Work Method Statement
- 9
Project Name: Haier India Industrial Park Renovation & Extension
Company Name: SPCPL
Address: Shapoorji Pallonji & Co. Pvt. Ltd, SP Infocity , Incubator No. 4 ,Pune Saswad Road,Fursungi Pune : 412308 Office Contact No: +91 020 66725000
Supervisor Name:
Procedure (in steps)
(Break the job down into
steps. Each step should
accomplish some major task
and be in logical sequence.)
Manpower Mobilization
Mobilization of
Vehicle/Equipment
Mobilization of Hand tools
E - Extreme Risk: The hazard has the potential to kill or permanently disable a person
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days
Possible Hazards
(Identify the hazards associated
with each step. Examine each to
find possibilities that could lead
to an accident or potential harm
arising.)
Untrained worker,
unauthorized entry
Uninspected equipment,
Breakdown
Damaged hand tools,
Uninspected hand tools
SWMS No.
Address: Ranjangaon
Activity/Trade: Earthing and Installation Work
Contact No:
Person
Risk Control Measures
who will
Rating (Describe what action or procedure will be taken to eliminate or minimise the
risk of injury or damage. Use the Hierarchy of Controls below as a guide ensure this
(See
1. Eliminate the Hazard happens
below)
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
M 1. Only inducted worker shall be deputed at the work place. Supervisor /
2. Given Tool Box Talk to all workers. What are activities to be carried Engineer
out, what are the hazards, what are the precautions that are to be
taken. PTP should be conduct before start of work.
3. Height Work activity permit shall be taken before start of work from
concern engg. and HSE Dept.
4. Required PPE's use by workers.
5. Area shall be barricaded to prevent unauthorized entry.
6. Access & egress should be clear, use of required PPE's only train
person deployed for work
M 1. Only inspected Vehicle/Equipment shall be use at site. Supervisor /
2. All documents should verify and submitted at EHS dept. Engineer
3. Inspected vehicle/equipment should identify through GREEN Tag.
For use and RED tag for not use.
4. Job specific training should be conduct.
M 1. Avoid damaged hand tools for use. Supervisor /
2. Inspect all tools at the time of entry to site and maintain record. Engineer
3. Only inspected hand tools shall be use at site.
4. Approved tools should be use at work site.
H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)

Earth Strip Installation (3 m
length) at ground and height
by coupling
Filling of Diesel in DG
E - Extreme Risk: The hazard has the potential to kill or permanently disable a person
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days
Fall from height, Unsafe work
platform and access, sharp
edge
Spillage of diesel
Work Method Statement SWMS No. - 9
M 1. Deploy only inducted and trained workers for work. Supervisor /
2. Ensure safe access & platform should be provided for material Engineer
shifting.
3. Ensure use of FBSH while working on or above 1.8 m height.
4. Ensure only approved and inspected welding machine shall be use
and keep in dry place. Double earthing and ELCB daily check
check sheet should be available.
5. Approved welding shield with safety helmet.
6. Approved FBSH should be use and inspect before use.
7. Earthing pit no., resistance value should be displayed.
8. 4 earthing should be provided for DG.
9. Bund wall should be provide with sunk.
10. Ensure proper cable connection. Maintain good housekeeping.
11. Use appropriately rated electrical cables, avoid overloading.
12. Provide face shield for welder, provide goggles to helper
M 1. Pump should be used to fill diesel in DG. Supervisor /
2. Secondary containment trey should be provided while filling diesel Engineer
in DG.
3. Ensure DG is stopped in OFF condition before filling fuel.
4. Use approved vehicle for diesel drum shifted from store to location.
H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)

DG operation
Work during night shift
In Case of Emergency
E - Extreme Risk: The hazard has the potential to kill or permanently disable a person
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days
Work Method Statement SWMS No. - 9
Fire during operation, M 1. Ensure fire point should be available near DG. Supervisor /
Unauthorized operator 2. Display safety instructions/checklist. Provide rubber mat around Engineer
the DG.Cordoning of periphery of DG.
3. 4 earthing with pit no., inspection date, due date and value
signage’s should be display.
4. Only trained person should be operate DG.
5. Operator list should be displayed on DG.
6. LOTO system to be followed for DG set to restrict unauthorized
operation.
7. Authorize person contact no., name and photo should be
displayed.
8. Safety signage’s to be displayed on DG.
9. DG door should be locked and cable trenches need to be covered
always.
10. Required document should be displayed on DG.
Illumination, fall of person, fall M 1. Night work permit to be taken from concern engg. and safety dept. Supervisor /
of machinery 2. Ensure 200 lux illumination during dark hours. Engineer
3. Electrical cable should lead min 2 m height. No exposed electrical
wire and earthing.
4. Routes shall be illuminated.
5. Ensure continuous supervision provided at work place.
6. The pit to be barricaded from all 4 sides after completion of activity.
Panic Situation H 1. Everyone shall assemble at assembly point. Supervisor /
Engineer
H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
 Safe Work Method Statement

Personnel Summary
SUPERVISOR’S DETAILS
Supervisors Name & Qualifications: Name:
Experience:
Qualifications:
Supervisor’s Responsibilities:

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

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

H&S GENERAL INDUCTION: All workers must have successfully completed industry induction training

WORK ACTIVITY TRAINING: All workers need to have been trained in the activities outlined in this safe work method statement.

SITE INDUCTION: All workers are to be site inducted by the Principal Contractor, prior to commencing work on site.

OTHER: (List other training undertaken by workers): (eg: Confined Space, Manual Handling, Traffic Control etc)

TICKETS, PERMITS or LICENCES REQUIRED to undertake this work (ie. Certificates of Competency, Confined Spaces etc):

N.B. - Copies of the above must be shown to the Principal Contractor during site induction.

LEGISLATION, CODES OF PRACTICE and GUIDELINES applicable to this work

All work to comply with the <insert location> H&S Acts and Regulations and amendments, Workplace Injury Management & Workers Compensation Acts

Additional Codes and Standards applicable to this trade:

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 Work Method Statement SWMS No. - 9

Equipment & Material Summary

PLANT and EQUIPMENT used and MAINTENANCE FREQUENCY :

Serial Plant/Equipment Contractor Government Plant Hazards Maintenance/service records and log books sighted
Registration No. identified and by Principle Contractor prior to equipment being
controlled within used on site?
(Where applicable)
WMS?
Yes No Sign Date

1
2
3

ELECTRICAL EQUIPMENT USED DURING THE WORKS (Attach Electrical Equipment Register if applicable):
Item Tag/Item Testers Name & Signature License Number Test Date Result Test Date Result
Number
____ /____ /____ ____ /____ /____
____ /____ /____ ____ /____ /____

HAZARDOUS SUBSTANCES or DANGEROUS GOODS USED IN THE WORKS and anticipated volumes (Attach MSDS if applicable):
MSDS
Purpose Location & Volume Used Controls
Date on Site Date Left Site Product Name MSDS Date Attached
(ie. Application on site) on Site (& PPE to be worn)
(Y/N)
/ / / / / /

/ / / / / /

/ / / / / /
N.B. - All workers must be trained in the safe use of all chemicals and provided with the PPE required when using and storing these chemicals. Disposal is to be as per the waste disposal methods
in the MSDS. Spillage and leaks are to be cleaned up as per the spill/leak procedures identified in the MSDS.

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 Work Method Statement SWMS No. - 9

We agree that we have been consulted in the hazards and control measures and agree to complete the work in accordance with our Work
Method Statement (WMS).
We have been provided with training in all tasks outlined in our WMS and in the Codes of Practice applicable to our work.

Employee / Worker Signature Date Employee / Worker Signature Date

1. / / 8. / /
2. / / 9. / /
3. / / 10. / /
4. / / 11. / /
5. / / 12. / /
6. / / 13. / /

Reviewed by: Signature: Date:

(Principal Contractor’s Representative)

Any changes, additions or deletions made to this WMS are to be covered with the above personnel and the Principal Contractor’s representative at a Toolbox
meeting (Record date and time of Toolbox meeting below):

Date: Time:
Comments:

A copy of the Toolbox Meeting must be attached to this WMS.

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