HS.SAF.09.

F12

CONTRACTOR WORK METHOD STATEMENT (EHS)

1. Contractor Name : Danway E & M Engg. 3. Trades / Disciplines Involved In Work :

2. Work Location : Engineer, Supervisor & electricians.

Proposed Starting Date :

4. Brief Description Of Work To Be Undertaken : 5. Tools / Substance

Portable Tools
Installation of phase sensing relay
at generator panels. Hand Electrical Pneumatic
Hazardous Substances
Toxic Flammable Corrosive
Harmful Irritant
Environment Impact
Health & Hygiene Effect

Environmental Impact Health & Hygiene

Yes No Yes No

Hazardous waste Significant Dust Generation x

Emissions Noise (above 85 DbA) x
Discharge to sea or drains Hazardous substances (if yes attach list) x
If answer to any of the above is yes, please circulate to If answer to any of the above is yes, please circulate to
Manager, Environmental Affairs Senior Occupational Hygienist

6. Person Completing The Work Method Statement :

Name : Joselito Sangco Position : Supervisor Company : Danway

Signature : Date :

Revision: 1 (19-Mar 2012) Page 1 of 6

 HS.SAF.09.F12

7. Approvals

Contractor Site Rep. Name Signature : Date :

EMAL Contract Admin. Name Signature : Date :

Area Owner Name Signature : Date :

Name Signature: Date:

EMAL EHS Department

The completed Work Method Statement must be submitted at least seven full working days prior to the
commencement of activities.
Where the Work Method Statement indicates the use of Hazardous Substances, a Material Hazard Data
Sheet must be attached.
After the Area Owners approval the Work Method Statement shall be forwarded to EHS department for
approval
The approved Work Method Statement must be attached to the permit(s) to work and all persons involved
in the job instructed in its requirements.

2. RISK ESTIMATOR CHART

The Risk Estimator chart should be used as an assistant for filling out the work
method statement.

Severity
Probability Low x1 Medium x 2 High x3
Low x1 Low Probability x Low LP x MS LP x HS
Severity 1 x 1 = 1 1x2 = 2 1x3 =3
Medium x2 MP x LS MP X MS MP x HS
2x1 =2 2x2 =4
2x3 =6
High x3 HP x LS HP X HS HP x HS
3 x 1 =3 3x2 = 6 3x3=9

Significant Risk = High Risk (6-9) or Medium Risk (3-4) in terms of probability and severity
Tolerable Risk = Risk reduced to an acceptable level = Low Risk (1-2)
Residual Risk = Risk remaining after implementing recommended control actions (usually very
minor).

Revision: 1 (19-Mar 2012) Page 2 of 6

 HS.SAF.09.F12

8. Safety Analysis
Severity x
Probability = Risk
Individual Activities To Identified Hazard(s) Persons Exposed Precautions and Plan of actions To Be Taken To Remove / Control
Complete Work. List In Residual Risk
Associated With Activity To Hazard Hazards
Sequence of Activity (Use Risk
Estimator Chart)

Supervisor to ensure approved PTW from Emal

operation is available prior to enter any Emal
facilities.
Only competent and authorized personnel to be
deployed, supervisor to control.
Supervisor to give tool box talk prior to start the
Interference with task and must be documented.
Emal
operational activity Proper coordination with Emal shift supervisor
6.1 Preparations. operators/ 3x1=3
Hazard due to prior to commencement of the activity.
electricians
operational activity Activity shall be carried out the personnel supervision
of receiving activity.
Ensure all workers received the Big 5 training
from EMAL training centre.
This shall cover the method statement and job safety
analysis.
Work check list has to be completed.

Revision: 1 (19-Mar 2012) Page 3 of 6

 HS.SAF.09.F12

Supervisor to ensure electrical power source

* Job execution.
is 100% isolated, verify / double LOTO by Emal
Install the new operations.
phase sensing Barricade the area with sign board and
provide appropriate electrical insulation material
failure relay in
(incomer cable terminal of socket panel).
the generator
Daily coordination with Emal representative
socket panel as and conduct crew meeting to the group prior to
per the drawing start the task.
on the spare Follow the Golden Rules "TEST BEFORE YOU
Electrical
space of the Din TOUCH" using calibrated multi-meter tester
Electrocution. supervisors / 3x1=3
rail inside the Only competent electricians to be deployed for
Electricians
panel. the electrical works.
Supervisor to ensure that the generator is in
Do the internal good condition, check prior to utilise at site,
wiring of the provide DCP fire extinguisher near to the
phase sensing generator.
relay and do the Observe cable management to avoid trips
testing with and fall hazards
temporary Inspect all hand tools to be used for the task,
generator. do not use homemade hand tools, use
appropriate hand protection.
During crew meeting, Supervisor to discuss
and explain the hazards & precaution of manual
Manual handling handling and proper use of PPEs
Supervisor &
hazard Observe good housekeeping around the 3x1=3
electricians
Trips/Slips working area.
Walkway and gangway to be kept free of
obstruction.

Revision: 1 (19-Mar 2012) Page 4 of 6

 HS.SAF.09.F12

This sheet must be properly completed detailing all of the steps required to complete the job along with the sequence of events and each of the hazards
arising. Failure to properly complete the form will result in non-approval.
(Additional sheets to be used as required)

9. Chemical Analysis (This form to be used as required)

Product Name

MSDS supplied Yes / No

Dangerous Goods Class

Hazardous Material Yes / No

Nature of Hazard Irritation / Carcinogen / Corrosive / Toxic / Other

Revision: 1 (19-Mar 2012) Page 5 of 6

 HS.SAF.09.F12

Form Solid /Liquid / Gas / Dust / Vapour / Mist

Exposure Route Inhalation / Skin / Eye / Ingestion

Number of People Exposed

Duration of Exposure

Frequency of Exposure

Controls to be implemented

Estimate of Exposure Negligible / Marginal / High

This sheet must be properly completed detailing all the necessary information. Failure to properly complete the form will result in non-approval.

Revision: 1 (19-Mar 2012) Page 6 of 6