SAFE WORK MATHOD STATEMENT PENTAGON SWMS - 11

Project Name and Address OMNICOM

Mount Poonamalli road , Porur , Chennai - 600116
Company Name and Address PENTAGON EL MECH SOLUTION PVT LTD
Svsnagar, valasarvakkam, Chennai - 600087
Project Manager Mr. Ramachandiran
Contact No. 9962242422
Site Mr. Rajadhurai
Engineer 9842082077
Contact
No.
Safety Mr. Vignesh
Engineer 8220136589
Contact No.

Hot work Excavation work LOTO Roof Work

Type of permit to Height work Confined Space Demolition Pressure Test
work involved
Opening barricade Opening Pit Radiography Test Safe work
 Mention any
Mandatory PPE other Mandatory
PPE:
Safety High Visibility Safety Shoes Safety Glasses
Helmet Vest
with Chin
Strap

Task/
Area Specific Cut Resistant Heat Cotton Chemical Leather Cut Cut Heat Leg Arm Half Heat Fleece Safety Ear Face DustMask
Guard Guard Top Belt Plug Shi
PPE Gloves Resistant Gloves/ Resistant Gloves Resis Resistant Resis Mask Resis
Gloves Abrasion Gloves tant Apron tant Respi tant eld
resistant Sleeve Sleeve rator Hood

Mention any other Task/Area Specific PPE:

Mention Emergency Equipment Required (other than
First Aid Box/Fire Extinguisher):
[F] ENCLOSURES
Sl.No Enclosures Ye NA
s
1 Diagram/Sketch of Detailed Sequence of Steps/Tasks for carrying out the Lifting Job
2 Test certificates of Lifting Machine, Lifting Tools, Tackles, Safety Harnesses
3 Competency and Medical Fitness Certificates for Specialist/Trade Experts
4 Rescue Plan (Provision and access to bring injured personnel down in height work/confined space)
5 Copy of MSDS (Material Safety Data Sheet) if applicable
[G] APPROVAL
Safe Work Method Statement shall be reviewed every year or in the event of any concern during work or if there is an incident which makes existing Safe Work
Method Statement Ineffective. If work activity changes or deviates from that originally envisaged, further review is required and an amended method statement shall
be prepared to ensure adequate controls in place and communicated prior to start of work.
Prepared By Reviewed By

Name & Designation: VIGNESH.R Name & Designation:

Signature & Date: 13/12/2023 Signature & Date:
 SAFE WORK MATHOD STATEMENT

PersonnelSummary
SUPERVISOR’SDETAILS
Supervisors Name& Qualifications: Name: Rajadhurai
Qualification :BE
inMechanicalExperience: 4+
years/ 5+years
Supervisor’s Responsibilities: Inadditiontothe above,the supervisoristoprovide traininginthe use ofthisWMS,issue PPEandprovidetraininginthe same,supervise
thework,ensureconformitywiththisWMS,amendtheWMSwhenadditionalhazardsarefound(andifapplicable,ensure allworkersreceiveatool-
boxtalktodiscussthecontrolmeasuresfor theadditionalhazards).

DESCRIPTIONOFTRAININGTHATHASBEENGIVENTOPEOPLEINVOLVEDWITHTHEWORK
H&SGENERAL INDUCTION :By Mr. VIGNESH& RAJADHURAI

WORKACTIVITY TRAINING : By Mr. RAJADHURAI

SITE INDUCTION: By Mr. VIGNESH & RAJADHURAI

OTHER:(List other training undertaken by workers):

TICKETS,PERMITSorLICENCESREQUIREDtoundertakethiswork(i.e.CertificatesofCompetency, Confined Spaces etc):

N.B.-Copies of the above must be shown to the Principal Contractor during site induction.
LEGISLATION, CODES OF PRACTICE and GUIDE LINES applicable to this work

All work to comply with the Tamilnadu H&SActs,RegulationsandAmendments,WorkplaceInjuryManagement,WorkersCompensationActsandBOCW acts

Additional Codes and Standards applicable to this trade:

 SAFE WORK MATHOD STATEMENT

Risk Procedure(insteps) Possible Hazards Control Measures S P Risk Risk Person who
id (Break the job down in to steps (Identify the hazards associated with (Describe what action or procedure will be taken to (SXP) Level will ensure
no .Each step should accomplish each step. Examine each to find eliminate or minimize the risk of injury or damage. Use this
some major task and be in possibilities that could lead to an the Hierarchy of Controls below as a guide) happens
logical sequence.) accident or potential harm arising.) 1. Eliminate the Hazard
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control PPE

DUCT CUTTING
Obtaining work Permit
1. Duct cutting. Fall risk during work. Need to wear hand gloves ,while
Cut injury. cutting the duct.
High noise. All hand tools must be checked
Material fall. before its use. Site
Scaffold collapse. 40 4 160 Medium engineer
Ensure suitable firefighting
Cut injury. /supervi
Fire hazard. equipment’s,
All materials should be kept inside the tool kit. sor
Only trained and experienced person
engaged the cutting.
The area should be barricaded to prevent
unauthorized entry.
Using PPE’s
(Hard Hat, Safety shoes, face shield ,Hi
Visibility jackets, Gloves, FullbodyHarnesswith
doublelanyard)