SAFE WORK MATHOD STATEMENT PENTAGON SWMS - 21

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 Top Belt Plug Shi
PPE Gloves Resistant Gloves/ Resistant Gloves Resis Resistant Resis Guard 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

Personnel Summary
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

Ris Procedure(insteps) Possible Hazards Control Measures S P Risk Risk Person who
k id (Break the job down in to (Identify the hazards associated with (Describe what action or procedure will be taken to (SXP) Level will ensure
no steps .Each step should each step. Examine each to find eliminate or minimize the risk of injury or damage. Use this
accomplish some major task and possibilities that could lead to an the Hierarchy of Controls below as a guide) happens
be in 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

WASTAGE REMOVAL
Separate the wastage sand store it separately in
1. Removal of wastages Dust isolated area.
From the site Chemical contact To avoid spillage pack the chemical
Chemical spillage containers in a separate plastic bag.
Crushing Don’t lift too much of weight. Site
Slip & trip. Cleaning the wastages in 2 1 2 Medium engineer
regular interval. /site
All scrap material use for supervis
recycle. or /
safety
Using PPE’s
(Hard Hat, Safety shoes, Hi Visibility jackets, officer
Gloves, Mask, Goggles)