Logs and comments shall be submitted. These reports shall include
density and moisture content tests indicating locations by coordinates and elevation.

3. EXECUTION

3.1 Materials
 General Fill material;
 Select Fill material;

3.2 Equipment / Tools

 Equipment and operators where required shall be approved by Contractor/Company before

doing any work at site;
 Monthly color coding shall be implemented for the inspection of all equipment;
 Inspection shall be conducted by KCS HSE Inspector with the approval of Contractor/Company
HSE Representatives;
 Inspection stickers shall be attached to every equipment at a most visible part;
 Equipment Operator shall have a valid SAG License and TUV Certification to ensure that he is
competent to operate the specific equipment;
 Color Coding Summary & Lists of Competent Personnel shall be submitted regularly to the
Contractor/Company HSE Department;
 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
 Below are the equipment and tools to be utilized:

1) Excavators
2) Pay-loaders, where applicable
3) Bulldozers
4) Mini Skid Loaders
5) Graders
6) Dump-trucks, where applicable
7) Roller compactors
8) Water trucks
9) Plate compactors
10) Service/ Transport vehicles
11) Dewatering Equipment (if required)

Other:
 Fire extinguisher (Type A, B, C);
 Hand tools for excavation e.g. shovel, pick mattock, etc.;
 The following PPE’s for workers are mandatory;
1) Safety goggles / Face shield
2) Hard hat
3) Hand Gloves
4) Safety Shoes / Rubber boots
5) Cover all / Disposable cover all

 Gas monitoring Device (if required)

3.3 Manpower List

Will be indicated in daily reports

3.4 Procedure of Work

3.4.1 Preparation

Excavation
 A qualified surveyor shall verify that the temporary benchmarks and control points have not
been disturbed;
 Protect any benchmarks from damage or displacement;
 Cordon the area with barricades, safety tapes, and warning/ information signs. Barriers shall be
constructed of material of substantial strength such as drums or scaffold.

Backfilling
 Prior to backfill, concrete underground structures shall be treated and protected as per
PROJECT specifications;
 Inspection shall be done as per applicable ITP;
 Contractor/Company shall issue a cold work permit to proceed backfilling works. If any
 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
machinery will be utilized for this activity, hot work permit shall also be issued;
 A qualified surveyor shall verify that the temporary benchmarks and control points have not
been disturbed;
 KCS shall protect any benchmarks from damage or displacement;
 KCS shall cordon the area with barricades, safety tapes, and warning/ information signs.
Barriers shall be constructed of material of substantial strength such as drums or scaffold.

General
 All personnel shall wear PPE’s.
 KCS shall obtain the necessary work permits through Contractor/Company permit issuer
before commencing the work on a daily basis or as required;
 Approved third party testing laboratory shall determine the on-site excavated material
whether it is satisfying the standard requirements, so is the material from borrow pit if be
needed.

3.4.2 Setting/ Layout

 Set/ layout the line grids and elevation using the approved benchmark/ control points,
coordinates and latest Approved Issued for Construction drawings. The area shall be
clearly marked & securely barricaded.

3.4.3 Execution

( a ) Dust Control – If required

 Dust control works shall be supervised and monitor by KCS Safety Department;
 Every Water tanker shall be assisted by Flagman during operation;
 Water spraying shall be conducted at least twice a day or as necessary;

( b ) Excavation

 Safety at workplace shall be ensured at all time;

 All existing underground installation such as pipes, electrical cables and other utilities shall be
properly determined prior to any commencement of any excavation operations;

 Whenever the presence of underground pipes, cables, vessels or structures is known or

suspected, mechanical excavations shall not be used until all such obstructions have been
exposed by hand digging;
 Mechanical excavators shall not be used within 3 meters (10 feet) of any obstruction, instead
Hand excavation using shovel and other necessary tools shall be utilized;

 Any excavation or trench with a minimum depth of 1.2 m (4 ft) or when soil banks are greater
than 1.5 m (5 ft), shoring shall be installed or the sides shall be sloped or benched and shall be
treated as a confined space;

 Clear space on all sides of excavation shall be at least 0.6 m;

 Safe entry and exit to excavation/ trenches shall be provided every 7.5m;

 No excavation is permitted under existing foundations;

 
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Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
 Excavations shall be not allowed to intersect a 45 degree plane extending downward from the
edge of existing foundations unless an engineered support system is in place prior to start of
work or excavation is in stable rock;

 Required lines and levels shall be properly identified & marked;

 Footing foundation perimeter shall be marked, allowing for the slope for excavation or
benching when depth is greater than 1.20 m;

 The area shall be excavated up to the elevation of the bottom of footing foundation’s
blinding concrete;

 Excavators with bucket shall be used for soft soil and /or soft rock excavation;

 Excavators attached with hydraulic rock breakers (hammer) shall be used for rock
excavations. Hydraulic hammer shall break rocks into pieces which would be collected by
the Buckets and load them into dump trucks for disposal;

 Depth shall be occasionally checked to avoid over excavation;

 Sub-grade soil type/classification shall be determined by an independent laboratory in

conformance to relevant Material Testing Standards and procedures;

 Where there is a reason to suspect hazardous atmosphere in an excavation, gas monitor

instrument shall be used.

( c ) Dewatering – Where applicable

 Dewatering shall be carried out during the execution of following activities:

‐ Excavation below ground water table;
‐ Formwork, concreting, surface treatments, concrete protection system prior to backfilling;
‐ Backfilling up to 50cm above the water table;

 All temporary drainage & dewatering methods and disposal of water shall be subjected to
approval by DOOSAN;

 Pounding of water on placed fill or within excavations are not be allowed;

 Surface water shall be prevented from flowing into excavations by ditching, trenching, forming
protective swales, pumping, or other approved measures;

 All diverted and pumped water shall flow to specified collection areas and shall be disposed of as
directed by the DOOSAN Representative;

 If dewatering of an excavation is required, the subcontractor shall submit proposed methods and
details to the DOOSAN for review, before beginning dewatering and excavation;

 
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Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
( d ) Backfilling
Selection of Backfill Material
 Fill and backfill materials shall be from either on-site excavation and designated borrow areas;

 Excavated materials shall be sampled and tested to determine the suitability of the existing
material. If the test results conform with the PROJECT specification for backfilling, the
excavated materials shall be stock piled at an appropriate location approved by
Contractor/Company;

 KCS shall submit to the Contractor/Company proposed backfill material supplier including the
source of material and borrow pit location for approval;

 Regardless of the source of supply, any fill material shall be sampled and tested by approved
Independent Laboratory in order to verify its compliance with the PROJECT requirement;

Fill Material

 Fill material shall consist of gravel, sand and/or marl. The maximum size of the fill material shall
be one-half the lift thickness or 75 mm (3 inches), whichever is less. Fill material shall be free
of frozen lumps, organic matter, trash, chunks of highly plastic clay or other unsatisfactory
materials;

( e ) Compaction of foundation bottom level

 Compaction shall be performed with equipment compatible with the soil type;

 Backfill adjacent to structures such as retaining walls pits and basements shall not be
compacted with heavy equipment, but shall be compacted with hand operated
equipment to a distance of 1.2m or greater from the face/side of the structure/
foundation;

 Backfill placed beneath footings, grade beams, mats, buildings, and process areas shall be
compacted to as required as determined by ASTM D1557.;
 The required compaction test shall be carried out by an approved third party testing laboratory;

( f ) Fill Placement & Compaction Requirements

 Fill material shall be placed in lifts not exceeding 200mm in loose depth;

 Fill material shall be placed in lifts not exceeding 100mm in loose depth for hand-operated;

 Fill and backfill adjacent to any type of structure shall not be compacted with heavy equipment;
Hand operated equipment shall be used within 1.2 meters of any structures;
 Every effort shall be made to place backfill materials symmetrically and in uniform layers to
prevent unnecessary eccentric loading on a structure or foundation;

 Compacted surfaces of fill and backfill shall be finish graded to the cross sections, lines, grades
and elevations as indicated on the drawings;

 
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Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

( g ) Inspection
 Inspection shall be done as per the approved Inspection & Test plan;

 A Request for Inspection (RFI) shall be submitted in advance as per approved Project
Quality Plan.

( h ) Testing ( Laboratory & Compaction)

 All quality tests and sampling shall be performed by a DOOSAN approved laboratory;

 Gradation, density and moisture content control test are performed at the following frequencies:
one standard sieve analysis (ASTM C 136, ASTM D 422 or ASTM D 1140) and one Modified
Proctor Test per ASTM D 1557 with corresponding Proctor curve for each type of fill material or
where there is a change in the type or source of the material;

 Acceptance testing of in-place density and moisture content (field density testing) on compacted
fill will be performed at the following rates:

Location to be Tested Frequency of Test

Under all foundations 1 test every 1,000ft² (90m²) of each lift
Under area paving 1 test every 2,000ft² (180m²) of each lift
Road base & sub-base 1 test every 2,000ft² (180m²) of base or sub-base
Backfill of Trenches 1 test for every 50 linear ft (15m) of each lift
General fill 1 test for every 5,000ft² (460m²) of each lift

( i ) Removal of Construction Debris/ Unsuitable excavated Material

 Excavated materials which are not satisfactory for backfill shall be dispose at the
designated dumpsite approved by DOOSAN. Suitable material for backfill will be stockpiled
at approved location;
 Site clearing operations shall be conducted in such a manner as to ensure minimum
interference with roads, walk ways and other adjacent areas occupied or used facilities.

3.5 Responsibilities

Site Manager
 He shall be the over all in-charge of this activity and shall see to it that required resources are attained. He
shall ensure that all related quality and safety requirements associated with this activity are in line with the
project specifications and standards.

Construction Section Engineer

 He shall establish and ensure effective implementation of this Construction Method Statement including
Safety Requirements.

 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
QA/QC Manager
 He shall review this CMS for quality compliance and be responsible for its implementation;

 He shall issue approved CMS to Site Manager / Engineer for implementation, and shall be responsible for
monitoring of effective implementation of this procedure,
 He shall ensure necessary inspections/monitoring is being done.

HSE Manager
 He shall review this CMS for safety compliance and be responsible for its implementation;

 He shall be responsible for monitoring of effective implementation of this procedure,

 He shall ensure necessary inspections/monitoring is being done.

QA/QC Engineer
QA/QC Engineer shall make sure that:

 All works are carried out as per the latest revision of the IFC drawings;
 All materials to be used are approved;
 He prepared and submitted RFI to Contractor/Company, 24 hours during working days & 48 hours during weekend
in advance before the inspection schedule;

Third Party Testing Technician

 He shall be responsible for undertaking the required tests in accordance with the PROJECT specifications.
 He shall ensure that all testing tools & equipment are in good condition at all times. And shall periodically
monitor, check and update all calibration status of all testing equipment used at the project in the entire
duration of works.

Safety Inspector
 Safety Inspector in conjunction with the supervisor shall physically check and conform that all approved safety
procedures in this Method Statement & PROJECT HSE requirements have been, and will continue to be adhered
to;
 The Safety Inspector shall confirm that all access to the working area is clear of hazards and debris that may
hinder access and egress of the work platform. He shall confirm this to the activity supervisor before work
begins;
 The Safety Inspector shall ensure that vehicles, machinery and equipment involved in the activity are controlled
by a banks-man;
 The Safety Inspector shall observe the operation of critical junctures i.e. start of excavation work.
Field Engineer
 Site Engineer shall organize and manage all activities related to earthworks activities including planning &
scheduling equipment arrangements. He shall be in the helm in overall supervision & ensure that site safety plan is
in place and implemented;

 After confirming that all prerequisites are followed according to the IFC drawings, he shall coordinate with QC
Inspector to arrange necessary inspection as applicable

 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
General Foreman
 General Foreman shall arrange Safe Working Plan, Work Permit, and supervise the workforce so as to achieve
the proper and safe execution of work as per Project Quality Plan;

 Is responsible for site daily implementation and execution of this procedure. He shall organize and manage all
activities for the implementation of this procedure. Protective measures and day-to-day activities;
 He shall set as a good example to his subordinates by properly and completely wearing required PPE’s at all
times with in the vicinity of jobsite.
Earthworks Foreman
 He shall supervise the necessary preparations and execution of earthworks according to this CMS.

Equipment Supervisor
 He shall be responsible for the maintenance and adequacy of all equipments and tools.

3.5 DOCUMENTATION
3.6.1 The following documents are needed to control:

 IFC Drawings;
 Inspection & Test Records;
 Method Statement.

3.6.2 Testing Submittals

‐ Bi-weekly reports including all test logs and comments. These reports include density and
moisture content test logs indicating location by coordinates and elevation. A complete
record of all test logs and comments, compiled at earthwork completion, for permanent
project records, shall also be submitted;

‐ Borrow (Fill) Materials and Water. Sources and test results of all borrow materials and
compaction water used for fills prior to beginning fill operations.

4.0 SAFETY

4.1 SAFETY/ HIGHLIGHT OF POTENTIAL RISK

 Barriers shall be erected to provide protection against hazards and dangers, hazardous work areas
and hazardous work in all cases where the hazard or danger will exist for a period longer than 8
hours. Barricades will be marked ‘YELLOW’ and ‘BLACK’ ( or WHITE & RED) to increase the visibility
of the barrier and highlight the hazard;

 Barriers shall be constructed from materials of substantial strength such as scaffold tubing;

 All barricades and obstructions shall be illuminated by means of warning lights from sunset to
sunrise;

 
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 FADHILI CHP PROJECT
Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
 All barricades, signs, lights, and other protective devices shall be installed and maintained.
Information and warning signs should be clear and visible to the vehicles and pedestrians;

 Signs, signals and barricades shall be removed when the hazard no longer exists.

Highlight of Potential Risk

JSA/ HAZARD ANALYSIS

DESCRIPTION OF WORK : Mechanical and or Hand Excavation / BACKFILLING

SUB-CONTRACTOR : KETTANEH CONSTRUCTION SAUDI ARABIA LTD.
LOCATION : FADHILI CHP PROJECT (PACKAGE-1)

Please refer to attached JSA sheet

Remark: In our analysis there is no high potential risk.

FOLLOWING CONSIDERATIONS

ITEM DESCRIPTION ACTION ITEM DESCRIPTION ACTION

Permit to Work Y Training required * Y
Adjacent Operation N Temporary Access/Platforms Y
Hazardous Material N Personnel Protective Equipment Y
Waste Disposal Y Safe Access Y
Material Storage N Emergency Contingency Plan Y
Communications N/A Weather Limitations N
Underground Utilities N/A Process Areas N
Overhead Power Lines N/A Lighting (No night work) N
Noise N Electrical Equipment N
Radiation N
Where: Y = Yes
N = No
N/A = Not applicable
* Training required for banks-men/ flagmen for dump trucks & excavator

4.2 Carrying Excavator and Equipment in the Site

Dangerous factors of Work

 Check the connection part of equipment;
 Follow safe procedure when stevedoring equipments from a truck;
 Check the qualification of the driver;
 Check if dangerous sign and strobe lights are installed in the rear side;
 Check an incline of the truck is installed securely during the loading and unloading of the
equipment;
 Arrange a supervisor to load and unload equipments safely;
 Check if workers and supervisor wears safe equipment;
 Check if a wedge is installed under the wheels of the truck.

 
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Civil & Building Works (Package-1)
 

METHOD STATEMENT FOR EARTHWORKS

FCHP/KCS/MS/0001

 
Evaluation Table for Dangerousness

Section Dangerous Factor Measure

Human factor *Inversion and collision by unskilled *Check the qualification and experience
driver of an excavator. of a driver.
*Accidents without wearing safe * Workers and supervisor should wear
equipments safe equipments.
Work Method *inversion of an equipment by non- *Execute inspection before work, follow
following safe procedure. safe procedure during work.
*inversion by proceeding excessive *arrange a supervisor to prevent
works of unskilled worker. workers from excessive works.
Machine equipment *Falling and inversion of an *Check the connection part of
accessories, disconnecting the equipments and machine before work.
connection part when carrying
equipments
*Collapse of equipments by an incline *Install an incline securely to prevent
fallen from a truck. disconnecting.

5.O APPENDIXES

APPENDIX-1 Job Safety Analysis (JSA) For Earthworks

APPENDIX-2 Risk Assessment (RA) For Earthworks

 
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 Doc. No KCS/SMS/3/7/7C
Company Health, Safety & Environmental
Management Manual (SMS) Issue 2
BS OHSAS 18001:2007 & ISO 14001: 2004

Date 30th June 2010

Job Safety Analysis - Earth Works

Name of organisation completing the work:

Job name: FADHILI CHP PROJECT (PACKAGE-1)
Kettaneh Construction S. A. Ltd.
Task: Earth Work JSA Number: JSA - 001

Principal contractor: DOOSAN HIC Job location: YANBU – YERP 4

Date the JSA was prepared: 21-FEB-2017 Number of pages in this JSA: 3 Pages: 1 of 3
This JSA prepared by: JMA New:  Revised:
Normal Approvals: Name: Signature: Date: Team Members
Project Manager: MALIK HUSSAIN
Site Manager: AHMED KOJOK
Site Engineer:
Job Supervisor:
Fire: 998 Clinic: Emergency:
Additional Approvals (Determined by Senior HSE Manager and Project Manager)
Pre-Start Tool Box Talk and Task Briefing including Emergency Procedures.
General Job Requirements Prior Inspection of tools and equipment by team.
Supervisors familiar with EHS Procedures
COMMON PPE HARD HAT- OVERALLS – HI-VIS – GLOVES – GLASSES/GOGGLES/SHIELDS* – SAFETY FOOTWEAR
NB:* Eye Protection Clear/Dark dependant on time of day. Type = Task

CHANGING CONDITIONS & EMERGENCY PROCEDURES: Stop Work, Switch Off Equipment, Supervisor Directs Personnel to Nearest & Safest Muster Point Considering Wind Direction.
Supervisor accounts for ALL Workers.

Document No. Revision No. Date: APPENDIX 1 - Page No.

FCHP/KCS/MS/0001 A 21 February 2017 1 of 3
 
 Doc. No KCS/SMS/3/7/7C
Company Health, Safety & Environmental
Management Manual (SMS) Issue 2
BS OHSAS 18001:2007 & ISO 14001: 2004

Date 30th June 2010

Consequence

Risk Rating

Risk Rating
Consequence
Probability

Probability
Work activity Hazard Control Measures

Break the job down into steps What could harm someone?
Persons Responsible
What can be done to make the job safe

Earth‐work Location of Underground / 2 2 M Locate underground / aboveground 1 1 L
Aboveground Services (such services referring
pipeline, cables etc) to the site map / drawing.
Endorsements in Excavation Notification
from the

concerned Teams for the services in the
area to be
Excavated.
Hold pre‐job safety meeting
Obtain excavation work permit.


Excavation Accidental contact with heavy 3 2 H Only authorized persons are allowed 1 1 L
equipment can cause serious within the vicinity of equipment or work
injury. area. Barricade area and post signage.

Keep excavated material at least 1 meter
away from the edge of the trench.

Collapse of Excavated Materials Inspection for soil condition before
starting excavation work.

Document No. Revision No. Date: APPENDIX 1 - Page No.

FCHP/KCS/MS/0001 A 21 February 2017 2 of 3
 
 Doc. No KCS/SMS/3/7/7C
Company Health, Safety & Environmental
Management Manual (SMS) Issue 2
BS OHSAS 18001:2007 & ISO 14001: 2004

Date 30th June 2010

Accidental fall of equipment Keep the equipment away from the edge
of the trench. Wear appropriate PPE

Possibility of toxic / flammable Carry out gas test before excavating in
gas hazardous area.

Blocking Emergency Equipment Ensure the approach to Emergency
Equipment is not blocked due to open
trenches.

Damage to underground Coordinate w/ EPC for location plan of
Services (such underground utilities..
pipeline, cables etc) Isolate services as needed through
authorized permit.

Cave‐in Provide sloping, benching or shoring as
needed. Set equipment at least a meter
and a half from edge of excavation.

Post Excavation Unattended trenches 2 2 M Barricade the trenches 1 1 L
Use warning signs & lights


Trenches left open for extended Close the trench, backfill and compact the
period area.
Close the permit after making the site
clean & tidy.
‐‐‐‐‐‐‐‐‐‐ Nothing Follows ‐‐‐‐‐‐‐‐‐‐

Consequence: 1,2,3 (From low to high) Probability: A,B,C (From low to high) Risk Rating: L,M,H (From low to high)

Document No. Revision No. Date: APPENDIX 1 - Page No.

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Company Health, Safety & Environmental Doc. No KCS‐SMS‐2/007
Management Manual (SMS) Issue 1
BS OHSAS 18001:2007 & ISO 14001: 2004
Date 30th June 2009

RISK ASSESSMENT FOR Earthworks

Name Signature Date

Compiled By: JMA
Department: Civil
Site Manager: Ahmed Kojok
Work Supervisor:
1.HAZARD IDENTIFICATION 2. RISK ASSESSMENT
Residual
Base Risk
Risk

Risk Category

Risk Category
Risk Ranking

Risk Ranking
Significant Existing Control Proposed Mitigating

Likelihood

Likelihood
Sl. Health and Measures Measures
Activity Sub-Activity Risk

Severity

Severity
No Safety
Hazard

Only authorized persons

Being trapped are allowed within the
It will be forbidden
Pre-work, by overturned vicinity of equipment or
to stand watching
Transport/ machineries. Injuries, work area. Barricade the
Excavation within the radius of
setting of Accidental property area and post signage. 2 4 8 M 1 4 4 L
Works action of the
equipment contact with damage. Assigned trained
mechanical arm of
(excavator) heavy flagman to restrict the
moving machinery.
equipment area of unauthorized
intrusions.
Locating of Stepping on Locate Endorsements in
Injuries,
under objects. Same underground/abovegrou excavation
cuts/lacer 3 3 9 M 1 3 3 L
ground/ level falls. nd services referring to notification from the
ation.
above Electrical as built drawing. Hold concerned authority

Document No. Revision No. Date: APPENDIX 2 - Page No.

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Company Health, Safety & Environmental Doc. No KCS‐SMS‐2/007
Management Manual (SMS) Issue 1
BS OHSAS 18001:2007 & ISO 14001: 2004
Date 30th June 2009

ground contact. pre-job safety meeting. for the underground

services Obtain approved utilities in the area
(such excavation work permit. to be excavated.
pipeline,
cables etc.)
Provide sloping,
Work will be
benching or shoring as
stopped in the
needed. When the
proximity of any
depth of the trenches or
shoring up whose
excavation work
Cave-in, stability is not
exceeds 5 meters, and
Falls/ guaranteed or is
Serious/fa when due to the
collapsed of questionable. In this
Excavation tal characteristics of the 2 4 8 M 1 4 4 L
existing case, before
injuries. land there is a danger of
surface carrying out any
collapse, the trench or
structures. other type of work,
excavated area will be
the shoring up must
shored up and no other
be reinforced or
work shall be permitted
braced.
until this operation has
been carried out.
Keep excavated material
All excavation work
at least 1 meter away
will be sign posted
from
in general is
The edge of the trench.
Collapse of concerned,
The dumping of earth or
Excavated appropriate
Serious/fa other materials at a
Materials. measures for the
tal distance of 2 meters or 2 4 8 M 1 4 4 L
Objects falling type of condition of
injuries. less from the edge of the
as a result of the ground and the
excavated area shall be
collapse. way work is carried
forbidden in order to
out will be taken to
prevent overload and to
prevent collapse.
rule out the possibility of
the earth collapsing.

Document No. Revision No. Date: APPENDIX 2 - Page No.

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Company Health, Safety & Environmental Doc. No KCS‐SMS‐2/007
Management Manual (SMS) Issue 1
BS OHSAS 18001:2007 & ISO 14001: 2004
Date 30th June 2009

Carry out gas test

Oxygen Before excavation starts, before excavating in
deficiency, an investigation shall be hazardous
Possibility of Serious/fa made concerning the area. And gas test
toxic / tal presence in the ground 2 4 8 M must be carried out 1 4 4 L
flammable injuries. of materials dangerous regularly to check
gas to health, substances oxygen deficiency
dangerous to health. and build up of toxic
gases.
All excavation will
be signposted
Keep the equipment
around the
away from the edge of
perimeter of the
the trench. Vehicles
Property area in order to
may pass at a minimum
damage, prevent falls from
Accidental fall of 4 meters from the
Serious/fa 2 4 8 M one level to another. 1 4 4 L
of equipment edge of the excavated
tal When the depth of
area. Ensure heavy
injuries. the excavation is
equipment shall not
greater than 1.2
move too close to an
meters, it must be
excavation.
protected with a
safety hard barrier.
Proper barricades shall For crossing over an
Fall of Broken be installed around excavated trench,
Post-
workers/pede bones, excavations. Warning 2 3 6 M walkways with 1 3 3 L
excavation
strians injuries lights shall be used standard guardrails
wherever required. shall be provided.
Unattended Barricade the trenches
Review hazards of
trenches Injuries, Use warning signs &
the operation with
property lights, 2 3 6 M 1 3 3 L
all involved
damage. Close the trench, backfill
personnel.
Trenches left and compact the area.

Document No. Revision No. Date: APPENDIX 2 - Page No.

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Company Health, Safety & Environmental Doc. No KCS‐SMS‐2/007
Management Manual (SMS) Issue 1
BS OHSAS 18001:2007 & ISO 14001: 2004
Date 30th June 2009

open for Close the permit after

extended making the site clean &
period tidy.
Malfunction of Deploy trained and
All equipments to be
equipments. skilled Banks man
certified and properly
Collision of with green & red
inspected. Check list of
vehicle/turn flag and reflective
equipments to be filled,
Transportati over of vest during
Serious updated. Repairs to be
on & vehicle. transportation.
injuries, done outside & re-
Backfilling Dumping of Exposure of 2 4 8 M Proper routing for 1 4 4 L
property inspected certified
backfilling dust during transporting
damage before put back in
materials backfilling. equipments must be
services. Dust mask will
defined. Banks man
be worn. Water spray on
at unloading
transport routing as
location,
necessary.

Eliminated where
possible through
alternative methods of Max. usage
work (e.g. mechanical time/shift for
Exposure of methods) if unavoidable specific
workforce to low vibration equipment equipment
Hand Arm
high noise used & regularly determined &
Use of Vibration
Compaction and vibration. maintained. 3 3 9 M never exceeded. 1 3 3 L
compactors Syndrome
Exposure of PPE worn such as anti- Rotation of
(HAVS)
dust during vibration gloves, ear workforce to limit
compaction. plugs. individual
Dust mask will be worn. exposure
Water spray on transport
routing as necessary.

Document No. Revision No. Date: APPENDIX 2 - Page No.

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Company Health, Safety & Environmental Doc. No KCS‐SMS‐2/007
Management Manual (SMS) Issue 1
BS OHSAS 18001:2007 & ISO 14001: 2004
Date 30th June 2009

To Evaluate the Risk: Likelihood (L) x Severity (S) = Risk ®, Defined as HIGH (11-25), MEDIUM (6-10) or LOW (1-5)

Risk Rating:
L= Likelihood S = Severity
1. Very Unlikely 1. Minor - No Loss Time, First Aid etc.
2. Unlikely 2. Significant - Equipment Damage < 2000SR, Medical Treatment
3. Likely 3. Major - Loss Time Injury, Equipment Damage >2000SR
4. Very Likely 4. Severe - Single Fatality, Complete Loss of Plant/Equipment
5. Certain 5. Catastrophic - Multiple Fatalities, Explosion, Fire etc.

Note: Control Measures will be implemented when the evaluation of the Risk is Low (5 and above).
Name Signature Date

Completed By:

Document No. Revision No. Date: APPENDIX 2 - Page No.

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Company Health, Safety & Environmental Doc. No KCS‐SMS‐2/007
Management Manual (SMS) Issue 1
BS OHSAS 18001:2007 & ISO 14001: 2004
Date 30th June 2009

Risk Assessment Matrix

CONSEQUENCES INCREASING LIKELIHOOD

A B C D E
Severity

Never Heard of in Accident has Happens Happens

Reputation
heard of in our occurred in several times several
our industry our Company per year in times per
People

Assets
industry our company year in a
location

0 No health No damage No impact

effect/injury

1 Slight health Slight damage < SR10K Slight impact Low Risk
effect/injury

2 Minor health Minor damage < SR Limited impact

effect/injury 100K

3 Major health Localised damage< SR Considerable

effect/injury 1M impact
including LTI
4 Permanent Major damage<SR10M National impact Medium Risk
Disability* or 1
Fatality
5 Multiple Extensive damage International
fatalities >SR10M impact High Risk

Effective application of Risk Assessment involves four steps: Identify Assess, Control and Recover. These steps cover identification of the major
hazards to people, assets and reputation, assessment of the related risks, as well as implementing measures to control these risks and to recover in case
these measures fail. Use of the Risk Assessment Matrix will enhance appreciation of Health and Safety risk and achieving As Low as Reasonably
Practicable at all levels

Document No. Revision No. Date: APPENDIX 2 - Page No.

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