MEP CONSTRUCTION WORKS

METHOD STATEMENT FOR INSTALLATION & TESTING

WIRING DEVICES

TABLE OF CONTENTS

1. PURPOSE.......................................................................................................................................... 2
2. SCOPE OF WORK ............................................................................................................................. 2
3. DEFINITION AND ABBREVIATION ..................................................................................................... 2
4. REFERENCES ................................................................................................................................... 2
5. PERSONNEL AND RESPONSIBILITIES.............................................................................................. 3
6. CONSTRUCTION EQUIPMENT .......................................................................................................... 4
7. MATERIAL HANDLING AND STORAGE ............................................................................................ 5
8. MATERIAL INSTALLATION, SEQUENCE AND METHODOLOGY ....................................................... 5
9. HOUSEKEEPING ............................................................................................................................... 8
10. ENVIRONMENTAL ASPECT AND CONSIDERATION .......................................................................... 8
11. HEALTH AND SAFETY PLAN ............................................................................................................ 8
12. ENVIRONMENTAL PLAN ................................................................................................................... 9
13. EMERGENCY RESPONSE AND PREPAREDNESS PLAN ................................................................... 9
14. QUALITY ASSURANCE.................................................................................................................... 10
15. RISK ASSESSMENT ........................................................................................................................ 10
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

1. PURPOSE
The purpose of this document is to define the methods to be adopted to ensure that the works conducted
on site are in compliance with the approved design, material approvals and using recognized installation
practices that are safe and compliant with the Project Safety Plan and associated Safety Procedures.
Furthermore, to ensure that the installation and testing of the works are following the Project
Specifications, associated Quality Procedures and an approved Inspection and Test Plan for the works.

The Method Statement describes the procedures for Material Delivery, Installation, Quality Inspection
and Testing of Wiring Devices at

2. SCOPE OF WORK
The scope of work will involve the installation, inspection and testing of Wiring Devices within
in accordance with the completed design, relevant specifications, andindustry standards.

3. DEFINITION AND ABBREVIATION

4. REFERENCES
A. PROJECT DOCUMENTED PROCEDURES / PLAN
1. Job Construction and Safety Manual
2. Project Quality Plan
3. Project HSE Plan

B. PROJECT SPECIFICATIONS
1. Wiring Devices
2. Interior Lighting
3. Exterior Lightings
4. Identification for Electrical Systems
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

5. PERSONNEL AND RESPONSIBILITIES

1. Project Manager
- The Project Manager shall be responsible for the Work Procedure to ensure that
construction is carried out as per Project specifications, approved methods, approved
materials, IFC drawings and quality and safety requirements.
- He must ensure that the work is ready for inspection and shall inform all parties concerned
for any kind of inspection or test for time schedule.
- Prior to any execution of works, safety department shall be informed ahead of time for safety
precautions and requirements in accordance with

2. Construction Manager
- The Construction Manager will arrange the required resources to ensure the works are
executed in accordance with the approved documents, drawings & method statement.
- The Construction Manager will monitor and control the construction stages as per the
approved baseline schedule to ensure no delay to the works occurs and to mitigate when
necessary.
- The Construction Manager should define the corrective actions that must be implemented
to close any non-conformances and/or discrepancies that may occur during the execution
of the works.

3. QA/QC Engineer
- All materials delivered to the site will first be inspected by the QA/QC Engineer, to check
that it is in accordance with the Project requirement, the approved design and material
qualification and that it is free from any damage caused during delivery to site.
- Delivery documentation shall be checked for completeness.
- The inward inspection of materials will be carried in accordance with the relevant QA/QC
procedure.
- The QA/QC Engineer will monitor the work installation on site to be sure that installation
done as per the specified requirements.
- The QA/QC Engineer will carry out the internal inspection on site before raising the Work
Inspection Request (WIR) to Inspection Team to verify overall execution was doneas per
the approved shop drawings and the installed materials are approved.
- The QA/QC Engineer to ensure that all measuring and monitoring equipment related with
the inspections and tests are calibrated.
- The QA/QC Engineer will liaise and coordinate with Inspection Team to arrange the
inspection and will give notice to in advance 24 hours.

4. Construction Engineers
- The Construction Site Engineer will be responsible to supervise the works to be sure the
work is carried out on site as per the specification, approved drawings, method statement
and the manufacturer instructions and coordination with other disciplines.
- The Construction Site Engineer will be responsible to explain the daily works for the site
engineers and prepare the daily activity report.
- The Construction Site Engineer will follow-up the work installation to ensure the installations
are done as per the approved drawings and the method statement.
- The Construction Site Engineer will follow-up the works to ensure that all required resources
are available on site to be carried out as per the approved activity time schedule.
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

- The Construction Site Engineer will monitor and control the Site Supervisors and the site
Foremen to ensure the work progress and quality.
- The Construction Site Engineer will liaise with the QA/QC Engineer when portions of the
work are ready to be inspected.
- To provide feedback to planning department during updating of the activity time schedule.

5. Site Supervisor and Site Foremen

- The Site supervisor and foremen shall monitor and control the technicians to ensure the
work installation done as per the latest approved drawings and as per required quality.
- The Site supervisor and foremen shall check all the materials, tools, and machinery on a
daily basis.
- The Site supervisor and foremen shall check the quality of labors and raise report about
them to the Site Engineer.

6. Safety Officer
- Safety Officer is responsible for the implementation of all safety and protection measures
during the construction phase of the project.

6. CONSTRUCTION EQUIPMENT
The supply and installation of Wiring Devices will need to use the typical construction equipment’s are as
listed below.

1. Scaffoldings / Step Ladders

2. Electric Drilling Machine with Drill Bits
3. Electric Grinder
4. Electrical Hand Tools
5. Socket Wrench and Sockets
6. Water Level / Spirit Level
7. Measuring Tape
8. Hacksaw
9. Bar Level
10. Screwdrivers
11. Touch-up Materials
12. Complete Spanner Set
13. Multimeters
14. Megger Tester

Notes:

• All tools should be in an operable condition and will be checked regularly.

• All equipment shall be free from any defects before delivery to site.
• All equipment and tools to follow safety regulations.
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

7. MATERIAL HANDLING AND STORAGE

7.1 All Wiring Devices and accessories delivered shall be placed in storage and shall be housed in a
manner to preclude any damage from the weather, humidity and temperature variations, dirt and
dust, or other contaminants. The handling & storage shall comply with the Project Specification
Section 016000 of Division 1 General Requirements and as per manufactures recommendations.
The materials will be inspected before being offloaded to the site.

7.2 The materials will be carried out at site using a resident forklift (if required), a licensed operator
under project safety rules and regulation will operate it.

7.3 The materials storage facility shall be placed in a freely ventilated location and shall be raised from
the floor using wood bars and wrapped up to maintain stability during storage.

7.4 All materials delivered to the site will first be inspected by the QA/QC in charge, to check that it is
in accordance with the requirement, the approved design and approved materialqualification and
that it is free from any damage caused during delivery to site.

7.5 Delivery documentation shall be checked for completeness.

7.6 Defective or damaged materials shall either be returned to their supplier’s facility or stored on site
at a suitable quarantine location. An NCR shall be raised for such materials.

7.7 The inward inspection of materials will be carried in accordance with the relevant QA/QC
procedure. No materials will be permitted to enter the works locations without being inspected on
arrival to the site.

7.8 No materials will be permitted to enter the works locations without being inspected on arrival to
the site.

8. MATERIAL INSTALLATION, SEQUENCE AND METHODOLOGY

8.1 PREPARATION OF THE WORK

Before the commencement of installation, the following are required to be carried out:

8.1.1 Check that the design of the Wiring Devices was approved, and that the drawings for the
installation are issued with “Approved for Construction” status, in accordance with
document control procedures.

8.1.2 Check that the design of the Builders Work and SEM requirements, as applicable, is
approved, and that the Builders Work and SEM requirements drawings, as applicable, are
issued with “Approved for Construction” status, in accordance with document control
procedures.

8.1.3 Check that site access to the work area for installation is available, that the works area is
clean and safe and that the temporary services provisions are available.
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

8.1.4 Check that the Wiring Devices have been ordered and inspected and available for delivery
to site.

8.2 DELIVERY AND INSPECTION OF MATERIALS AT SITE

8.2.1 The delivered material shall be inspected on arrival at the site. The inspection shall be
advised, in advance, as required by the ITP.

8.2.2 The delivered materials shall be inspected in accordance with the appropriate QA and QC
procedures.

8.2.3 The delivered materials shall be in accordance with the approved design, approved shop
drawings, materials approvals and all applicable documentation and certification shall be
available with the delivery.

8.2.4 The materials shall be free from defects or damage.

8.2.5 Any material delivered to the site that is not conforming to the above shall either be
returned to the point of supply or stored on site at a suitable quarantine store. A Non-
Conformity Report (NCR) shall be raised for all such materials.

8.2.1 Contractor shall keep all records of In/Out of all materials so that can check and
verify these delivered material from time to time.

8.3 PRE-INSTALLATION CHECK

8.3.1 Prior to start the installation, refer to the approved shop drawings and coordinated
drawings related to the area of installation and ensure that required materials are available
at site as per approved material submittals.

8.3.2 Ensure that all the work depending on installation of Wiring Devices were done before
installation.

8.3.3 Ensure that the location wherein the Wiring Devices to be installed is accessible, clean,
and free of debris and foreign materials and suitable for installations.

8.3.4 AFCC shall construct mock-ups in accordance with Section 014000 of Division 1 - General
Requirements prior to start of any installation.

8.4 GENERAL INSTALLATION

8.4.1 Ensure that all materials to be installed and equipment to be used shall be in accordance
with the requirement of the approved IFC and shop drawings and approved
recommendations of the manufacturers. It should be checked by the Construction
Engineer / Supervisor against approved MAR data sheets and approved shop drawings.

8.4.2 All materials and equipment shall be inspected by Quality Control Team prior to shifting
to work site. Material will be inspected for damage before commencing the works.
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

8.4.3 Ensure that all safety requirements are in place in accordance with project safety plan.

8.4.4 Ensure workers are wearing the required mandatory protective clothing, equipment, and
other additional safety equipment necessary prior to execution of work.

8.4.5 Ensure that scaffolding equipment's is safe to use or marked "green" by Safety
Department.

8.4.6 Ensure the availability of approved shop drawing of Wiring Devices and detailed
drawings showing floor plans, elevation and details indicating penetrations in floors and
walls and their relationship to other trade installations.

8.5 INSTALLATION OF WIRING DEVICES

8.5.1 WIRING DEVICES INSTALLATIONS:

8.5.1.1 Wiring Devices are to be installed in accordance with Project

Specifications, Approved IFC/Shop Drawings and other related standards.
8.5.1.2 Install devices only in electrical boxes which are clean and free from any
external building materials, debris, etc.
8.5.1.3 Set-out of wiring devices shall be in accordance to the architectural set-
out drawings.
8.5.1.4 All wiring devices shall be fixed independently of the system of wiring. All
fixing screws or bolts shall be of steel and where the appropriate apparatus
has a protective coating of zinc or is mounted outside, an electro-
galvanized finish shall be used complying with relevant standards and
codes of practice.
8.5.1.5 Adjust devices and wall plates to be flush and level.
8.5.1.6 Provide identification of all equipment as noted in Section 260553.

8.5.2 CLEANING AND PROTECTION

8.5.2.1 Clean exposed surfaces to remove splatters and restore finish. Use methods
and materials as recommended by the approved manufacturer.

8.5.2.2 Comply with manufacturer's written instructions for cleaning and protection.
Protect from damage till the date of hand-over.

8.5.3 INSPECTION AND TESTING PROCEDURE

8.5.3.1 Testing and inspecting of completed installations shall take place in

successive stages, in areas of extent and using manufactures recommended
methods. Do not proceed with installations for the next area until test results
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

for previously completed installations show compliance with requirements

and is approved by the Engineer.

8.5.3.2 Provide checking, adjusting and testing operations on the wiring devices
installation including the following:

8.5.3.2.1 All wire terminals shall be checked to assure tight connections,

electrical continuity and for short circuit.

8.5.3.2.2 Operate each device at least 6 times. All wiring services shall be
clean before energizing.

8.5.3.2.3 Adjust wiring devices to operate in the indicated and required

sequence.

8.5.3.2.4 The tests shall be performed to detect wrong connections, short

circuits, continuity.

8.5.3.2.5 Test wiring device for proper polarity and ground continuity.

8.5.3.2.6 Check output voltage at each output for voltage drop.

8.5.3.2.7 Check phase balancing at switchboard terminal.

8.5.3.2.8 Replace damage or defective components.

9 HOUSEKEEPING
The Foreman is responsible to instruct his workers to clean the site from any debris and collect
it then segregate the debris to the used materials will collect it into disposal box and the unused
materials will return to store it in proper way.

10 ENVIRONMENTAL ASPECT AND CONSIDERATION

The waste of those works will be segregated and disposed off according to the site and authority
norms. The chemical/cleaner used for the works should kept away in separate container and
protect it to avoid spillage on the floor.
11 HEALTH AND SAFETY PLAN
The execution of works will strictly adhere to the following.
11.1 Risk Control and Safety Procedures.
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

11.2 Forms / Permits / Checklist

11.2.1 Personal Protective Equipment Assessment.

11.2.2 Heat Stress Plan Checklist
11.2.3 Scaffolds Checklist

12 ENVIRONMENTAL PLAN
The execution of works will strictly follow the Project Environmental Plan.
13 EMERGENCY RESPONSE AND PREPAREDNESS PLAN
A Project-wide Emergency Management Plan has been produced and is readily available (see
relevant reference). Based on that an individual EPP has been prepared for the station, to form
a hard-copy document available locally on site for use. It includes certified personnel physically
attached to the station.

If a situation is life threatening and/or a medical emergency requiring an ambulance, then the
following must be done:

1. Call 997 (KSA national medical emergency number).

2. Clearly state your location and the nature of the medical emergency.
3. Provide first aid and basic life support, if trained, until emergency teams arrive.
4. Inform the person’s supervisor of the situation.

If a situation is not life threatening and does not require an ambulance, then take the following
steps:

1. The injured/sick person must inform his supervisor.

2. It is the supervisor’s responsibility to arrange transport and someone to accompany
the injured/sick person.
3. Injured/sick person shall be taken to the following medical facilities for review and
treatment.

Note: The lists below are preferred hospitals. Information of other approved hospitals is
available from the relevant HR Department

Site personnel should always ensure they always have their medical insurance card with them
and that they (or someone accompanying them) have cash or a credit card together, just in case.
IMPORTANT - In all cases, the supervisor must report all medical situations to the HS&E Dept.
 MEP CONSTRUCTION WORKS
METHOD STATEMENT FOR INSTALLATION & TESTING
WIRING DEVICES

14 QUALITY ASSURANCE
The execution of works will strictly follow the Project Quality Plan. QA/AC shall ensure the
installation is performed as per approved IFC drawings, specifications, approved material
submittals and this method statement.

QA/QC and Field Engineer shall co-ordinate with Inspection Team for inspection as perap-
proved Inspection & Test Plan (ITP).

15 RISK ASSESSMENT (SEE ATTACHMENT)

Job Safety Analysis

Instructions for completing Job Safety Analysis (JSA) form

Section I -Enter general information about the site and job task.
Section II - Determine whether any of these operations apply to the job task to be performed. Make note of any special training, permit, certification, and risk
assessment requirements.
Section III - Identify any human/organizational factors that could impact the ability to perform the work safely.

1. Break the job down into steps - Be as specific as possible. Write each job step in a new row of column A (Activity/Step). It’s a good idea to leave an extra row
between steps in case you need them later. Add additional rows to the table as needed, or if completing the JSA on paper, print additional copies of the sheet
to accommodate all job steps.
2. Determine the hazards associated with each job step and write them in column B (Hazards). Use the examples of hazards provided below to trigger your
thinking about different types of hazards and energy sources.
3. List any control measures that will be taken to ensure that step is done safely in column C (Control Measures). Use the control measure examples and hierarchy
provided to trigger your thinking about different types of controls and their effectiveness at reducing risk. Controls toward the top of the table tend to be
more effective at minimizing the severity and/or likelihood of an event than the controls toward the bottom of the table. If this job involves a Life Crucial
Operation, continue to step 4. Otherwise, repeat steps 2-3 for each of the job steps identified, then proceed to step 8.
4. Considering the hazards involved and the control measures that will be in place, determine the worst credible severity of an incident that could result from
this job step. Use the severity table provided. Write the severity number in column D (Severity).
5. Considering the hazards involved and the control measures that will be in place, determine the likelihood that an incident will result from this job step. Use
the likelihood table provided. Write the likelihood number in column E (Likelihood).
6. Multiply the severity number by the likelihood number and enter the product in column F (Risk).
7. Consider the risk rating against the thresholds provided in the Overall Risk Ratings.
i. Very low and low risk ratings of 1-2. This level is generally considered acceptable provided that all control measures are applied.
ii. Medium risk ratings of 3-9. Medium risk requires a planned approach to control the hazard and applies additional controls if required. Action taken must
be documented on the risk assessment form.
iii. High and Very High-Risk ratings of 10-25. For all high and very high risk, Column G (Additional control measures) must be implemented to further reduce
the risk to a medium or low level. Such activities shall not be proceeded until applying additional control measures. The Construction Director/Manager or
facility Manager must personally review the activities with a High or Very High residual risk score and approve additional control measures by signing off the
JSA.
8. Repeat steps 2-7 for each of the job steps identified.

Section IV - Provide the name, company, and title of those who prepared and reviewed/approved this form in the signature box provided. The Construction
Director/Manager or facility Manager must review and approve the additional control measures that have a High or Very High-Risk rating before proceeding the task.
Additional space is also provided for crew members to sign the JSA if desired.

Reference Table in completing Section III – Job Safety Analysis (Column B – Hazard)
Biological & Electrical Chemical Gravity/Height Mechanical & Motion
Environmental Arc Flash Air Emissions Equipment Being Thrown Off/Under
Altitude Buried Utilities Chemical Products Tipping/Collapsing Equipment
Animal Bite/Sting Damage to Leads/Cables • Carcinogenic Excavation/Trench Disintegration of Moving
Blood-Borne Pathogens Damage to Switches • Combustible/Flammable Falling Objects Components
Contaminated Food/Water Energized Circuits/Conductors • Explosive Floor Openings/Edges Driving/Vehicle Traffic
Insect-Borne Disease Inadvertent Energization • Toxic Grating Removed Ejection of Workpiece/Debris
Pests Lack of Isolation/Grounding • Corrosive Inadequate Support Entanglement
Poisonous Plants Missing/Damaged Insulation • Reactive Lack of Access Ladders/Stairs Friction
Precipitation Overhead Lines Client/Process Chemicals Suspended Load Movement/Shifting
Temperature/Humidity Overload of Circuits Lack of Containment Unstable/Insecure Materials Moving Parts
Unsanitary Conditions Stored Energy Leakage/Spills Work Above/Below Others Pinch/Crush Points
Weather (Batteries/Capacitors) Material Incompatibility Work at Height/Fall Hazards Projectiles
Wind/Turbulence Water Near Electrical Produced/Disturbed by Work Walking/Working Surface Rotating Equipment
Pressure Conductors • Asbestos • Slippery Sharp Edges, Corners, or Points
Abrasive Blasting Work Environment • Lead • Uneven Shearing
Compressed Gases Cluttered • Silica • Obstructed Stored Energy
High Pressure Fluid Confined Space • Welding Fumes • Steep (Springs/Accumulators)
Pressure Testing Damaged Tools/Equipment • Dust • Moving/Swaying/Pitching Striking
Pressure Washing/Blasting Entrapment Water Discharges • Insufficient/Unstable Trapped Between Equipment
Radiation Erosion Wastes Generated Ergonomic and Fixed Structures
Intense Light Hazardous Atmosphere • Hazardous Awkward Unexpected/Uncontrolled
Lasers • Oxygen Rich/Deficient • Non-Hazardous Postures/Movement Movement
Microwaves • Contaminants Sound Excessive Force/ Exertion
Naturally Occurring Ignition Sources Continuous Noise Heavy/Awkward Load
Radioactivity Radioactive Inadequate Ventilation Intermittent Noise Repetitive Motion
Material Poor Lighting/Glare Extreme Noise Same Position
X-Rays Restricted Access/Egress Impact Noise Vibration
Runoff
Reference Table in completing Section III – Job Safety Analysis (Column C – Control Measure)
Most Effective Controls Examples
Elimination  Make connections at ground level before  Remove a dangerous machine from service
(Remove the hazard altogether) erecting a structure to eliminate work at height  Provide power outlets to avoid trailing cords
Substitution  Use latex rather than oil-based paints
(Replace the material/process  Reduce energy, such as speed, force, amperage, pressure, and temperature
with a less hazardous one)  Use water-based detergents instead of organic solvents
 Isolate hazardous energy
Engineering/Isolation  Ventilation
sources  Secondary containment
(Design effective control  Machine guarding
 Interlocks  Barriers
measures to protect people and  Enclosures
 Platforms and guardrails  Improve lighting
the environment)  Circuit breakers
 Exclusion zones
Warning  Signs  Horns  Labels
 High visibility paint
(Alert people to the hazards)  Backup alarms  Beepers  Tags
Administrative  Work rotation to minimize exposure
(Provide training, procedures,  Inspect safety equipment  Training and supervision
etc.)  Good housekeeping practices
PPE  Safety glasses  Fall harness and lanyards  Respiratory protection
Least Effective
(Personal protective equipment)  Hearing protection  Gloves  High visibility vests

Reference Table in completing Section III – Job

Reference Table in completing Section III – Job Safety Analysis (Column D –Severity)
Safety Analysis (Column E – Likelihood)
Impact On Likelihood Chances of
Severity Level Probability
People Environment / Community Equipment / Property Level Occurrence
 Long-term (multi-year) impacts to
 Extensive losses of high Likely to occur
air, surface/ground water, or soil; or
Single / value equipment/property within the next 1
 Widespread areas including offsite Almost
Major 5 Multiple  Loses exceeding $1,000,000; 5 year. 1 in 100
area/community affected; or Certain
fatalities or More than 80%
 Some adverse publicity/media
 Major unplanned impact on chance of occurring
coverage
project budget and schedule
 Losses of
 Lasting (up to one year) impacts to
equipment/property that Likely to occur
Injury or illness air, surface/ground water, or soil; or
cannot be readily replaced; within the next 2
resulting in  Offsite area/community affected; or
or years.
Significant 4 permanent  Events that are reportable to Likely 4 1 in 1,000
 Losses exceeding $100,000; More than 60% and
total or partial regulatory authorities; or
or less than 80%
disability  Potential for adverse
 Significant unplanned chance of occurring
publicity/media coverage
impact on project budget
 Temporary (up to one month)
Injury or illness
impacts to air, surface/ground  Loss of equipment that can Likely to occur and
resulting in
water, or soil limited to the project be readily replaced; or may do so within
medical
site; or  Losses exceeding $10,000; the next 3 years.
Moderate 3 treatment or Possible 3 1 in 10,000
 Breach of regulatory requirement or or More than 40% and
temporary
limit; and  Minor impact on project less than 60%
disability/loss
 No potential for adverse budget chance of occurring
of function
publicity/media coverage
Unlikely to occur
 No direct impact to air,  No impact on equipment
and may do so
Injury or illness surface/ground water, or soil; or functionality
within the next 5
requiring first-  Effects restricted within buildings or  Minor, cosmetic damage; or 1 in
Minor 2 Rare 2 years.
aid treatment containment structures; and  Repair costs easily covered 100,000
More than 20% and
only  No potential for adverse by normal project operating
less than 40%
publicity/media coverage budget
chance of occurring.
Extremely unlikely
 Near Miss/no impact or to occur within the
Near Miss/no  Near Miss/no environmental 1 in
Negligible 1 damage to equipment or Unlikely 1 next 5 years.
harm damage or impacts 1,000,000
property Less than 20%
chance of occurring

Reference Table in completing Section III – Job Safety Analysis (Column F – Risk)

Risk Matrix Overall Risk Ratings

Severity Very Low Low Medium High Very High
Likelihood
1-Negligible 2-Minor 3–Moderate 4-Significant 5-Major
1 2 3-9 10-16 20-25

5 – Almost Medium High High Very High Very High

Certain (5) (10) (15) (20) (25) High and Very High-Risk ratings of 10-25.
Medium Medium High High Very High Additional control measures must be implemented to further reduce
4 – Likely
(4) (8) (12) (16) (20) the High and very high risk to acceptable level.
Medium Medium Medium High High
3 – Possible Note: The Construction Director/Manager or Facility Manager must
(3) (6) (9) (12) (15)
personally review the activities with a High or Very High residual risk
Low Medium Medium Medium High
2- Rare score and approve suitable additional control measures by signing the
(2) (4) (6) (8) (10) JSA.
Very Low Low Medium Medium Medium
1 – Unlikely
(1) (2) (3) (4) (5)
Job Safety Analysis

Section I – General Information

Emergency Procedures
Emergency Contact Name Emergency Contact Phone Number
Primary Contact Primary Contact
Secondary Contact Secondary Contact
Details
Program Number. Company Name
Project Name Date 08/19/2021
JSA /Risk Assessment Title Installation and Testing of Wiring Devices Category ☒ New ☐ Revised
Specific Location Building
Plant Tools & Equipment Required Crane Area
Work Scope/Description Electrical Works

Section II – Does this job require any of the following operations?

 = Requires formal/special training  = Requires certification or Competent/Qualified Person designations

 = Requires a permit/form/report ∆ = Life Crucial Operations = Requires full Risk Assessment

Description Yes Description Yes

Aerial Lifts  ∆ ☐ Cranes - Critical lift    ∆ ☐

Confined Space    ∆ ☐ Hot Work   ☐
Dismantling and Demolition  ☐ Loading/Unloading Material ∆ ☐
Electrical Hazards    ∆ ☐ Noise Exposure  ☐
Excavation/Trenching    ∆ ☐ Powered Industrial Trucks   ∆ ☐
First Line Breaks    ∆ ☐ Radiation Area Work    ☐
Grating/Floor Plate/ Guardrail Removal  ∆ ☐ Respiratory Hazards  ☐
Hazardous Energy Control    ∆ ☐ Roof Work    ∆ ☐
Hazardous Materials
   ☐ Scaffolding   ∆ ☐
Asbestos & Lead Work
Hazardous Materials
  ☐ Site/Vehicle Traffic ∆ ☐
Crystalline Silica & Cadmium
Hazardous Waste Operations   ☐ Steel Erection  ∆ ☐
Heavy Equipment   ∆ ☐ Work at Height (> 6 ft)   ∆ ☐
Rigging, & Cranes   ∆ ☐ Other ☐
Job Safety Analysis

Section III – Job Safety Analysis Risk Assessment (Post Control Measures)
(H)
(A) (B) (C) (D) (E) (F) (G) (I) (J)
Severit
Activity/Step Hazards Control Measures Severity Likelihood Risk Additional Control measures Likelihood Risk
y
• Ensure all access/egress is clear
of any obstruction
• Sufficient Lighting is provided
for safe access especially in
dark areas.
• Emergency backup lights to be
installed on access / work areas
• Access and Egress • Site Road Speed limits must be
• Motor Vehicle & Plant observed and followed at all
• Unfamiliar environment
Collision times
• Site access via • Low visibility due to adverse
vehicle weather of darkness during
• Damage to property 3 3 9 • Provide Flagman if needed 2 1 2
night work • Injury to pedestrians • Monitor weather conditions
• Moving Vehicles & Plants • Ensure walkways are properly
marked
• MEPI (Moving Equipment &
Personnel Interface) to be
properly put in place to avoid
confusion for the pedestrians
and Drivers/Operators on
where the correct way is.

• Miscommunication
• Operatives to be encouraged
due to language
to participate in open
• Language barrier barrier that may cause
discussions with regards on
• Toolbox Meeting • Poor Communication wrong understanding 2 2 4 their experiences/lesson
1 1 1
of the topic that is learned with the hazards and
being communicated
risk associated in the activity.
Job Safety Analysis

• Topic to be communicated in a
Multilanguage way in order to
be understood correctly
• Method statement and JSA
must be available before work
commences.
• Risk Assessment to be
communicated to all involve
parties. Especially the hazards
of the activity.

• Make sure housekeeping is

done before the start of any
activity. Doing housekeeping
will create a much safer area
for all the
• Heat stroke
• Housekeeping operatives/staff/public that will
• Fatigue
be in the area
• Heat stress
• Site Preparation
• Manual handling
•
•
Muscle spasms
Sprains mad broken
3 3 9 • Ensure that there is adequate 1 2 2
drinking water available at the
• Use of hand tools bones
work area
• Proper or required PPE must be
worn at all times.
• Sufficient Rest Breaks to be
provided to the operatives

• Incompetent Operators & • Mechanical failure • Ensure people are trained in

• Materials Operatives • Personnel injury manual handling
Preparation by • Uninspected Equipment & • Property damage • Manual material handling shall
Lifting of materials lifting gears • Fall from Elevation
4 3 12 be avoided where possible and
4 1 4
using crane • Overloading • Trip, slip, and mechanical/electrical
• Load Drop fall/Pinch Point equipment means shall be
Job Safety Analysis

• Mobile Equipment • Unstable ground • Fatality used instead to avoid the

& Personnel • Manual Lifting of heavy • Broken bones Possibility of injury.
Interface loads, materials, or tools. • Sprains • Equipment’s to be inspected
• Manual Handling • Muscle spasms and registers kept up to date
• Back pains on regular basis as per legal
requirements or with a greater
frequency based the activity.
• Ensure that equipment
operators and riggers have a
valid third-party certification
along with projects
approval/certification.
• Lifting gears must be properly
inspected (third party certified)
before use.
• Equipment not to be operated
beyond its rated capacity. Prior
to the activity ensure that the
ground is stable and can
support the weight of the
equipment including the
intended load.
• In an event of an emergency
please refer to the site
emergency numbers.
• Only one rigger will give signal
to the operator to prevent
confusion
• Ensure operatives are trained
in fall prevention & protection
• When working on unprotected
edges, additional personal
Job Safety Analysis

protection equipment
(primary/secondary fall
protection) is required for
employees to prevent injury
from falling. Only use if you
have undertaken Fall
Protection and preventing
training.
• If the clearance is less, use fall
restraint device/ inertia reels,
where not possible, ensure
primary fall protection is
provided.
• Concentration focusses and
extra care when working on
height shall be in mind at all
times.
• Ensure the use of right gloves
by individuals engaged in
material handling.
• Be aware not to put hand
between objects. Keep Area
free from tripping hazards,
maintained housekeeping.
• All workers working at heights
must have satisfactorily
completed the working at
heights training.

• Scaffold Erection • Incompetent Person • Mechanical failure • A third-party certified Scaffold

• Use of MEWP (Sky
Jack / Man Lift) •
performing the task
Working at height
• Personnel injury 2 3 6 Supervisor must be deployed
to supervise scaffold activities
2 1 2
• property damage
Job Safety Analysis

• Fall from Height • Scaffold erectors should be

• Trip, slip, and trained, third party certified
fall/Pinch Point and certified by the contractor
Scaffold Dept.
• All scaffold materials must be
properly inspected and records
to be kept for good conditions
• Setup exclusion zones to
prevent unauthorized entry
• Ensure operator have
contractor approval
• PFAS to be provided to
operatives working at heights.
• Equipment and operator must
have an up to date third party
certification
• Equipment to be properly
inspected before use.

• Operatives must have proper

training and should have
• Broken Bones due to attended the power tools
power tool kickback training
• Power tool kickback
• Installation and • Electrocution due to • Ensure all electrical
• Use of electricity
leveling of lighting faulty electrical tools/equipment are properly

2
• Foreign debris especially
control panel using
hand drill and hand
during overhead drilling connection and 2 3 6 inspected, no missing parts,
handle in place and with the
2 1
damaged electrical
• Dust
tools tool correct color coding for the
• Slip Trip & Fall
• Eye irritation/injury current month
• Eye protection must be worn
all the time to prevent debris
to contact with the eyes.
Job Safety Analysis

• Dust mask to be provided

• Ensure electrical power is
equipped with RCD / GFCI
• When working at height,
ensure fall protection is in
place
• PFAS to be worn when working
at height
• Sufficient lighting to be
provided

• Proper illumination to be
provided at the work area
• Ensure operatives performing
• Uninspected/Defective the task are provided with
Tools • Cut wounds sufficient rest/breaks
• Wiring, grounding
• Incompetent personnel • Broken bones due to • Proper working posture must
& lighting fixtures
installation using performing the task slip and trip. 3 2 6 be observed 1 1 1
hand tools • Ergonomics • Muscle cramps • Ensure all rubbish, cut cables
• Slip and Trip and insulation are placed on a
designated dust bin. Proper
housekeeping must be
observed

• Ensure operatives performing

• Broken bones due to the task are provided with
• Tagging and
cleaning of fixtures
• Slip and Trip
• Ergonomics •
slip and trip.
Muscle cramps
2 3 6 •
sufficient rest/breaks
Proper illumination to be
1 1 1
provided at the work area

• Damaged to property
• Poor Lighting / Limited • Sufficient lighting /Proper
• Working at Night
Visibility • Injury 2 3 6 illumination to be provided to
1 2 2
Job Safety Analysis

• Sleepiness / Drowsiness the work areas that has

• Work Fatigue visibility issues specially during
nighttime
• Sufficient rest/breaks must be
provided to the operatives to
prevent sleepiness and work
fatigue

• Ensure area is
isolated/barricaded and
signage to be posted to
prevent unauthorized entry
• Continuity Test
• There should be watchmen on
(using multi meter) • Broken bones due to
• Slip and Trip both end of the cable to ensure
• Insulation slip, trip and fall
• Testing Equipment Failure no one will come close to the
resistance test
using megger
• Incompetent Person
performing the task
• Extended working
hours due to
2 3 6 testing area 2 1 2
• Ensure testing equipment has
tester (No equipment failure
• Slip and Trip third party calibration
energized cables to
be tested) certificate and properly
inspected before use
• Ensure all required PPE for the
activity is provided.

Note: Insert additional rows or print additional sheets as necessary to accommodate all job steps.

Section IV – Approval and Signatures

Prepared by Company Position
Ali Yamout Electrical Construction Manager

Redentor Robles Health and Safety Manager

Reviewed and Approved by Company Position
Supervisor/Engineer

HSE Representative
High and Very High residual risk rating (10-25)
Note: All High and Very High residual risk ratings (10-25) require review and approval by Construction Director/Manager or Facility Manager before starting work to ensure that the additional controls are adequate to execute the
task safely.
Job Safety Analysis

Reviewed and Approved by Company Position

Construction Director/Manager or Facility Manager
Reviewed by Crew Company Position