SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Description of Activity to be carried out:

Work Location:

JGC approve the use of this MSJSA :

DOLPHIN MC-3

Name:

RADIOGRAPHY

Position: JGC HSE Manager

Date:

Signature:

Risk Assessment Log Section:

Activity Guidelines used:

PRELIM. HAZARD RISK REGISTER/LOG (Piping works in plant &

corridor area)

ALL APPLICABLE JGC CONSTRUCTION HEALTH, SAFETY, ENVIRONMENT & SECURITY PLAN &
PROCEDURES

1.0

Pre-work activity

Construction personnel exposure to radiation.

Permit Requisition prior to radiography work

Chronic toxicity produces blood marrow pathology and blood

changes, tissue and cell damage and cancer of many organs.

All radiography activities will be carried out in

compliance with JGC Construction HSE Plan
( Section 2.4.2.12)

Compliance will be made to JGC Construction

Safe Operating procedure S-000-1654-114 (Section
4.12) throughout radiography activities.

Strictly and consistently follow JGC Permit to Work

before the performance of any NDT.

Conduct toolbox talk regarding specific scaffolding job

Safety Analysis before the start of any NDT work

All NDT work shall be pre-planned to minimize the

exposure of other persons to radiation hazards

All employees assigned to perform NDT have

undergone the necessary medical examination in
accordance with applicable local statutory regulations.

Ensure X-Ray generator is properly earthed and there

is a 15 lbs ABC fire extinguisher available. Power
source is equipped with ELCB.

Vehicle carrying X-ray machine/radio active source will

not parked in crowded areas where other person will
be exposed

All portable tools and equipment are pre-inspected

according to JGC color code to ensure good condition
& that all guards are installed.

Improper handling / storage / transport.

Harm to non-project personnel.

RL0-306013-M03-533 <01>

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

RL0-306013-M03-533 <01>

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

HSE Information / Requirements

Resources and Competency
Does the Work Team have the necessary capacity, capability, experience & authority to avoid, minimize, monitor and control the risks (Training / Awareness / Equipment, etc.)?
Detail minimum expected requirements:

JGC Induction Training, JGC Radiography training and tool box talk will be delivered to the crew. As per SCENR requirement, Crew
involved in radiation job will have training from Radiation Protection Officer. Equipment has been inspected and certified by JGC
Communications / Workforce Consultation
Have all members of the Work Party attended the Toolbox Talk, and have they been made fully aware of the risks that they are taking (Residual risks)?

TBT Record No.

Yes
GC Induction Training, JGC Radiography training and tool box talk will be delivered to the crew. As per SCENR requirement,
Crew involved in radiation job will have training from Radiation Protection Officer.
External Risk
Has an assessment been conducted to identify all external (to the activity) hazards and potential risks (3rd parties such as other workforce teams or other adjacent parties)? What is the
result?
Risk Assess. No.

Job Safety Analysis has been carried out keeping in view all external Risks / Hazards. No simultaneous activities will be carried
out by other Parties in barricaded area.
H&S Training
Employees should be trained in the proper interaction with equipment, and the proper response to incidents involving this equipment. List the training your employee(s) has received.

All employees attended JGC induction training and JGC Radiography training and tool box talk will be delivered to the crew and Heat
stress training will be given to workforce during summer monthes.
Specialist Training
Will the workforce require any specialist training?

YES / NO (IF YES, list the specialist training required for the job):

YES
As per SCENR requirement, Crew involved in radiation job will have training from Radiation Protection Officer.

RL0-306013-M03-533 <01>

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

High Potential Risks
Does the task require special access / egress / heavy lifting / entry into confined spaces or work at height / in excavations?
(IF YES, a separate Risk Assessment needs to be completed).

YES / NO

Risk Assess. No.

YES
Heat Stress:
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the Health and Safety of the team members?

YES / NO (If so, please describe below):

No
PTW / Isolations: Other Certificates / Permits
What other precautions (e.g. electrical isolation, permits to work) are required and who will authorize them?

PTW / Cert. Nos.

YES.
Permit will be obtained from JGC before start of radiography work.
Contingency / Emergency Response
Should special emergency procedures be instituted, e.g. Emergency Drill, providing Fire Wardens, extra First Aid cover, etc.?

YES / NO (If so, please describe below):

YES
JGC Emergency Procedure for Safe Use of Radioactive Source in NDT (S-000-1654-143 Section 16) & Emergency Plan in G-3004 will be used as guidelines to deal with an
emergency related to radiographic activity. First Aider and first aid kit will be available during the activity.
Air Emissions
Will the work you perform produce or cause the release of any air emissions?

YES / NO

No

RL0-306013-M03-533 <01>

(If YES, list air emissions and method for preventing impact to the environment):

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Water Discharges
Will the work you perform produce or cause the release of any wastewater?

YES / NO (IF YES, how will the wastewater be handled?):

No
Materials
What materials (chemicals, oils, etc.) and/or equipment will you be handling or bringing on-site to perform the contracted work?

NOT APPLICABLE

Environmental Training
Have employees been trained in the proper handling of materials and equipment, and the proper response to incidents involving these materials? List the training your task employees
have received.

Yes. Qualified and certified personnel as per SCENR requirement will perform radiography in the barricaded area..
Waste Generation
Will the work you perform result in any wastes? YES / NO (IF YES, list the disposal location, as well as amounts and types of wastes expected and the proposed disposal method):

YES.
Waste generated will be disposed off as per JGC Waste Management Procedure RLO-0000-FPR-50126.
Energy
Will the work you perform consume energy (electricity, compressed air, natural gas, steam, etc.)? YES / NO (IF YES, explain what type of energy will be consumed, and how you will
minimize consumption):

Yes, Diesel fuel will be used in generators etc. Equipment will be stopped if it is not needed to reduce fuel consumption
Other Impacts
Are there any other ways in which the work will be affecting and/or protecting the environment?

YES / NO (If YES, please describe below):

No
Environmental Monitoring
Describe any environmental monitoring to be performed, including sampling methods, frequency, analytical requirements and laboratory to be used:

Not Applicable
RL0-306013-M03-533 <01>

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Legal requirements
Identify environmental legal requirements applicable to the work that has not already been addressed by the Project.

Not Applicable

RL0-306013-M03-533 <01>

SAFE WORK METHOD STATEMENT (SWMS) Incorporating Job Safety Analysis

Training modules required to complete Activity:

List Codes of Practice, Legislation, Standards which apply to this Activity:

JSA will be used as a training module

Standard
Codes

ASTM-1599
ASME B31.3
ASME B16.5

List Plant / Equipment / PPE required for this Activity:

Crane, power generator, welding machines,

compressor.
PPEs:

List Equipment / Maintenance

Checks required for this Activity:

Pre job equipment check

will be done before starting
the job

Safety Helmet

Engineering Certificates / Permits / Approvals required for this Activity

(e.g. RLC Permit Road closure, Utility isolation, Special Waste license, etc.)

No
Type

Reference/Documents

Safety Shoes
Safety Goggles
Safety Gloves
Dust Masks

Person(s) Responsible for Supervising / Inspecting Work:

Person(s) responsible for supervising the work, inspecting and approving work areas, work methods, protective measures, plant equipment and power / other tools:

NB: List of qualifications/experience is held in local JGC files see JGC HSE Group for details.

Name: .

Position:

Name: .

Position:

Signature: .................................................................

Signature: .................................................................

For a list of names and signatures of staff instructed in this Safe Work Method Statement and JSA, see JGC training records.

Copy 1 - To be posted at the Worksite / Supervisor at the Worksite

Copy 2 - To be retained by JGC HSE Group (24 months)
Copy 3 - To be held by the subcontractor (24 months)

RL0-306013-M03-533 <01>

SAFE ACTIVITY PRE-CHECK (SAP) SHEET

Company:

Date:

Foreman (print
name):

Location:

Task Description:
MUSTER / ASSEMBLY POINT LOCATION:
IS YOUR DESIGNATED PLACE OF WORK TIDY? - YES or NO (If NO housekeeping must be performed prior to work commencing).
PERMIT TO WORK REQUIREMENTS

YES

Key Task Related Hazards

(tick box)
NO
N/A

Excavations
Access Only
Plant & Equipment
Electrical

Key Preventative Control Measures

Confined Spaces
Isolations
Lock Out / Tag Out
Hot work
Instrumentation
Pre / Commissioning / START-UP
EXCAVATION

YES

NO

N/A

HOTWORK (Non PTW controlled)

SHORED / SLOPED / BENCHED

FIRE EXTINGUISHER

LADDERS PROVIDED

FIRE BLANKET

BURIED SERVICES IDENTIFIED

CYLINDERS UPRIGHT & SECURED

VEHICLE STOP BARRIERS / BOARDS

COMBUSTIBLES REMOVED

EXCAVATION INSPECTED

CONFINED SPACES

NO

N/A

N/A

YES

NO

N/A

YES

NO

N/A

SPECIAL PPE (VISORS, GLOVES, etc)

EMERGENCY COMMUNICATIONS

VENTILATION

WORK BELOW RESTRICTED

PERMIT to WORK

BARRIERS / SIGNS POSTED

GAS TEST COMPLETED

FLAME ARRESTORS FITTED

TALLY BOARD or similar

WELDING CABLES IN GOOD CONDITION

EMERGENCY ACCESS

CHEMICALS

COMMUNICATIONS

MSDS REVIEWED / AVAILABLE

SAFETY HARNESSES

SKIN / EYE / THROAT IRRITANT

SUITABLE (Ex.) LIGHTING

SHOWER or EYEWASH AVAILABLE

YES

NO

N/A

SPECIAL PPE AVAILABLE AS PER MSDS

SCAFFOLD INSPECTED

CONTAINERS LABELLED PROPERLY

INSPECTION SCAFTAG POSITIONED & IN DATE

SIGNS POSTED

SAFE ACCESS / EGRESS PROVIDED

RISK ASSESSMENT CONDUCTED

TOEBOARDS, KICKPLATES IN ORDER

HAZARDS COMMUNICATED

HANDRAILS SECURED

GROUNDING

HARNESS & LANYARDS INSPECTED

CONTAINMENT REQUIRED / PROVIDED

STATIC LINES - TIE OFF POINTS

PLANT & EQUIPMENT

NO

FIRE WATCH (Safety Passport check)

YES

STANDBY MAN

SCAFFOLDING

YES

ABSORBENT AVAILABLE IN SITU.

YES

NO

N/A

PORTABLE TOOLS

PLANT & EQUIPMENT INSPECTED

TOOLS, APPLIANCES INSPECTED

LIFTING GEAR, RIGGING INSPECTED & CERTS.

BANKSMAN / COMPETENT PERSON
IDENTIFIED
LIFTING PLAN / CALCS & M/S CHECKED

DEFECTS REPORTED

OPERATOR CERTIFIED

OPERATORS CERTIFIED

CABLES, HOSES INSPECTED

PPE REQUIREMENTS IDENTIFIED

FLAGMEN TRAINED / POSITIONED

GUARDS POSITIONED

PORTABLE APPLIANCES INSPECTED

EXTENSION CABLE CHECKED & TAGGED

RL0-306013-M03-533 <01>

SAFE ACTIVITY PRE-CHECK (SAP) SHEET

OCCUPATIONAL HEALTH

YES

NO

N/A

PPE

FIRST AIDER / FIRST AID KIT

HARD HAT

HEAT STRESS

BOOTS

DUST

GLASSES

HYGIENE (FOOD / WATER) CONTAINERS

COVERALLS / HIGH-VISIBILITY VESTS

NOISE

FACE MASKS

VIBRATION

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

YES

NO

N/A

GENERAL WORK GLOVES

YES

ELECTRICITY

NO

N/A

SPECIALIST PPE

PTW REVIEWED (COMPETENT PERSON)

WELDERS, FIRE RETARDANT GLOVES

SYSTEM LOCK OUT

ELECTRICAL RUBBER GLOVES

SYSTEM TAGGED OUT

EAR DEFENDERS / PLUGS

JSA / METHOD STATEMENT IN PLACE

HARNESSES / LANYARDS

SYSTEM DISCONNECTED

WELDERS SCREEN

SYSTEM TESTED

FACE MASK (DUST - FUMES)

MANUAL HANDLING

YES

NO

N/A

RESPIRATORS

WORKER(S) TRAINED (Safety Passport check)

SELF CONTAINED BREATHING APPARATUS

LIFTING, PULLING

FIRE RETARDENT CLOTHING

STRETCHING

ENVIRONMENTAL CONSTRAINTS

SHARP OBJECTS, PINCH POINTS

ENV. STUDY REPORT COMPLETED

(TROLLEYS, FORKLIFTS, etc) available

ENV. HAZARDS IDENTIFIED IN MS

SOUND GROUND / UNDERFOOT CONDITIONS

GENERAL

WORK AREA CHECKED (R&E SPECIES)

YES

NO

N/A

WASTE CONTAINERS / AREA IDENTIFIED

FLYING PARTICLES

SPILL CONTAINMENT

CABLES SECURED ABOVE HEAD HEIGHT

ENV. MONITOR INFORMED / AVAILABLE

VOIDS / HOLES COVERED & SECURED

SITE PLANT & VEHICLES

BARRIERS & TAPE PROVIDED

SAFE DISTANCE - VEHICLES & PEDESTRIANS

ALL HAZARDS COMMUNICATED

SIGNS ERECTED AND VISIBLE

OTHER WORKERS SAFETY CONSIDERED

NOISE / EXHAUST HAZARDS IDENTIFIED

Foreman / Supervisor: I have discussed the above potential hazards involved in the task, reviewed the SAP Card with
the employees under my control, and implemented suitable and sufficient controls to minimize the risks involved.
Name (print)

Signature

Employees: I / WE ACCEPT THE RESPONSIBILITY FOR THE SAFE BEHAVIOUR OF MYSELF AND MY CO-WORKERS
DURING THE TASKS IDENTIFIED ABOVE:
EMPLOYEE NAME

SIGNATURE

EMPLOYEE NAME

1.

10.

2.

11.

3.

12.

4.

13.

5.

14.

6.

15.

7.

16.

8.

17.

9.

18.

RL0-306013-M03-533 <01>

SIGNATURE