Safe Work Method Statement

Project Name: Palo Alto Network, Phase- III Address: Bagmane Tech Park, Quay Building, C V Raman Nagar,
Bangalore.
Company Name: Artizen Interiors Private Limited Activity/Trade: Civil and Interior – Material Loading & Unloading
Address:3C-137, 2nd Main Road, Kasturi Nagar, Bangalore 560043 Office Contact No: +91 80 4905 0000
Supervisor Name: Vivek kumar Contact No: +91 79051 49348
Person
Procedure (in steps) Possible Hazards Risk Control Measures
who will
(Break the job down into steps. (Identify the hazards associated with each Rating (Describe what action or procedure will be taken to eliminate or
minimise the risk of injury or damage. Use the Hierarchy of ensure
Each step should accomplish step. Examine each to find possibilities (See
Controls below as a guide. this
some major tasks and be in logical that could lead to an accident or potential below)
1. Eliminate the Hazard. happens
sequence.) harm arising.)
2. Substitute the material or equipment.
3. Isolate the hazard.
4. Implement Engineering control
5. Implement Administrative control
6. PPE
Manpower deployment (or) Selection All workers shall undergo site induction Training
Untrained personnel
of manpower
M Task awareness & RA shall communicate with all manpower’s
Major Injury /Fatality/ Property damage
Training shall conduct on proper use care and maintenance of Supervisor
PPE’s

Workforce should be qualified and experienced.

Ensure that all workers shall be understood of Artizen-JJL in house

rules and Do’s and Don’ts in site

Ensure all the workers shall be undergone for the medical fitness
test.
Parking vehicle at designated Vehicle may hit someone while moving in Make sure the driveway is safe and clear for truck to drive through.
unloading bay
Collision of Pedestrian and vehicle H Identify/demark the parking area where vehicle has to be unloaded

Muscle or tendon strain getting on and off Do not jump off the truck, use the provided “steps” or use a ladder. Supervisor
the vehicle
Segregate pedestrian and vehicle movement routes
Structural damage due to excessive Banksman shall be engaged to ensure vehicle movement.
vehicle load Obtain vehicle entry permit prior mobilizing any material vehicle to
site.

Manual Material Handling Material may have sharp edges and Use cut/abrasive resistant gloves, pad up the uneven surface
splinters
Ensure that the hand/fingers do not get trapped in between material
Material does not adequate side and vehicle sides by carrying material with hands inside the Supervisor
clearance for lifting maximum width of the item carried.

Material in odd shape to carry H Ensure that you get additional support of personal before lifting.

Dust inhalation and entry to the eye Discuss with him and then lift the material. Use the material trolley
whenever possible.

Wear face mask and goggles whilst handling the materials

Ensure PTW system in place before start work

Establishing the exact weight of the No correct information available on the Check the specification of the material to ascertain the weight.
material to be lifted so that it is well package
within the capacity of the lifter/loader. Find out the feasibility of lifting the material without placing hand
Lifting beyond the capacity of the person below the material
may lead fall on the foot and muscle, Supervisor
back strain Try to take assistance if the weight of the material is beyond 25kgs.
H
Do not make single person manual lift if the weight of the material
is beyond 25kgs

Make use of the trolley to shift any loose material.

Ensure the person is wearing Proper PPE’s

Manual lifting. Muscle strain Take proper and safe body positioning before handling materials.

Pinch points between material and Check the vehicle for any falling or loose material that may fall on
vehicle. you and hard hat should be worn at all times.
H Supervisor
Injury to foot Wear the appropriate PPE’S.

Provide More manpower to shifting the materials

Use Mechanical device to shift the materials.

Stacking of material in store Stacking haphazardly Supervise the labourer while shifting/stacking and store in proper
H manner Supervisor
Overloading on slab
Do not exceed 400kgs/square meter

Don’t stack the materials more than 1.5met Height.

Housekeeping and cleaning activities Tripping hazards while cleaning work Keep work area clear off debris and remove tools/equipment when
area. M not in use to eliminate trip hazards.
Supervisor
Hazards while waste materials handling. Ensure the waste collected in a stable box or plastic bags

Personnel Summary
SUPERVISOR’S DETAILS
Supervisors Name & Qualifications: Name: Vivek Kumar
Experience: 2 yrs
Qualifications: BE
Supervisor’s Responsibilities: In addition to the above, the supervisor is to provide training in the use of this SWMS, issue PPE and provide training in the same, supervise the
work, ensure conformity with this SWMS, amend the SWMS when additional hazards are found (and if applicable, ensure all workers receive a
toolbox 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: General Safety Induction

WORK ACTIVITY TRAINING: Ladder Safety, Working at height, Manual handling & Operation of power tools

SITE INDUCTION: Site safety induction,

 OTHER: (List other training undertaken by workers):

TICKETS, PERMITS or LICENCES REQUIRED to undertake this work (i.e., Certificates of Competency, Confined Spaces etc):

Aluminium (airport) Ladder & Power tools

General Work Permit

LEGISLATION, CODES OF PRACTICE and GUIDELINES applicable to this work

BOCW ACT 1996 & RULES 1998, KARNATAKA BUILDING AND OTHER CONSTRUCTION WORKERS (REGULATION OF EMPLOYMENT AND CONDITIONS OF
SERVICE) RULES 2006.

SP 62 (S and T): 1997 Handbook on Building Construction Practices (Excluding Electrical Work)
SP 70: 2001 Handbook on Construction Safety Practices
IS 13416: Part 1: 1992 Recommendations for preventive measures against hazards at workplaces Part 1 Falling material hazards prevention.
IS 13416: Part 2: 1992 Recommendations for preventive measures against hazards at workplaces Part 2 Fall prevention
IS 13416: Part 4: 1994 Recommendations for preventive measures against hazards at workplaces Part 4 Timber structure
IS 7293: 1974 Safety code for working with construction machinery.

Additional Codes and Standards applicable to this trade:

Equipment & Material Summary

PLANT and EQUIPMENT USED and MAINTENANCE FREQUENCY :

Serial Plant/Equipment Contractor Workcover Plant Hazards Maintenance/service records and logbooks sighted
Registration No (if identified and by Principal Contractor prior to equipment being
applicable) controlled within used on site?
SWMS?
Yes No Sign Date

1
2

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
Cutting machine ____ /____ /____ ____ /____ /____
Drilling / ____ /____ /____ ____ /____ /____
 Hammering
machine

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
(i.e., Application on site) on Site (& PPE to be worn)
(Y/N)
/ / / / / /

/ / / / / /
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 Safe Work
Method Statement (SWMS).
We have been provided with training in all tasks outlined in our SWMS 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 SWMS are to be covered with the above personnel and the Principal Contractors 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 SWMS.