Method Statement for Scaffolding Work

MAIN RISK BY REVISED

Sl.no ACTIVITY SUB-ACTIVITY ACTIVITY PHOTOGRAPH PROBABLE HAZARD RISK RANK COUNTERMEASURE SAFETY KEY POINTS RISK

1.Couldn't follow
1.Role & Responsbility not Clear standard work
Tool Box Training To procedure
1 2. Members are not aware of 2.May
be Conducted Orient standarded follow shortcut
3. Deviation in Safety 3.Key safety
information missing
1.Ensure all members present for 1. Work as per approved method
KYT Training
statement
2.Conformation of training status
of team 2.Report all the near and miss
B issues C
3.Explain method 3.Check health condition of
statement to all team members in
Team Members
there languages 4.Do's and Dont's
4.Ensure required PPE's

1.Ensure Job leader is available

1.First Aid at site at location till end of job
1.Spider and Scorpion Insects 1.Paralysis 2.Proper Light
2 Land Survey and A 2.Use proper PPE's and should be provided if Lux B
Identification
2.Snake Bite 2.Fatal complusory Gumboots while level(For Night Work) is
working in Vegitation area minimum

1.Ensure job leader is at work site 1.Proper Visulization

2.Vechile and Material
1.Health hazard like back pain and 1. Injure to members Movement Register
3 Barrication & Signages joints pain B 2.Ensure area is free from obstacles 3.Township C
2.Cut & Hit Injury due to 2.Back pain problem
hammer and other tools due to lifting objects 3.Unauthorised entry should be project details
restricted 4.Target date of
completion

1.Vehicle documents must be

1.Driver and Helper unfamiliar with member
Orient site safety rules
2.Key Information missing
4 Machinery Arrival At 3.Machinery Breakdown
Site
4.Battery leak
insulated wiring
6.Collision inbetween
checked before starting the
work by P & M Incgarge and
1.Site supervisors or a nominated Safety Incgarge. 2.
1.Fatal person must meet drivers to direct Skilled liecensed driver
2.Injury of them to the site point
2.Check license & other 3.Do's &
3.Wrong vehicle documents of the vehicle Dont's of Orient
4.Safety keyroles like saftey
movement and entry B label and Checklist C
3.Ensur vehicle
5.Bad 2.Unsafe Driving condition is good 5. Verify
3.Not 4.Check for battery leakages documents of the Earth work
Machinery
following rules of 5. Check Oil 6. Should follow the
Orient Standarded spillage Orient safety checklist
6.Wires are free from damage
7.Safety leader should certify &
ensure defect free before
bringing to site

1.Insects,Sipders, Scorpions & Snake

bite 1..Ensure job leader at location till
2.Uneven land end of job
3.Chemical hazardous
material 2.Ensure members 1.Signal man should be present
who work wear Gumboots
4.Man movement in isolated area complusory at site till end of job
where fall of trees Crush points in 3.Ensure required PPE's for the 2.Availability of
turning area, bucket attachment & water for drinking and Cleaning
Cleaning Trash between load & ground. 1.Fatal work like gloves,masks etc of eyes in case of chemical
5 including uprooting & 5.Crush point between 2.Hit A 4.Ensure contact C
of Vehicle 3.Sun ignation turned off and key
breaking rock Excavator movement & Stroke removed 3.Barricade the area which is
stationary & other moving tree fall hazard
objects or plant. 5.No sleeping 4.Mark &
6.Uncontrolled movement of under the vehicles Barricade the machinery swing
Excavator during maintenance 6.proper clearance to be area
maintaine
operations.
7.Frostbite, hypothermia, 7.Ensure clothes as per site &
sunburn, heat cramps, heat Weather Condition
exhaustion.

1.Ensure job leader is at site during

1. Excavator may hit members while
swing 2.May topple
3.Fall of members in
excavated area Crush points in
turning area, bucket attachment &
between load & ground.
4.Crush point between
Excavation of Excess Excavator movement &
6 Soil stationary & other moving
objects or plant.
4.Uncontrolled movement of
Excavator during
maintenance operations
5.Frostbite, hypothermia,
sunburn, heat cramps, heat
exhaustion.
avation Work At Township
work
1.Signage board should be
1.Fatal 2.Signal man should be dispalyed in excavation area
there at work till job completion
2.Crush under losse 3.Before 2.Only
Soil start of work Excavation permit authorized and skilled driver
should operate
3.Hit of Vehicle should be confirmed by Orient
Personnel being Engg. & Safety Dept.
struck by A 3.Make sure B
moving parts 4.Before excavation ensure cable Clerance of people around
vehicle
4.Personnel and water line route 4.Provide shoring or bench to
struck by bucket 5.Members should
of excavator wear proper PPE's prevent the soil collapse
6.Get proper permission 5.Availability of water
for drinking
from Utility dept. befor excavation
7.Ensure clothes as per
site & Weather Condition

1.Ensure job leader is at work site

1.Signal man should be present
1.Chemical Hazardous 1.Fatal 2.No overload of Vehicle at site till end of job
Loading & Disposal of 2.Insects & Snake bite 2.Hit of Vehicle 3.Vehicle swing Area to be 2.Availability of First
7 Excavated Excess Soil 3.Excess Soil fall 3.Crush A barricate Aid and Emergency Vehicle B
and Internal Debris at 4.Frostbite, hypothermia, 4.Dumper lorry should use wheel 3.Vehicle should be
Orient allotted area sunburn, heat cramps, heat under debris choke and turn off key while park in good condition
exhaustion. 4.Sun Stroke loading 5.Ensure 4.Availability of
clothes as per site & Weather water for drinking
Condition

1.Ensure job leader is at work site

1.Insects & Snake bite
Filling of Excavated 2.Excess soil may fall
8 Excess Clear Soil in 3.Frostbite, hypothermia,
lower area sunburn, heat cramps, heat
exhaustion.
2.No overload of Vehicle 1.Signal man should be present
1.Hit of Vehicle 3.Vehicle swing Area at site till end of job
2.Crush to be barricate 2.Availability of First
under Soil A 4.Dumper lorry should use Aid and Emergency Vehicle B
3.Sun stroke wheel choke and turn off key while 3.Vehicle should be
loading park in good condition
5.Ensure clothes as per site &
Weather Condition
Excavation Work 1. Spider and Scorpion Insects
1.First Aid Box at site
1.Ensure Job leader is available
at location till end of job
2. Snake Bite
3.Skidding 1.Paralysis 2. Proper Light should
Marking of land levels at edges 4.Frostbite, be provided if Lux level is
9 for further work 2. Fatal B 2.Use proper PPE's C
hypothermia, minimum
3.Sun Stroke 3.Ensure clothes as per site &
sunburn, heat cramps, heat Weather Condition 3.Availability of water for
exhaustion. drinking

1.All unwanted material should

1.Obstruction for vehicle movement 1.Member falls sick 1.Proper and Immditate be disposed in right way at right
2.Unhygenic 2.Vehicle Housekeeping after finishing the place.
10 4S condition 3.Poor B 2.Area Identification C
visual evidences damage job 2.Proper 3.Divider lines
4.Less efficiency 3.damage to property Waste Management 4.Parking vehicles in order

Contractor Prepared By Check By Orient Cofirmed By Orient Approved By Orient

 Risk Asessment for Excavation at Township

RISK RATING REVISED RISK RATING

REVISED
SL MAIN Probabili Risk RISK Risk
SUB ACTIVITY ACTIVITY PHOTOGRAPH PROBABLE HAZARD RISK Severity COUNTER MEASURE Severity Probility RISK
NO ACTIVITY ty rating RANKING rating
RANK
S P r=sxp S P r=sxp

1.Couldn't follow 1.Ensure all members present for KYT

1.Role & Responsbility not Clear standard work Training
procedure 2.Conformation of training status of
Tool Box Training 2. Members are not 2.May follow team
1 To be Conducted
2 2 4 B 2 1 2 C
aware of TKM standarded shortcut 3.Explain method statement to all team
3. Deviation in Safety 3.Key safety information members in there languages
missing 4.Ensure required PPE's

1.Spider and Scorpion Insects 1.First Aid at site

Land Survey and 1.Paralysis 2.Use
2 Identification 2.Fatal
2 2 4 B proper PPE's and complusory Gumboots
2 1 2 C
2.Snake Bite
while working in Vegitation area

1.Health hazard like back pain 1. Injure to members 1.Ensure job leader is at work site
Barrication & and joints pain 2.Back 2.Ensure area
3 Signages 2.Cut & Hit Injury pain problem due to
2 2 4 B is free from obstacles 2 1 2C
3.Unauthorised entry should be
due to hammer and other tools lifting objects restricted

1.Site supervisors or a nominated

1.Fatal person must meet drivers to direct them
1.Driver and Helper unfamiliar 2.Injury of member to the site point
with TKM site 3.Wrong 2.Check license & other documents of
2.Key Information missing vehicle movement and the vehicle
Machinery Arrival 3.Machinery Breakdown entry
5 At Site
1 3 3 B 1 2 2 C
4.Battery leak 2.Unsafe Driving 3.Ensur vehicle condition is good
Excavation Work At Township

5.Bad insulated wiring 3.Not 4.Check for battery

6.Collision inbetween following rules of TKM leakages 5. Check Oil
Standarded spillage 6.Wires
are free from damage

1.Insects,Sipders, Scorpions &

Snake bite
2.Uneven land
3.Chemical
hazardous material 1..Ensure job leader at location till end
4.Man movement in of job
isolated area where fall of trees 2.Ensure members who work wear
Crush points in turning area, Gumboots complusory
bucket attachment & between 3.Ensure required PPE's for the work
Cleaning Trash load & ground. 1.Fatal like gloves,masks etc
6 including uprooting 5.Crush point between 2.Hit of 3 3 9 A 4.Ensure ignation turned off 2 2 4 B
Excavator movement & Vehicle and key removed
stationary & other moving 5.No sleeping under
objects or plant. the vehicles
6.Uncontrolled movement of 6.proper clearance to be maintaine
Excavator during maintenance 7.Ensure clothes
operations. as per site & Weather Condition
7.Frostbite, hypothermia,
sunburn, heat cramps, heat
exhaustion.

1.Ensure job leader is at work site

2.No overload
1.Fatal of Vehicle
Cleaning Trash 1.Chemical Hazardous 3.Vehicle swing Area to be barricate
7 including uprooting 2.Insects & Snake bite 2.Hit of 3 2 6 A 4.Dumper lorry 3 1 3 B
& breaking rock 3.Material fall Vehicle should use wheel choke and turn off key
3.Crush under debris while loading
5.Ensure clothes as per site &
Weather Condition

1. Excavator JD140U may hit 1.Ensure job leader is at site during

members while swing work
2.May topple
3.Fall of members in excavated 1.Fatal 2.Signal man should be there at work till
area Crush points in turning 2.Crush job completion
area, bucket attachment & under losse Soil 3.Before start of work Excavation
between load & ground. permit should bee confirm by TKM Engg.
4.Crush point between 3.Hit of Vehicle &Safety Dept.
Excavation of Excess Excavator movement & Personnel being struck 4.Before excavation
8 Soil by
3 2 6 A 2 2 4 B
stationary & other moving moving parts ensure cable and water line route
objects or plant. 4.Personnel struck 5.Members should
4.Uncontrolled movement of by bucket wear proper PPE's
Excavator during of excavator 6.Get
maintenance operations proper permission from Utility dept.
5.Frostbite, hypothermia, befor excavation
sunburn, heat cramps, heat 7.Ensure clothes as per
exhaustion. site & Weather Condition

1.Ensure job leader is at work site

1.Chemical Hazardous 1.Fatal 2.No overload
Disposal of 2.Insects & Snake bite 2.Hit of of Vehicle 3.Vehicle
Excavated Excess 3.Excess Soil fall Vehicle swing Area to be barricate
9 Soil and Internal 4.Frostbite, 3.Crush under debris
3 2 6 A 4.Dumper lorry should use
3 1 3 B
Debris hypothermia, wheel choke and turn off key while
sunburn, heat cramps, heat 4.Sun Stroke loading 5.Ensure clothes
exhaustion. as per site & Weather Condition
Exc 1.Insects & Snake bite
1.Ensure job leader is at work site
2.No overload
2.Excess soil may 1.Hit of Vehicle of Vehicle
Filling of Excavated fall 3.Frostbite, 2.Crush under 3.Vehicle swing Area to be barricate
10 Excess Clear Soil in hypothermia, Soil 3.Sun
3 2 6 A 4.Dumper lorry 3 1 3 B
lower area sunburn, heat cramps, heat stroke should use wheel choke and turn off key
exhaustion. while loading
5.Ensure clothes as per site & Weather
Condition

1. Spider and Scorpion Insects

2. Snake Bite 1.Paralysis 1.First Aid Box at site

Marking of land 2.
11 levels as per dwg 3.Skidding at edges Fatal
2 2 4 B 2.Use proper PPE's 1 2 2 C
4.Frostbite, hypothermia, 3.Sun Stroke 3.Ensure clothes as per
sunburn, heat cramps, heat site & Weather Condition
exhaustion.

1.Obstruction for vehicle

movement 1.Member falls sick
2.Unhygenic condition 2.Vehicle damage 1.Proper and Immditate Housekeeping
14 4S 3.Poor visual evidences 3.damage to
1 3 3 B after finishing the job 1 2 2 C
2.Proper Waste Management
4.Less property
efficiency

Prepared Confirmed
Probability Risk Ranking Matrix Checked by:
by: by: OCL
SEVERITY 1 3 6 9
NL WD 1 Rarely occur 1 2 2 4 6
Severity
LWD 2 Frequently occur 2 3 1 2 3
FATAL/AMPU 3 will occur 3 Probability
Low Risk 1-2 Moderate Risk 3-4 High Risk 6-9 1 2 3