DOC No EHS-MSRA-SCFF-001

PAGE No Page 1 of 3
REV 01
DATE 08/02/2021
METHOD STATEMENT AND RISK ASSESSMENT

METHOD STATEMENT
CONTRACTOR : PROJECT :
SUB-CONTRACTOR WORK :
METHOD STATEMENT NO. REVISION NO. :
TITLE / WORK : Scaffolding
LOCATION (INCLUDE SKETCH) DRAWING REF. :
STARTING DATE : COMPLETION DATE : DURATION :
WORK METHOD / SEQUENCE : INCLUDE PROGRAM IF REQUIRED
1. Scaffold may only be erected, altered or dismantled under the supervision of a competent person appointed in writing.
2. Scaffold build on gravel or sand must have sole plates. Base jacks must not extend more than 400mm. Scaffold standards must be secure and
braced. All scaffold components must be in good condition, free of corrosion and not damaged.
3. Scaffolding shall be erected in such a way so as not to obstruct any throughway or access ladder.
4. Dangerous protruding ends of scaffold components must be identified clearly to warn employees of the danger.
5. Do not allow material closer than 2m from scaffold when being hoisted by crane. Guide ropes to be used.
6. Scaffold platforms higher than 2m above the ground must be provided with handrails and kick/toe boards.
7. Scaffold is to tie to existing wherever possible.
8. If the scaffold cannot be tied to a structure, correct bracing and propping must be done.
9. Heavy equipment/material must not be placed on scaffold platforms unless the scaffold has been designed to hold the weight.
10. Area on ground level below scaffold must be kept free from rocks, material, rubble and debris.
11. During erection and dismantling of scaffold, employees not involved must be kept away from area.
12.
13.
14.
15.
SUPERVISOR : WORK FORCE :
LIST ANY SUB-CONTRACTORS TO BE USED
1.
2.
3.
4.
5.
PERMITS REQUIRED ASSESSMENT CONSIDERATIONS
Plans approved. Possible weather conditions.
Pavement / road usage. Hazardous chemicals.
Fencing / hoarding. Noise control.
After hour working. Dust control.
Excavations. Manual handling.
Demolition / waste removal / dumpling. Off-loading / stacking.
Asbestos handling / disposal. Public safety.
Lifting machine. High / medium risk work procedures.
Environmental. Facilities and PPE needs.
Flammable storage. Other.
Hot work.
Other.
 DATE: ASSESSMENT NO:
SECTION:- Scaffolding
ASSESSED BY:
SIGNATURE: REVIEW DATE:

EFFECT OF HAZARD S = SEVERITY L = LIKELIHOOD F = FREQUENCY S+L x F = RISK RATING

DAMAGE &
INJURY & HEALTH
I = INJURY ENVIRONMENT 0 to 6 = Trivial
No exposure 0 Unlikely 1 Less than once per month 1
H = HEALTH Delay only 0 7 to 12 = Moderate
Minor injury/illness 1 May happen 2 More than once per month 2
D = DAMAGE Loss 1 13 to 18 = Serious
Disabling injury/ illness 2 Certain or imminent 3 Every shift 3
E = ENVIRONMENT Major loss 2 19 to 24 = Critical
Fatal injury/illness 3
Public exposure 3

SOURCE OF HAZARD: EFFECT RISK RATING

What can cause injury / Result of cause (Injury / Preventative measures Controls (tests,
Activities / Plant / Materials / Process
S L S+L damage? damage) (Tools, PPE, equipment) checks) / Training
No.
 Always use scaffold safe
or unsafe for use signs,  Weekly inspections
employees must wear to be done and a
safety belts. Kick register to be kept up
 Scaffold can collapse;
boards must be placed to date. Inspections
 Scaffold may only be erected, altered or scaffold planks/boards
 Injuries to all parts of the on all scaffolds to must also be done
dismantled under the supervision of a I 3 2 5 may break or give way;
body, damage to property. prevent items falling off, after bad weather
competent person appointed in writing. employees may fall of
only use scaffold if (rain, strong wind) or
scaffold.
competent person has after any part of the
inspected the scaffold scaffold has been
and a safe to use sign altered.
displayed.
 Lose or weekly braced
 Scaffold build on gravel or sand must scaffold will collapse.  Report unsafe scaffolds
have sole plates. Base jacks must not Jacks extended too far to supervisor imme-
extend more than 400mm. Scaffold do not make sufficient  Injuries to all parts of the diately. Do not work on
 Charge hand, super-
standards must be secure and braced. H 3 2 5 contact with standards body and damage to an unsafe scaffold.
vision to inspections.
All scaffold components must be in and therefore cannot hold property. Only use scaffold if a
good condition, free of corrosion and the weight. Damaged safe to use sign is
not damaged. scaffold components can displayed.
break.
 Safe and convenient
 Supervisor must
 Scaffolding shall be erected in such a  Employees may be access for all
plan access to site
way so as not to obstruct any D 3 2 5 injured when attempting  Injury to all parts of the body. employees to their
areas before
throughway or access ladder. to gain access. place of work must
erecting scaffolding.
remain a priority.
  Try to eliminate
protruding edges, if not
 Dangerous protruding ends of scaffold  Supervisor to be
 Sharp edges and possible warning signs
components must be identified clearly E 3 2 5  Head, eyes and leg injuries. aware of the problem
protruding edges. and banners must be
to warn employees of the danger. and control it.
put in place to warn
employees.
 Crane operator and
 Do not allow material closer than 2m  Can get entangled with
 Injury to employees and banks man to control all  Supervisor to
from scaffold when being hoisted by Sum 20 scaffold structure and
damage to property. lifting procedures – use control.
crane. Guide ropes to be used. cause collapse.
a guide rope.
 Employee could trip and  All scaffold planks and
 Scaffold platforms higher than 2m fall off platform, kick kick boards to be well  Competent person
 Injuries to all parts of the
above the ground must be provided X Frequency 1 boards prevent items secured to scaffold to check scaffold
body. Damage to property.
with handrails and kick/toe boards. falling down to ground structure to prevent weekly.
level. displacement.
 Collapse of scaffold if not  Scaffold to be securely
 Charge hand, super-
 Scaffold is to tie to existing wherever tied to structure causing  Injuries to all parts of the tied to structure. Only
S+LxF= 20 visor to do inspec-
possible. employees to fall and body. use scaffold if a safe to
tions.
damage to property. use sign is displayed.
 Use cross bracing,
 If the scaffold cannot be tied to a  Charge hand, super-
 Collapse of scaffold if not  Injury to all parts of the body diagonal bracing and
structure, correct bracing and propping H 3 2 5 visor to do inspec-
braced adequately. and damage to property. outriggers to support
must be done. tions.
the scaffold.
 Consult competent  Supervisor to be
 Collapse of scaffold
 Heavy equipment/material must not be person regarding safe aware of the problem
causing employees to fall
placed on scaffold platforms unless the  Injury to all parts of the body working load of scaffold and control it.
Sum 20 or materials and
scaffold has been designed to hold the and damage to property. prior to loading material Advise employees of
equipment to fall to level
weight. and equipment onto safe load on
below.
scaffold. scaffolds.
 Falling person may fall
 Area on ground level below scaffold onto rock or materials.  Injury to employees (neck  Keep area below
 Supervisor to control
must be kept free from rocks, material, X Frequency 1 Ground below may cause and spinal) and damage to scaffold clean and free
housekeeping.
rubble and debris. danger to stability of property. of rubble at all times.
scaffold sole plates.
 Supervisor to en-
 During erection and dismantling of  A falling scaffold  Display scaffold unsafe sure that sign has
scaffold, employees not involved must S+L xF= component may cause  Injury to body parts. for use sign. Barricade been changed and to
be kept away from area. injury. the area. control other
employees.
    