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F12
2. Work Location : NEW ABB LAYDOWN Engineer, Supervisor, Electricians and Helpers.
(Near to existing GIS building)
Proposed Starting Date :
Yes No Yes No
7. Approvals
The completed Work Method Statement must be submitted at least seven full working days prior to the
commencement of activities.
Where the Work Method Statement indicates the use of Hazardous Substances, a Material Hazard Data
Sheet must be attached.
After the Area Owners approval the Work Method Statement shall be forwarded to EHS department for
approval
The approved Work Method Statement must be attached to the permit(s) to work and all persons involved
in the job instructed in its requirements.
Severity
Probability Low x1 Medium x 2 High x3
Significant Risk = High Risk (6-9) or Medium Risk (3-4) in terms of probability and severity
Tolerable Risk = Risk reduced to an acceptable level = Low Risk (1-2)
Residual Risk = Risk remaining after implementing recommended control actions (usually very minor).
8. Safety Analysis
Identified Hazard(s) Persons Exposed To Precautions and Plan of actions To Be Taken Severity x Probability =
Individual Activities To Associated With Activity Hazard To Remove / Control Hazards Risk
Complete Work. List In
Sequence of Activity Residual Risk
(Use Risk Estimator
Chart)
PREPARATION. Slips, trips and fall at Emal rep., Engr., Maintain housekeeping around in the
1x2=2
the same level. Supv. Elec, helpers. working area.
This sheet must be properly completed detailing all of the steps required to complete the job along with the sequence of events and each of the hazards
arising. Failure to properly complete the form will result in non-approval.
(Additional sheets to be used as required)
Product Name
Duration of Exposure
Frequency of Exposure
Controls to be implemented