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Safe Work Method Statement

Project Name: Google Connect Services India Private Limited.

Address: Hyderabad
Company Name: Narsi & Associates Activity/Trade: Disinfection at site
Address: UNIT NO.522, LAXMI MALL, BLDG. 5, LAXMI IND. EST., Link Rd,
Laxmi Industrial Estate, Suresh Nagar, Andheri West, Mumbai, Maharashtra 400053

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Use of disinfection machine  Electric shock H/M/L  Only trained person will be allowed to operate the PM/site
 Untrained person machine. supervisor
 Chemical hazard  Confirm whether the input AC voltage and the charger /safety
input voltage are in phase before charging. officer
 Non- professional personnel shall not dismantle the shell
of charger to avoid electric shock.
 Only trained person will be allowed to use all accessories
of sprayer,

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Safety measures, such as protective clothing, nose mask, PM/site
hand gloves, face shield must be taken when spraying. supervisor
After the spraying the person should finish the cleaning of /safety
yourself and sprayers cleaning work, no disease, skin officer
trauma, skin diseases or allergic to pesticides and physical
comparison weak personnel engaged in spraying
 When spraying, keep away from downwind operation of
the crowd. Don’t spray pesticides against the downwind
crops, fruits and herbs that have been sprayed with
pesticides must be strictly controlled safe harvesting
period
Prohibited matters:
 The machine is strictly prohibited to use strong acid,
strong alkali, inflammable and other special working fluid.
 It is strictly prohibited to spray powder or granule which
cannot be dissolved in water
 It is strictly prohibited to dip the base
 It is strictly prohibited to store in defective electricity.

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Use of chemical (Diversey) for  Causes burns/ serious damage to H  We Ensure availability of MSDS at site & briefing to PM/site
disinfection mouth, throat and stomach. concerned workers. supervisor
 Chemical Hazard  Keep away from flames and hot surfaces. No smoking. /safety
 Fire hazard Keep container tightly closed. officer
 First Aid Injury: Skin corrosion /  Fire extinguisher should be placed near the spraying
irritation area & storage area.
 Serious eye damage / eye  Keep away from flames and hot surfaces. No smoking.
irritation Keep container tightly closed. Keep only in original
 Metal Corrosion container. Avoid contact with eyes, skin and clothing.
Wash affected areas thoroughly after handling. Do not
eat, drink or smoke when using this product. Wear
protective gloves, protective clothing and eye or face
protection. IF SWALLOWED: Rinse mouth. DO NOT
induce vomiting unless directed to do so by medical
personnel. Drink a cupful of milk or water. IF ON SKIN (or
hair): Take off immediately all
contaminated clothing. Rinse skin with water for at least 15
minutes. Wash contaminated clothing before reuse. IF
INHALED: Remove person to fresh air and keep comfortable

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
for breathing. IF IN EYES: Rinse cautiously with water for PM/site
several minutes. Remove contact lenses, if present and easy supervisor
to do. Continue rinsing for at least 15 minutes. Immediately /safety
call a Poison Center (1-800-851-7145) or physician. Get officer
medical attention or
advice if you feel unwell. Absorb spillage to prevent material
damage. Store in a well-ventilated place. Keep cool. Store in
corrosive-resistant container with a resistant inner liner.
Dispose of in accordance with all federal, state and local
applicable regulations. SUPPLEMENTAL
INFORMATION: Mix only with water. DO NOT MIX WITH
BLEACH OR ANY OTHER PRODUCT OR CHEMICAL. Can react
to release chlorine gas.

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
COMBUSTIBLE LIQUID H Handling: Keep away from heat, hot surfaces, sparks, open flames PM/site
and other ignition sources. No smoking. Keep container tightly supervisor
closed. Ground/Bond container and receiving equipment. Use /safety
explosion-proof electrical, ventilating or lighting equipment. Use officer
only non-sparking tools. Take precautionary measures against
static discharge. Avoid contact with skin, eyes and clothing. Wash
thoroughly after handling. Do not taste or swallow. Product
residue may remain on/in empty containers. All precautions for
handling the product must be used in handling the empty
container and residue. Avoid breathing vapors or mists. Use only
with adequate ventilation. Remove and wash contaminated
clothing and footwear before re-use. Absorb spillage to prevent
material damage. Mix only with water. DO NOT MIX WITH BLEACH
OR ANY OTHER PRODUCT OR CHEMICAL. Can react to release
chlorine gas. FOR COMMERCIAL AND INDUSTRIAL USE ONLY.
Storage: Store in a well-ventilated place. Keep cool. Store locked
up. Store in corrosive-resistant container with a resistant inner
liner.
 Suitable PPE's must be provided i.e. Safety goggle , hand
gloves, safety shoe, Disposable Plastic Apron etc.

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Disinfection at site  Person can affect from covid-19 by H/M  Travelling history shall be ask and detail will be PM/site
contact with material or touching maintained of every vehicle. supervisor
with person.  Every vehicle will be disinfected before entering the /safety
 Chemical Hazard workplace/site. officer
 All materials will be disinfected (according to product
specification) before unloading by the trained person.
 Maintain 6 feet distance between employees while
handling material, if possible.
 Material will be quarantined in a designated storage area
as per project guidelines.
 Ensure to wear of full PPEs kit all the time to avoid direct
contact with the material.
 All areas in the premises shall be disinfected on regular
basis like- Site office, Store room, dining area, rest area,
toilets, labour camp, canteens, pathways, entry / exit
gates etc.
 Sanitizer material like alcohol sanitizer, hand wash, soap
should be available at site after disinfection activity.

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Person who
Procedure (in steps) Possible Hazards Risk Control Measures
will ensure
Rating (Describe what action or procedure will be taken to eliminate or minimise
(Break the job down into steps. Each (Identify the hazards associated with each step. this happens
(See the risk of injury or damage. Use the Hierarchy of Controls below as a
step should accomplish some major Examine each to find possibilities that could
below) guide
task and be in logical sequence.) lead to an accident or potential harm arising.)
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Disinfection of equipment, scaffold, ladder shall be
ensured on daily basis before start the work.
 Proper ventilation should be available at working location.
 We Ensure availability of MSDS at site & briefing to
concerned workers

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
Document Name: Version Correct as at: Page No.
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Safe Work Method Statement

Supervisor’s Responsibilities:

Supervisor’s Responsibilities:  Ensure material is disinfected and quarantined.

 Make sure that suitable protective PPEs is available, where appropriate and that is used.

 Give all workmen / technicians precise instructions on their responsibilities for correct working method; see that
they do not require taking unnecessary risk.

In addition to the above, the supervisor is to provide training in the use of this WMS, issue PPE and provide training in the same, supervise the work, ensure
conformity with this WMS, amend the WMS when additional hazards are found (and if applicable, ensure all workers receive a tool-box talk to discuss the
control measures for the additional hazards).

DESCRIPTION OF TRAINING THAT HAS BEEN GIVEN TO PEOPLE INVOLVED WITH THE WORK

Document Name: : Page No.


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