Safe Work Method Statement
Project Name: KONE ELEVATOR INDIA PVT LTD
Company Name: Ocean interiors (P) Ltd
Address: MF1, Industrial estate, CIPET Hostel road, Guindy, Chennai
Supervisor Name: Mr.Ravichandiran
Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
Column marking & layout work
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
Document Name:
Safe work method statement
Address: KONE ELEVATOR INDIA PVT LTD,PILLAIPAKKAM
Activity/Trade: Column work
Office Contact No: 04422259900
Contact No: 7397770781
Possible Hazards Risk Control Measures Person who
Rating (Describe what action or procedure will be taken to eliminate or will ensure
(Identify the hazards associated with each step. (See minimise the risk of injury or damage. Use the Hierarchy of Controls this
Examine each to find possibilities that below) below as a guide happens
could lead to an accident or potential 1. Eliminate the Hazard
harm arising.) 2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Fall of person/materials resulting major M  Location of open bore holes, hidden pits, and dangerous marshy Site
injury pits shall be noted and barricaded adequately. Engineer/
 While working near to the vehicle movement area, fluorescent Surveyor/
 Slip/ trip during handling of concrete blocks
jacket shall be used. Supervisor
resulting injury
 Road safety cones/ barriers shall be placed on both the
 Hit by vehicles/ equipment resulting major directions.
injury  Trained drivers/operators shall be engaged.
 Exposure to snakes/ insect & other  Workmen shall be instructed to wear High ankle Safety Shoes
biological hazards or Gumboots, Safety Helmets, thick gloves and Full Pant & Full
Sleeve Shirt of thick cloth to guard themselves from
snake/insect bites.
 Workmen supervisors shall be trained on First-aid.
 An emergency vehicle shall always be kept at site.
 Marking activities can be carried out before sunset.
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)
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Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
Column reinforcement work
(Handling& Placing)
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
Document Name:
Safe work method statement
Safe Work Method Statement
Possible Hazards Risk
Rating
(Identify the hazards associated with each step. (See
Examine each to find possibilities that below)
could lead to an accident or potential
harm arising.)
 Exposure to sharp edges resulting cut injury
 Fall of persons resulting injury
 Exposure to rust resulting skin irritation
 Hit by reinforcement bars resulting injury
 Contact with live electrical cables resulting
electrocution
 Entrapment between rebars during
handling.
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)
Control Measures Person who
(Describe what action or procedure will be taken to eliminate or will ensure
minimise the risk of injury or damage. Use the Hierarchy of Controls this
below as a guide happens
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
H  Always arrange materials and tools in an orderly manner at re- Site
bar bending workshops. Engineer/
 Inspect machines and tools used to fabricate re-bars prior to EHS
Engineer/
commencement of the work, use appropriate tools, and not use
defective ones. Supervisor
 The rebar can be bent from the top.
 Boards or similar devices can cover the rebar.
 Rebar caps can be used to minimize impalement risks.
 Employees working more than 1.8 meter above any adjacent
working surface, placing and securing reinforcing steel in walls,
piers, columns, etc., should use full body harness or other
equivalent form of fall arrest or restraint protection.
 Employees should not be permitted to work above vertically
protruding REBAR unless it has been protected to eliminate the
hazard of impalement. The top of the rebar must be covered
with a rebar cap, wood board or similar device.
 Reinforcement bars of different dimensions to be stacked
separately at identified place.
 Reinforcement bars shall be stacked on proper supports and not
direct on ground.
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Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
Scaffolding Erection & dismantling
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
Document Name:
Safe work method statement
Safe Work Method Statement
Possible Hazards Risk Control Measures Person who
Rating (Describe what action or procedure will be taken to eliminate or will ensure
(Identify the hazards associated with each step. (See minimise the risk of injury or damage. Use the Hierarchy of Controls this
Examine each to find possibilities that below) below as a guide happens
could lead to an accident or potential 1. Eliminate the Hazard
harm arising.) 2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Collapse of Scaffolds E  Trained and experienced scaffolders and scaffolding Supervisor Site
 Fall of persons  Erection on a firm level ground Engineer/
 Inspected and certified material. EHS
 Fall of materials Engineer/
 Provide a secured ladder access
 Electrocution Supervisor
 Scaffold is tied at each 4 times the minimum base width to a
 Hit by vehicle or equipment fixed structure /
 Lack of skilled workmen Scaffolder
 Provide mid rail top rail, toe board and a complete working
platform.
 Adequate bracings to maintain stability
 Safe distance from excavation and trenches
 Inspections of scaffolds by a competent person shall occur after
the scaffold has been erected to ensure it is properly erected
and then tagged. (RED, YELLOW or GREEN)
 The scaffold load bearing capacity clearly specified
 Use a suitable fall protection, hard hat with chin strap.
 Provision of first aid and emergency procedure
 All employees shall be trained and instructed in the safe use of
scaffolds.
 Do not overload the platform.
 Rescue from height arrangements.
 Scaffold placed over passageways, doorways, streets or any
location need to be protected by barricades and signage to
establish walkways to divert traffic away.
 Avoid erection near or under power lines
 After dismantling the components are lowered by pulley and
rope in sequence. No over stacking done on the work platform.
 Avoid erection and dismantling activities during high winds, rain.
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)
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 Safe Work Method Statement

Procedure (in steps) Possible Hazards
Rating
(Break the job down into steps. (Identify the hazards associated with each step.
Each step should accomplish Examine each to find possibilities that below)
some major task and be in logical could lead to an accident or potential
sequence.) harm arising.)
Column  Toppling of hydra during material handling
Shuttering  failure of slings & Shackles
 Collapse of formwork due to improper
placement/Support
 Fall of Materials
 Fall of person
 Slip & trip due to poor housekeeping
 Fire & spillage of shuttering oil
Risk Control Measures Person who
(Describe what action or procedure will be taken to eliminate or will ensure
(See minimise the risk of injury or damage. Use the Hierarchy of Controls this
below as a guide happens
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
H  Hydra /crane shall be parked at a distance which is not less than Site
the depth of excavation. Engineer/
 If load bearing capacity of soil is not adequate, with the use of EHS
Engineer/
sleepers and/or outriggers crane stability shall be ensured.
Supervisor
 Slings used for lifting panel shall have adequate capacity, free
from defects and connected to the lifting hooks of the panels.
 Lifting struts shall be provided on the panel to increase its
stiffness and loose materials and tools shall not be there on the
panel while it is being lifted.
 It shall be ensured that panels are locked with each other and
rods and other means are not used in place of appropriate
locks. Lock pins at height.
 Panels shall not be released from hydra unless they are
secured.
 While panels are lifted, there shall not be any loose material left
on which could fall down. Lifting panels over people shall not be
allowed.
 The container of shuttering oil shall be kept closed and put away
from fire sources. Spillage of the oil shall be avoided.


E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium 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)
Document Name: Page No.
Safe work method statement 4 of 12

Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
Concrete Casting/Pouring
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
Document Name:
Safe work method statement
Safe Work Method Statement
Possible Hazards Risk Control Measures Person who
Rating (Describe what action or procedure will be taken to eliminate or will ensure
(Identify the hazards associated with each step. (See minimise the risk of injury or damage. Use the Hierarchy of Controls this
Examine each to find possibilities that below) below as a guide happens
could lead to an accident or potential 1. Eliminate the Hazard
harm arising.) 2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Exposure to concrete during manual H  General Safety Issues – Manual Handling”; and: Site
handling resulting injuries.  Pump concrete optimally so as to minimize shovelling; Engineer/
 Alternate tasks between workers to minimize sustained bending; EHS
 Injuries due to lack of risk assessment
 Use appropriate tools such as spreading rakes instead of Engineer/
and/or operator training. Supervisor
shovels to spread and scrape concrete;
 Operators and nearby workers being
 Ensure reverse alarm fitted and working condition in all heavy
crushed by reversing trucks
vehicles.
 Discharging concrete into a pump.  Operator to check and ensure that ground surface is level,
 Overturning of pump due to instability. stable, not on a slope or near holes and has adequate load
 Injury due to blow out, burst line, violent bearing capacity.
ejection of concrete or failure of hose joints.  Pump to be set to correct level or with no more than the max
inclination allowable and with out-riggers on correct timber
 Injury from tripping over during pour and/or
supports.
twisting ankle or knee.
 Ensure use of mandatory and job specific PPEs by all
 Hearing damage from operating machinery, personnel.
vibrator etc.  Working platforms shall be adequately placed while working at
 Vibration Noise Debris in eye Fire, Burns height
Manual Handling Electrocution  Full body harness shall be used above 1.8 meter height job.
 Fall of persons & materials
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)
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Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
Concreting with Mixer Machine
(Hand- operated Machine, Self-
Loading Machine and Transit
Mixer)
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
Document Name:
Safe work method statement
Safe Work Method Statement
Possible Hazards Risk Control Measures Person who
Rating (Describe what action or procedure will be taken to eliminate or will ensure
(Identify the hazards associated with each step. (See minimise the risk of injury or damage. Use the Hierarchy of Controls this
Examine each to find possibilities that below) below as a guide happens
could lead to an accident or potential 1. Eliminate the Hazard
harm arising.) 2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
 Unguarded rotating Parts H  Workmen shall keep away from the rotating and moving parts Site
 Electric Shock like, the mixing drum and the moving shovel of self-loading Engineer/
 Confined Space & Fire machine. EHS
 Contact with concrete  In case of electrically operated mixer machine, power shall be Engineer/
drawn from certified panel board fitted with RCCB and MCB. Supervisor
 Fall of mixer into excavation
 Run over by transit mixer Also, the machine shall be earthed.
Floor openings and edges  Refuelling shall not be done while the engine is running.
 Goggles shall be used for protecting eyes from dust and alkali
resistant (PVC) gloves and gumboots and apron to prevent
contact with wet concrete.
 Transit Mixer shall be operated by only an authorized driver who
has valid license and adequate experience.
 Taking rest or sleeping under the parked mixer shall not be
permitted. Driver shall look around & beneath the vehicle before
starting the transit mixer.
Driver shall be provided with emergency contact numbers and
communication devices.
 If permitted, around the floor openings and along the floor
edges adequate numbers temporary vertical posts (pipes) of
1.2m height shall be placed for making temporary guard rails.
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)
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Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
Concreting by pump/ winch/
manually
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
Document Name:
Safe work method statement
Safe Work Method Statement
Possible Hazards Risk
Rating
(Identify the hazards associated with each step. (See
Examine each to find possibilities that below)
could lead to an accident or potential
harm arising.)
 Hit by concrete pumps resulting injury
 Fall of person from height resulting severe
injury
 Failure of staging/scaffolding resulting
multiple injury/ property damage
 Exposure to live electrical wires, loose
connection
 Exposure to smoke caused by concrete
mixer/ pumps resulting Air pollution
 Exposure to concrete resulting skin irritation
 Failure of winch /ropes/ pulley etc.
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)
Control Measures Person who
(Describe what action or procedure will be taken to eliminate or will ensure
minimise the risk of injury or damage. Use the Hierarchy of Controls this
below as a guide happens
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
E  Pre-arrangement for the pouring like access, arrangement for Site
pouring pipe shall be arranged properly. Engineer/
 Rope for handling the pipe in case of pouring pump. EHS
 Make safe access for the person involved in pouring. Engineer/
 Temporary platform shall be made whenever pouring in the long Supervisor
wall is carried out.
 The pouring equipment shall be kept 1 meter away from the
edge. It’s movement shall be prevented by putting the wheel
scotch.
 The vibrator shall have circuit breakers provision. It shall be
operated by trained person only.
 It shall be ensured that no body stand in the front of the
discharge pipe.
 The access for the Millar & concrete pump shall be kept free of
electrical cable.
 Ensure the correct positioning of the equipment like concrete
pump, boom placer etc. are away from any existing overhead
cables.
 Rotating parts like belt drives, fly wheel shall be guarded and
the operator shall not wear loose cloths and long hair.
 Goggles shall be used for protecting eyes from dust and alkali
resistant (PVC) gloves and gumboots and apron to prevent
contact with wet concrete.
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Procedure (in steps)
(Break the job down into steps.
Each step should accomplish
some major task and be in logical
sequence.)
De-Shuttering
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
Document Name:
Safe work method statement
Safe Work Method Statement
Possible Hazards Risk
Rating
(Identify the hazards associated with each step. (See
Examine each to find possibilities that below)
could lead to an accident or potential
harm arising.)
 Toppling of hydra during material handling
 failure of slings & Shackles
 Collapse of formwork due to improper
placement/Support
 Fall of Materials
 Fall of person
 Slip & trip due to poor housekeeping
 Fire & spillage of shuttering oil
 Exposure to sharp objects resulting injuries
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)
Control Measures Person who
(Describe what action or procedure will be taken to eliminate or will ensure
minimise the risk of injury or damage. Use the Hierarchy of Controls this
below as a guide happens
1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
H  Hydra /crane shall be parked at a distance which is not less than Site
the depth of excavation. Engineer/
 If load bearing capacity of soil is not adequate, with the use of EHS
Engineer/
sleepers and/or outriggers crane stability shall be ensured.
Supervisor
 Slings used for lifting panel shall have adequate capacity, free
from defects and connected to the lifting hooks of the panels.
 Lifting struts shall be provided on the panel to increase its
stiffness and loose materials and tools shall not be there on the
panel while it is being lifted.
 It shall be ensured that panels are locked with each other and
rods and other means are not used in place of appropriate
locks. Lock pins at height.
 Panels shall not be released from hydra unless they are
secured.
 While panels are lifted, there shall not be any loose material left
on which could fall down. Lifting panels over people shall not be
allowed.
 The container of shuttering oil shall be kept closed and put away
from fire sources. Spillage of the oil shall be avoided.
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 Safe Work Method Statement

Procedure (in steps) Possible Hazards Risk Control Measures Person who
Rating (Describe what action or procedure will be taken to eliminate or will ensure
(Break the job down into steps. (Identify the hazards associated with each step. (See minimise the risk of injury or damage. Use the Hierarchy of Controls this
Each step should accomplish Examine each to find possibilities that below) below as a guide happens
some major task and be in logical could lead to an accident or potential 1. Eliminate the Hazard
sequence.) harm arising.) 2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
Equipment ,Tools & tackles Spec:

1) Hydra
2) D Shackles
3) Wire rope slings
4) Concrete Mixer
5) Concrete Pump

Mandatory PPE’s: Safety Helmets, Reflective jacket, Goggles, Hand gloves, Nose mask, Safety shoe / Gum boot.

Role of Supervisor :

1) Implementation of all control measures effectively.

2)Effective supervision for Equipment
3) Ensure effective control on health & environmental hazard.
4) Daily inspection of lifting tools & tackles.
5) Communicating to the site in charge in case of any emergencies.
6 Daily Tool box talk

E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium 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)
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Safe work method statement 9 of 12
 Safe Work Method Statement

Personnel Summary
SUPERVISOR’S DETAILS
Supervisors Name & Qualifications: Name: Mr.Ravichandiran
Experience: 12 years
Qualifications: B.E.,
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: NA

WORK ACTIVITY TRAINING: SWMS is communicated to all, explained work related hazards as well as control measures.

SITE INDUCTION: All workers are inducted by site safety office and conducted TBT on daily basis.

OTHER: (List other training undertaken by workers): Height work, Hot work training has been conducted by safety officer

TICKETS, PERMITS or LICENCES REQUIRED undertaking 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 as per contract agreement and safety Regulations / amendments, Workplace Injury Management & Workers Compensation Acts

Additional Codes and Standards applicable to this trade:

Document Name: Page No.

Safe work method statement 10 of 12
 Safe Work Method Statement

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 Back Hoe Loader Ocean Yes

2 Yes

3 Yes

4 Yes

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
NA ____ /____ /____ ____ /____ /____
NA ____ /____ /____ ____ /____ /____
NA

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)
/ / / / NA / /
/ / / / NA / /
/ / / / NA / /
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.
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).
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 Safe Work Method Statement

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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Safe work method statement 12 of 12