SKYORYX

JOINT VENTURE

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METHOD STATEMENT
SKY ORYX JOINT VENTURE
T A IS E I
DBD
INSTALLATION OF WIR ING DEVICES

CONTRACTOR'S VERIFICATION STAMP

PURSUANT TO SPECIAL CONDITION 5, WE , SKY ORYX JOINT VENTURE , VERIFY THAT THIS SUBMITTAL SATISFIES ALL
REQUIREMENTS OF THE CONTRACT , WITH THE EXCEPTION OF THE FOLLOWING CLARIFICATIONS I PROPOSALS ACCEPTED
BY THE ENGINEER :

CONTRACTOR 'S PROJECT MANAGER :

M.HORIKAWA
PRINT NAME SIGNA' URE

DOCUMENT REVIEW STATUS

D STATUS 1: WORK MAY PROCEED .

D STATUS 2: REVISE & RESUBMIT . WORK MAY PROCEED SUBJECT TO INCORPORATION OF COMMENTS INDICATED.

D STATUS 3: REVISE & RESUBMIT. WORK MAY NOT PROCEED .

D STATUS 4: REVIEW NOT REQUIRED . WORK MAY PROCEED.

PERMISSION TO PROCEED SHALL NOT CONSTITUTE ACCEPTANCE OR APPROVAL OF DESIGN DETAILS , CALCULATIONS ,
ANALYSES , TEST METHODS , OR MATERIALS DEVELOPED OR SELECTED BY CONTRACTOR AND SHALL NOT RELIEVE
CONTRACTOR FROM FULL COMPLIANCE WITH THE CONTRACT TECHNICA L SPEC IFICATIONS AND DRAWINGS .

Overseas Bechtel , Inc. Date

Method Statement No : 25045-A 1000-18-3GS-E-021 Rev.O

Issued by: SKY ORYX JOINT VE TURE

Checked Approved
Rev. No. Date Description
o 26 Feb 08 First Issue a

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 TABLE OF CONTENTS

1. TITLE. Installation of Wiring Devices

2. SCOPE OF WORK
2.1. General description.
2.2. Plant and equipment.
2.3. Materials.
2.4. Site planning & preparation
2.5. Work methodology.
2.6. Organisation, Responsibilities & Supervision.
2.7. Work Force.

3. HEALTH & SAFETY

3.1. Risk assessments
3.2. NDIA E S & H Contractor Requirements
3.3. Protective & Safety Equipment.
3.4. Contractual Requirements.
3.5. Information to personnel.
3.6. Emergency Procedures.
3.7. Permit Requirements.

4. ENVIRONMENTAL ISSUES
4.1. Environmental Impact assessment.
4.2. NDIA E S & H Contractor Requirements
4.3. Contractual Requirements.
4.4. Emergency Procedures.

5. QUALITY ASSURANCE
5.1. Contractual Requirements.
5.2. Critical works.
5.3. Inspection & Testing.
5.4. Follow up & Evaluation.

6. APPENDICES
6.1 Risk Assessment Form

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1. INSTALLATION OF WIRING DEVICES
2. SCOPE OF WORK
2.1 General Description
The methodology covers the procedure to be followed for the sequence of work. The
main works involve in the installation of Wiring Devices in accordance with Section
16140.

2.2 Plant and Equipment

The following equipments and tools are needed to execute the works.

Items Equipment Nos Purpose

1. Pick up Truck 1 Loading and Unloading materials
2. Hand Tools 1 lot Wiring devices installation

2.3 Materials

All materials that will be used will be based on approved material submittal, shop
drawing and specifications.

Material Submittal Nos. Description Manufacturer Status

25045-A1000-18-EGD-E-045 Rev.0 Wiring Devices Legrand Code 2
25045-A1000-18-EGD-E-046 Rev.2 Wiring Devices MK Electric Code 2
25045-A1000-18-EPD-E-004 Rev.0 Wiring Devices Legrand Code 2

• Material receiving report will be prepared.

• Pick up Truck/Forklift will be used for loading and unloading of all materials
and fittings.

2.4 Site Planning & Preparation

2.4.1 Site Management Plan

• Site Engineer and supervisor will ensure that all necessary materials,
complete tools, and wiring devices for the installation are available at the site
prior to work commencement. Ensure all materials are approved for
installation before works start. All approved submittals, drawings, Method
Statement and ITP’s, are on hand for review by OBI.

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 2.4.2 Coordination with other contractors
• Coordination meetings with the other trade contractors will be carried out in
order to notify their interfacing works.
• SOJV will inform in advance all related internal sub-contractors and organize
a meeting to prevent future problem during the installation of floor mounted
outlet.

2.4.3 Traffic Management

Traffic management is not applicable for the application defined.

2.4.4 Permits & Certificates

• Permit to work

2.4.5 Lay down Areas

Material and equipment will be laid in pre-determined and designated approved

laydown area for electrical sub-contractor and will be shifted partially to a
suitable location at site.

2.4.6 Communication

Communication on site will be provided by radios and cellular phones (if the
Cellular phone doesn’t work in all areas, radios will be preferred).

2.5 Work Methodology

The sequence of construction works are as followings:

• Shopdrawing preparation
• Inspection of Materials deliveries
• Site Survey
• Installation of Wiring Devices
• Field Quality Control

2.5.1 Shop drawing preparation

• Submittal of shopdrawing will be done after all necessary coordination with other
contractor also.
• Re-submittal of shopdrawing will be prepared taking into consideration all necessary
of this comment of Engineer (if submitted shopdrawing is not code 1).
• Approved drawing will be multiplied and will be distribute to site engineer for
implementation.
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2.5.2. Inspection of Deliveries
Site Engineer shall perform the following.
• Check the total quantities and types of materials specified.
• Check quality of delivered materials to its entirely.
• Prepare material receiving report if there are incomplete or damaged items to be
removed from the job site and not used. Then must be replaced as per specification
or as requirements.
• Request QA/QC Engineer for inspection of materials before execution of work.

2.5.3 Site Survey

Site Engineer shall perform the following task.
• Check the readiness of wall prior to installation of devices.
• Check and verify with other subcontractors related with the installations.
• Inform in advance with a report the existence of any foreseen problem encountered.

2.5.4 Installation of Wiring Devices

• Install devices and assemblies plumb and secure.
• Install wall plates when painting is complete.
• Mounting height of wiring devices shall be in accordance with detailed approved
shop drawing.
• Install wall plates from the side of door jamb at minimum 150 mm from center of
device box unless otherwise indicated in approved shop drawing.
• Arrangement of Devices: Except as otherwise indicated, mount flush, with long
dimension vertical, and grounding terminal of receptacles on top. Group adjacent
switches under single, multi-gang wall plates.
• Protect devices and assemblies during painting.
• Adjust locations at which floor service outlets and telephone/power service poles are
installed to suit the indicated arrangement of partitions and furnishings.
• Comply with Section 16075, “Electrical Identification.”
• Switches: Where 3 or more switches are ganged, and elsewhere where indicated,
Identify each switch with approved legend engraved on wall plate.
• Receptacles: Identify the panel-board and circuit number from which served. Use
machine printed, pressure sensitive, abrasion resistant label tape on face of plate
and durable wire markers or tags within outlet boxes.
• Isolated Ground Receptacles: Connect to isolated grounding conductor routed to
designated isolated equipment ground terminal of electrical system.

2.5.4.1 Field Quality Control

• Testing: Test wiring devices for proper polarity and ground continuity.
• Check TVSS receptacle indicating lights for normal indication.
• Test ground fault circuit interrupter operation with both local and remote fault
simulations according to manufacturer recommendations.
• Test RCD receptacle by using Megger Multi Function tester.
• Replace damaged or defective components.
• Internally clean devices, device outlet boxes, and enclosures. Replace
stained or improperly painted wall plates or devices.

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 2.6 Organization, Responsibility & Supervision

Item Category Qty Purpose

1 Site Electrical Engineer 1 To coordinate /lead the works
2 QC Electrical Engineer 1 To inspect the quality of work and
prepare IRF for inspection to
SOJV/OBI
3 Safety Officer 1 Safety and Health matters
4 Foreman 1 Coordinates and control the
performed application done
5 Electrician 14 Skill works
6 General Worker 12 To help the work
7 Drivers 2 Vehicle Driver

2.7 Work Force

• It is ensured that this manpower is adequate and it reflects the manpower

requirement for these activities. Safety talks and work instruction will be catered to
suit and be effectively disseminated.

3. SAFETY AND HEALTH

3.1. Risk Assessment

Please refer to Appendix 6.1.

3.2. NDIA Environmental Safety & Health Requirements
Contractor confirms complying with the Environmental Safety and Health (ES&H)
Requirements contained in Attachment 7 of Special Conditions of Contract such
as following requirements;
ES&H Orientation & Training, ES&H Pre-Task Briefings, ES&H Assessments,
Incident Notification and Investigation, Emergency Response.
In addition, Contractor shall fully comply with the following ES&H requirements:
- Construction Environmental Control Plan – 25045-M-4CP-G01-01105
- Safety Field Manual – 25045-M-2HP-G01-009
- Health Field Manual – 25045-M-2HP-G01-020
- Environmental Clearance for NDIA
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 - SOJV CECP-25045-A1000-18-4CP-U-001
- SOJV Safety Plan 25045-A1000-18-2HP-X-001
Upon the failure of contractor to comply with any of the requirements set forth in
these documents, engineer shall have the authority to stop any operations of
contractor affected by such failure until the condition is remedied acceptable to
engineer.

3.3. Protective & Safety Equipment

All workers engaged in the job site shall wear mandatory P.P.E. in accordance to
the NDIA ES&H requirements as follows;
• Safety Helmet
• Safety Shoes / Boots
• Safety Glasses
• High Visibility Luminous Vest

Also there will be additional special PPE to be used in case of necessary as

follows;
• Dust Mask
• Protective Gloves
• Full Body Harness
Additional safety protective equipment shall be issued when and as required. For
equipment, barricades should be used.
3.4. Contractual Requirements

SOJV ES&H PLAN

GC-19 WATCHING and LIGHTING: The Contractor shall in connection with the
works provide and maintain at his own cost all lights, guards fencing and
watching when and where necessary or required by the engineer or by any duly
constituted authority for the protection of the works or for the safety and
convenience of the public or others.

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GC-31 COOPERATION with OTHERS:
GC-31.1: There may be other contractors, and agents or employees of the
Employer working at or adjacent to the site during the performance of the works
by the contractor. The contractor shall, at the Engineer’s instructions and orders,
allow those other contractors who might be working for the Employer the
opportunity to enable them to execute their work. The contractor shall allow the
same opportunity to the workers of the said contractors and to the employer’s
workers and to Government workers who might be employed at the site or
adjacent to it, to execute any work not included in this contract or to execute any
contract which might be performed by the employer and which is related to the
works of this contract, annexed to, or complementary to the works.
SC-21 Site Sanitation:
SC-21.1: Contractor shall furnish and maintain, or arrange to obtain, at each of its
work areas adequate waste disposal, sanitary and washing facilities, and potable
water for the use of its employees and maintain them so as not to present a
health or nuisance
problem. In addition contractor shall comply with all laws, standards, codes, and
regulations relating to sanitation at the site, including the employer’s
requirements as to waste disposal, toilet facilities, and potable water.
SC-21.3: Upon failure of contractor to comply with any of the requirements set
forth herein, the employer shall have the right to stop the works or any part
thereof until contractor does so comply. No part of the time lost due to any such
stop order shall be made the subject of claim for extension of time or for
increased costs or damages by contractor.

SC-11 Site Work Rules:

1. The jobsite normal working hours are 7:00am to 6:00pm Sunday thru
Thursday. The Contractor shall obtain approval from the engineer prior to
conducting site activities outside normal working hours.
2. Contractor shall keep an up to the minute record of its employees working on
site.
3. Contractor shall keep a record of all employees leaving the site at other than
normal quitting or shift change time.
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4. Contractor shall take disciplinary action, including discharge, against its
employees for violations including but not limited to;
a. Refusing to work as directed
b. Excessive or chronic absenteeism
c. Consumption, possession of or being under the influence of drugs or
alcohol on the site.
d. Freighting, discrimination and horseplay on site
e. Disregard for Environmental, Health, Safety Rules
f. Theft of Employer’s, Engineer’s or other Contractor’s property.
g. Gambling on site.
h. Possession of deadly weapon(s) on site
i. Damage, misuse/or unauthorized use of permanent plant or facilities
j. Unauthorized entry to site or site facilities
5. Contractor shall comply with all requirements of the contractors approved
Environmental, Safety and Health Programs.
6. Contractor shall provide and require all its employees to wear approved heard
hats, safety eye protection and safety working shoes and high visibility vests
in any site area designated as a Hard Required Area.
7. Contractor shall provide and require visitors to wear safety helmets, work
boots, high visibility vest and safety eye protection in any site area designated
as a hard Hat Required Area.
8. Contractor’s safety representative on site shall wear green coloured hard
hats. The Contractors supervisors on site shall wear yellow coloured hard
hats.
9. Contractor’s employees shall be subject to Contractor inspection of all
vehicles, tool boxes, carry boxes etc. at the site.
10. Minors (anyone under 18 years of age) will not be permitted on site.
11. No private vehicles will be used on site, outside of designated compounds.
Only Contractors vehicles bearing Contractors logo may be used on Site.
12. Delivery Vehicles
a. All contractors shall ensure that all delivery vehicles entering the site
have paperwork, such as delivery note collection note/off hire note or
NDIA order, stating the purpose of the visit. It is in the interest of the
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 Project and or services, a correct order number, name and or location
is given at the time of ordering to ensure correct delivery of those
goods, materials etc., and all likely losses are minimized or traced.
b. All delivery vehicle drivers must have the following Personal Protective
Equipment available for use if his delivery task requires him to work
outside:
Safety Helmet
Hi Visibility Vest
Safety Boot
Safety Glasses
c. Compliance with the above delivery requirements is the sole
responsibility of the Contractor. Failure to ensure compliance will result
in stoppage of offloading.

3.5. Information to Personnel

STARRT briefing will be conducted by supervisors to all team members prior to
any activity on site before the work starts. Application will be given on site for
each shift/location. Supervisors will post STARRT card adjacent to the activity
location.
3.6. Emergency Procedures
In the event of an emergency, such as earthquake, all workers shall be
evacuated and assembled at the secured area.
In the event of an emergency, Contractor shall follow the Emergency Procedure
as instructed by OBI (Ref: 25045-M-TSV-MAHT-18-0047 dated on 20 April 2006);
All the contact numbers should be called only in case of emergency
In case of emergency our contact persons name and their phone numbers are
as follows;
1. Mr. Paul Nel: 5716234, Mr. Atsuta:557-9215, Mr.Huseyin:5851095
2. Dial 999 and giving the location as NDIA Bechtel Construction Site, Ras
Abu Aboud Road.
3. Dial 556-5947 NDIA Emergency Response Number
4. Dial 581-8965 Project Security to bring the emergency services to the incident
location.
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 3.7 Permit requirements
All workers shall be inducted and issued with Site Identification Badge prior to
commencement of work.
Wherever applicable, the following passes/permits shall be applied.
• Vehicle Entry Pass
• Defensive Drive Permission
• Permit to work
• Excavation Permit
• Hot Work Permit
4. ENVIRONMENTAL ISSUES

4.1. Environmental Impact Assessment

In case of spilling of diesel or lubricants, necessary spill kits will be on site.

4.2. NDIA ES&H Contractor Requirements

“Exhibit B” Attachment 7 Section IV – General Environmental Management
Requirements,
13.4: Contractor shall comply with all access restrictions, including prohibitions on
access to certain areas on or adjacent to the jobsite and require its personnel and
those of its suppliers and subcontractors of any tier comply with all signage and
designations related to such restricted areas. Restricted areas may include, but
are not limited to:
i. designated wetlands;
ii. environment mitigation study areas;
iii.cultural/historical/archaeological sites;
iv. designated fish, wildlife, or vegetative habitat.
13.5: Contractor shall immediately stop work in any area where cultural resources
or artifacts with archaeological or historical value are discovered, and
immediately notify employer. No artifacts, items, or materials shall be disturbed or
taken from the area of discovery. Neither contractor nor any of its suppliers and
subcontractors of any tier shall have property rights to such artifacts, items, or
materials, which shall be secured and guarded until turned over to Employer or

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 the appropriate authorities. Contractor shall also require that its personnel and
those of its suppliers and subcontractors of any tier comply with this provision
and respect all historic and archaeological sites in the area.
13.6: Contractor shall immediately stop works in any area where contaminated
soil indicators (such as odors or appearance), unknown containers, piping,
underground storage tanks, or similar structures are discovered, or any other
materials which are reasonably suspected to be toxic or hazardous. Contractor
shall then immediately notify employer and stop work area shall be confirmed by
employer. Activity in the stop work area shall only resume upon employers written
approval.
13.7: Contractor shall maintain the cleanliness of roadways when transporting fill
or spoil. Contractor shall provide appropriate facilities to ensure prompt clean up
of mud, dirt and other debris.

4.3. Contractual Requirements

SC-10 Dealing with Hazards and Hazardous Materials:
The employer will be responsible through a specialized contractor for the
treatment, removal or disposal of any hazardous waste or substances discovered
of the works, provided contractor shall notify Employer and Engineer as soon as
practicable following discovery.

4.4. Emergency Procedures

In case of any spilling, spill prevention program shall be applied.

5. QUALITY ASSURANCE

5.1. Contractual Requirements

SOJV’s QA Plan shall be followed. (Doc. No: 25045-A1000-18-GQA-001)

GC-17: The contractor shall be responsible for the true and proper setting up of
the works in relation to original points. Any time during the progress of the works
then any error will appear or arise in the position level dimensions or alignment of
any part of the works the contractor is required so to do so by the engineer to be

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 rectified such error for the satisfaction of the approved engineer unless such error
is based to incorrect data were supplied in writing by the engineer.

5.2. Critical Works

N/A
5.3. Inspection & Testing
ITP for Installation of Wiring Devices ( To be submitted later )

5.4. Follow up & Evaluation

• Conduct regular inspection to the progress of works, strict conformance to be
adhered to meet quality and ES&H, review the ITP for Installation of Wiring Devices
and verify any trend which needs to be corrected immediately, then conduct QA
audits for compliance.

6. APPENDICES

6.1. Risk Assessment Form

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 NOTE: THIS DOCUMENT SHOULD BE ATTACHED TO THE METHOD STATEMENT. WHEN APPROVED IT
MUST BE KEPT AT THE WORKING PLACE FOR REFERENCE PURPOSES

RA DESCRIPTION INSTALLATION OF WIRING DEVICES

PROJECT Supply ,Installation ,Testing and Commissioning of Electrical Works
LOCATION CONC A, CONC B , CONC C,AND TERMINAL BLDG. DATE:
RISK ASSESSMENT TEAM SITE REPRESENTATION
NAME DESIGNATION SIGNATURE NAME DESIGNATION SIGNATURE

Patrick Cortado Jr. Construction Mngr. Ronald Barroga QA/QC Engineer

Ruelito Rubio QA/QC Engineer Mario Tumamao Site Engineer

Site Engineer
Neil Bosing Elecrical Engineer Joey Valdezco
Site Engineer
Rainier Gumban
Site Engineer
Rene Ciano

Antonio Medel Safety Officer

DESIGNATION INITIALS & SURNAME APPROVED COMMENTS

R/A ORIGINATOR Glen Fortes N/A
CONTRACT MANAGER YES  NO
SAFETY MANAGER YES  NO
OBI REPRESENTATIVE. YES  NO
Installation of Wiring Devices
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Rev No.: Revision 1
 REQUIRED AND EXISTING CONTROL AVAILABLE ADEQUATE ATTACH TO MS DOCUMENT
MEASURES YES NO YES NO REMARKS
METHOD STATEMENT – STEPS OF THE TASK
PROCEDURES (WORK INSTRUCTION, VENDOR SPECS.)
SPECIAL PERMITS REQUIRED
EQUIPMENT / TOOLS REGISTERS AVAILABLE
TRAINING REQUIRED
COMPETENCY CERTIFICATES REQUIRED

SEVERITY CONSEQUENCE RATING SEVERITY OUTCOME

CATASTROPHIC 5 4 3 2 1 1 FATALITY
CRITICAL 10 8 6 4 2 2 MAJOR INJURY / ILLNESS
SERIOUS 15 12 9 6 3 3 SERIOUS INJURY / ILLNESS
MEDIUM 20 16 12 8 4 4 MINOR INJURY / ILLNESS
MINIMAL 25 20 15 10 5 5 NONE OR SMALL FA

5 4 3 2 1
LIKELYHOOD
IF NOT VERY ALMOST
CONTROLLED UNLIKELY LIKELY VERY LIKELY
UNLIKELY CERTAIN

RISK RANKING (RR) / PRIORITY FACTOR RATING

SCORE 1-2 POTENTIALLY CATASTROPHIC / ACTION NEEDED IMMEDIATELY H+
SCORE 3 -6 POTENTIALLY MAJOR / ACTION TO BE TAKEN WITHIN 12 HRS H
SCORE 7 - 10 POTENTIALLY SERIOUS / ACTION TO BE TAKEN WITHIN 48 HRS M
SCORE 11 - 25 POTENTIALLY MINOR / ACTION TO BE TAKEN WITHIN 7 DAYS L

Installation of Wiring Devices

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Rev No.: Revision 1

No TASKS / ACTIVITY
A. Biophysical Hazards
A.1 Dark work area/Insufficient
light during night work
HOUSEKEEPING
A.2 Usage of Extension chord
A.3 Scattered work
pieces/materials,scraps,
combustible waste.
A.4 Moving vehicles,during
transport of materials
A.5 Lifting operation
Installation of Wiring Devices
Rev No.: Revision 1
RISK ASSESSMENT
Worst case E Controlled
HAZARD AND Rating H PREVENTATIVE & CONTROL MEASURES Rating
RISK IDENTIFICATION L S R S (Eliminate, Reduce, Isolate, Control, PPE, L S R
Discipline)
Tripping hazard 2 1 2 H • Proper assesment of minimum lux 5 4 20
requirements in every work area.
• (Never work on dark).Secure
adequate lighting equipment and
accessories.
Tripping hazard 3 3 9 M • Extension chord or any wiring should 5 4 20
not be run across aisles or
walkways.This can cause someone
to trip and wiring can be damaged
and introduce electrocution hazard.
Tripping hazard 3 3 9 M • Materials should be stacked on racks 4 4 16
or bins and it should be clearly
labeled to prevent substitution.
Hit by moving equipment 3 3 9 M • Barricading of work area especially 4 4 16
on an open space where transport
vehicles are free to mobilize.
• Install signages and warnings.
• Introduce defensive driving training
for all drivers.
Hit by falling object • Lifting equipment certificate of load 4 4 16
test,operators certification, daily
checklist, lifting plan if required, etc.
Page 16 of 20 Date: 04/03/2008

A.6 Dust from environment
B. Mechanical Hazards
B.1 Finger, limb may caught in
during
repositioning/alligning of
wiring devices
B.2 Manual Handling
C. Electrical Hazards
C.1 Direct contact with live
powerlines, grounded tools,
Damaged electrical cords
Installation of Wiring Devices
Rev No.: Revision 1
• Do not allow anyone to stand
beneath any suspended load or
within the danger zone during lifting
operation.
Eye irritation, 3 3 9 M • Proper selection of PPE, dust mask, 4 4 16
googles.
• Spraying water to the road or the
work vicinity to reduce dust.
Body Injury 3 3 9 M • Proper coordination between workers 4 4 16
, hand gloves and steel toed shoes is
needed, use wood or metal actuator
is necessary.
Body Injury 3 3 9 M • When handling the wiring 4 4 16
devices(carton), hold it by both the
sides firmly.
• Provide personal protective
equipment
• Provide safe manual handling
techniques from manuafacturer.
Electrocution 3 2 6 H • Periodic and comprehensive 4 4 16
inspection should be conducted by a
trained electrician(connection can
vibrate, loose,or corrode,protected
insulation on wirings can get scraped
or naked).
• Extension cords should never be
used in place of permanent wiring on
Page 17 of 20 Date: 04/03/2008
 machinery or equipment.
• Extension cord should be equipped
with 3 prong, grounded plugs.
• Cords with the grounding prong
missing should be removed from
services and tagged for repair or
replacement.
• Use only cords that are rated for the
load should be used.
Electrical Tools
• Power cords attached to electrical
tools should be inspected for nicks,
cuts or places where bare
conductors are exposed.
• All blades/prong should be in place(
including the grounding prong) and in
good condition.
• There should be no sign of arcing,
moisture or chemical damaged.
• On & Off switch should operate
properly to prevent sudden,
unexpected stop, starts, or speed
changes.
Grounding/Bonding
• All stationary machine should be
equipped with a ground wire to
prevent electric shock or equipment
damaged in the event of short circuit
case.
• Ground Fault Circuit Interrupters
Installation of Wiring Devices
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Rev No.: Revision 1
 GFCI should be available to provide
workers additional protection or
anywhere there is a significance risk
of contacting grounded surfaces
such as metal tanks.
• This should be available whenever
power tools are used outdoors.
• Each GFCI should be checked
before each use to make certain it
trips according to the manufacturer’s
specification.

Installation of Wiring Devices

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Rev No.: Revision 1
 RISK ASSESSMENT COMMUNICATIONS FORM.
I, THE UNDERSIGNED HEREBY ACKNOWLEDGE THAT THIS RISK ASSESSMENT HAS BEEN DISCUSSED WITH ME AND THAT I UNDERSTAND THE
CONTENTS AND THE RISKS INVOLVED IN THE TASK TO BE PERFORMED. I HAVE ALSO BEEN INSTRUCTED ON THE SAFE METHODS TO
PERFORM THIS TASK.
NAME CO. NO SIGNATURE NAME CO. NO SIGNATURE

Installation of Wiring Devices

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Rev No.: Revision 1