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Method of Statement and Risk Assessment Form

This document provides a safe work method statement for repairing lights and refurbishing dwarf walls at a building site. It identifies 3 steps: 1) shutting down dedicated power circuits, 2) identifying and repairing non-working lights, and 3) identifying and refinishing poorly finished joints. Hazards include circuit shutdowns, manual handling injuries, slips/trips, and cuts. Control measures include proper shutdown procedures, manual handling training, PPE, and ensuring a clean work area. The risk assessment identifies hazards like injuries and property damage and required actions like health and safety implementation and cleanliness oversight.

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Bala Krishnan
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0% found this document useful (0 votes)
88 views4 pages

Method of Statement and Risk Assessment Form

This document provides a safe work method statement for repairing lights and refurbishing dwarf walls at a building site. It identifies 3 steps: 1) shutting down dedicated power circuits, 2) identifying and repairing non-working lights, and 3) identifying and refinishing poorly finished joints. Hazards include circuit shutdowns, manual handling injuries, slips/trips, and cuts. Control measures include proper shutdown procedures, manual handling training, PPE, and ensuring a clean work area. The risk assessment identifies hazards like injuries and property damage and required actions like health and safety implementation and cleanliness oversight.

Uploaded by

Bala Krishnan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Safe Work Method Statement

COMPANY NAME FACILITY: VERISTAR BUILDING CONTRACTING LLC

PREPARED BY: APARNA T R

DATE PREPARED: 12/01/2023

SIGNATURE:

RISK RATING
WORK ACTIVITY HAZARD(S) CONTROL MEASURE(S)
1-25

Break the activity down into steps. Each step should Identify the hazards in each step and give Identify what control measures will be
accomplish some major task and be in a logical sequence. them a risk rating using the Hazard ID and implemented to eliminate the hazard or
Risk Assessment Summary. minimize the risk.

• Step Lights

• Any undesirable shutdown can cause 3 • Ensure proper shutting down of dedicated
Step 1 Shutting down of power for the dedicated circuits disruption in basic amenities, communication, circuits only
etc.
The lights that are not working are identified (Snag
Step 2 - -
List) and repaired
• Chances of an open circuit fault • Neutral wires to be properly connected
Testing of lights is done after switching on the power
Step 3 • Chances of short circuit 10 • Terminal connection should be properly
circuit
connected
• Dwarf Wall Refurbishment

Identifying the poorly finished joints (based on Snag • Manual Handling


List from Client). Strains/Sprains- moving items • All workers trained in manual handling
Step 1 3
End caps are added and provided a satisfactory Slips and Trips • Gloves used to gain a secure grip
finish Cuts/sharps
What Plant and Equipment will be used to carry out this Activity? (Note: A Plant Checklist will need to be completed)
Battery Drill machine, Tool Box, Grinder

Identify relevant Legislation, Standards and Codes of Practice relating to the work:

Qualifications / Competencies required of Persons carrying out this Activity (Licenses, Qualifications, Permits):

Trained Personals

Details of Training provided to employees carrying out the Activity:


Risk Assessment Report
Assessment Number

Type

Risk Assessment and Control


Hazard(s) Consequence Probability Risk (H/M/L) Control Measures

Any undesirable circuit shutdown Any undesirable shutdown can cause Basic manual handling training.
1 (unintended) disruptions
Less L
Ensuring good housekeeping and a clear working area.

Residual Risks Date of Assessment

1 Physical injury / wounds Nil

2 Damage to property Nil

3 Other parties causing the area unclean Nil

ACTION REQUIRED

1 Strict implementation of health and safety measures

2 Workers are not allowed to work without proper and compete PPEs

3 Making sure that trolleys and handling tools and equipment are available

4 Assigning someone to be in-charge of the cleanliness of the area

Safe Work Method Statement Required? YES

Person Responsible for Implementation Abu Nada


Ranking Method

Probability
1 2 3 4 5

5 ☐ M (5) ☐M (10) ☐ H (15) ☐ H (20) ☐ H (25)


Consequence

4 ☐ L (4) ☐ M (8) ☐ M (12) ☐ H (16) ☐ H (20)

3 ☐ L (3) ☐ M (6) ☐ M (9) ☐ M (12) ☐ H (15)

2 ☐ L (2) ☐ L (4) ☐ M (6) ☐ M (8) ☐M (10)

1 ☐ L (1) ☐ L (2) ☐ L (3) ☐ L (4) ☐M (5)

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