BDCM-PTW-WL-079

PERMIT TO WORK (PTW) Doc No.
:
BDCM-POPS-F-001 Revision 5.1
FORM Page: 1 of 10
Kindly read the terms and conditions of this Permit to Work Form issued by Bridge Data Centres Malaysia Sdn
Bhd (BDCM). All details requested in this form must be provided and completed. Insert
requested are not applicable. This application may be rejected if insufficient or inaccurate details are given.
Please specify the location for works to be conducted as reference below:
LEVEL MEZZANINE
: MEZZ, FLOOR,
ROOF, ROOFROOF
UPPER FLOOR 1
ROOM / AREA : WATER PONDING AREA FOR RECTIFICATION
A) PARTICULARS OF APPLICANT
Company: WAH LOON (M) SDN. BHD. Tel No: +60377836886
Address: NO. 65, JALAN HUJAN, OVERSEAS UNION GARDEN, 58200 KUALA LUMPUR MALAYSIA
Applicant Name: SHAFIQ PADZIL Applicant Tel No: 0189544912
Applicant IC No/Passport: 941229106255
Site Supervisor Name: ONG SEAN CHERN Site Supervisor Tel No: 0122966928
BDCM PIC Name: IR TS ZAHID BDCM PIC Tel No: 01131539953
Particulars of the workers:
No. Name of workers NRIC/Passport No.

1 LING HAU DWIN 600911085367
2 ONG SEAN CHERN 930924075557
3 RAVIN 901212026025
4 ALI SHAUKAT US1802352
5 UMAIR JAVED ES8678902
6 NASIR RARI BP0950980
7 MD SHAH ALAM EF0828283
8 MD AL AMIN EG0258866
9 LANCAN EH0129939
10 FARUK AHMEED EB0560755
Note: Attach separate sheet if space provided is insufficient.
Facility: MY03 Level: MEZZ,, ROOF Room / Area: WATER PONDING AREA
UPPER ROOF
21 MAR 2023
Date of Work: Start Date: 13 MAR 2023 End Date: 31MAR
31 MAR 2023
2023
Time of Work: Start Time: 0800 End Time: 1900
Bridge Data Centres Malaysia Sdn Bhd (Registration No.790023-V)

PERMIT TO WORK (PTW) Doc No.:
FORM BDCM-POPS-F-001 Revision 5.1
Particulars of the workers (Cont.):
No. Name of workers NRIC/Passport No.

11 MD PAPEL MIA EJ0615797
12 SARAJ MIAH EH0219108
13 MD SHAHMIN MIAH EH0923820
14 OHAZED ALI EG0827792
15 ARIF MAHAMUD AKON EH0859777
16 MD ARIF KB0125478
17 MOHAMMED HELAL UDDIN EH0944926
18 JAMAN MIAH EG0906135
19 RIPON MIAH HAZARY EH0060610
20 ARIF MOHAMMAD EJ0134264
21 MOHD ZULKIFLI 860106025231
22 MOHAMAD ZHAFRAN 890829085219
23 MOHD NORHAFIZ 910721146353
24 USMAN HASAN C2021913
25 SUMARTO B9570710
26 MIFTAKUL HUDA C3499725
Bridge Data Centres Malaysia II Sdn Bhd (Registration No.1342211-W)

MY03, Technology Park Malaysia, 57000 Kuala Lumpur, Federal Territory of Kuala Lumpur
FORM Page: 2 of 10
B) WORK CLASSIFICATION: (PLEASE INDICATE )
Electrical Services Fire and Security

UPS Hose reel, CO2, Sensor
Electrical Distribution Board Water Mist, HSSD
Card Access System/CCTV
Mechanical Services
Elevator/Lift Builders Work
A/C and Ventilation System Interior Fittings
Genset Painting Works
Partitioning Work
Plumbing
Cold Water
Others (please Specify):
Briefly explain work methodology: (e.g.: Work at height using scissor lift, use Oxy welding, use mobile scaffolding to
repair CCTV, repair streetlight by using skylift).
- APPLY LAYER OF SCREDDING AT WATER PONDING AREA
- APPLY ADDITIONAL LAYER OF GEOTEXTILE AND WATERPROOF MEMBRANE
LOTO: WAH: HOT: OTHER:
EHS Requirements:
1. LOTO is required whenever any work activity involved with live electric supply and operation
machineries
2. LOTO also required if operation or system involved with gas, air pressure, temperature shut down or
turned off for service
3. Work At Height (WAH) is required whenever any work activity at height (more than 2m height), by using
ladder, scaffolding, scissor lift, skyjack, boom lift or sky lift.
4. HOT work is required whenever any work involved with oxy-acetylene welding, arch welding, metal
cutting, grinding, or drilling task or using flammable material or explosive substance. Hot spot/surface is
generated from the activity.
5. Others, such as work in confined space, deep well, narrow space, required special preventive measures.
6. Multiple PTW may be required if involve various work hazard or unsafe condition.
We will take the maximum precautions to be taken and it is our responsibility to ensure safe work practices are
observed including the use of Personal Protective Equipment (PPE) required for the job. Please refer to the
appendix below for a list of required Personal Protective Equipment (PPE).
Signature of Applicant Signature of Facility / Operation Head
SHAFIQ PADZIL
Name of Applicant Name of Facility / Operation Head

FORM Page: 3 of 10
C) OTHERS SECURITY DEPOSIT
Bank Name: _____________________ Draft No: _____________________________
Amount: _________________________
Note: The amount of the security deposit is set at 5% of the contract value or RM2,000.00 whichever is
higher.
D) SERVICES REQUIRED FROM BDCM
1) Power Shutdown
Level : ______________________
Area : ______________________
Date : ______________________
Time : From: __________________ To: __________________
2) Personnel Required for Standby:

Chargeman Security Project Coordinator Not Applicable
I HAVE READ AND FULLY UNDERSTOOD THE TERMS AND CONDITIONS. I ACCEPT AND SHALL
ABIDE BY ALL THE TERMS AND CONDITIONS STATED HEREIN.
Designation: PROJECT ENGINEER
Company Stamp: WAH LOON (M) Date: 11

20 MAR 2023
2023
FOR BDCM TENANT USE (To be filled by person authorizing the work)
We confirm that the above-mentioned company will be performing work for us and the estimated time to
complete will be ___________ days. We further confirm that we shall be liable for the performance of the
Contractor and adherence of the Contractor and its workers to the Terms and Conditions of this Application.
Name: Signature: Date:

(Official stamp)
Tel No: Estimated completion period: days
DOCUMENT CHECKLIST
Drawing Yes No Completed Form Yes No
Schedule Yes No
Deposit Yes No
Insurance Yes No

FORM Page: 4 of 10
FOR BDCM BUILDING MANAGEMENT USE ONLY
PTW Number: BDCM / WL 072

/ 079
Approval to enter critical area or Mechanical rooms:
Approval to shutdown incoming power:
Work permit validity: From: To:
BDCM Security Department:

(Signature, Date and Stamp)
Approved / Not Approved

(Signature, date and Stamp)
Extension of Work Permit: From: To:
Approved / Not Approved

(Signature, date and Stamp)

FORM Page: 5 of 10
(TO CHECKED BY BDCM[PIC&EHS]- ONCE CONTRACTOR ONSITE)

E) CONTRACTOR SAFETY COMPLIANCE CHECKLIST
1. Contractor Information:
Name of Contractor: WAH LOON (M) SDN. BHD. PTW Number: BDCM-PTW-WL-072
BDCM-PTW-WL-079
Company: WAH LOON (M) SDN. BHD. Contractor/Supervisor H/P no: 0122966928
Work to begin (date & time): 13
20 MAR 2023
MAR 2023 BDCM Project Engineer: IR TS ZAHID
Description of work: FLOOR SCREDDING, APPLY ADDITIONAL LAYER OF WATER PROOF MEMBRANE
Area/Room: MEZZ. FLOOR, ROOF FLOOR, UPPER ROOF FLOOR
Not
2. Safe Work Requirement (Before Entering): Yes
required
1. Is safety induction training provided?
2. Is competency valid? e.g.: mobile crane, scaffolder, welder, chargeman.
Man 3. Is work permit / i-card valid? CIDB green card (submit photocopy).
4. Is RTK-Ag Self-Test Result provided?
(Submit copy for new and individuals returning from medical/sick leave).
1. Is PMA, driving license valid? (Submit photocopy)

2. Is chain sling/ wire rope tested? (Submit photocopy)
Machine
(e.g.: Mobile crane, Forklift) 3. Is powered tool in good /safe condition? Grinder, Cutter, Driller etc.
4. Is Nonconductive platform ladder in condition?
1. Is Method of Statement submitted MOS)? (Drawing, calculation, flowchart)

2. Is HIRAC/JSA provided, reviewed and approved?
Method 3. Is CCF approved?
4. Is PTW (LOTO, HOT, WAH) required & approved?
1. Is chemical (flammable/combustible) safely handled/kept?
Material 2. Is chemical MSDS/SDS provided? (Submit photocopy)

3. Is material properly secured and stored? Eg Not obstructing path and traffic
1. Is unsafe condition/ hazard safeguarded?

e.g.: deep excavation, manhole, heavy object, sharp object, hanging
object, loose object at height, slippery ground
Workplace 2. Is affected work area/ group notified? Is relocation required?

3. Is floor protection implemented? prior to transferring material
4. Is the site effectively barricaded? (eg safety cones & poles).
1. Is system or equipment safely shut down, isolated, or locked out? LOTO
System/Plant 2. Is the electrician/chargeman informed? Affected system, process & location

3. Is the system/machine protected from electric interruption? e.g.: ELCB/MCB
Safety Helmet: Safety harness: Safety Shoes: Hand gloves:

Yes No Yes No Yes No Yes No
Personal protective
equipment to be worn:
Eyeglasses: Ear plug/muff: Safety Vest: Respirator (eg N95, Half face):
Yes No Yes No Yes No Yes No

FORM Page: 6 of 10
Checked By: EHS Manager
Name Signature Date

3. Acknowledged by Contractor
Safety Work Commitment & Declaration:
1. All work will be conducted in a safe manner, by using safe tools/machine, with maximum safe work practice, minimal hazard & lowest risk.
2. All contractors/technicians who perform this task have been given safety training and technical competence to do the job.
Hereby I agree to comply with all safety precautions and responsibility in every incident pertaining to my act. We fully agree and accept the penalty
imposed by BDCM, if we fail to comply to BDCM safety requirements.
20 MAR 2023
SHAFIQ PADZIL 13 MAR 2023
Name Signature Date
4. Checked by relevant parties during work or after work completion (Exiting)
Check Items Checked by Contractor/Supervisor Accepted BDCM Project
Engineer
Is work/installation completed with good quality & workmanship?
Is unsafe condition/hazard safeguarded?

Is the temporary shutdown normalized/altered setting restored?
Is installation safely tested/commissioning?
Is housekeeping done/waste properly disposed?

FORM Page: 7 of 10
A. TERMS AND CONDITIONS OF WORK APPLICATION
The BDCM is a secure facility. As such, we seek your cooperation in ensuring that all work procedures and
guidelines as well as security measures are at all times adhered to strictly. This Permit to Work (PTW) Form is
issued to the contractor to work only at the specified location(s) subject to the following terms and conditions.
It is issued only to contractors who have been duly approved by Tenants of the BDCM authorized by BDCM
Building Management:
1. All workers shall wear and display the BDCM Worke the work area. Any worker
found to be without a pass will be removed from the site immediately. The supervisor shall produce
the original copy of the approved permit to work when requested to do so by BDCM Building
Management or BDCM Security personnel, failing which the supervisor and the workers will be
removed from site immediately.
2. Prior permission must be obtained from BDCM Building Management for any work which requires
power shutdown. Prior approval shall be obtained from BDCM Building Management at least five (5)
working days if any of the above activities is deemed necessary.
3. Contractors MUST submit all the relevant documents including the layout plan, work schedule, single
line diagram, approved drawing from the customer and brief BDCM Building Management of the
work involved before carrying out any work in the building.
4. Work at the specified location(s) is allowed only during normal working hours (from 09:00AM to
05:00PM for Monday to Friday inclusive) or the time shown in the work application. Any extended
working hours can be allowed after getting written confirmation from BDCM Building Management.
5. All items including but not limited to structures, equipment, installations, and systems are deemed to
be cleaned and in good working condition prior to the contractor starting work on the floor where
access is permitted. A contractor can be held liable if any item deemed to be in good working
condition prior to him having access to the floor is found to be faulty or damaged after the contractor
has accessed the floor or has commenced work.
6. The contractor shall take all precautions to avoid causing any damage or stain to the wall/floor,
equipment, installations, structures, systems of the building during working, delivery, loading and
unloading. The contractor shall be charged for any rectification work to make good the damage or
stains caused by him.
7. Contractors are PROHIBITED from changing the status of any fire alarm system, fire-fighting
equipment and their associated parts or using the firefighting system for other purposes. A fine of
TWO THOUSAND RINGGITS (RM 2,000.00) will be imposed each time the contractor triggers a
false alarm.
8. BDCM is a non-smoking area. Any contractor who is caught smoking on the premises will be fined
FIVE HUNDRED RINGGIT (RM 500.00) each time.
9. Contractors shall ensure that all staircase doors and service lift lobby doors on the level(s) they are
working on are always kept closed. Any worker found violating this rule shall be removed from the
site immediately.
10. Prior permission shall be obtained from the tenants before entering their premises.
11. Prior permission shall be obtained from the tenant of the floor before using any facilities on that floor.
The facilities include toilets, electricity, workstations, communication equipment, kitchenware,
kitchen utensils, furniture, and the likes.
12. Contractors found in possession of key(s) that can open the lock of any door, panel, or cabinet in the
building without proper authorization shall be handed over to BDCM Security Department for further
action.
13. Contractors are STRICTLY PROHIBITED from taking any food, drinks, cigarettes, lighters and/or
match sticks into the critical area or mechanical rooms. Any workers found with such materials in the
critical area or mechanical rooms shall be fine One THOUSAND RINGGIT (RM 1,000.00) and
removed from site.
14. Prior permission shall be obtained from the building manager to enter any mechanical floor. Entry
into mechanical floors is restricted to working hours only (09:00AM to 05:00PM) unless prior
permission is obtained to enter the mechanical floors after working hours.
15. All materials, containers, tools, equipment, covers, boxes, wrappers, packing, scaffolding and the like
brought into the work area shall c n a conspicuous part of

FORM Page: 8 of 10
the item for easy identification. Any item that does not clearly and conspicuo
name will be considered as unclaimed material and shall be removed as debris without notice.
16. Drilling, cutting, or covering of any openings of any description on any part of the building structure
or load bearing structure is NOT allowed. Prior approval shall be obtained from BDCM Building
Management if any of the above activities are deemed necessary.
17. Any drifting dust, rubbish, unwanted material around the work site shall be cleaned immediately,
failing which the cleaning works may be done by BDCM Building Management appointed cleaners
and all costs incurred shall be deducted from the deposit and/or charge to the contractor.
18. Garbage and debris shall be transported out of the building daily, failing which BDCM Building
Management may remove the garbage and/or debris and all costs incurred shall be deducted from the
deposit and/or charge to the contractor. Leftover food, food and drink containers must be disposed of
in rubbish bins.
19. Contractors are PROHIBITED from using the passenger lifts unless prior permission is obtained
from BDCM Building Management.
20. Use only the service lift, back staircase or loading area for transporting any equipment, material, tools,
ladders scaffolding, construction debris, rubbish, machines, chemicals, or the like.
21. The loading and/or unloading of materials shall be at the designated loading bay, contractor should
collect safety harness from BDCM Building Management before carrying out the work. Prior
arrangement must be made with BDCM Building Management on the time and duration of
loading/unloading.
22. All forms of nuisance but not limited to the following shall be controlled: - noise, noxious fumes,
major impact on the slabs and walls, drifting dust, excess fluid. Any worker found violating this rule
shall be removed from the site immediately.
23. Contractors are prohibited from carrying out any mass production works such as mass fabrication of
parts, mass shaping or mass spray painting of parts or joinery works, furniture works on the floor.
24. A TWO THOUSAND RINGGIT (RM2,000.00) Deposit or sum equivalent to 5% of the contract
value whichever is higher in the form of a Bank Draft or Company Cheque and made payable to
Bridge Data Centres Malaysia Sdn.Bhd lications by ad-hoc contractors. BDCM
reserves the right to cash the Deposit to settle any cost incurred by BDCM for making good damages
caused by the contractor and shall make further claims if the deposit is insufficient. Contractors are
required to top up their Deposit within 3 days if the balance is less than 50% of the Deposit. BDCM
reserves the right to stop works if not complied. The Bank Draft or Company Cheque will be returned
to the Contractor within 30 days of the Contractor completing the work.
25. The following rate/charges are applicable:
Rate/hour (min. 1 hours)

Personnel
(9:00am to 5:00pm) (5:00pm to 9:00am)
Security RM 100-00 RM 150-00
Chargeman RM 300-00 RM 450-00
Engineer/Project Coordinator RM 400-00 RM 600-00
Please note that the charges will apply where BDCM personnel are required.
26. The terms and conditions stated herein and any details such as telephone numbers provided in this
PTW form are subject to changes without prior notice. BDCM Building Management reserves the
right to request additional information pertaining to this application.
27. This PTW is automatically cancelled if any of the contract agents, or
representatives violates any term and/or condition and they will be removed from site immediately.
28. Contractors are PROHIBITED from taking any photos from BDCM building premises. Any workers
found taking photos will be fined FIVE THOUSAND RINGGIT (RM 5,000.00) and removed from
the site.

FORM Page: 9 of 10
B. COVID 19 Compliances (As Government guideline)
1. The contractor should submit the workers for minimum Covid-19 swab tests and only the negative
test result workers approved to enter to BDCM facility. The test results shall be completed within
24 hours prior to entry / commencement date.
2. The contractor worker only allows to use dedicated walkway.
3. The contractor shall provide proper hand sanitizer and face mask to their workers.
4. All contractor employees must wear face masks within BDCM.
5. Any contractor displaying flu like shall be refused to enter BDCM unless a medical report is issued
and reflects fit for work.
6. BDCM will dedicate a place for storage, lunch, and toilet. Contractor worker must adhere to it.
7. A self RTK-Ag Test must be completed if any of the contractor workers has been identified as Covid-
19 close contacts.
C. EHS (Environmental, Health and Safety)
1. Evacuation Procedures
In the event of an emergency, it might become necessary to evacuate the building. All occupants
should be completely familiar with the following evacuation procedures:
In an emergency, proceed to the nearest emergency exit door and refer to the evacuation route.
If you are directed to evacuate, follow the instructions of a
Familiarize yourself with the location of all hallways and emergency exits. If a hallway is
blocked, proceed to an alternate hallway.
Use safe stairwell exit procedures; remain calm and quiet, remove high-heeled shoes, exit in a
single line, keep to the right, and use handrails, moving quickly but do not run.
Assist injured occupants and others who might have trouble on the stairs and treat injuries on
stairwell landings only when it can be done safely.
2. Minimum recommended approved PPE (Personal Protective Equipment) prior entering BDCM
Facility.
Mandatory Additional
Task
Protective Equipment Protective Equipment
- Safety Glass
Dirty / Dusty Environments - Fabric Gloves
- Half face Respirator
- Electrical Insulated Gloves
Electrical Works - ELCB/ MCB
- Fiber glass platform ladder
- Safety Helmet - Safety Glass
* Must be approved by SIRIM - Chemical Resistant gloves
Chemical Handling Malaysia. - Chemical resistant clothing
- Safety Boots - Half face respirator
* Must be approved by SIRIM - SDS - Safety Data Sheet
Malaysia. - Welding Face Shield
Light Radiation - Safety Glass (IR & UV) Protection
(Welding Operations, Laser Operations) - Safety Vest - Welding Glove
- Half face Respirator
Heights (>1.8 m) - Full Body Safety Harness
Physical hazard (hand)
- Cut resistant hand gloves
e.g.: sharp edge
Excessive noise activities / workplace - Earplugs
e.g.: >80 dB(A) - Earmuffs

FORM Page: 10 of 10
D. BDCM EHS Rules
i. General
1. Daily pre task analysis and briefing must be completed before commencement
2. Inspect and ensure all personnel have the required PPE and always worn while on site
3. Inspect equipment and tools for defects before using them.
4. Only authorized and certified operators can handle potentially dangerous equipment.
5. Trailing cables must be taped down, or cones must be placed to alert others to tripping hazards.
6. Loose clothing is not allowed, and long hair and beard must be secured or covered to avoid
entanglement hazards, especially when working near moving or rotating equipment.
7. For safety reasons, contractors with Bermuda/short pants and slippers will not be allowed to enter the
premises.
8. Prior disclosure to BDCM Building Management and prior permission must be obtained from BDCM
Building Management before any hazardous, toxic, corrosive, volatile or highly flammable material,
chemical, gas volatile organic compound such as but not limited to thinner, turpentine, detergent,
acetylene, methane, propane, petrol, kerosene is brought into the building. At the sole discretion of
BDCM Building Management such material, if not stored or handled properly, shall be removed from
the building without notice.
9. All hazardous/scheduled waste shall be with evidence disposed of properly and in compliance with
local regulations.
10. Contractors shall avoid manual lifting by using mechanical devices to lift and transport heavy objects
whenever possible.
11. If unable to use mechanical devices, ensure that workers receive the required manual handling
training to remind lift with their legs, not lift with their back to avoid back injuries.
12. All workers shall be closely supervised by the r whose name appears on page 1
of this work application.
13. Contractors shall be responsible for the safety of their workers and shall not expose the occupants of
the building and the public to any health, safety and security risk when carrying out any work.
Contractors always have insurance coverage for the work to be performed and associated insurance
for their workers.
14. Safety signage and hoarding/barricade shall be installed to the satisfaction of BDCM Building
Management before any work can commence. All barric
name, and telephone number. All construction materials on site shall be stored in a
safe manner. If the works are to be carried out in a public area, a sketch showing the proposed
hoarding and barricade shall be submitted.
15. Contractors shall be equipped with proper safety equipment and rubbish bin for their work conducted.
16. If the works are to be carried out on or near marble and/or granite floor, the floor shall be protected
with plastic sheets placed over a gypsum or plywood board base. Plywood shall not be used for
protection works that require a hot work application.
17. Ensure safety hazard/caution tape installed at workplace.
18. Use cut resistance gloves when work scope related to sharp edges parts.
19. Usage of pallet jack/crane/forklift shall not exceed 70 % of handled material weight.
20. Anti-slip mat shall be used as floor protection to avoid any slip hazard.
ii. Electrical
1. Prior permission shall be obtained from BDCM Building Management to work on any electrical panel
or tap power from any power point.
2. All the extension cord shall be equipped with 100 mA RCBO.
3. Any electric power tapped from the building shall be done through a portable distribution board that
has an RCBO rated at 0.1A or less. Failure to comply will result in a work stoppage and fine of ONE
HUNDRED RINGGIT (RM 100.00) each time.
4. Only non-conducting ladders are allowed for work involving electrical hazards.
iii. Mechanical
1. A maximum of 4 raised floor tiles can be opened at a time and shall be cordoned off. (If applicable)

FORM Page: 11 of 10
2. Before beginning work, ensure that certified or licensed personnel are validated to handle forklifts,
cranes, gondolas, and scaffolding.
- Use appropriate lifting rope/hoist for any material handling on height.

10.79 m
EXISTING CAT LADDER ACCESS
4 OUTRIGGER SUPPORT
AT EACH CORNERS
EXISTING CAT
LADDER ACCESS
PERIMETER HARD BARRICADE
PERIMETER HARD BARRICADE
SURROUND UPPER ROOF SLAB
SURROUND UPPER ROOF SLAB
EXISTING CAT 4 OUTRIGGER SUPPORT

LADDER ACCESS AT EACH CORNERS
SMCC
METHOD STATEMENT
FOR
REPAIR OF STAGNENT WATER ON TPO MEMBRANE
PROJECT TITLE:
DESIGN AND BUILD MAIN CONTRACT FOR THE DETAILED DESIGN, AUTHORITY
SUBMISSIONS / PERMITTING, SUPPLY, DELIVERY, INSTALLATION, TESTING AND
COMMISSIONING AND SUPPORT DURING DEFECTS LIABILITY PERIOD OF PROJECT
LION-A NEW 4 MW IT POWER, GREENFIELD DATA CENTRE FOR BRIDGE DATA
CENTRES IN BUKIT JALIL, KUALA LUMPUR.
CLIENT: BRIDGE DATA CENTRES MALAYSIA II SDN BHD
METHOD STATEMENT
FOR
REPAIR OF STAGNENT WATER ON TPO MEMBRANE
Document Ref. : WL-MY03-2020-MOS-CS-0015
0 22-Feb-21 IFA – Issued For Approval NURUL AINI MR. LIU QING
DATE PREPARED BY CHECKED BY APPROVED BY
REV. STATUS – REVISION MEMO
DD-MMM-YY SMCC (M) SDN BHD SMCC (M) SDN BHD WAH LOON (M) SDN BHD
Sections changed in last revision are identified by a vertical line in the right margin.
Approved
Approved with comment. Work may proceed
Resubmit
SMCC
Table of Contents
No. Description Page
1.0 Introduction 3
1.1 General Description 3
1.2 Master Key Plan 3
2.0 Work Procedure 4
2.1 Preparation of works 4
2.2 Equipment and Machineries 4
2.3 Materials 4
2.4 Manpower 5
2.5 Rectification Procedure at Upper Roof Level 6
2.6 Access to Upper Roof Level 7-8
3.0 Environment, Health & Safety 9
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1.0 INTRODUCTION
1.1 General Description
This Method Statement (MS) is developed to serve as a guide for the REPAIR OF
STAGNANT WATER ON TOP MEMBRANE under the project named – PROJECT LION,
located at PT13746 & PT 13747 Mukim of Petaling, District Kuala Lumpur, Wilayah Kuala
Lumpur. This method statement covers the activities and work related to the repair of
stagnant water on the surface of the waterproofing membranes.
1.2 Master Key Plan
8
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2.0 WORK PROCEDURE
2.1 Preparation of Work
a) Submit and get approval of Method of Statement and Risk Assessment.

b) Get all equipment / machineries / tools inspected and approved.
c) Ensure that all workers /equipment operator / machinery operator involved with the
work has undergone SIC training.
d) Provide proper PPE to all personnel involved in the work.
e) Cordon off the area and ensure that no unauthorized person will go inside the work
area.
f) Supervisor and Safety Supervisor shall conduct the Job Environmental, Health &
Safety Briefing / Tool Box meeting to all the workers involved in the job. Hold safety
task assignment meeting.
g) Provide appropriate safety warning signs.
2.2 Equipment and Machinery
No. EQUIPMENT & MACHINERIES

Leister Triac Handheld Manual Hot Air Welding Machine
1.
2.3 Materials
No. EQUIPMENT & MACHINERIES

1. 1.14mm Thk BMI Everguard TPO Membrane
2. 1.52mm Thk BMI Everguard TPO Membrane
3. 300gsm Geotextile
4. GI Pipe, Toe board, swivel clamp, jack base
5. Safety body harness
8
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2.4 Manpower
No. Description Brief Roles and Responsibilities
To oversee and coordinate with contractors.

1. Wahloon Engineer To ensure the construction following the approval
Drawing and work specifications.
2. Wahloon SHO / SSS To oversee and monitor the safety
To ensure the construction following the approval
3. Contractor site engineer
Drawing and work specifications.
Implement the work in accordance to approved
4. Supervisor
method statement and risk assessment.
5. Workers To rectify the stagnant water
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2.5 Rectification Procedure At Upper Roof Level
Typical Drawing for Upper Roof Floor
• Identify the area that needs to rectify.
• Hack and re-screed roof slab profile according to gradient.
• Form scupper drain by screeding towards the RWDP outlet.
• Clean and wipes all dirt or water stagnant on top of TPO.
• Measure and cut Geotextile 300gsm and placed it on top of existing TPO before laying new
layer of TPO. (Amount of geotextile depends on depth of the ponding.)
• Lay new TPO on top and hot air weld the perimeter.
• Check all lapping joint.
8
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2.6 Access to Upper Roof
PLAN VIEW
8
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ELEVATION VIEW
• Hard barricades (top rail, mid rail, toe board) with outrigger support at each corners to be
set up at the perimeter of Upper Roof slab before work commenced.
• Only existing cat ladder is allowed to be used as access to the Upper Roof.
• Materials will be transferred manually using Nylon Rope from Roof Floor to Upper Roof
Floor.
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3.0 ENVIRONMENT, HEALTH & SAFETY
Personnel
• All site personnel required document (swab test, valid work permit and valid CIDB)
must submit to WLM EHS Department.
• All personnel work in Project Lion must have completed safety induction and
required training for the task.
Equipment, Machinery & Tools

• All Equipment, Machinery & Tools must be in good condition and inspected by WLM
Competent Person on monthly basis. Color coding need to display base on monthly
color coding.
• Daily checks to be carry out by operator prior to using.
• Comply to WLM SOP No.11 – Power Tools, Machinery & Equipment.
Environment
• All the waste generation must be segregated and dispose according to WLM Waste
Management Plan.
• To maintain good housekeeping on site as per WLM Housekeeping SOP.
• To apply proposed Contingency Plan when having bad weather during working:
1. All outdoor and exposed activities are to immediately stop if bad weather as
heavy rain and lightning strike happen.
2. All workers need to take shelter at rest area or safe area. Safe area is area
that not exposed to outdoor.
3. Hence, the building were permanently installed with lightning arrestor and
its fully operate and functional.
8
WATERPROOFING WORK FOR DC BUILDING UPPER ROOF
Risk Assessment Ref No.: BDC/RA/045
Company: Wah Loon (M) Sdn Bhd RA Team Name Designation

Process: Waterproofing work for
Waterproofing Work for upper roof
TNB SSU RA Team Leader: SC Teh C&S Construction Manager Approved by:
Activity Location: Project Lion DC Building RA Members:
Eddy M&E Construction Manager
Original Assessment
11 June 2021 Vinodh.k HSE Manager Name: TOH BIN TEE
Date:
Marwan Safety Officer SMCC
Last Review Date: - Designation: Project Director
Ross Gueco Construction Manager SMCC
Next Review Date: Date:
-
7th July 2021
Revision: 00
1. Hazard Identification 2. Risk Evaluation 3. Risk Control

1a. 1b. 1c. 1d. 2a. 2b. 2c. 2d. 3a. 3b. 3c. 3d. 3e.
Action
Possible Accident /
Additional Risk Officer,
No. Work Activity Hazard Health & Persons-at- Existing Risk Control S L RPN S L RPN
Control Designation
Risk
(Due Date)
1. Pandemic Virus COVID – 19
Covid-19 outbreak Covid-19 virus Fatality, Flu, high Administration: 5 3 15 Briefing to carry out 5 1 5
virus transmission fever and respiratory on control measure
from person to infection and difficult 1) All staff and workers on Covid-19 to all
person. for breathing of the shall undergo swab personal.
workers. test 3 days prior to
enter to site.
Disinfection of tools All contractor
2) Follow 1.0 m safe and machinery after management,
1a. distance while work hours. Engineers,
working, eating and SHO, Site
line up. Supervisor
Disinfection common
and workers.
area thrice a day as
3) Do not gather in one per guideline.
place and all the (Its everyone
work crews must be responsibility
Workers quarters to prevent
with their trades.
need to be ready as transmission
4) Maintain high act 446 before of covid-19)
standard of personal demobilizing to site.
hygiene.
Company transport to
5) Taking temperature
be used to transport
prior enter to site. the workers from their
home to workplace.
6) Do not visiting other
people which is not
involve in this project Throwing all the used
during off day or off mask at designated
work hours. waste bin. (Yellow
color)
Participate in RTK
test every monthly
organize by WLM.
PPE:
1) All personal must

wear 3 ply masks
before entering site
and the name of
company shall be
written in their mask.
2. Start Process
2a. Loading / Uneven surface Serious bodily injury. Administration: 4 2 8 4 1 4
unloading the
equipment / 1) Checking the road
materials using condition to be done
Close supervision & Operator &
mobile/crawler prior to mobilization.
Monitoring Supervisor
crane, lorry crane.
2) Mobilization not to be
done during wet road
condition or raining.
Failure of wire Fatality or Serious Engineering: 5 4 20 5 3 15

sling or crane bodily injury to
personnel. 1) Cordon off the lifting
radius work area where
others could not enter
the lifting work area. Close supervision by
Lifting Supervisor.
2) To use tagline to control
the movement of the Obtained lifting plan
load. and EHS lifting
Checklist
Administration: Lifting
Supervisor
1) Competent person to
carry out inspection of
lifting gears that going to
use and place the color
code.
2) Display signage where

the lifting activity going
to carried out.
3) To obtain PTW prior to

lifting activity.
4) Ensure safe radius

around the boom to be
cleared from personnel

when boom is being rig
up.
5) Operator must be
competent and register
with Dosh
6) Valid PMA to display at

crane
7) Trained signalman and

rigger
Boom Over Body injury Engineering: 3 3 9 Close monitoring by 3 2 6 Supervisor &

swing supervisor SSS
1) Slowly swing during
transferring materials
2) To use tagline during

lifting
Administration:
1) To check no any
machinery park in
radius lifting
2) Unauthorized person
not allowed to enter
working area
3) Do not allowed to lift

during strong wind
2b. Preparation of Incorrect manual Back injury and other Administration: 2 3 6 2 2 4

materials and handling sprains and strains.
equipment technique, lifting 1. Plan the lift by Training for manual
beyond physical Ergonomics assessing the manual handling practice.
capacity. handling risks.
caught in between Use trolley or
2. Associated with the task wheelbarrow to
Pinch point during daily pre - task transfer the materials. Supervisor
Repetitive task. talk.
To conduct in-house
3. Rotate manual handling training for those,
tasks between general involve.
workers.
PPE:
1) Wear full PPE such

cut proof gloves.
Slip, Trip & Falls Bodily injury. Administration: 3 2 6 3 1 3
1) To provide safe To carried out check

access where the at work area and
remove any Supervisor &
material not blocking
obstruction prior to SSS
the access.
performing work.
2) To carried out
housekeeping
regularly.
Chemical Environment impact Engineering: 3 2 6 Drip tray must be 3 1 3 Environment

spillage during maintained on daily officer &
preparation 1) Provide tray to avoid basis supervisor
spillage on ground
Conduct chemical
handling to all
Administration: involved workers
1) To do briefing in Wasted chemical
regard chemical must be store
handling properly
2) All chemical drum

must be label
3) Only skill workers

related with task can
carry the chemical
4) To brief SDS to all

involved workers
PPE:
1) Wear appropriate for

chemical handling
such as rubber glove
or latex glove.
Fall from height fatal/serious injury Engineering: 5 3 15 Always 100% tie off 5 2 10 Supervisor &
1) working platform must while working at height SSS
have guard rail (mid
and top) Closely monitoring and
2) To install toe board supervision
Administration:
1) don’t over reach from
railing
2) attend pre task talk and
brief SOP of working at
height
3) to apply WAH PTW
PPE:
1) additional PPE such as
inspected safety harness with
double lanyard
2c. Cleaning surface Slip, trip and fall Body injury. Administration: 3 2 6 3 1 3
by using air
compressor and 1. To ensure To carried out check
grinding surrounding at work area and
workplace is free remove any
from unwanted obstruction prior to
Supervisor &
material. performing work.
SSS
2. To provide safe
access where the
material not blocking
the access.
3. To carried out
housekeeping
regularly.
Flying debris Health Engineering: 3 3 9 Ensure workers keep 3 2 6 Supervisor &

/Dust clean their cloth SSS
1) Install netting before left site.
surrounding at
cleaning area Mask to be provided
extra for exchange
2) Cordon off working
area Use water spray for
cleaning if needed
Administration:
1) Ensure workers in
good health
2) only skill workers can

do the cleaning work
using air compressor
3) Provide clean water

at working area
PPE:
1) Provided dust mask

to workers
Rotating part by Body injury Engineering: 3 3 9 Close monitoring by 3 2 6 Supervisor,for

power tools supervisor, foreman man & SSS
1) To fully cover all the and engineer
rotating part
Wear face shield prior
Administration: to start
1) Only skill workers

can carry the task
2) Do not allowed
person wear loose
cloth while operate
the machine
3) To conduct daily PTT

before start work
4) Power tools must be

inspected and issue
color coding
PPE:
1) Mandatory to wear
PPE (helmet with
chinstrap, 2inch vest,
safety glasses,
safety shoes, cut
proof gloves,)
Electric shock Serious body injury / Administration: 5 3 15 Clean the socket 5 2 10 Supervisor &
fatal before use SSS
1) Do not used damage
cable. Do not use in wet
condition.
2) To post safety
signage at working To carry out checks
area. on the cable condition
before use by the
user.
3) Cable to be hanging To use industrial

overhead socket.
2 m above.
4) To remind workers
regarding electrical
safety during PTT.
5) To do inspection on
electrical tools by
competent person.
PPE:
full PPE (helmet with
safety glasses,
safety shoes, cut
proof gloves,)
2d. Pour waterproof Dust Raspatory Problem, Administration: 4 2 8 Ensure workers keep 4 1 4 Supervisor &
substances on the Health Issue 4) Ensure workers in clean their cloth SSS
slab and toilet good health before left site.
surface
5) Barricade working Mask to be provided
area with awareness extra for exchange if
signage dirty
6) Provide clean water

at rest area
PPE:
1) Provided dust mask

(N95) to involve
workers
Contact to Skin/ eye irritation Administration: 2 3 6 2 2 4 Supervisor &

chemical SSS
1) Provide fresh water
to wash all concrete
on skin.
2) To conduct PTT To brief Safety Data

before start work. sheet to all workers
involved.
3) To sharing safety
awareness to all
involved workers
All involve workers to

PPE: wear long sleeve t-
shirt and rubber glove
PPE (helmet with
safety glasses,
safety shoes and
rubber glove to be
use while handling
the cements.
Fume of Health Engineering 3 3 9 3 2 6 Supervisor &

chemical SSS
1) Chemical must be Keep away of ignition
store at ventilated source
area (open window)
Fire extignhuser in
place
Administration:
1) To brief Safety Data

sheet to all workers
involved.
2) Obtained PTW and

conduct PTT
3) Post awareness
signage at working
zone
PPE:
1) Wear appropriate
PPE such as N95
2e. Water ponding Slip, Trip & Falls Bodily injury. Administration: 3 2 6 3 1 3
testing access and egress
1) To do RA briefing clear from obstruction
before start work
Supervisor &
2) Post signage at SSS
entrant
3) Close monitoring by
supervisor
PPE:
PPE (helmet with
safety glasses,
safety shoes, cut
proof gloves)
Mosquito Health Engineering 3 2 6 Divert water to 3 1 3 Supervisor &
breeding sediment pond SSS
1) Dewatering after
testing done
Administration:
1) Supervisor to monitor
the water pond after
24hrs
2) To standby abate if
the testing of water
ponding can’t be
done after 24hrs.
3. Housekeeping Untidy work Body injury Administration: 3 2 6 3 1 1
areas with
inadequate 1) All works areas, Clear access and
access resulting access and egress egress are always to
are to be kept clean be maintained. Supervisor &
in slips and trips.
and clear of tripping SSS
hazards.
Objects falling Serious body injury / Administration: 4 3 12 4 1 4

from height. property damage
1. Tools are to be To provide sub-
returned to the store storage at site and to
or container after be maintain daily
use.
Supervisor &
2. Warning signs or
barricades are to be SSS

erected as
necessary.
3. All waste is to be
placed in the
appropriate waste
bin.
4. Working extended Insufficient Bodily injury or Engineering: 3 2 6 3 1 3

hours/night shift lighting causing damage to properties. To carried out
personnel trip 1. Sufficient lighting maintenance of tower
over obstacle. shall be provided for light according to
.
overall workplace, manufacture
access, egress and recommendation.
worker’s shelter.
To carried out daily
Administration: pre-check prior to
Supervisor &
use.
SSS
1. To make sure the
mobile tower light
used is inspected
with latest color
code.
2. To prepare and turn

on the mobile tower
light before start
working for extended
hours.
3. To obtain PTW for

night shift.
PPE:
1. All personnel /
workers must wear
high visibility reflective
jacket.
5. Working Adverse weather Personal Administration: 5 3 15 5 2 10

environment conditions and electrocution 1. Briefing shall be
storms carried out to all
1. Do not carried out personal Supervisor &
any lifting during regarding SSS
adverse weather. adverse weather.
2. All personal move 2. To install

resting shelter during lightning arrestor
lightning. in workers
shelter.
Exposure to hot Health problems such Administration: 3 3 9 3 2 6

weather or as heat stress.
1. Determine and
during work in
manage rotation
hot
arrangement for
environments.
employees engaged
in heavy work tasks.
Determine and
2. Provide shades over All personal
monitor adequate
outside working area
work.
to reduce radiant
heat from the sun.
3. Discuss during
toolbox meeting
thermal stress
management and
controls to be taken
during hot weather or
during work in hot
environment.
4. Ensure the provision

of an adequate
supply of cool
drinking water for all
work locations.
Level Likelihood Description
1 Rare Not expected to occur but still possible.
2 Remote Not likely to occur under normal circumstances.
3 Occasional Possible or known to occur.
4 Frequent Common occurrence.
5 Almost Certain Continual or repeating experience.
Level Severity Description

5 Catastrophic Fatality, fatal diseases or multiple major injuries.
4 Major Serious injuries or life-threatening occupational disease (including amputations, major fractures, multiple injuries, occupational
cancer, acute poisoning, disabilities and deafness).
3 Moderate Injury or ill-health requiring medical treatment (includes lacerations, burns, sprains, minor fractures, dermatitis and work-related
upper limb disorders).
2 Minor Injury or ill-health requiring first-aid only (includes minor cuts and bruises, irritation, ill-health with temporary discomfort).
1 Negligible Not likely to cause injury or ill-health.

Risk Level Risk Acceptability Recommended Actions

● No additional risk control measures may be needed.
Low Risk Acceptable
● Frequent review and monitoring of hazards are required to ensure that the risk level assigned is accurate and does not increase over time.
● A careful evaluation of the hazards should be carried out to ensure that the risk level is reduced to as low as reasonably practicable (ALARP) within a defined time period.
Medium ● Interim risk control measures, such as administrative controls or PPE, may be implemented while longer term measures are being established.
Tolerable
Risk ● Management attention is required.
● High Risk must be reduced to at least Medium Risk before work commences.
● There should not be any interim risk control measures. Risk control measures should not be overly dependent on PPE.
High Risk Not Acceptable
● If practicable, the hazard should be eliminated before work commences.
● Management review is required before work commences.
Rare Remote Occasional Frequent Almost Certain
Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5
1 – 3 : Low Risk 4 – 12 : Medium Risk 15 – 25 : High Risk

SAFETY DATA SHEET
SikaGrout®-215
Version Revision Date: SDS Number: Date of last issue: 18.03.2021

4.2 21.04.2021 000000603213 Date of first issue: 09.03.2015
SECTION 1: Identification of the hazardous chemical and of the supplier
Product identifier
Product name : SikaGrout®-215
Product code : 000000603213
Manufacturer or supplier's details

Company : Sika Kimia Sdn. Bhd.
Lot 689 Nilai Industrial Estate
71800 Nilai
Telephone : +60 6799 1762
Telefax : +60 6799 1980
E-mail address : EHS@my.sika.com
Emergency telephone num- : -
ber
SECTION 2: Hazards identification
Classification of the hazardous chemical

Skin corrosion/irritation : Category 2
Serious eye damage/eye irri- : Category 1

tation
Skin sensitisation : Category 1
Specific target organ toxicity - : Category 3 (Respiratory system)

single exposure
Label elements
Hazard pictograms :
Signal word : Danger
Hazard statements : H315 Causes skin irritation.

H317 May cause an allergic skin reaction.
H318 Causes serious eye damage.
H335 May cause respiratory irritation.
Precautionary statements : P101 If medical advice is needed, have product container or

label at hand.
P102 Keep out of reach of children.
Prevention:
P271 Use only outdoors or in a well-ventilated area.
1/9
SAFETY DATA SHEET
SikaGrout®-215

P280 Wear protective gloves/ eye protection/ face protection.

Response:
P305 + P351 + P338 + P310 IF IN EYES: Rinse cautiously with
water for several minutes. Remove contact lenses, if present
and easy to do. Continue rinsing. Immediately call a POISON
CENTER or doctor/ physician.
Disposal:
P501 Dispose of contents/ container to an approved waste
disposal plant.
Other hazards which do not result in classification

None known.
SECTION 3: Composition and information of the ingredients of the hazardous chemical
Substance / Mixture : Mixture

Components
Chemical name CAS-No. Concentration (% w/w)
Quartz (SiO2) 14808-60-7 >= 30 -< 60
Cement, portland, chemicals 65997-15-1 >= 30 -< 60
Fumes, silica 69012-64-2 >= 1 -< 3
SECTION 4: First aid measures
General advice : Move out of dangerous area.

Consult a physician.
Show this safety data sheet to the doctor in attendance.
If inhaled : Move to fresh air.

Consult a physician after significant exposure.
In case of skin contact : Take off contaminated clothing and shoes immediately.
Wash off with soap and plenty of water.
If symptoms persist, call a physician.
In case of eye contact : Small amounts splashed into eyes can cause irreversible tis-
sue damage and blindness.
In the case of contact with eyes, rinse immediately with plenty
of water and seek medical advice.
Continue rinsing eyes during transport to hospital.
Remove contact lenses.
Keep eye wide open while rinsing.
If swallowed : Clean mouth with water and drink afterwards plenty of water.
Do not give milk or alcoholic beverages.
Never give anything by mouth to an unconscious person.
Obtain medical attention.
Most important symptoms : irritant effects

2/9
SAFETY DATA SHEET
SikaGrout®-215

and effects, both acute and sensitising effects

delayed Cough
Respiratory disorder
Allergic reactions
Excessive lachrymation
Dermatitis
See Section 11 for more detailed information on health effects
and symptoms.
Causes skin irritation.
May cause an allergic skin reaction.
Causes serious eye damage.
May cause respiratory irritation.
Notes to physician : Treat symptomatically.
SECTION 5: Firefighting measures
Extinguishing media
Suitable extinguishing media : Use extinguishing measures that are appropriate to local cir-
cumstances and the surrounding environment.
Physicochemical hazards arising from the chemical

Hazardous combustion prod- : No hazardous combustion products are known
ucts
Special protective equipment and precautions for fire-fighters

Special protective equipment : In the event of fire, wear self-contained breathing apparatus.
for firefighters
Specific extinguishing meth- : Standard procedure for chemical fires.

ods
SECTION 6: Accidental release measures
Personal precautions, protec- : Use personal protective equipment.

tive equipment and emer- Deny access to unprotected persons.
gency procedures
Environmental precautions : Do not flush into surface water or sanitary sewer system.
Methods and materials for : Pick up and arrange disposal without creating dust.
containment and cleaning up Keep in suitable, closed containers for disposal.
SECTION 7: Handling and storage
Handling
Precautions for safe handling

3/9
SAFETY DATA SHEET
SikaGrout®-215

Advice on protection against : Normal measures for preventive fire protection.

fire and explosion
Advice on safe handling : Do not breathe vapours/dust.

Avoid exceeding the given occupational exposure limits (see
section 8).
Do not get in eyes, on skin, or on clothing.
For personal protection see section 8.
Persons with a history of skin sensitisation problems or asth-
ma, allergies, chronic or recurrent respiratory disease should
not be employed in any process in which this mixture is being
used.
Smoking, eating and drinking should be prohibited in the ap-
plication area.
Follow standard hygiene measures when handling chemical
products
Storage
Conditions for safe storage, including any incompatibilities

Conditions for safe storage : Store in original container.
Keep in a well-ventilated place.
Observe label precautions.
Store in accordance with local regulations.
SECTION 8: Exposure controls and personal protection
Control parameters
Components CAS-No. Value type Control parame- Basis
(Form of ters / Permissible
exposure) concentration
Quartz (SiO2) 14808-60-7 TWA (Res- 0.1 mg/m3 MY PEL
pirable frac-
tion)
PEL (Respir- 0.1 mg/m3 MY PEL
able dust)
TWA (Res- 0.025 mg/m3 ACGIH
pirable par-
ticulate mat-
ter)
pirable par- (Silica)
ticulate mat-
ter)
pirable par-
ticulate mat-
ter)
pirable par- (Silica)
4/9
SAFETY DATA SHEET
SikaGrout®-215

ticulate mat-
ter)
Cement, portland, chemicals 65997-15-1 TWA 10 mg/m3 MY PEL
PEL (Respir- 5 mg/m3 MY PEL
able dust)
PEL (Total 10 mg/m3 MY PEL
dust)
TWA (Res- 1 mg/m3 ACGIH
pirable par-
ticulate mat-
ter)
Fumes, silica 69012-64-2 TWA (Res- 2 mg/m3 MY PEL
pirable frac-
tion)
Individual protection measures, such as personal protective equipment
Eye/face protection : Safety eyewear complying with an approved standard should
be used when a risk assessment indicates this is necessary.
Skin protection : Choose body protection in relation to its type, to the concen-
tration and amount of dangerous substances, and to the spe-
cific work-place.
Hand protection : Chemical-resistant, impervious gloves complying with an

approved standard should be worn at all times when handling
chemical products if a risk assessment indicates this is nec-
essary.
Respiratory protection : Use respiratory protection unless adequate local exhaust

ventilation is provided or exposure assessment demonstrates
that exposures are within recommended exposure guidelines.
The filter class for the respirator must be suitable for the max-
imum expected contaminant concentration
(gas/vapour/aerosol/particulates) that may arise when han-
dling the product. If this concentration is exceeded, self-
contained breathing apparatus must be used.
Hygiene measures : Handle in accordance with good industrial hygiene and safety
practice.
When using do not eat or drink.
When using do not smoke.
Wash hands before breaks and at the end of workday.
SECTION 9: Physical and chemical properties
Appearance : solid
Colour : grey
Odour : odourless
Odour Threshold : No data available

5/9
SAFETY DATA SHEET
SikaGrout®-215

pH : Not applicable
Melting point/range / Freezing : No data available

point
Boiling point/boiling range : No data available
Flash point : Not applicable
Evaporation rate : No data available
Flammability (solid, gas) : No data available
Upper explosion limit / Upper : No data available

flammability limit
Lower explosion limit / Lower : No data available

flammability limit
Vapour pressure : No data available
Relative vapour density : No data available
Density : 2 g/cm3 (20 °C (68 °F))
Solubility(ies)
Water solubility : No data available
Solubility in other solvents : No data available
Partition coefficient: n- : No data available

octanol/water
Auto-ignition temperature : 350 °C (662 °F)
Decomposition temperature : No data available
Viscosity
Viscosity, dynamic : No data available
Viscosity, kinematic : Not applicable
Explosive properties : No data available
Oxidizing properties : No data available
SECTION 10: Stability and reactivity
Reactivity : No dangerous reaction known under conditions of normal use.
Chemical stability : The product is chemically stable.
Possibility of hazardous reac- : No hazards to be specially mentioned.

6/9
SAFETY DATA SHEET
SikaGrout®-215

tions
Conditions to avoid : No data available
Incompatible materials : No data available
No decomposition if stored and applied as directed.
SECTION 11: Toxicological information
Information on likely routes of : None known.

exposure
Acute toxicity
Not classified based on available information.
Skin corrosion/irritation
Causes skin irritation.
Serious eye damage/eye irritation
Causes serious eye damage.
Respiratory or skin sensitisation
Skin sensitisation
May cause an allergic skin reaction.
Respiratory sensitisation
Germ cell mutagenicity
Carcinogenicity
Reproductive toxicity
STOT - single exposure
May cause respiratory irritation.
STOT - repeated exposure
Aspiration toxicity
SECTION 12: Ecological information
Ecotoxicity
No data available
7/9
SAFETY DATA SHEET
SikaGrout®-215

Persistence and degradability

No data available
Bioaccumulative potential
No data available
Mobility in soil
No data available
Other adverse effects
Product:
Additional ecological infor- : There is no data available for this product.
mation
SECTION 13: Disposal information
Disposal methods
Waste from residues : Do not contaminate ponds, waterways or ditches with chemi-
cal or used container.
Send to a licensed waste management company.
Contaminated packaging : Empty remaining contents.

Dispose of as unused product.
Do not re-use empty containers.
SECTION 14: Transport information
International Regulations
UNRTDG
Not regulated as a dangerous good
IATA-DGR
IMDG-Code
Transport in bulk according to Annex II of MARPOL 73/78 and the IBC Code
Not applicable for product as supplied.
SECTION 15: Regulatory information
Safety, health, and environmental regulations specific for the hazardous chemical
Occupational Safety and Health (Classification, Labelling and Safety Data Sheet of Hazardous
Chemicals) Regulations 2013.
Occupational Safety and Health (Use and Standards of Exposure of Chemicals Hazardous to Health)
Regulations 2000.
International Chemical Weapons Convention (CWC) : Not applicable
8/9
SAFETY DATA SHEET
SikaGrout®-215

Schedules of Toxic Chemicals and Precursors
SECTION 16: Other information
Date format : dd.mm.yyyy

Full text of other abbreviations
ACGIH : USA. ACGIH Threshold Limit Values (TLV)
MY PEL : Malaysia. Occupational Safety and Health (Use and Stand-
ards of Exposure of Chemicals Hazardous to Health) Regula-
tions 2000.
MY PEL : Malaysia. Factories and Machinery (Mineral Dust) Regulations
- Permissible Exposure Limit
ACGIH / TWA : 8-hour, time-weighted average
MY PEL / TWA : Eight-hour time-weighted average airborne concentration
MY PEL / PEL : Permissible exposure limit (PEL)
ADR : European Agreement concerning the International Carriage of
Dangerous Goods by Road
CAS : Chemical Abstracts Service
DNEL : Derived no-effect level
EC50 : Half maximal effective concentration
GHS : Globally Harmonized System
IATA : International Air Transport Association
IMDG : International Maritime Code for Dangerous Goods
LD50 : Median lethal dosis (the amount of a material, given all at
once, which causes the death of 50% (one half) of a group of
test animals)
LC50 : Median lethal concentration (concentrations of the chemical in
air that kills 50% of the test animals during the observation
period)
MARPOL : International Convention for the Prevention of Pollution from
Ships, 1973 as modified by the Protocol of 1978
OEL : Occupational Exposure Limit
PBT : Persistent, bioaccumulative and toxic
PNEC : Predicted no effect concentration
REACH : Regulation (EC) No 1907/2006 of the European Parliament
and of the Council of 18 December 2006 concerning the Reg-
istration, Evaluation, Authorisation and Restriction of Chemi-
cals (REACH), establishing a European Chemicals Agency
SVHC : Substances of Very High Concern
vPvB : Very persistent and very bioaccumulative
The information contained in this Safety Data Sheet corresponds to our level of knowledge at the
time of publication. All warranties are excluded. Our most current General Sales Conditions shall
apply. Please consult the product data sheet prior to any use and processing.
Changes as compared to previous version !
MY / EN
9/9
Safety Data Sheet
according to Regulation (EC) No. 1907/2006 (REACH)
according to Regulation (EU) 2015/830
Article No.: 80B006920GA EverGuard® TPO

Print date: 13.12.2018 Revision date: 10.12.2018 EN
Version: 1.0 Issue date: 10.12.2018 Page 1 / 6
SECTION 1: Identification of the substance/mixture and of the company/undertaking

1.1. product identifiers
Article No. (manufacturer/supplier) 80B006920GA
Identification of the substance or mixture EverGuard® TPO
Art.No.: 80B006920GA, 80B001345GA, 80B001920GA,
80B002345GA, 80B002920GA, 80B003345GA, 80B003920GA
1.2. Relevant identified uses of the substance or mixture and uses advised against
1.3. Details of the supplier of the safety data sheet
manufacturer
BMI Group Management UK Limited
20 Air Street Telephone: +49 6053 708 5026
London W1B 5AN Telefax: +49 6053 6166018
E-mail: khalid.bachiri@bmigroup.com
Dept. responsible for information:
+49 6053 708 5026
1.4. Emergency telephone number
Emergency telephone number +49 6053 708 5026
SECTION 2: Hazards identification

2.1. Classification of the substance or mixture
Classification according to Regulation (EC) No 1272/2008 [CLP]
The substance is classified as not hazardous according to regulation (EC) No 1272/2008 [CLP].
2.2. Label elements

Labelling according to Regulation (EC) No. 1272/2008 [CLP]
Hazard pictograms: not applicable
Hazard statements: not applicable

Precautionary statements contains: not applicable
Supplemental Hazard information (EU): not applicable
2.3. Other hazards: not applicable

SECTION 3: Composition / information on ingredients
3.1. Substances
Product description / chemical characterization
Description
Hazardous ingredients
EC No. REACH No.
CAS No. Chemical name Wt %
INDEX No. classification: // Remark
All not applicable
Additional information
Full text of H-phrases: see section 16.
This mixture does not contain any substances which either present a health or environmental hazard according to directive
67/548/EEC or have an occupational exposure limit assigned.
Safety Data Sheet

SECTION 4: First aid measures

4.1. Description of first aid measures
General information
In all cases of doubt, or when symptoms persist, seek medical advice. In case of unconsciousness give nothing by mouth,
place in recovery position and seek medical advice.
In case of inhalation
Remove casualty to fresh air and keep warm and at rest. In case of irregular breathing or respiratory arrest provide artificial
respiration.
Following skin contact
Take off immediately all contaminated clothing. After contact with skin, wash immediately with plenty of water and soap. Do
not use solvents or thinners.
After eye contact
Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Seek
medical advice immediately.
After ingestion
If swallowed, rinse mouth with water (only if the person is conscious). Seek medical advice immediately. Keep victim calm.
Do NOT induce vomiting.
4.2. Most important symptoms and effects, both acute and delayed
In all cases of doubt, or when symptoms persist, seek medical advice.
4.3. Indication of any immediate medical attention and special treatment needed
SECTION 5: Firefighting measures

5.1. Extinguishing media
Suitable extinguishing media:
alcohol resistant foam, carbon dioxide, Powder, spray mist, (water)
Extinguishing media which must not be used for safety reasons:
strong water jet
5.2. Special hazards arising from the substance or mixture
Dense black smoke occurs during fire. Inhaling hazardous decomposing products can cause serious health damage.
5.3. Advice for firefighters
Provide a conveniently located respiratory protective device. Cool closed containers that are near the source of the fire. Do
not allow water used to extinguish fire to enter drains, ground or waterways.
SECTION 6: Accidental release measures

6.1. Personal precautions, protective equipment and emergency procedures
Ventilate affected area. Do not breathe vapours. See protective measures under point 7 and 8.
6.2. Environmental precautions
Do not allow to enter into surface water or drains. If the product contaminates lakes, rivers or sewages, inform competent
authorities in accordance with local regulations.
6.3. Methods and material for containment and cleaning up
Isolate leaked material using non-flammable absorption agent (e.g. sand, earth, vermiculit, diatomaceous earth) and collect it
for disposal in appropriate containers in accordance with the local regulations (see section 13). Clean using cleansing agents.
Do not use solvents.
6.4. Reference to other sections
Observe protective provisions (see section 7 and 8).
SECTION 7: Handling and storage
7.1. Precautions for safe handling
Advices on safe handling
Avoid contact with skin, eyes and clothes. Avoid respiration of swarf. When using do not eat, drink or smoke. Personal protection
equipment: refer to section 8. Do not empty containers with pressure - no pressure vessel! Always keep in containers that
correspond to the material of the original container. Follow the legal protection and safety regulations.
7.2. Conditions for safe storage, including any incompatibilities *
Safety Data Sheet

Requirements for storage rooms and vessels

Storage in accordance with the Ordinance on Industrial Safety and Health (BetrSiVO). Keep container tightly closed. Do not
empty containers with pressure - no pressure vessel! Smoking is forbidden. Access only for authorised persons. Store carefully
closed containers upright to prevent any leaks.
Hints on joint storage
Keep away from strongly acidic and alkaline materials as well as oxidizers.
Further information on storage conditions
Store in a well-ventilated and dry room at temperatures between 15 °C and 30 °C. Keep container tightly closed. Smoking is
forbidden. Access only for authorised persons. Store carefully closed containers upright to prevent any leaks.
7.3. Specific end use(s)
Observe technical data sheet. Observe instructions for use.
SECTION 8: Exposure controls/personal protection
8.1. Control parameters
Occupational exposure limit values:
not applicable
8.2. Exposure controls

Provide good ventilation. This can be achieved with local or room suction.
Occupational exposure controls
Respiratory protection
Not applicable.
Hand protection
For prolonged or repeated handling the following glove material must be used: Wear gloves in accordance with EN 388 as a
protection against mechanical risks.
Thickness of the glove material 0,4 mm Breakthrough time (maximum wearing time) 30 min
Observe the instructions and details for use, storage, maintenance and replacement provided by the protective glove
manufacturer. Penetration time of glove material depending on intensity and duration of exposure to skin: Recommended glove
articles DIN EN 374
Barrier creams can help protecting exposed skin areas. In no case should they be used after contact.
Eye protection
Wear closely fitting protective glasses in case of splashes.
Protective clothing
Wear suitable protective clothing and gloves.
Protective measures
After contact clean skin thoroughly with water and soap or use appropriate cleanser.
Environmental exposure controls
Do not allow to enter into surface water or drains. See chapter 7. No additional measures necessary.
SECTION 9: Physical and chemical properties

9.1. Information on basic physical and chemical properties *
Appearance:
Physical state: solid
Colour: refer to label
Odour: characteristic
Odour threshold: not applicable
pH at 20 °C: NA
Melting point/freezing point: 177 °C
Method: literature value
Initial boiling point and boiling range: not determined
Flash point: not applicable
Evaporation rate: not determined
Flammability (solid, gas):
burning time (s): not applicable
Safety Data Sheet

Upper/lower flammability or explosive limits:

Lower explosion limit: not applicable
Upper explosion limit: not applicable
Vapour pressure at 20 °C: not applicable
Vapour density: not applicable
Relative density:
Density at 21 °C: 1,200 g/cm³
Method: literature value
Solubility(ies):
Water solubility (g/L) at 20 °C: The study does not need to be conducted because the substance is
known to be insoluble in water.
Partition coefficient: n-octanol/water: see section 12
Auto-ignition temperature: not applicable
Decomposition temperature: not applicable
Viscosity at °C: solid
Explosive properties: not applicable
Oxidising properties: not applicable
9.2. Other information *
Solid content (%): 100 Wt %
solvent content:
Organic solvents: 0 Wt %
Water: 0 Wt %
Solvent separation test (%): < 3 Wt % (ADR/RID)
SECTION 10: Stability and reactivity

10.1. Reactivity
No known hazardous reactions.
10.2. Chemical stability
Stable when applying the recommended regulations for storage and handling. Further information on correct storage: refer to
section 7.
10.3. Possibility of hazardous reactions
Keep away from strong acids, strong bases and strong oxidizing agents to avoid exothermic reactions.
10.4. Conditions to avoid
Stable when applying the recommended regulations for storage and handling. Further information on correct storage: refer to
section 7. Hazardous decomposition byproducts may form with exposure to high temperatures.
10.5. Incompatible materials
10.6. Hazardous decomposition products
Hazardous decomposition byproducts may form with exposure to high temperatures, e.g.: carbon dioxide, carbon monoxide,
smoke, nitrogen oxides. The product is stable under storage at normal ambient temperatures.
SECTION 11: Toxicological information

No data on preparation itself available.
11.1. Information on toxicological effects
Acute toxicity
Toxicological data are not available.
skin corrosion/irritation; Serious eye damage/eye irritation
Respiratory or skin sensitisation
CMR effects (carcinogenicity, mutagenicity and toxicity for reproduction)
Safety Data Sheet

Specific target organ toxicity

Aspiration hazard
Practical experience/human evidence
Other observations:
Inhaling of solvent components above the MWC-value can lead to health damage, e.g. irritation of the mucous membrane
and respiratory organs, as well as damage to the liver, kidneys and the central nerve system. Indications for this are:
headache, dizziness, fatigue, amyosthenia, drowsiness, in serious cases: unconsciousness. Solvents may cause some of the
aforementioned effects through skin resorption. Repeated or prolonged contact with the preparation may cause removal of
natural fat from the skin resulting in non-allergic contact dermatitis and/or absorption through skin. Splashing may cause eye
irritation and reversible damage.
Overall Assessment on CMR properties
This substance does not meet the criteria for classification as CMR category 1A or 1B according to CLP.
SECTION 12: Ecological information

Overall evaluation
There is no information available on the preparation itself.
Do not allow to enter into surface water or drains.
12.1. Toxicity
No information available.
Long-term Ecotoxicity
12.2. Persistence and degradability
12.3. Bioaccumulative potential
Bioconcentration factor (BCF)
12.4. Mobility in soil
12.5. Results of PBT and vPvB assessment
This substance does not meet the PBT/vPvB criteria of REACH, Annex XIII.
12.6. Other adverse effects
SECTION 13: Disposal considerations

13.1. Waste treatment methods *
Appropriate disposal / Product
Recommendation
Do not allow to enter into surface water or drains. This material and its container must be disposed of in a safe way. Waste
disposal according to directive 2008/98/EC, covering waste and dangerous waste.
List of proposed waste codes/waste designations in accordance with EWC
160306 organic wastes other than those mentioned in 16 03 05
Packaging
Recommendation
Non-contaminated packages may be recycled. Vessels not properly emptied are special waste.
SECTION 14: Transport information

This mixture is not classified as dangerous according to international transport regulations (ADR/RID, IMDG,
ICAO/IATA).
No dangerous good in sense of this transport regulation.
14.1. UN number
not applicable
Safety Data Sheet

14.2. UN proper shipping name: not applicable
14.3. Transport hazard class(es)

not applicable
14.4. Packing group
not applicable
14.5. Environmental hazards
Land transport (ADR/RID) not applicable

Marine pollutant not applicable
14.6. Special precautions for user *
Transport always in closed, upright and safe containers. Make sure that persons transporting the product know what to do in
case of an accident or leakage.
Advices on safe handling: see parts 6 - 8
Further information
Land transport (ADR/RID)

tunnel restriction code -
Sea transport (IMDG)
EmS-No. not applicable
Air transport (ICAO-TI / IATA-DGR)
14.7. Transport in bulk according to Annex II of MARPOL 73/78 and the IBC Code
not applicable
SECTION 15: Regulatory information
15.1. Safety, health and environmental regulations/legislation specific for the substance or mixture *
EU legislation
Directive 2010/75/EU on industrial emissions
VOC-value (in g/L): 0,000
National regulations
Restrictions of occupation
Observe employment restrictions under the Maternity Protection Directive (92/85/EEC) for expectant or nursing mothers.
Observe restrictions to employment for juveniles according to the 'juvenile work protection guideline' (94/33/EC).
15.2. Chemical Safety Assessment
For this substance a chemical safety assessment has not been carried out.
SECTION 16: Other information
Full text of classification in section 3
Abbreviations and acronyms

For abbreviations and acronyms, see: ECHA Guidance on information requirements and chemical safety assessment,
chapter R.20 (Table of terms and abbreviations).
Further information
The information supplied on this safety data sheet complies with our current level of knowledge as well as with national and EU
regulations. Without written approval, the product must not be used for purposes different from those mentioned in chapter 1. It
is always the user's duty to take any necessary measures for meeting the requirements laid down by local rules and regulations.
The details in this safety data sheet describe the safety requirements of our product and are not to be regarded as guaranteed
attributes of the product.
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