Safe Work Method Statement

Project Name: Bluestar Project Address: 14th Floor, Godrej2, Vikhroli-East

Company Name: ANA Designs Pvt. Ltd. Company Address: 1A New india Chambers, MIDC central Rd, Andheri east. Mumbai
Engineer Name: Velu M Contact No: 9137177375

Trade: Design & Build Work Location: 14th Floor

Description of work
Hazardous Work Activity:
(Please tick relevant work activity) Х Energised electrical installation / services. Х Structural alterations / repairs with a potential for structural collapse.

√ Coring / Chasing / Cutting (no electrical power in the area) Х Works involving asbestos. Х Demolition of a load-bearing element of a structure.

Х Roof Access √ Working at heights (risk of falling more than 2 metres). Х Works in or near a 1.5+ metre shaft / trench (excavation).

Demolition / Strip-Out Works (that does not involve disturbing a

√ load bearing structure) Х Use, transport or storage of chemical, fuel or refrigerant lines. Х Works in or near a tunnel.

Х Shop Front Works (including glazing) Х Works near to or use of moving mobile plant. Х Works in areas exposed to extreme temperature.

Х Fire Services Х Works in or near a confined space. Х Works in or near water or other liquids with a risk of drowning.

Structural Work (all structural works including steel posts, beams

Х and concrete works) Х Tilt-up or precast concrete work. Х Construction diving work.

Х Works in contaminated or flammable atmospheres / areas. Х Works involving traffic corridors or other non-pedestrian traffic. Х Use of explosives.

Hydraulics work (all mains, waste water, sewerage, storm water

Х and hydraulic supply) Х Works carried out on a tower. Х Works on or near pressurised gas / piping.

Х Mechanical Work (all works related to air conditioning and lift services; pumps, pipes and ductwork related to other services structural work) Х Other

Tick the Personal protective equipment (PPE) requirements. Emergency arrangement details

Other Job
Specific PPE
Head Foot Hi-vis vest Hand Eye Hearing Fall arrest Fire/evacuation First Aid Pollution/spill
Hazardous materials: Are hazardous materials to be used? Yes No Is MSDS Available

Mention Specific controls required as per MSDS:

Permit required (tick below)

Permit to work confined spaces Excavation Permit LOTO

Hot-work permit Night work permit Height Work Permit Other

Person responsible for ensuring compliance with SWMS: Date of SWMS review:

What measures are in place to ensure compliance with the SWMS?

Person responsible for reviewing the SWMS control measures: Date SWMS received by reviewer:

How will the SWMS control measures be reviewed?

(SWMS control measures to be reviewed (and revised if SWMS Monitoring Record Reviewed when scope of work changes
necessary) if work tasks / methods change or unexpected
issues arise)
Reviewed during weekly / regular contractor meetings Site Inspection observations

Review date: Reviewer's signature:

Safe Work Method Statement

Version: 01 01/24/2025 Page 4 842664201.xlsx
 Inherent Risk Residual Risk
Potential Hazards / Risk Possible Control measures.
Description of Work Activity Risk before
Likelihood Consequences
Risk after
(What might go wrong?) Likelihood Consequences
controls (How do you stop it going wrong?) controls
Mobilization of manpower Personal injury, 1)Ensure Safety Induction Should be done for all
Material damage worker
Likely Minor Moderate 2) Required PPEs to be provided. Rare Moderate Low
3) Trained and experinced person to be mobilize
4)Screening to be done while mobilizing
5)PPE to be issued while mobilizing
Material Shifting Slips trips, 1) Tool box talk to be given.
Muscle strains, 2) Proper supervision.
Lifting of Excessive Weight Manually. Unlikely Major Moderate 3)Follow proper material handling technique’s Likely Insignificant Low
Fall of material 4)Avoid obstruction (Cables, materials, waste etc.) in
walkways
5) Ensure good housekeeping.
Mortar preparation Exposure of skin to wet & dry cement. 1) Use of rubber hand gloves, nose mask &
Slips trips. gumboots mandatory.
Exposure to chemical due to not wearing PPE. Rare Moderate Low 2) Tool box talk to be given. Possible Insignificant Low
Irritation to skin, eyes, nose. 3) Proper supervision.
4) Wash hands after using chemicals.
5) Educate user with respect to MSDS.
Block work Injury to body parts. 1) Obtain MSDS for the cementing materials & MSDS
Skin rupture. should be brief to all workers
Irritation to skin, eyes, nose Unlikely Moderate Moderate 2) Wear the required PPE. Likely Insignificant Low
Unsafe Storage of blocks 3) Correct posture must be imposed on workers for
Fall from height handling heavy bricks.
4) No bricks should be stored on scaffolds.
Plastering Work/applying Cement. Exposure of skin to wet & dry cement. 1) Use of rubber hand gloves, nose mask &
Muscle strains shoes mandatory.
Fall of materials Unlikely Moderate Moderate 2) Tool box talk to be given. Likely Insignificant Low
Improper access 3) Proper supervision.
Slurry of cement concrete 4)Follow proper material handling technique’s.
Injury to eye, body 5)Avoid obstruction (Cables, materials, waste etc.) in
Granite Cutting & Fixing Pinch Points. 1)Use leather hand glove.
walkways.
Muscle strains. 2)Follow proper material handling technique’s.
Fall of materials. Unlikely Catastrophic High 3)Secure the load while shifting on trolleys. Likely Moderate High
Electrocution. 4)Assign physically fit person to handle the loads.
Dust. 5)Electrical cables must be routed through ELCBs only.
Flying particles. 6)Inspect cable and tools before using for any defects.
Flooring Work Exposure of skin to wet & dry cement. 1) Use of rubber hand gloves, nose mask &
Slips trips. gumboots mandatory.
Injury to body parts. Unlikely Moderate Moderate 2) Tool box talk to be given. Likely Insignificant Low
Improper access. 3) Tool box talk to be given.
Fall due Slurry of cement concrete. 4)Follow proper material handling technique’s.
5)Avoid obstruction (Cables, materials, waste etc.) in
Water Proofing Exposure of skin to water proofing chemical. 1) Brief MSDS To worker before starting the job.
walkways.
Irritation to skin, eyes, nose 2) Proper Training should be provided
Inhalation Unlikely Catastrophic High 3) Provide PPE’s like nose mask, rubber gloves, goggles. Likely Minor Moderate
4) Tool box talk to be given.
5) Proper supervision.
Grouting Work Exposure of skin to cement 1) Brief MSDS To worker before starting the job.
Personnel Injury, 2) Proper Training should be provided
Use of tile cleaning chemical, Unlikely Moderate Moderate 3) Provide PPE’s like nose mask, rubber gloves, goggles. Likely Insignificant Low
Eye irritation, 4) Tool box talk to be given.
Skin irritation, 5) Proper supervision.
Inhalation. 6) If tiles cleaning chemical accidently comes in contact
Housekeeping Slip, trip, fall of Material due to improper stacking or fall of 1) Use
with of PPEs
eyes like pvc hand
immediately wash gloves, safety
with fresh shoes /
water.
material on body. gumboot, nose mask.
Fall of person. Unlikely Moderate Moderate 2) Proper training & proper supervision. Likely Insignificant Low
Caught in between materials. 3) Area defines for material stacking.
Exposure to dust. 4) Access to be cleared.
5) Waste disposal facility to be provided at site.

Safe Work Method Statement

Inherent Risk Residual Risk
Potential Hazards / Risk Possible Control measures.
Description of Work Activity
Version: 01 01/24/2025 (What might go wrong?) Page 4 (How do you stop it going wrong?) 842664201.xlsx
 Potential Hazards / Risk Possible Control measures.
Description of Work Activity Risk before
Likelihood Consequences
Risk after
(What might go wrong?) Likelihood Consequences
controls (How do you stop it going wrong?) controls

Safe Work Method Statement

Workers briefed on the hazard associated for the activity and control measures on safe execution.
I understand and agree to adhere to the contents of this method statement. I have attended the briefing that explained the safe way to execute the activity as per recommended control measures.
ID No Name of Worker Worker Signature ID No Name of Worker Worker Signature

Version: 01 01/24/2025 Page 4 842664201.xlsx

Version: 01 01/24/2025 Page 4 842664201.xlsx