RA # Project # Location Gardens-03 Method Statement #

Activities: Coring and Dust Sampling

Job
Hazard Initial Risk Controls Residual Risk
steps
Hazard Likelihood of Likelihood of Risk
Hazard Description and Effect Population at Risk Risk Rating List all Controls Required Hazard Severity
Severity Occurrence Occurrence Rating
Describe all hazards identified
Name all types of From matrix, From matrix,
and their effects for each task Classify Describe fully all controls applicable for each hazard e.g. if From matrix, From matrix, Classify
personnel at risk. identify identify
Separate the job (from Hazard ID checklist and risk rating PPE is used as a control, it must be specifically described. identify identify risk rating
severity likelihood
into individual based on observations and from If a control can only be verified by documentation then it severity likelihood from
Remember to include with no with no
tasks and record experience) matrix for must be available. with controls in with controls in matrix for
people outside the controls in controls in
in sequence Note: Additional hazards may each All controls must be valid in that they reduce severity, place for each place for each each
work party who may place for each place for each
be caused by interaction with hazard. likelihood or both. hazard. hazard. hazard.
be affected. hazard. hazard.
other work.

Ensure Manual Handling training is in

place.

Use Manual Handling

Manual
techniques in lifting heavy
Handling Muscle Pain
FME- equipment e.g. two people must carry
of concrete Back Pain, 3 C C3 1 C C1
Technicians this coring machine to divide the total
coring Back injury
weight of this machine thus making it
machine
lighter and easier to carry; or use
mechanical handling.

Reference: Manual Handling (2009)

WIM 205. Rev.1, p1 - p3.
Only trained and authorized
Concrete person must operate this machine.
coring FME-
Muscle pain 3 C C3 1 C C1
machine Technicians Reference: Manual Handling (2009)
operation WIM 205. Rev.1, p1 - p3.

FORM #: FO-HS-014 ISSUE NO:04 REV NO:03 REV DATE: 29th April ‘15 AUTHORISED BY: F. HASSAN
 Visually inspect the wires and cables for
any defects or ties to avoid short circuit.

Concrete Technicians must keep the electrical

coring FME- cord away from moist surface to prevent
Electrocution 3 C C3 1 C C1
machine Technicians its accidental contact with water which
operation can cause electrocution

Reference: Electrical Appliances (2009)

WIM 203. Rev.1, p1 – p6

Wear appropriate PPE’s

according to the job
descriptions like dust mask, gloves and
goggles.

Concrete Ensure that there is a proper protection

Dust / Spill Of Drilling
coring FME- on the area to prevent water spillage on
Fluid 3 C C3 1 C C1
machine Technicians the floor. Place polyethylene material on
Environmental affect
operation the wall or in the floor prior to coring
operation.

Reference: Personal Protective

Equipment (PPE) (2009) WIM 204. Rev.
1, P1-11.

FORM #: FO-HS-014 ISSUE NO:04 REV NO:03 REV DATE: 29th April ‘15 AUTHORISED BY: F. HASSAN
 Continuous use of machinery must be
minimized
Concrete
coring Coring noise FME-
2 C C2 Wear appropriate PPE’s 2 B B2
machine Environmental affect Technicians
Like ear muffs
operation
Reference: Personal Protective
Equipment (PPE) (2009) WIM 204. Rev.
1, P1-11.
Ensure scaffold platform is erected and
inspected by the authorized personnel.
All tools must be secured
Only trained personnel to work on
scaffold platform
Workplace supervisor is responsible for
ensuring the safe access from ground to
work area
Working at
Personnel / objects FME- Continuous monitoring by the supervisor
height on
Fall from height/ Technicians / 4 C C4 Restrict other parties entry into 1 C 2B
scaffold
Property Others workplace without PPE like hardhat,
platform
safety shoes and goggles
Wear appropriate PPE like hardhat,
gloves, safety harness, goggles and
safety shoes

Reference: PR-HS-09 (working at height),

FS-06 (Work at height - Mitigation
measures)
Working Ensure all personnel are aware the risk
Damage to live Other Party
near 2 B B2 involved in workplace 1 B B1
utilities Property
Utilities Close monitoring by the supervisor

FORM #: FO-HS-014 ISSUE NO:04 REV NO:03 REV DATE: 29th April ‘15 AUTHORISED BY: F. HASSAN
 Ensure access and egress are free from
obstruction
Working Conduct TBT to ensure all employees are
Slip, Trip & Fall FME-
near 3 C C3 aware of the hazards in work place and 1 C C1
injuries Technicians
Utilities emergency procedure
Wear appropriate PPE like hardhat,
goggles, safety shoes
Maintain good housekeeping.
Oil spills to be cleaned up immediately
and spill kit deployed in event of spill.
Awareness and compliance of contents
Concrete coring FME- and control measures of the material
3 C C3 1 C C1
Environmental affect Technicians COSHH assessment. (Client to provide
the details of concrete and chemicals
used)
Drip try to be available

Assessor’s Name(s) Assessor’s Signature/Team Members Date 25th Feb 2019 Time

Jennifer De Leon Location Dubai Office Ref No FME-HSE RAL 06

Reviewed by Farhan Hassan Date 25th Feb 2019

Likelihood

FORM #: FO-HS-014 ISSUE NO:04 REV NO:03 REV DATE: 29th April ‘15 AUTHORISED BY: F. HASSAN
 A – Very unlikely B – Unlikely C - Possible D – Likely E – Very Likely
(a freak combination (a rare combination of (could happen when (not certain to happen (almost inevitable
Hazard Environmen of factors required for factors would be additional factors are but an additional factor that an incident
Reputation Assets People incident to result) required for an incident present but otherwise may result in an would result)
severity t to result accident)
unlikely to occur)

Little or no actual or 1 – Slight health

1- Slight damage,
1. Slight Slight Impact
less than €25000
potential for effect/injury A1 B1 C1 D1 E1
damage. (First Aid)
Within site
2 – Minor boundary, short 2 – Minor health
2. Minor Limited Impact damage, €25,000 term impact effect/ injury A2 B2 C2 D2 E2
– 100,000 recoverable by the (RWC MTO)
work site
Beyond the site
3 – Major boundary unlikely to 3 – Major health
Considerable damage, last beyond 1
3. Major Impact €100,000 – month. Recovery
effect/ injury A3 B3 C3 D3 E3
may require (DAWC
500,000
external aid.
Beyond the site
4 – Severe boundary unlikely to 4 – Permanent
damage, last beyond 12
4. Severe National Impact
€500,000 – months. Recovery
Total Disability or A4 B4 C4 D4 E4
requires external single fatality
1,000,000
aid.

Massive
uncontrolled
5. 5 – Extensive release with 5 – Multiple
International
Catastrop Impact
damage, greater significant impact serious injuries or A5 B5 C5 D5 E5
than €1,000,000 extending well fatalities
hic beyond the site
boundary.

FORM #: FO-HS-014 ISSUE NO:04 REV NO:03 REV DATE: 29th April ‘15 AUTHORISED BY: F. HASSAN