Safe Work Method Statement
Project Name: Annual Preventive Maintenance of FDAS Address: One World Place Manila, 32nd St, Taguig, Metro Manila
Company Name: Resonanz Technical Group Inc Activity/Trade: ANNUAL PM OF FDAS
Address: Balibago, Sta. Rosa City, Laguna Office Contact No: (02) 584-4387
Supervisor Name: Rai Christian Almadin Contact No: 09777175722
Possible Hazards Person
Procedure (in steps) Risk Control Measures who will
(Identify the hazards associated with each step. Rating (Describe what action or procedure will be taken to ensure this
Examine each to find possibilities that (See eliminate or minimize the risk of injury or damage. Use the happens
(Break the job down into steps. Each could lead to an accident or potential harm below) Hierarchy of Controls below as a guide 1. Eliminate the
step should accomplish some major arising.) Hazard
task and be in logical sequence.)
2. Substitute the material or equipment
3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
1. Check and clean FDAS control panel - Electrocution in recording of line currents & voltages H - Ensure technician with proper trainings and proper use of tools (clamp tester,
- Working at height for possible of falling manifold gauge, infrared thermometer) to do the task
- Wear safety gloves and safety shoes
- Implement body-body system R. Almadin
- Must have the advice or assistance from the client to supervise before
conducting PM to avoid interruption on the area
2. Test disconnection alarm of primary and secondary - Electrocution in mishandling H - Wear safety gloves and safety shoes
supply - Wrong circuit breaker to be turn off - Must have the advice or assistance from the client to supervise before R. Almadin
conducting PM to avoid interruption on the area
3. Record AC & DC Voltages - Exposure to dust/ dirt during cleaning L - Ensure technician with proper trainings and proper use of tools (screw driver)
- Mishandling of the cover to do the task
- Damage of equipment if mishandled - Wear safety gloves, safety shoes and face mask. R. Almadin
- Proper handling and implement body-body system
4. Functionality testing and disconnection alarm of - Exposure to dust/ dirt during cleaning L - Ensure technician with proper trainings and proper use of tools (vacuum
all detectors, output devices. 25% of selected - Getting damp of the asset/equipment on the area cleaner) to do the task
zone - Wear safety gloves, safety shoes and face mask. R. Almadin
- Proper handling and implement body-body system
- Ensure to cover the FCU area to avoid getting wet of other equipment
E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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Safe Work Method Statement
Procedure (in steps) Possible Risk Control Measures Person
Hazards Rating who will
(See ensure this
(Break the job down into steps. Each (Describe what action or procedure will be taken to eliminate or happens
step should accomplish some major (Identify the hazards associated with each below) minimize the risk of injury or damage. Use the Hierarchy of
task and be in logical sequence.) step. Examine each to find possibilities that Controls below as a guide 1. Eliminate the Hazard
could lead to an accident or potential harm 2. Substitute the material or equipment
arising.) 3. Isolate the hazard
4. Implement Engineering control
5. Implement Administrative control
6. PPE
5. Testing and activation of manual pull station. - Exposure to dust/ dirt during cleaning L - Ensure technician with proper trainings and proper use of tools (vacuum cleaner) to do the
(alarm bell/horn flashing strobe) - Damage of equipment if mishandled task
- Wear safety gloves, safety shoes and face mask. R. Almadin
- Proper handling and implement body-body system
6. Check and verify operation and identification - Electrocution in mishandling H - Wear safety gloves and safety shoes
of annunciator - Wrong circuit breaker to be turn on - Must have the advice or assistance from the client to supervise before conducting PM to R. Almadin
avoid interruption on the area
7. Test flow switch alarm - Electrocution in recording of line currents & voltages H - Ensure technician with proper trainings and proper use of tools (clamp tester, manifold
- Working at height for possible of falling gauge, infrared thermometer) to do the task
- Wear safety gloves and safety shoes
- Implement body-body system R. Almadin
- Must have the advice or assistance from the client to supervise before conducting PM to
avoid interruption on the area
8. Reset system and check FDAS control panel - Damaged of equipment if mishandled L - Ensure technician with proper trainings and proper use of tools (vacuum cleaner) to do the
is in normal condition task
- Wear safety gloves and safety shoes R. Almadin
- Implement body-body system
9. Check dampers & flexible connection - Damaged of equipment if mishandled L - Ensure technician with proper trainings and proper use of tools (screw driver and allen key)
to do the task
- Wear safety gloves and safety shoes R. Almadin
- Implement body-body system
10. Check electric relays and associated - Damaged of equipment if mishandled L - Ensure technician with proper trainings and proper use of tools (screw driver and allen key)
controls to do the task
- Wear safety gloves and safety shoes R. Almadin
- Implement body-body system
11. Check the operation of controls - None L - Ensure technician with proper trainings and proper use of tools (screw driver and allen
key) to do the task R. Almadin
- Wear safety gloves and safety shoes
Personnel Summary
E - Extreme Risk: The hazard has the potential to kill or permanently disable a person H - High Risk: The hazard has the potential to cause a LTI ≥ 7 days
M - Medium Risk: The hazard has the potential to cause a LTI < 7 days L - Low Risk: The hazard has the potential to cause a minor injury that will not disable a person (ie: Nil LTI)
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Safe Work Method Statement
SUPERVISOR’S DETAILS
Supervisors Name & Qualifications: Name: Rai Christian M. Almadin
Experience: Facilities Management
Qualifications: Project Engineer
Supervisor’s Responsibilities: To ensure that the Safe Work Method Statement will be followed and executed.
To ensure the safety of all personnel in-charged as well as the assets affected.
In addition to the above, the supervisor is to provide training in the use of this SWMS, issue PPE and provide training in the same, supervise the
work, ensure conformity with this SWMS, amend the SWMS when additional hazards are found (and if applicable, ensure all workers receive a
toolbox talk to discuss the control measures for the additional hazards).
DESCRIPTION OF TRAINING THAT HAS BEEN GIVEN TO PEOPLE INVOLVED WITH THE WORK
H&S GENERAL INDUCTION: All workers must have successfully completed industry induction training
WORK ACTIVITY TRAINING: All workers need to have been trained in the activities outlined in this safe work method statement.
SITE INDUCTION: All workers are to be site inducted by the Principal Contractor, prior to commencing work on site.
OTHER: (List other training undertaken by workers): (eg: Confined Space, Manual Handling, Traffic Control etc)
TICKETS, PERMITS or LICENCES REQUIRED to undertake this work (ie. Certificates of Competency, Confined Spaces etc):
N.B. - Copies of the above must be shown to the Principal Contractor during site induction.
LEGISLATION, CODES OF PRACTICE and GUIDELINES applicable to this work
All work to comply with the location H&S Acts and Regulations and amendments, Workplace Injury Management & Workers Compensation Acts
Additional Codes and Standards applicable to this trade:
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Safe Work Method Statement
Equipment & Material Summary
PLANT and EQUIPMENT USED and MAINTENANCE FREQUENCY :
Serial Plant/Equipment Contractor Work Cover Plant Hazards
Registration No (if identified and Maintenance/service records and log books sighted
applicable) controlled within by Principle Contractor prior to equipment being
SWMS? used on site?
Yes No Sign Date
1 Ladder RTGI
2 Smoke Check RTGI
3 Rags RTGI
ELECTRICAL EQUIPMENT USED DURING THE WORKS (Attach Electrical Equipment Register if applicable):
Item Tag/Item Testers Name & Signature License Number Test Date Result Test Date Result
Number
____ /____ /____ ____ /____ /____
HAZARDOUS SUBSTANCES or DANGEROUS GOODS USED IN THE WORKS and anticipated volumes (Attach MSDS if applicable):
MSDS
Purpose Location & Volume Used Controls (& PPE to Attached
Date on Site Date Left Site Product Name MSDS Date
(ie. Application on site) on Site be worn) (Y/N)
/ / / / / /
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Safe Work Method Statement
N.B. - All workers must be trained in the safe use of all chemicals and provided with the PPE required when using and storing these chemicals. Disposal is to be as per the waste disposal methods in
the MSDS. Spillage and leaks are to be cleaned up as per the spill/leak procedures identified in the MSDS.
We agree that we have been consulted in the hazards and control measures and agree to complete the work in accordance with our Safe Work
Method Statement (SWMS).
We have been provided with training in all tasks outlined in our SWMS and in the Codes of Practice applicable to our work.
Employee / Worker Signature Date Employee / Worker Signature Date
1. Rai Christian Almadin / / 14. Carmilyn Joy Tapel / /
2. Alex Del Rosario / / 15. Rolando Daluz / /
3. Danilo San Gabriel / / 16. Ramillo Tabanez / /
4. Jay Miravelles / / 17. Hans Castillo / /
5. Kent Escobedo / / 18. Quintin Calapit / /
6. Bingbong Tinawin / / 19. Mark Anthony Sentillas / /
7. Roi Lanzanas / / 20. Jepti Quito / /
8. Joseph Gerona / / 21. Michael Bondad / /
9. Melvin Mesa / / 22. Leo Gabion / /
10. Aramay Garcia / / 23. Marck James Bueno / /
11. Jesus Mocorro / / [Link] Catindig / /
[Link] Ventero / / [Link] Miranda / /
[Link] Cloma / /
Reviewed by: Rai Christian Almadin Signature: Date:
(Principal Contractor’s Representative)
Any changes, additions or deletions made to this SWMS are to be covered with the above personnel and the Principal Contractors representative at a Toolbox
meeting (Record date and time of Toolbox meeting below):
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Safe Work Method Statement
Date: Time:
Comments:
A copy of the Toolbox Meeting must be attached to this SWMS.
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