Block Work MS (Sample)

LOYAL BUILDING CONTRACTING LLC
BLOCK WORK - METHOD STATEMENT, ITP AND RISK ASSESSMENT
M/S MANAR AL OMRAN SCAFFOLDING RETALS

PROJECT: PROPOSED G+M OFFICE, WAREHOUSE AND ALLIED SERVICES ON PLOT NO: 5320248
DUBAI INDUSTRIAL CITY, DUBAI – UAE.
Main Contractor: LOYAL BUILDING CONTRACTING LLC

Project Manager
Name: MUTHUKUMAR Date: 26/04/2020
Signature:
Consultant: DESIGN HOUSE ENGINEERING CONSULTANCY

Project Manager
Name: Date:
Signature:
INDEX:
REVISION STATUS
1. PURPOSE
2. WORK LOCATION AND WORK HOURS
3. PROGRAMME
3.1 RESPONSIBILITIES
3.2 PROJRCT MANAGER
3.3 PROJECT ENGINEER
3.4 QA ENGINEER & QC INSPECTOR
3.5 HSE OFFICER
3.6 FIRST AIDER
3.7 SITE SUPERVISOR
3.8 OPERATOR
3.9 BANKSMAN
4. MATERIALS
5. PLANT AND EQUIPMENT
6. HSE REQUIREMENT
7. METHODOLOGY
8. INSPECTION AND TEST PLAN
9. RISK ASSESSMENT
REVISION STATUS:
REV NO DATE DESCRIPTION PREPARED BY APPROVED BY

Rev N. 00 25-04-2020 Method Statement James Neel
1. PURPOSE:
The method is prepared to ensure that construction of warehouse for the project shall comply on plans specifications
and all relevant standard and code requirements in the execution of different work activities to be performed in the
construction of warehouse and other relevant structures associated with the project. In addition this will serve as a tool to
guide all technical personnel and layman execute proper construction procedures complied with the quality and safety plan
for the projects.
2. WORK LOCATION AND WORK HOURS:

3. PROGRAMME:
3.1PROJECT MANAGER:
 Implementing the work program / tracking day-to-day Block Work and associated activities as per the
program scheduled.
 Ensuring that personnel involved in concreting and associated works meets the minimum qualifications for
their assignment and are properly trained.
 In charge of maintaining the safety standards by all staff and ensuring that they have required HSE
Training.
3.2PROJECT ENGINEER:
 Responsible for the entire activities of Block work and associated work complying with the quality and
safety requirements.
 To ensure that the team engineers and foreman are aware of the Method statement and all resource area
available to carry out the work as planned.
 To liaise with the CMCS to ensure timely approval of WIR, Shop drawing etc
 Responsible for the supervision of Block work and associated work as per approved method statement and
drawings.
 To ensure that all equipment’s required for the works are available and in good condition.
 To ensure that all the technical matters and changes in the drawings are discussed with the foremen.
3.3QA Engineer & QC Inspector:

 Responsible for inspections in co-ordination with CMCS and monitoring the execution to confirm it
complies with the approved method statement and PDO specification.
 Site QA/ QC Engineer is responsible for implementation of related QA/ QC activities of the works as
mentioned in the Method Statement.
 QC Inspector will inspect the Formwork, Reinforcement and satisfy himself with the work before
requesting CMCS approval for inspection.
 QA Engineer / QC Inspector will check the quality of the concrete as per the project specification.
3.4HSE OFFICER:
 HSE officer shall ensure implementation of all safety Procedure while formwork and reinforcement
installation and Block work.
 He shall ensure that all controls listed in the HEMP are in place.
 Necessary safety instructions are to be provided to the crew based on the site live condition.
 He shall maintain continuous inspection of the site activities advice and site crew to prevent accidents,
personnel injury and property damage.
 In case of emergencies, he shall initiate all recovery measures as per the emergency procedures.
3.5FIRST AIDER:
 First Aider is responsible for maintaining first aid facilities while formwork and reinforcement installation
and concrete pouring.
 He shall administer first aid, monitor and report risks and incidents.
 To provide first aid to crew working on concrete works when required.
 He shall undertake quarterly checks of the office first aid kit to ensure it is compliant with the checklist
issued by HSE staff.
 Assist the HSE Officer to carry out quarterly facility inspections.
 Assist with any incident investigations and unresolved issues connected with the use of first aid supplies, or
action by the HSE Officer at the site.
 Promote good safety practice within the site.
3.6SITE SUPERVISIOR:
 He will coordinate with the Site Engineer on a daily basis and will ensure proper distribution of the
workforce and equipment at required locations.
 He will be aware of the possible risk hazards involved with concrete works and comply with all safety
requirements prior to start of the activity.
 He should give proper Tool Box Talk to his crew for safe handling of work.
3.7OPERATOR:
 Will be responsible for safe operation of Concrete pump and place the pump in safe and stable positions.
3.8BANKSMAN:
 He will be responsible for guiding Concrete pump operator and Transit Mixer driver for the safe operation.
4. MATERIALS:
5. PLANT & EQUIPMENTS:
 Boom Loader.
 Skid Steer Loader.
 Back Hoe Loader.
 Hand shovel.
 Hand tools.
6. HSE Requirements:
 The crew must complete the compulsory HSE training like HSE Induction, Initial Fire Response (IFR),
dealing with Hazard and Risks (DHR) and to possess a valid PDO Passport as a minimum to work in this
project.
 Site HSE induction will be completed for the crew prior to entering the site with a sticker labelled ”HSE
INDUCTED” affixed on to their helmet.
 All Crew will wear Helmet, Safety Shoe & High Visibility Jacket and will use need based PPE like Hand
Gloves, Dust mask and Goggles etc.
 The supervisor to make an assessment of the hazards & risks with respect to the concrete works and to fill
the TRIC.
 The site Supervisor/ Forman will conduct Tool Box Talk (TBT) based on TRIC and will obtain attendance
of the crew.
 Supervisor will ensure that all control measures for the specific task are in place as per TRIC.
 Shoring to be done as the depth increases so that carpenters and Steel fixers can work safely in the pit. Shore
the sides of excavations for structures, trenches and pits to prevent them from slipping or falling.
 Proper access to the work areas will be maintained throughout the working period for easy working. In case
of emergency and the crew should gather at assembly point located nearby.
 Equipment’s like Back Hoe Loader, wheel loader will be provided with Banks man for giving directions.
 All operators & banks man should be trained, competent. HSE inspection/ training will be verified for all
the plant/ equipment / vehicle operators / drivers prior to commencement of work.
 Right type of machinery / tools for the work will be used..
 First Aider, First aid box will be available at site.

 Drinking water facility will be provided by the company management.
 The crew members will make use of the welfare facilities and the first aid arrangements and must have a
valid 3rd party certificate.
 The Crew will work only if the climatic conditions are favourable for the tasks.
 An emergency Vehicle will be made available at site.
 If hazards are found, the operator will refer to supervisor and establish a safe working method before
commencement of work.
 All the rebar edges will be covered with padding protection.
 All scaffolding will be fitted with guard rails and toe boards.
 All scaffolding more than the height of 9 M should be inspected by approved 3rd party.
 Person working at height will wear Safety harness.
 TBT will be conducted regularly prior to start of work.
 Open excavations will be barricaded at least one meter away from the opening.
 All necessary sign boards & barricades should be placed in position in all required places.
7. METHODOLOGY:
 All block works to be fastened to concrete structure by anchor as specified.

 All the block work below ground level will be solid block work made with SR cement.
 All the block work shall be properly grouted, levelled and plumped.
 All solid and hollow cement blocks shall be procured from an approved automatic factory. 6 courses of
block work will be carried out in one day. Mortar for block work shall be as per the given specifications.
 Mortar shall be mixed in a mixer machine (one bag of cement and sand shall be weighed in wooden box for
one mix load).
 All completed superstructure walls shall be kept clean and cured for a minimum 3 days. Wherever block
work flush with structural members, all such joints shall be covered with wire – mesh as approved by the
Engineer.
 Care shall be taken while shifting blocks to avoid breaking of corners.
 Blocks shall be kept on plywood or polythene sheet to avoid contact with soil.
 Mock-up will be prepared & approved before starting the work.
8. INSPECTION AND TEST PLAN:

INSPECTION & TEST PLAN (ITP)
Main Identfication Information
Document Revision Status Type of Inspection
System Subsystem
Plan Rev / Date
0 0M 01M 02M 03M H
Project Phase Hold point - Representative of indicated party to attened (Mandatory)
(Manufacturing / Contractor
Construction Witness point - Representative of indicated party to be notified. If
Construction / Issuing W
not attending at specified time, inspection may proceed.
Commossioning)
Contractor Premises of Consultant Review point - Representative of indicated party to review submitted
Inspection / Site Work R
Approval documents, result of test etc..
Area Coordinates Acceptance Criteria
(Controlling
Owner
Description of Inspection & Procedure, Contractor Consultant Specific
Activity NO Drawing N" of reference
Test Activity Specifications, Contractor CEC Quality Punchlist
Standars etc..) H W R H W R H W R Signature Signature Report Item N"
MATERIALS AS PER
1
SUBMITTAL APPROVAL
2 LAYOUT MARKING
3 CHECK MORTAR MIX
4 CHECK FOR OPENINGS
5 CURING INSPECTION
Task/Job/Operation: BLOCK WORKS Project: : PROPOSED G-ONLY OFFICE, G+M Ref No: RA-LBC-007 REV-0
WORKERS FACILITY, G-ONLY SHED, OPENSHED &
Main Contractor: LOYAL BUILDING CONTRACTING Risk Assessor:
LLC. OPEN WASH AREA ON PLOT NO. 5337865 @ SAIH Mr. JAMES NEEL (SO)
Client: AL MANAR SCAFFOLDING RENTALS L.L.C. SHUAIB 4, DUBAI.
Date : 5/2/2020 Date Next Review: 5/8/2020 Approved By: Reviewed By:
Mr MUTHUKUMAR (PM) Mr. JOSHUA PRAVIN (SR.SO)
Equipment Required: Shovel, Telescopic handler, bobcat , Recommended PPE: Hard Hat, Safety shoes, Safety Harness, overalls, dust mask,
Scaffolds, Block Cutting Machine, Power tools goggles, gloves
Risks / Who
Risk
Residual
might be
Rating/
Harm/
Risk
Legal compliance
Risk level
E/I/R Control
Job steps/
/Potential
identified
Remarks
Activities
Hazards
L S R
Hazard
Sl no
Mitigation action to be taken/
Consequenc
Hazard/Risk Control Method
L S R
es
 Proper Training for Stacking,
handling & Transportation works.
Serious injury due to  Tool box talk on proper manual
Improper manual the accidental contact handling
1 Stacking handling, lack of No 3 4 H R  Adequate house keeping 1 4 L
with
proper training  Proper Supervision
machinery/Material  Workers are capable for doing job
& adequate Working platform
area
2 Installation of Improper manual Death & Fractures due Yes 4 4 H R  Scaffold must be erected, 1 4 L
scaffolding for handling, to fall from scaffolds, dismantled or altered by
miscellaneous lack of proper back pain due to body competent person, safety harness
block works & training and skills for injury, serious injury must be worn, guard rails & toe
working at Scaffolding works &
boards are required to all working
height:: fall hazards while
working on platforms & provide fall
suspended platform protection(Full body harness)
& scaffolding  Proper training for scaffold
working
 Tool box talk on proper manual
handling, erecting of scaffolding
& working on scaffolding
complianceLegal
Risks / Who
E/I/R Control
Risk
Job steps/
/Potential
identified
Residual
Remarks
might be
Activities
Hazards
Hazard
Rating/
Harm/
Sl no
Mitigation action to be taken/ Risk

Risk level Hazard/Risk Control Method
L S R L S R
Consequenc
 Adequate House keeping
 Well supervision
es
 Proper training for rigging works &
procedures.
handling, Using of vehicles/
Equipment’s
 Always secure blocks while on
delivery on upper levels using
Improper manual
cranes & provide nylon net
handling, lack of Death, Serious body
proper training and secured & fix to avoid collapse of
Delivery using injury, Serious injury
skills for standard blocks
boom loader & due to accidental
3 rigging procedures. Yes 4 4 H R  Maintain always good 1 4 L
cranes: contact with
Accidental contact housekeeping
with the delivery machinery
 Proper supervision
trailer & cranes,
 Adequate signal man with
collapse
approved by 3rd party certificate
for vehicle and operator
 All vehicles / equipment’s must be
equipped with all safety materials
(reverse alarm, warning light,
license, vehicle certificate &
Approved 3rd party certificates….)
4 Installation of Improper manual Serious body injury  Proper Training for block works 2 5 M
No 4 5 H R
blocks at handling, lack of  Adequate Supervision
complianceLegal
Risks / Who
E/I/R Control
Risk
Job steps/
/Potential
identified
Residual
Remarks
might be
Activities
Hazards
Hazard
Rating/
Harm/
Sl no

L S R L S R
Consequenc
proper training and
designed areas skills for concrete
es
using wooden block works. falling  Tool box talk on proper manual
platforms & hazards while
handling
scaffolds for installation of
 Maintain always good
miscellaneous scaffolding and
block works: housekeeping.
working at wooden
frames while  Use appropriate PPE.
installation of
concrete blocks
 All electrical system & electrically
operated hand tools must
conform to Standards.
Concrete dust  Only electrician must install &
installation, skin maintain electrical tool and
Cutting of absorption, lack of Death or burns due to electrical lines.
concrete proper training & electrocution, cut,  All electrical equipment must be
5 blocks using skills, Accidental laceration body & No 3 4 H R tested, & inspected 2 4 M
Power tools: contact with rotating serious injury  Proper training for Scaffolding
disk & electrical works
hazards while using  HSE Induction training conducted
handling
 Adequate house keeping
 Well supervision
6 Mixing &  Concrete dust Acute & chronic chest No 3 4 H R  Adequate hygiene facilities 1 4 M
complianceLegal
Risks / Who
E/I/R Control
Risk
Job steps/
/Potential
identified
Residual
Remarks
might be
Activities
Hazards
Hazard
Rating/
Harm/
Sl no

L S R L S R
Consequenc
should be provided
application of  Workers must be aware of
es
concrete inhalation, skin hazards & control of the materials
pain, dermatitis, eye being used
mortar for absorption, in
pain due to foreign  All required personal protective
concrete contact with
body equipment must be worn
blocks harmful substance  Adequate housekeeping must be
maintained
 Adequate supervision
Health and Safety

1. In case of Near Miss, Accidents or Emergencies call – (HSE Incharge-0551099321)
2. This Standard Risk Assessment may be revised to suit the site condition.
3. All persons will familiarize themselves and conform to project HSE rules and requirements and wear Basic PPE (Hard Hat, High-Viz Vest and Steel Toe Safety
Shoes) at all times – use additional PPE required by the job.
4. Only trained and certified operators shall operate vehicles and mobile construction machinery. Proof of competence will be available with the operator at all
times for site verification
5. Use of mobile phones during working hours is prohibited, except for emergency reporting only.
6. No eating, smoking and sleeping at the construction worksite. Use the facilities provided on site
7. Do not use defective PPE, tools, machinery, or equipment – get them replaced before you start your work
8. Report all near misses and accidents immediately to HSE Incharge and your work leader
9. Work leaders are accountable for the behavior of their operatives
10. Conduct a Tool Box Talk, Risk Assessment Review or issue safety instructions before the start of the day’s work.
11. Copy of this Risk Assessment available on site
Environmental
1. All waste materials will removed daily from the wok area and transferred to the designated waste skip
2. All Hazardous waste shall be immediately removed as per UAE regulation and dispatched slip maintained.
Risk Assessment Methodology
1. Identify Hazards
2. List Hazard Event
3. Calculate Risk Factor with Initial Risk Rating. I.E. Probability x Severity
4. Detail Controls
5. Calculate Residual Risk Rating with Final Risk Rating
6. Enter Risk Priority
7. Evaluate Acceptability of Risk
Risk Factor Matrix

Probability RISK PRIORITY
4 3 2 1 8-16 High Risk

Severity
4 16 12 8 4 6 Medium Risk
3 12 9 6 3 1-4 Low Risk
2 8 6 4 2
Severity
4. Catastrophic – Imminent danger exists, hazard capable of causing death or illness on a wide scale
3. Critical – Hazard can result in serious illness, severe injury, property and equipment damage
2. Marginal – Hazard can cause illness, injury or equipment damage, but the results would not be expected to be serious
1. Negligible – Hazard will not result in serious injury or illness, remote possibility of damage beyond minor first aid case
Probability
4. Probable – Likely to occur immediately or shortly
3. Reasonably Probable – Probably will occur in time
2. Remote – May occur in time
1. Extremely Remote – Unlikely to occur

Block Work MS (Sample)

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Block Work MS (Sample)

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LOYAL BUILDING CONTRACTING LLC

BLOCK WORK - METHOD STATEMENT, ITP AND RISK ASSESSMENT

M/S MANAR AL OMRAN SCAFFOLDING RETALS

Main Contractor: LOYAL BUILDING CONTRACTING LLC

Consultant: DESIGN HOUSE ENGINEERING CONSULTANCY

REV NO DATE DESCRIPTION PREPARED BY APPROVED BY

2. WORK LOCATION AND WORK HOURS:

3.3QA Engineer & QC Inspector:

5. PLANT & EQUIPMENTS:

 First Aider, First aid box will be available at site.

 All block works to be fastened to concrete structure by anchor as specified.

8. INSPECTION AND TEST PLAN:

Mitigation action to be taken/

Mitigation action to be taken/ Risk

Mitigation action to be taken/ Risk

Mitigation action to be taken/ Risk

Health and Safety

Risk Assessment Methodology

Risk Factor Matrix

4 3 2 1 8-16 High Risk

3 12 9 6 3 1-4 Low Risk

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