Risk Assessment and Method Statement
General Information [A]
Job Task Description: Site Location Address:
Project Name: C Project Number:
Job Start Time/Date: Job Finish Time/Date:
Document Revision: Document Expires on:
Project Manager (Name and Safety Officer (Name and Tel.):
Tel.):
First Aider (Name and Tel.): Location of Nearest Hospital:
Person in Control of Work Person in Control of the
Activity: (Schneider Electric or (Electrical) Installation:
Contractor)
Potential Business Impact, on
continunity of service, if steps
are not followed:
Written by: Date Date Functional tests Date Additional Notes:
Approved by: complete
How to use this document [B] Point Of Work Risk Assessment (POWRA) [C]
1. The Person in Control of Work Activity reviews this document with the Complete the POWRA:
workers and makes any needed changes to match this reference 1) before starting work every day.
document to the planned work. 2) when significant changes take place in
2. They and the workers sign this document to record the completion of the the work environment which introduce
review. new hazards.
Risk Assessment Matrix [D] Identify High-Risk Activities [E]
Working at Height Confined Space Electrical Chemical Risk Lifting Equipment
Yes Yes Yes Yes Yes
No No No No No
Hot Work Confined Space Excavation Electrical Pressurized System General Permit
Permits Required
Required Personal Protective Equipment [F]:
Safety Boots Hard Hats Safety Gloves Eye Protection Respiratory Protection Hi-Viz Ear Protection
Yes Yes Yes Yes Yes Yes Yes
No No No No No No No
Additional PPE, if Required: N/A
SAFETY PRECAUTIONS [G]
BEFORE PROCEEDING WITH INSTALLATION, READ THE FOLLOWING:
• Pressurized systems of chilled water of gas must be isolated, LOTO process applied before working on the installation.
• If access to a roof is required then safety precautions on roofs must be followed.
• Check that the person in charge of the installation has implemented measures to control legionnaires disease.
• Protect against the hazard of frost burns, from leaks of refrigerant, when working on refrigerant installation.
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Step by Step Procedure [H]
Hazard Risk
Tasks Picture Control Time Sign-off
/ Icon Rating
(L/M/H)
- Complete the POWRA before starting work every day.
- Modify this document (RAMS) if there are any changes in planned work activity.
Prepare: Fall If the chiller is located on the Medium
1. Review Scope of Work and installation procedure from roof, check that there's a safe
with the Customer. Height access and edge protection on
2. Get the required permits. the roof.
3. Prepare the laptop, along with the cables to connect
it to the pCO controller of the chiller.
Risk Assessment:
1. Review single-line diagram(s) and inspect work area.
2. Fill in the Risk assessment and check all required
mitigation principles are in place.
Review the BCWC Documentation:
1. Installation manual Ref. 990-9224B-001 /
06MM0423@00C0100, Release Date 03/2021 or
later.
2. Electrical Diagram Ref. 06SES3486_H
3. Hydraulic Diagram Ref. 06SPS0698
Isolate the power supply Electric Verify visually that there are no Medium
1. Open chiller door, shock/ar exposed electrical conductors
2. If plastic protective covers over live terminals are c flash inside the electrical panel.
missing, isolate and LockOut/TagOut the electrical
supply.
3. Fit the missing plastic protective covers and
proceed with the next step.
NOTE: LOTO requires each worker to apply their own
locks on every isolation device.
Prepare the Work Area Same Evacuate all external parts. Low
1. Verify that there is enough space in the work level
area to complete the testing works. fall
2. Verify that there is enough space and that
the safety distances around the Chiller comply
with Schneider's requirements.
3. Check that all works from General contractor are
completed (CSA, Mechanical and Electrical).
4. Environment and equipment area must be clean
and safe, ready for energization.
Torquing checks (only internally). Hand Tightening as per Medium
1. Electrical torquing. Tools manufacturer
2. Hydraulic torquing recommendations.
(Evaporator + Adiabatic).
Chiller equipments and control are installed and available
1. Remote ON / OFF contact:
2. Pump + VFD control (external control) :
3. Adibatic hydraulic circuit:
Control cables Electric Verify visually that there are no Medium
1. installation and connection to be checked for shock/ar exposed electrical conductors
Evaporator c flash inside the electrical panel.
+ water pump.
2. communication cables to be checked.
External earthing is connected and tested (CLEMESSY)
Monitoring and control (BMS / PMS) systems installed and
available
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Beside standard settings, specific project settings and
alarms have been agreed (temperature, etc…).
Commissioning Noise Wear ear protection during tests. Medium
1. Performing the tests according to the cooling start-
up script.
2. functional check is completed for all modes of
operation (with heatload / power failure / generator
start).
- perform multiple starts in different
configuration according to cascade
managment,
- restart after power failure,
- Quick start,
- Fine-tune PID,
- Alarms,
- communication,
- HP test on the refrigeration circuit,
- Leakage test on the refrigeration circuit.
Unit configuration
1. Record firmware version,
2. Record IP Address,
3. Ensure Time is synchronized to server,
4. Apply Interxion standard configuration of units.
Final Actions
1. Attach the relevant files (including completed
service report) to the Work Order.
2. Verify the Customer has signed and dated
the report (below), indicating the procedure was
completed to the satisfaction of the Customer.
SIGN OFF SECTION [I]
Persons working on this job are required to sign this sheet, after understanding the contents of this method statement and its associated risk assessments.
Print Name/Surname Signature
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