SMART VALUE HOMES BUILDING PVT LTD,BOISAR-II

Integrated Management System Policy

Document Title Method statement for Excavation & back filling

WORK METHOD STATEMENT NO.: hNCCCL/QA-QC/MS/001 REVISION NO.: R0

DATE OF ISSUE:01/08/2015 DATE OF REVISION:01/08/2015

WORK METHOD STATEMENT FOR EXCAVATION & BACK FILLING

GENERAL
Contractor Name of In-charge Mobile:
Mr.Bhaskar Swamidass / 9980059690 / 9547051988
hoMMfactorNCCCL construction Pvt Lltd. Mr.S.R.Dharpure E-mail:
hommfactorncccl@gmail.com
Project Name New Heavans Biosar - II

Description of the Excavation and Back filling

Work
Work Location Pilot building No.10 Start Date/Time:
Finish Date/Time:
Name and/or Designation Roles, Responsibility & Authority
Mr.S.R.Dharpure Work In-charge :-

Key Personnel Mr.Rakesh Razak Engineer In-charge:-

Involved in work Mr.Anup Mahtre Work Supervisor :-
execution
Mr.Mishra Quality In-charge :-
Mr.Mahesh Ambalgi Safety In-charge :-
Type Number Specialist/Trade Expert Number
Skilled Workers NA Electrician NA
Semi-Skilled Workers 06 Nos Equipment Operator 02
Estimation of Work Unskilled Workers NA Carpenter
Force
Plumber NA
Signal Man NA
Any other specialist NA
Type Specify Qualification/ Specify Medical Fitness
Experience Certification Certification needed*
needed*
Assessment on
Electrician NA NA
Competency &
Medical Fitness Equipment Operator YES YES
[Certificate to be
Carpenter
submitted before start
of work] Plumber NA NA
Signal Man
Any other specialist
*Refer the guideline enclosed.

Method Statement Page 1

 SMART VALUE HOMES BUILDING PVT LTD,BOISAR-II

Integrated Management System Policy

Document Title Method statement for Excavation & back filling

[B] WORK PLAN

Sequence of Activities Indicate Reference To
Sr. No. st
[From 1 to last Activity] [Drawing/Plan/Specification/SOP]
1 Site clearance
2 Excavation Layout as per drawing STR-CD-THB2-102
3 Level Checking(OGL)
4 Excavation done as per drawing
5 Soil strata checked by consultant
6 PCC and Plump concrete(if required)
7 Sub-structure work (footing, wall, plinth beam)
8 Back filling and watering 300 mm compacted layer Method statement
9 Compaction test to achieve 95% IS 2720
10
[C] EHS REQUIREMENTS
List of Equipments, Tools & Tackles Indicate
Equipments & Tools Fitness Test & Certification Needed
[Submit Test Certificate JCB Fitness certificate from manufacturer
before start of work]
DUMPER Fitness certificate from manufacturer
JCB BREAKER Fitness certificate from manufacturer

Enablers Required List of Enablers Indicate IS Code/Others for conformance

[Access Platform,
Winches, Ladders etc.] Barricade as per IS code IS code :-

Non- acceptable Control Measures to be ensured against Hazards/Risks

Hazards/Risks Engineering Controls Administrative Controls PPE
[Attach HIRAC]
Training Safety shoes
HIRAC Ref No Barricading TBT Hand gloves
BBS Helmets
Reflecting
Jacket
Safety
goggles

Method Statement Page 2

 SMART VALUE HOMES BUILDING PVT LTD,BOISAR-II

Integrated Management System Policy

Document Title Method statement for Excavation & back filling

Work Area Access/

Egress
[Attach sketch to
illustrate]

SKETCH NO:MS 001

If “Permit to Work” Yes/No (if Yes, then specify Permit to Work)
required YES

Hazardous Substances
[Attach MSDS if
required]

Highly Acute Toxic Corrosive Oxidizing Explosive Dangerous for

Flammable
environment

Applicable: Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

Storage of Hazardous Name of Substance Precaution for Storage & Handling
Substance
NA

Emergency As per EPDP (Refer Plan/Procedure)

Plan/Procedures
On-site Medical Aid Off-site Medical Aid
Name & contact Mr.Mahesh Ambalgi Location & Contact of Hospital
of First Aider
Location of Induction Room Thunga Hospital pvt Ltd
First Aid Box Boisar
Labour Welfare Requirements Indicate Measures to meet Requirements
Accommodation with basic needs
[Dormitory, Lavatory, Cooking Place, NA
Washing Place, Drinking Water etc.]
Safety, Health & Hygiene of camp NA
Medical Aid (Routine and Emergency) NA
[D] QA & QC REQUIREMENTS
Materials Required List of Materials Indicate Inspection & Test Plan (ITP)
[consumables] NA NA

Construction Materials Supportive Materials Chemicals

[Steel, cement etc.] [Formwork, Scaffold, Enablers]
Materials Storage
Barricade NA

Method Statement Page 3

 SMART VALUE HOMES BUILDING PVT LTD,BOISAR-II

Integrated Management System Policy

Document Title Method statement for Excavation & back filling

Tools required for Manually Operated Tools Power Tools

Quality Work
Quality Assurance & Documents Indicate Document No.
Control
Method statement
Inspection & Test Plan As per test ITP
Checklist NA
Request For Inspection NA
Pour Card NA
Parking of (Indicate Parking Area on Site Plan)
construction
equipment/vehicle
Services to be
supplied by others

[E] ENCLOSURES
Enclosures Yes No

Sr. No.
1 Copy of Drawing Yes STR-CD-THB2-
102
3 Copy of Specification / Method statement NA hNCCCL/QA-
QC/MS/001
4 Copy of HIRAC (Hazard Identification, Risk Assessment HIRAC Ref No
& Control)
5 Work Area Access/Egress Sketch
6 Copy of MSDS (Material Safety Data Sheet) if NA
applicable
7 Copy of Quality Assurance Plan (QAP)
8 Copy of Standard Operating Procedure
9 Copy of Inspection & Test Plan
10 Copy of Checklists NA
11 Copy of Formats NA

[F] APPROVAL

Method Statement Page 4

 SMART VALUE HOMES BUILDING PVT LTD,BOISAR-II

Integrated Management System Policy

Document Title Method statement for Excavation & back filling

Prepared By: Mr.B.N.Mishra Reviewed By: Mr.S.R.Dharpure Approved By: Mr.Bhaskar

swamidoss
Designation: Engineer QA Designation: Senior project Designation: Project Head
manager
Date: 01.08.2015 Date: 01.08.2015 Date: 01.08.2015
Contractor Client

Method Statement Briefing Record

Method Statement Page 5
 SMART VALUE HOMES BUILDING PVT LTD,BOISAR-II

Integrated Management System Policy

Document Title Method statement for Excavation & back filling

[Before start of work]

Briefing Delivered By:
Designation & Date:

We (the undersigned) have read and understood the attached method statement and will comply with
the specified requirements and control measures. If the work activity changes or deviates from that
originally envisaged, we will seek further advice and request an amended method statement.

Name Signature Date

Method Statement Page 6