Doc.

Ref :
SAFE WORK METHOD STATEMENT
Rev. No. :

Issue Date :

Safe Work Method Statement

Application
Project: SWMS No:

SWMS Title: MLT KENTLEDGE BLOCK ERECTION

Contractor:

Task / Activity:

Work Location:
Duration:

Date of Last Review:

Date of Next Review:

Prepared by: Rakesh Khanna / SHE Manager

Reviewed by:
Name & Designation
Name & Designation
Signature/Date
Signature/Date

Document Status
Revision No Date Description Reviewed by Approved by
 Doc. Ref :
SAFE WORK METHOD STATEMENT
Rev. No. :

Issue Date :

A SWMS REVIEW CHECKLIST

Note: Each subcontractor, before commencing work, must provide written Safe Work Method Statement/s (SWMS) for the work to be carried out. The following checklist
is to be completed and reviewed by PIC, and assessed to have met the COMPANY acceptance criteria in compliance with the requirements outlined in the checklist and
any relevant EH&S Legislation, Codes and Specifications.
Section 1: Compliance Checklist
Check
SWMS Criteria Remarks / Comments
Yes No
1. Sets out step by step how the work activity will be carried out.

2. Identifies the hazards associated with each step of the work activity.

3. Assesses the risks associated with each step of the work activity.

4. Defines the controls to manage risks associated with each step of the work activity based on the
hierarchy of controls Eliminate, Substitute, Isolate, Engineer, Administrate and PPE.
5. Provides a description of the plant / equipment that will be used in carrying out the work activity
(including equipment maintenance and inspection requirements, certification by qualified person
and / or registration, etc.).
6. Describes the qualifications and training of personnel carrying out the work activity, including
supervisors experience / competency, licenses, operators certification, etc.
7. Refers to and confirms compliance with relevant EH&S Legislation, Standards, Codes, Regulations
and / or guidelines.
9. Includes design requirements, engineered details or certification for both temporary and permanent
structures, platforms or access ways/ladders.
10. Where PPE is nominated, the type of PPE is specifically listed and when it is required.

11. Defines who is responsible to ensure that the work activity is monitored and carried out in
accordance with the SWMS.
12. Defines the process and frequency of reviews and methods for ensuring the work complies with the
SWMS controls.
14. Identifies where any Subcontractors will be used, who is responsible to monitor and supervise the
works, and how hazards arising from interaction between trades will be communicated and
managed (e.g. induction into more than 1 SWMS).
15. For complex or high risk work activities (where appropriate), uses photos / diagrams / sketches /
summary to enhance the SWMS.
16. Includes the name and signature of the person who developed the SWMS, a current date and
revision number.
17. The SWMS includes specific EH&S controls for key high risk hazards as listed below:
(Tick all boxes relevant to the tasks outlined in the SWMS and ensure they are specifically addressed)

Work at height, work near / with penetrations Objects falling from height Electrical work
Use of plant and equipment Work in a confined space Overhead electrical services
Hot work Excavation Demolition
Manual handling Specialised work tasks e.g. tunnels, railways Underground services
Hazardous material removal and disposal e.g. Use of hazardous substances or dangerous Traffic and pedestrian segregation - work site
asbestos goods and public areas
Works requiring the implementation of an
Where an exclusion zone is required, the SWMS must clearly state the detail of the required
exclusion zone
exclusion zone, including the person responsible for implementation and supervision.
 Doc. Ref :
SAFE WORK METHOD STATEMENT
Rev. No. :

Issue Date :

B SCOPE OF WORK
MLT to be carried out for all 4 points, erection will be done for 2 point together.
Erection of scaffold for riggers to access for work at height.
Attach drawing of MLT.

C ORGANISATION OF WORK CREW (Manager, Supervisors, Operatives, etc.)

Site Supervisor,
Site Safety Supervisor,
Sub-contractor site supervisor,
riggers (3),
Crane operator (1).
E JOB SAFETY ANALYSIS
Section 1: Risk Matrix
1 - Catastrophic:
Severity (Consequence)
Fatality or fatalities, serious
injury with permanent disability,
life-threatening occupational
disease, major structural or
equipment damage, detrimental
Likelihood environmental impact.
2 - Critical:
Serious injury with permanent
disability, ill-health leading to
permanent disability, major
disruption and damage to
equipment or structure,
significant environmental impact.
3 - Marginal:
Temporary disability, lost time
injury, outpatient treatment, ill-
health leading to temporary
disability, minor or short-term
environmental impact.
4 - Negligible:
First-aid treatment injury,
minor cuts or bruises, irritation,
ill-health with temporary
discomfort, clean-up effort for
environmental impact.

1 - Frequent: likely to happen repeatedly. A A A B

2 - Probable: likely to happen several times regularly. A A B C

3 - Occasional: likely to happen some times. A B C C

4 - Remote: not likely to happen most of the time. B C C D

5 - Improbable: very unlikely to happen; may assume exposure will not happen. C C D D
Risk Index Description Definition
A Intolerable Operation not permissible - risk shall be reduced by all possible means.
B Undesirable Further risk reduction required - high priority remedial action to be taken immediately.
C Tolerable Risk shall be accepted subject to demonstration that the level of risk is as low as reasonably practicable - remedial action to be taken at appropriate time to reduce risk level.
D Acceptable Risk acceptable - discretionary remedial action to be taken.
Plant/Equipment Used: Materials Used
Mobile crane Wire rope Sling Hazardous Substances:
scaffolding Rope as tag line NA
MSDS available:
Yes No
Applicable Relevant EH&S Legislation Approved Codes of Practice (COP) Applicable to the Works
OSHA 1994, FMA 1967 (BOWEC regulation)
SMR Lifting works/ logistic/ work at height/ machinery

SWMS 010 MLT erection of Blocks PG4

Section 2: Risk Assessment
Existing Risk Residual Risk
Possible Accidents Action Officer /
Potential

Likely-hood

Risk Level
Likely-hood
No Job Steps / Ill Health & Designation /

Risk Level
Existing Risk Control / Additional Risk Control

Severity
Severity
Hazards
Persons at Risk Preventive Measures / Preventive Measures Follow-up Date

1. Establishment of Communication Wrong area MLT points are 4 4 D Planning between Site Site engineer
point point pegged. established and made team and surveyor. Site supervisor
identified on layout. Marking know to all involve in Surveyor
Task is carried out the task. Inspection request to Sub-contractor
RE is informed of the at wrong area. PMT applied.
test. A exclusion zone must
Marking is not be established.
visible

2. Mobile crane Legal Illegal crane used PMA to be obtained 4 5 D All documents to be 4 5 D Site Supervisor
requirement kept as record at site obtain before crane is Sub-contractor
and placed on the mobilised at site. supervisor
crane where it can be Site safety
seen visually. . personal

Condition Malfunction of Crane to be physically 2 3 B Crane operator to 4 4 D Sub contractor

Mechanical crane due to non- inspected by operator carry out daily supervisor
maintenance and checklist to be inspection and Crane operator
signed off and verified maintenance to ensure
by safety personal at crane is in good
site. working condition at all
times and record of
this to be maintained
in log book kept inside
the crane.
Condition Riggers damage, Any damages or 2 3 B Daily maintenance 4 4 D Sub contractor
Mechanical cant extend repairs should be done after work is supervisor
immediately and to be recommended to be Crane operator
Boom not informed to site carried out.
extending.
SWMS 010 MLT erection of Blocks PG5
 supervisor to be
Levers not recorded.
functioning
Works will not be
carried out if such
cases where repairs
will be finished first.
Condition Hydraulic leak Any damages or 2 3 B In such event repairs 4 4 D Sub contractor
Mechanical repairs should be done to hydraulic host or supervisor
immediately and to be cables, drip tray and Crane operator
informed to site ground will be
supervisor to be protected from being
recorded. contaminated.

To ensure no hydraulic
leaks or black oil
leakage is spilled on to
ground.

A spill tray to be
stationed in the event
a leak is observed
Mobile crane Condition Overload devise / To ensure the 2 3 B Testing of load must 4 4 D Crane operator
Mechanical Load arrest overload alarm is in be done during first Safety
malfunction working condition. inspection of the supervisor
causing loads to crane.
fall.

Environment Leak damaging To ensure no hydraulic 4 4 D Site Supervisor

soil/ ground leaks or black oil Sub-contractor
leakage is spilled on to supervisor
ground. Site safety
A spill tray to be personal
stationed in the event
a leak is observed.

SWMS 010 MLT erection of Blocks PG6

 Crane operator & Competency/ Non competent Induction to be given 4 4 D Documents and 4 5 D Site Engineer
riggers legal operator operating before operator starts experience data must Site Supervisor
requirement crane working at site. be collected before
mobilisation of crew. Sub-contractor
Non experienced Competency of supervisor
personal carry out operator to be
works. produced and kept as Site safety
record at site and to be personal
placed on the crane.

Riggers to be trained
and competent/
experienced.

Lifting appliances/ Lifting Damage lifting All lifting equipment 2 3 C SWL shall be more 4 5 D Site Supervisor
equipment equipment not equipment used such as slings are than 2.5 ton per sling. Sub-contractor
maintained inspected and in good supervisor
Sling snapped working condition no Hooks shall be closed Site safety
damage or tears to hook. personal
equipment.
Crane hook fitted with
Certificate of fitness to safety latch
be obtained and
records must be kept
at site.

3.. Once item no2. Is Ground Toppling of crane Ground condition to be 2 3 B Compactor will be 4 4 D Site Supervisor
completed and condition checked and mobilised to compact Sub-contractor
established crane Unstable soil confirmed stable for the area once more supervisor
will be mobilise at condition positioning of crane before crane is Site safety
designated area. mobilised. personal
Crane out riggers to be
25T Mobile crane will fully extended. Ground condition must
be Used to lift and be checked every time
unload blocks on after bad weather.
designated area.

SWMS 010 MLT erection of Blocks PG7

 Steel plate to be
placed as a platform
stabiliser.

4. Mobile crane is in Communication Positioning of Site supervisor to brief 4 3 C Pre Planning of Task 4 5 D Site Supervisor
position and ready to crane is not proper. the operators and Sub-contractor
start stacking blocks workers of the work supervisor
to support the I method. Site safety
Beam. personal
Ground Unstable causing Ground condition to be 3 3 C Compactor to be used 4 4 D Site Supervisor
crane to topple checked, path taken to compact ground Sub-contractor
Transporter stuck by the transporter to before trailer moves in supervisor
cant move in. be checked. To avoid to designate area. Site safety
any unstable ground personal
condition especially if
bad weather or raining.

Mechanical Carne condition / All machinery to be 3 4 D Site Supervisor

Transporter break inspected and checked Sub-contractor
down before proceeding supervisor
works. Site safety
personal

5. Workers riggers to Miscommunicati Work method not Experienced rigger to 2 3 B Task to be briefed, 4 4 D Site Supervisor
be positioned. on followed. perform work. lead man identified to Sub-contractor
Not sure of task lead the crew. supervisor
Access platform will be Training for riggers will Lead man
used as means to be conducted. Site safety
access to secure the personal
blocks with wire sling.

Rigger use proper

rigging gloves
leather gloves.

SWMS 010 MLT erection of Blocks PG8

6. Lifting equipment Damage Sling tear/ snapped All lifting equipments 2 3 B SWL shall be more 4 4 D Site Supervisor
wire rope to be used equipment inspected and good than 2.5 ton per sling. Sub-contractor
to lift and guide the working condition. supervisor
blocks to the Hooks shall be closed Site safety
position.. SWL of the load to be hook. personal
observed.
Crane hook fitted with
safety latch
7. Lifting of blocks will Lifting works Load falling off not Access will be placed 2 3 B Once the sling is 4 4 D Site Supervisor
be carried out. secured proper. for riggers to access secured and load is Sub-contractor
Lifting from the the top to secure the ready to be lifted all supervisor
storage to the Workers being hit blocks. riggers to exit the Site safety
position. by load while trailer and position personal
slinging Riggers to make sure themselves on ground
slinging works is away from the hoist
carried out correctly, radius.
load must be secured.
Site supervisor must
Lifting points to be ensure that no other
checked for trade workers to
damages. enter the exclusion
zone area. No other
SWL of the load must works shall proceed
be observe by the within the radius of
riggers. lifting.

Operator to follow the No worker is allowed

signal mans to be under the
instruction at all times. swinging load at all
times. Radius of
lifting to be observes
Riggers will use tag
and made know to
line to guide the load
all.
to ground.

SWMS 010 MLT erection of Blocks PG9

8. GI pipe will be Hot works Injury from sparks Welding works will be Continues monitoring Site supervisor
welded to the sides and chocking from carried out. Worker of hot work activities
of the 2nd IBEAMS Fumes fumes with face shield and Site safety
that will be placed on leather gloves will be supervisor
top of the 1st I BEAM. worn. Use of welding
To construct an edge set.
protection.
PTW to be obtained
before proceeding to
work.

9. Exclusion Zone will Unauthorised Fatality/ injury to Exclusion zone will be 2 3 B Workers will be made 4 4 D Site Supervisor
be constructed to entry to lifting workers constructed using know of task during
identify the area as zone bright coloured netting tool box talk. Sub contractor
well as to warn other (orange) with proper supervisor.
of the lifting works signage installed to Make sure Warning
and storage area. warn others from signage is placed - Riggers
entering the area. lifting work in progress.
Warning signage - No entry. Kerja Site Safety
lifting work in jejangkut sedang Supervisor
progress. No entry. berjalan. Dilarang
Kerja jejangkut masuk.
sedang berjalan.
Dilarang masuk.
First Phase
10. First Phase of the Lifting works Load falling off not Steel plate will be laid 2 3 B Lifting works will be 4 4 D
stacking of blocks for secured proper. to support the blocks carried out by
MLT. on the points. competent crew.
Workers being hit
Setting up platform by load while Riggers and operator Tag line will be used to
by arranging steel slinging made know on location guide the steel plate to
plates prior to test and position to lay the position, no worker to
preparation. steel plate. be standing in front of
the plate while its
Wire rope sling will be being slung.
inspected before use, Recommended height

SWMS 010 MLT erection of Blocks PG10

certificate verified and of lifting not to be
kept as record on site. above human height.

Site supervisor must

ensure that no other
trade workers to enter
the exclusion zone
area. No other works
shall proceed within
the radius of lifting.

No worker is allowed
to be under the
swinging load at all
times. Radius of lifting
to be observes and
made know to all.

SWMS 010 MLT erection of Blocks PG11

Second Phase
11. Staging/ stacking of Stockpiling of Fall from height The blocks will be 3 4 D Site Supervisor
blocks for support of I kendtledge at guided to position (Sharum)
BEAM. height Blocks fall from using a tag line.
height Sub-contractor
The blocks will be Once its levelled to supervisor
placed on the steel Hit by sling ground, rigger will
plate at a max height move in to position it Site safety
of 1.5m. . proper. personal
(Shafiq)
2ton to 2.5ton blocks All lifting equipments
Plan to erect 2 MLT will be released; sling
in one day. will be tied together
and then swigged to
SWMS 010 MLT erection of Blocks PG12
Test duration will be transporter to secure
conducted for 3days. another block. (this
process will be
repeated until all
blocks are unloaded)

Lifting of blocks will Lifting works Load falling off not Access will be placed 2 3 B Once the sling is 4 4 D Site Supervisor
be carried out. secured proper. for riggers to access secured and load is (Sharum)
Lifting from the the top to secure the ready to be lifted all
storage to the Workers being hit blocks. riggers to move Sub-contractor
position. by load while standing away clear of supervisor
slinging Riggers to make sure the swing radius.
slinging works is Site safety
carried out correctly, Site supervisor must personal
load must be secured. ensure that no other (Shafiq)
trade workers to
Lifting points to be enter the exclusion
checked for zone area. No other
damages. works shall proceed
within the radius of
SWL of the load must lifting.
be observe by the
riggers. No worker is allowed
to be under the
Operator to follow the swinging load at all
signal mans times. Radius of
instruction at all times. lifting to be observes
and made know to
Riggers will use tag all.
line to guide the load
to ground.

SWMS 010 MLT erection of Blocks PG13

Third Phase
12. Placing of hydraulic Site Supervisor
jack on the pile. (Sharum)
Lifting Hook not Sling hooks to be 4 4 D
I beam will be placed appliances maintained, no inspected and well Sub-contractor
on top of the support safety latch secured to the I Beam, supervisor
blocks placed as per causing material to hooks to be attached
attach drawing. slip. with safety latch.

SWMS 010 MLT erection of Blocks PG14

 Lifting works Load falling off not I BEAM will be lifted 2 3 B Experienced riggers to 4 4 D Site safety
First I BEAM will be secured proper. from storage area, tag perform works personal
placed on the centre line will be used to (Riggers have been (Shafiq)
on top of the guide it to position. working for Puncak
Hydraulic Jack, Gunung for more than Riggers
followed by other two 8 years)
on both sides.
Workers being hit Riggers to stand clear 2 3 B Once the I Beam have 4 4 D
9M I BEAM by load while of the swing radius been secured, rigger
slinging and use the tag line to leader will instruct the
Injury / fatality to guide the I BEAM. others to move away.
Rigger hit by
material while Signal man will assist
material is being the lifting and placing
slung. process.

Falling Material not placed Riggers will only move 2 3 B Riggers will inspect the 4 4 D
proper. in when the I Beam I Beam have been
Falling off the has been hoisted placed proper and
position. down on top the block secured on top of the
Injury to riggers. to make sure its sitting blocks.
firmly secured on the
blocks. Riggers will only
release the sling hooks
after its inspected.

SWMS 010 MLT erection of Blocks PG15

SWMS 010 MLT erection of Blocks PG16
Fourth Phase
13 Secondary I BEAM Lifting works Load falling off not I BEAM will be lifted 3 4 D Ensure that signage to 4 4 D
will be placed on top secured proper. from storage area, tag be placed warning
of the 1ST 3 I BEAM line will be used to other of the lifting
placed earlier. Workers being hit guide it to position. works.
by load while
11 I BEAMS will be slinging Riggers to stand clear
placed. Injury / fatality to of the swing radius
Rigger hit by and use the tag line to
material while guide the I BEAM.
material is being
slung. Riggers will only move
in when the I Beam
has been hoisted
down on top the block
to make sure its firmly
sitting secured on the
blocks.

Riggers will inspect the

I BEAM are well
secured sitting
FIRMLY IN position
before releasing the
sling.

SWMS 010 MLT erection of Blocks PG17

Fifth Phase
14. 2ND I BEAMS are Workers will use the
placed. Workers will scaffold to access to
install wire rope weld the GI Pipe.
along the GI pipe
thats was weld to the Wire rope will be
I BEAM. installed to the GI Pipe
to create edge
protection around the I
BEAM placed.
Scaffold to be Erection of Fall from height Scaffolders will erect 2 3 B Scaffolders to wear full 4 4 D Site supervisor
erected and scaffold during scaffold scaffold from base body safety harness at Scaffold
positioned next to erection where at any level a all-time with double supervisor
blocks as access 1M height railing will lanyard SECURED to Site safety
for workers to access be installed before railing. supervisor
work at height. proceeding to next At least one lanyard
must be secured while
SWMS 010 MLT erection of Blocks PG18
 level to prevent them carrying out work at
from expose to fall. height.
Working platform will Collapse Scaffold collapse Scaffold platform will 2 3 C Red tag will be placed 4 4 D Site supervisor
be placed for access. due to improper be erected by to warn other not to Scaffold
erection competent scaffolders. use the scaffold. supervisor
Site safety
Proper design with Green tag will be supervisor
staging shall be placed once the
erected. scaffold is erected to
height.
Scaffold base sunk Base plate will be
into earth placed to support the Competent scaffold
scaffold. inspector will inspect
the scaffold and
ensure that the
working platform is
good to be used.

No tie back Scaffold base will be 2 3 C Scaffold inspector will 4 4 D Scaffold

tied back to I BEAM ensure that all tie back inspector.
below, middle staging are secured.
will be tie back to Site safety
Block using wire rope. supervisor
Same goes to the
upper level.

SWMS 010 MLT erection of Blocks PG19

SWMS 010 MLT erection of Blocks PG20
 Six Phase
15. 2.5 ton blocks will be
placed on top of the Lifting works Load falling off not Access will be placed 2 3 B Once the sling is 4 4 D Site Supervisor
2nd I BEAM placed. secured proper. for riggers to access secured and load is (Sharum)
The blocks are 1m in the top to secure the ready to be lifted all
height. Workers being hit blocks. riggers to move away Sub-contractor
by load while from the lifting radius. supervisor
Lifting of blocks will slinging Riggers to use Full
be carried out. body safety harness Site supervisor must Site safety
Lifting from the Falling from height when accessing the ensure that no other personal
storage to the Fall
not secure to the 1st layer of the blocks. trade workers to (Shafiq)
position. life line. Secured to the life line enter the exclusion
installed as per zone area. No other
1st layer of block Anchorage point drawing. works shall proceed
placed, rigger will run Anchorage point within the radius of
giving way.
a life line along the Scaffold staging will be lifting.
hook on the block. placed for riggers to
access. Scaffold will No worker is allowed
be inspected by a to be under the
competent inspector swinging load at all
before use and will be times. Radius of
tagged green for safe lifting to be observes
use. and made know to
all.
Riggers to make sure
slinging works is
carried out correctly,
load must be secured.

Lifting points to be
checked for
damages.

SWL of the load must

be observe by the
riggers.
SWMS 010 MLT erection of Blocks PG21
Operator to follow the
signal mans
instruction at all times.

Riggers will use tag

line to guide the load
to ground.

Only release the

sling when the
blocks have been
placed firmly on the I
BEAM.

SWMS 010 MLT erection of Blocks PG22

SWMS 010 MLT erection of Blocks PG23
 Seven Phase
16. 2nd layer of blocks Lifting works Load falling off not Item no 15 to be
will be stacked on top secured proper. followed for lifting
of first layer as per sequences.
drawing. Workers being hit
by load while Full body safety
slinging harness will be used
secured to the wire
rope while guiding the
blocks to position.

Riggers will install wire

rope at the 2nd layer
for 3rd layer stacking.
Installation of wire
rope can be done
while on the 1st layer of
the blocks.

Collapse In proper erection. Scaffolders will erect

next level of scaffold
staging.
Scaffold inspector will
then inspect and tag
the scaffold.

SWMS 010 MLT erection of Blocks PG24

SWMS 010 MLT erection of Blocks PG25
3rd layer of blocks SEQUENCE WILL BE
placed and FOLLOWED UNTIL
positioned. THE LAST LAYER IS
PLACED.
4th layer of blocks
placed and Scaffold will be
positioned. erected to height by
competent scaffolders.

5th layer of blocks It will be tagged by

placed and scaffold inspector.
positioned.
Workers will wear full
6th layer of blocks body safety harness at
placed and all time during this
positioned. process secured to the
life line installed,

SWMS 010 MLT erection of Blocks PG26

10. Housekeeping works All waste to be Site Supervisor
collected and stored Sub-contractor
and secured in supervisor
containers to be Site safety
collected by waste personal
collectors to be
disposed off from site.

11. Personnel protection Injury First aid injury PPE Safety helmet, 4 4 D Additional PPE such Site Supervisor
accruing due to Reflective Vest, Safety as face shield, welding Sub-contractor
handling of Boots, Gloves and gloves and fire supervisor
materials safety Goggles to be retardant clothing to be Site safety
used at all time while used while carrying out personal
working or accessing welding works.
in project site.
Full body safety
harness will be used
for work at height.
12. communication Miscommunicati Wrong instruction This SWMS will be Site Engineer
on communicated to all Sub-contractor
including project site supervisor
team, Sub Contractors
and involving the
security.
13. compliance The Site Project Project Manager
Manager shall with the Safety Personal
Site Safety Personal
review this SWMS on
a weekly basis.

SWMS 010 MLT erection of Blocks PG27

Section 4: Instruction & Communication
This Job Safety Analysis and associated Safe Work Method have been developed through consultation with the following crew members and have been instructed through induction, read and understood, and signed by all employees
undertaking the works.
Qualifications / Experience & Training to
Name Designation Duties & Responsibilities Signature Date
Complete the Tasks

Section 5: Verification

I have provided, to the best of my knowledge, as such accurate and sufficient information and instructions pertaining to this Job Safety Analysis / Risk Assessment - the hazards associated with each work process / activity and type of potential incident
or accident, the risk controls / reasonably practicable measures to be taken in the course of work and during an emergency - to ensure its / their safe undertaking.

Instructed by (print name): .................................................................. Signed: .............................................................. Date: .../..../... Time: .............. am / pm

pic (print name): .......................................................... Signed: .............................................................. Date: ......./..../.... Time: .............. am / pm

Section 6: Work Completion

The works associated with this SWMS has been completed and the work area made safe and fit for subsequent use.

Subcontractor (print name): ................................................................. Signed: ...................................................................... Date: ......./..../.... Time: .............. am / pm

pic (print name): ........................................................... Signed: ...................................................................... Date: ......./..../.... Time: .............. am / pm

SWMS 010 MLT erection of Blocks PG28