COMBINED METHOD STATEMENT and RISK ASSESSMENT

Task Planning
Permit/Work Order No: Name of Company: Department: Date:
SENYAR CIVIL 17/08/2023
Task Description:
Dismantling of two Warehouses.
Using mobile crane & man lift. (PR – 7727)

Emergency Action Plan (Risk Management)

Area / Unit / Building Name (please Exact Work Location:
specify): OLD WAREHOUSE, Near MACC DINER

Emergency contact number/s: Nearest Evacuation Route:

Dial 911 (from a landline phone) Should be identified prior of work start
Dial 012-8080911 (from a mobile phone)
Nearest Assembly Area: Safety shower / eye washer located  Yes  No
Should be identified prior to start the activity Where? N/A

Communication
Stop work conditions (reminders)
Adjacent work hazards
Chemical spills or releases Excessive noise Fires and explosions

Fire/Toxic Gas Evacuation

Change in conditions Extreme weather Unusual odors
alarm
Supervisor and worker comments / change in conditions:

Approvals/ Print Name KAUST ID# Mobile Signature Date

Review Number
Project PTW
Receiver Saddam Hussain 194830 0539244542 17/08/2023

Contractor 0509666275 17/08/2023

Mohammad
Project 176683
Hisabuddin
Engineer
Contractor 17/08/2023
Safety Ahmed Zahoor 188336 0509533789
Representative
PDEC _ Project Mohammad
188336 0541502230
Manager Lead Yaseen
PDEC HSE
Jamie Macaraeg 156253 0535205345
Specialist

Page 1 of 20
 DEPARTMENT NAME POSITION BADGE/ID NO. DATE

EXACT WORK LOCATION:

OLD WAREHOUSE.

Supervisor Details:
Name Company BADGE /ID Qualifications Yrs. Of
No. Experience in
Role

Operatives Details
Name Company Badge/ID No. Trade/skills Yrs. of
Experience in
Role

Page 2 of 20
 RISK ASSESSMENT MATRIX

Damage Injury

4 4
Total Fatality 4 8 12 16
Failure

3 3
Major Major 3 6 9 12
OUTCOME

2 2
Minor Minor 2 4 6 8

1 1
Nil No Injury 1 2 3 4

1 2 3 4
Unlikely Possible Probable Definite

PROBABILITY

RISK = PROBABILITY x OUTCOME

* Probability means the likelihood of something going wrong.

* Outcome means the result when something goes wrong.
* The simple Matrix below allows calculation of risk even for non-skilled operatives

METHOD STATEMENT

A Method Statement is an agreement between the workforces, Service Provider and the Person or Organization
requesting the work and that the work being undertaken is being managed and any risk is mitigated to an acceptable
level.
The method of work must be clearly communicated and understood by all parties involved. Operatives undertaking the
works the works supervisor and line managers must sign the document as agreement with the method of works.

It must be noted that more than one method statement may be required for any sequence of works.
Method statements and risk assessments go hand in hand, as the method of work is dictated by the risks identified, and
the risk is identified by the proposed method of work.

When conducting risk assessments in the first instance all built in safety experience must be ignored. This will allow
identity of the risks associated with what work is proposed. Then methods of work can be developed to reduce risk to an
acceptable level.

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  MOS:
Dismantling and complete removal of two warehouses.
Civil / Architectural: -
 Dismantling of two warehouses.
 Removal and proper disposal of debris as per KAUST Standards.
 Maintain a high standard to avoid damage to other utilities or improvements and to provide safety and
convenience for the public and is not intended to interfere with the utilities type of construction or equipment
used.
- Maximize protection of the public and work force during construction.
- Minimize inconvenience and disruption to adjacent land users.
- Provide quality job exercise.
- Minimize future maintenance cost.
- Barricade & secure the areas affected as per KAUST Safety & Security Policies
- Mark all affected areas.
- Clear and clean the site.
 It is necessary to support and protection, on all affected and not affected by demolition, temporary and/or
permanent, prior, during and after project commencement based on actual site condition.
 All labour, materials, including, scaffolding and appliances necessary for the completion of the projects.

General scope: -

 Securing of permits and RAMS.

 Mobilization of machinery
 Mobilization of Man power & Equipments
 Barricading of Area
 Dismantling of Roof sheets using man lift and Crane
 Securing of beams with slings attached to the Crane
 Un-securing of beams
 Cutting of Beams/material
 Dismantling of steel structure
 Loading and Unloading on dump truck
 Clearing and Cleaning of area from debris and material
 Demobilization of machinery
 Closure of Permits and Project

Prior to any works commencing on site a Site

 Specific Method Statements will be prepared by the contractor for all the elements of the work on each location.
These method statements will outline precisely how will approach and carry out the works associated with the
project.
 These method statements will be submitted to the KAUST Representative for approval, work will not commence
prior to the relevant method statements being approved.
 Contractor shall verify all locations, site conditions and dimensions prior to any project commencements.
Removal of services
 All affected utilities shall be coordinated to the concerned trades.
 Prior to demolition works all services will be identified on site with reference to the site investigation, topographical
and utility surveys with additional investigation works carried out as required.
 All services on site will be disconnected, diverted, or removed as per site condition and as per approval of KAUST
representatives.
Demolition of existing structure
 Prior to demolition works a full structural review of the existing structure will be carried out to review the stability
of the existing structure and to assess the temporary measures such as propping that will be required during the
demolition stage. These measures will be provided to ensure the structure is demolished in a controlled manner and
there is a negligible chance of an unplanned structural collapse.
 Prior to demolition works a soft strip of the structure will be completed to remove any loose fixtures and fittings.
Once the property has been cleared back to its base shell demolition will commence. Demolition will take place
from the top down starting with removal of the lightweight steel roof. Any temporary propping or crash decks
required will be designed by suitably experienced chartered design engineers with a proven record in temporary
works design. The structure below will continue to be carefully demolished using hand tools to cut the structural

Page 4 of 20
 members, such as the steel columns/trusses or RC floor/beams, into manageable sections for easier removal. Road
saws or other suitable equipment will be used rather than using mechanical breakers where possible. Steel
members can be dismantled and removed where feasible.
Minimizing risk of collapse
 Following on from the soft strip out of the structure a more thorough assessment of the structure will be completed
by the demolition engineers. This will confirm the assumptions made heretofore and will inform on any particular
risk that needs to be accounted for.

Steps to avoid unexpected Collapse

 The corrugated sheet on the roof and walls will be unscrewed/dismantled using power and hand tools on
manlift/mobile scaffold.
 Small beam supporting the main beam will be cut using power tools and gas torch, the main beam will be supported
by mobile crane after calculating centre of gravity to stabilize the structure.
 The walls are then ties with ropes from inside of the structure to avoid fall of walls. The supports must be given to
the walls from both sides (inner and outer) with wooden logs and/or steel pipes.
 The main beam will be dismantled and settle down on the ground using mobile crane, two taglines must be
attached to hold the load.
 The walls are then dismantled into pieces while having the supports from both sides of the walls. Walls are the
settle down using mobile crane. This procedure will be repeated for all four walls.
 The dismantled material is to be cut in pieces to transfer outside of KAUST premises.

The following is a high-level method statement for the demolition of the structure.

Warehouse 1:
 Top down method shall be implemented for the demolition.
 Steel structure and roof dismantling shall be carried out stage by stage without affecting the structural stability.
 Roof shall be dismantled at first. The removal order shall be roof tiles and other roof partitions then battens and
finally rafters to follow using mobile crane.
 Then the structural elements shall be dismantled. The dismantling area shall be identified and be checked on the
discontinuity of structural system prior to dismantle.
 In the case when structural stability of beams is affected, the affected beams shall be propped prior to loss of
support or restraint. Propping shall be provided until the confirmation of structural stability
 The demolition order for the super structure shall be secondary beams, main beams and finally columns.
 Gas cutting shall be used if necessary to disconnect welded joints. It may also require to cut the welded joints using
angle cutter. The dismantling will also require to work at height using manlift / mobile scaffold.
 Once superstructure is removed, floor demolition shall be started.
 Floor slab shall be demolished by gradually breaking away from the edge of slab.
 The reinforcement shall be remained and be cut off after the concrete is broken away.
 As the final process of the demolition, substructure shall be removed. First the stumps then footings shall be hacked
away. If require, an excavator shall be provided to remove the footing.
 Any holes/pits found shall be immediately backfilled with a suitable material

Warehouse 2:
 Dismantling of second warehouse (erected by tube and clamps) to be carried out by trained and competent workers
under supervision of Supervisor / Foreman.
 An assessment (by the supervisor) of the best method of dismantling will take place that reduces overall risks, risk at
falling materials and maintenance of the stability of the structure.
 No ties or bracing shall be removed in advance of general dismantling.
 Working area will be cleared and will remove all debris to avoid any obstruction.
 All possible access to the dismantled sections of warehouse should be barred and a warning sign displayed.
 Tubes and fittings will be stacked at ground level unless the first lift has been designed to support the extra loading.
 Unauthorized personnel shall be restricted from areas where the dismantling of warehouse taking place.

All dismantled material will be properly arranged and stacked with barricades and signage prior to removal. The
material is then will be removed from the site outside of KAUST premises using trucks.
The area will be cleared and will perform housekeeping, all debris is to be removed through AVERDA / third party
outside of KAUST premises.

Page 5 of 20
 Establish a site set-up and welfare facilities.
• Erect any necessary hoarding around the perimeter of the site.
• Carry out an intrusive survey to identify the presence of any carcinogenic materials, in particular as possible fire
protection to steel work, and in plant areas.
• Use the existing services survey of the site to identify all buried services, determine what services are live,
redundant, and potentially serve neighbouring properties.
• Carry out any necessary services diversions and decommissioning works.
• Carry out a soft strip of the structure to remove free-standing units, office furniture, floor finishes, ceiling tiles,
window blinds, partitions, doors and door frames, ceiling bulkheads, M&E services, radiators, light fittings, fixtures,
and fittings.
• Demolish the structure lightweight steel roof structure and using angle grinders and gas torches to cut the steel
into small sections to be dismantled and removed with the help of truck.
• Demolish the structure masonry walls using sledgehammer and/or a mini digger. Cut and remove the RC first
floor slab and beams hand tools where possible.

1. As part of the comprehensive site-specific construction and demolition waste management plan all debris will be
separated on site and stored in skips for removal and transport to the approved location.

 Demobilization
 Upon completion of the works to the satisfaction of the Client, the site will be thoroughly cleaned and tidied with all
waste removed from site.
 Provided Scope of work, drawings and Bill of Quantity are indicative and for reference only, Contractor to verify and
confirm it prior to submittal of any commercial proposals.
 All materials/components to be salvaged for future use.
 Clean salvaged items.
 Store items in a secure area- as per designated by KAUST representatives.
 Protect items from damage during transport and storage.

Electrical (not foreseen)

Telecommunication (not foreseen)
Fire Alarm and Detection System (not foreseen)
Fire Protection System (not foreseen)
Plumbing (not foreseen)
HVAC (not foreseen)

RISK RISK
SCORES SCORES
Hazard RISK PROPOSED CONTROLS WITHOUT WITH
CONTROLS CONTORLS

Unexpected Collapse  Injury to workers and  The supports of the walls must be 8 4
Property damage passing by personnel inspected by demolition engineer.
Premature collapse  Damage to nearby  Prior to start dismantling the site
Fall of material property engineer must inspect the structure to
 Bone fracture avoid premature collapse. In case is
 Fatality there any hazard of premature collapse
additional supports must be required.
 Placing danger signs around the
demolition site.
 The material must be stacked properly
and arranged.
 Place barricades at the entrance to the
structure or set up watchmen to limit the
unauthorized entry.
 Putting red lights at all barricades during
the night.
 The dismantling piece must be hold and
tie with the ropes and settle down.

Page 6 of 20
  Throwing of material from the height is
not allowed.
 Provide safety equipment to each
worker and explain its use properly.
 Introduce job rotation method / shift
change.
 Task and equipment-based PPE must be
always worn. Safety vest, anti-slip rubber
gloves, safety shoes, safety goggles, hard
hat, visibility vest, dust mask (N95).
 Conduct the TBT prior to start the work.
 Provide First Aid Box at demolition site.
 Provide fire extinguishers equipment at
demolition site.
 Well trained personnel’s should
complete the task.
 Ensure portable eye washer is available
at the site.
 Tie the material with two Tag-lines.
 Must perform Continues housekeeping.
 Removed material i.e. Wall Plaster, Floor
tile, Dirt, Dust, Debris & Loose particles
are handled and removed properly and
disposed only in designated area.
 Check the tools by supervisor before its
use and make sure all the require tools
are applicable and safe for job.
 Supervisor must be present at site to
supervise the task.
 Safety should be at site all the time.
 WPR must be available all the time.
 First Aid box along with competent first
aider must be present all the time.
 Manual  Hand injury  Barricade the area. 6 4
dismantling &  Muscle pain  Provide proper rest intervals to avoid
Demolishing.  Body cramps any muscle pain, cramps, or fatigue.
 Dust  Property damage  Introduce job rotation method / shift
 Manual tools  Slips, trips and fall change.
 Improper body  Agronomic pain  Provide proper rest intervals.
posture  Bodily injury  Task and equipment-based PPE must be
 Extended duty  Sledgehammer always worn. Safety vest, anti-slip rubber
hours  Falling of material gloves, safety shoes, safety goggles, hard
 Inexperienced  Pinch points hat, visibility vest, dust mask (N95).
workers.  Sharp edges  Conduct the TBT prior to start the work.
 Swinging of material  Provide proper to complete the task.
(Steel sheets)  Provide enough man power.
 One person should not do strike
sledgehammer continuously.
 Well trained personnel’s should
complete the task.
 Ensure portable eye washer is available
at the site.
 Tie the material with Tag-line.
 Must perform Continues housekeeping.
 Removed material i.e. Wall Plaster, Floor
tile, Dirt, Dust, Debris & Loose particles
are handled and removed properly and
disposed only in designated area.

Page 7 of 20
  Check the tools by supervisor before its
use and make sure all the require tools
are applicable and safe for job.
 Supervisor must be present at site to
supervise the task.
 Safety should be at site all the time.
 WPR must be available all the time.
 First Aid box along with competent first
aider must be present all the time.

 KAUST induction must be conducted to the

new employees coming to the site.
 Follow the as built drawing to find out the
underground utilities.
 Only trained personnel shall do the
dismantling, the works shall be done under
 Mechanical Failure
competent supervision.
 Entry of unauthorized
 Operator must have Saudi Arabian valid
person
driving license and third party certification
 Obstruction
(TUV).
 Cables/ pipelines
 Operator shall have the final decision that
buried underground.
affect the safety of the equipment
 Flying particles/dust
 Equipment must have third party certified
 Mechanical (Eye injury)
(TUV).
Dismantling &  Hearing damage due
 Equipment shall be inspected by the operator
demolishing (With to noise from
using equipment checklist form prior to each
crane & man lift) equipment.
shift.
 Mobile Crane /  Fall of Tools
 Barricade to be provided in the area. Install
man lift  Fall of person
necessary and applicable signage.
 Obstruction  Property damage
 Tie the Tag-line with material before lifting.
 Outrigger not fully  Equipment hit to
 Flagman shall be on site during the course of
8 4
extended. person
the activity
 Unskilled operator  Incompetent operator
 Dismantled material shall be shifted to other
 Load may fall off  Equipment not
location for the purpose of clear assess.
 Rigging and certified
 A standby/ Flag man shall be in attendance
hoisting of load.  Equipment topple
until the work is completed for dismantling.
 Improper hoisting over
 TBT must be conducted before starting every
of material  Improper protection
shift.
system installed
 First aider with proper first aid kit must be
 Slip, trip and fall
available at the site.
 Fatality
 Every personnel should well aware about the
 Fall of material emergency contact number “012-808-0911”.
 Swinging of material  Remove unwanted materials from the
(steel sheets , steel location and keep the area safe.
beams)
 Unauthorized personnel are not allowed in
the area.
 Proper PPE must be worn properly at all times
 Ear plugs must be worn
 Safety officer must be present at site.
 Site supervisor should be supervising the
activity.
Work at height  Hand injury  Prior to start activity comply with KAUST work 8 4
(Scaffold/Man lift) – If  Personnel injury at height permit.
required  Cuts and fracture  Toolbox Talk must be conducted prior to work.
 Property damage  Third party certificate (TUV) of scaffold
 Fall of person  Eye injury erectors, supervisor and inspector must be
 Fall of material  Muscle pain due to available and valid.
 Scaffold failure repetitive body motion  Scaffold must be inspected and tagged,

Page 8 of 20
 scaffold tag system is to be followed.
 Working platform must not be overloaded and
should be followed SWL.
 The equipment and operator must have valid
third party certificate.
 Equipment must be placed on stable and even
ground.
 The working platform always should be free
from any debris.
 Do not place or leave lose material should be
placed in the working platform.
 Ground must be compacted and stable to
move the mobile scaffold.
 Working platform must be secured and fixed
with handrail, mid-rail and toe-board.
 Adequate access must be provided. The drop
bar for must be in good and working condition.
 If height is more than 1.8 meters than, Full
body harness must be used and should be tie
 Scaffold topple
off with good anchor point and make sure
over
 Fatigue 100% tie off all time.
 Untrained
 Cramps and back pain  Lose material should not be place at the
personnel
 Improper body scaffold.
 Unauthorized entry
posture  Full body harness should be inspected and
 Unstable / Uneven
 Fall of person colour coded, worker should be trained to use
ground
 Fall of material it.
 Improper Access
 During high wind speed (32 km/hr) and heavy
 Improper cable
rain the activity must be suspended until the
management
weather condition become normal.
 Area must be barricaded and post safety
signage.
 Provide scaffold gloves.
 Maintain proper housekeeping at the working
platform to avoid fall of material and slip, trip,
fall.
 First aider and First aid kit must be available
on the site.
 Straight and A-type ladders without working
platform are not allowed to work on. These
can only be used for access.
 Supervision of safety officer is compulsory.
 Site supervisor must be present at site.
 Permit receiver should be at site during the
task execution.
 Adequate fire extinguisher must be available
all the time on the working area.
 Emergency contact details should be available.
Lifting Operations  Struck between  To be secure lifting operations permit prior to 8 4
 Mobile Crane  Caught between start the work.
 Obstruction  Improper positioning.  Remove unwanted materials from the location
 Uneven ground  Equipment collapse. and keep the area safe.
 Outrigger not fully  Property Damage  Position the boom truck on even and well
extended.  Injury to people who compacted ground, fully extend the out riggers
 Unskilled operator are involved to lifting and place on outrigger pad or wheel off from
 Load may fall off operation the ground.
 Rigging and  Fatality  Operators and worker’s orientation/induction
hoisting of load.  Over turning of must be done prior to start the work.
 Improper hoisting equipment.  Equipment shall be grounded during
operation.

Page 9 of 20
  Operator must have Saudi driving license and
third party certificate (TUV).
 Operator shall be alert and keep safe lifting
radius throughout the operation.
 Lifting activities must be suspended it the wind
speed exceed the limit value (32 km/h).
 If lifting is necessary then, lifting plan shall be
submitted to PDEC HSE.
 All area must be barricaded and only
authorized persons are allowed to enter. The
surrounded area must be cleared.
 Lifting operation must be suspended during
severe weather conditions.
 Site First Aider with first aid kit need to be
ready all the time until the completion of
activity.
 Ensure tag lined are in good condition and
 High wind speed
properly attached to load.
 Mechanical failure of
 Nobody shall be permitted under or within
equipment
radius from a suspended load.
 Load more than
 Before lifting must have to check all hooks are
of material capacity of boom truck
attached properly.
 Blind Spot
 Damaged slings should be removed from site
 Unauthorized persons
immediately.
 Road Closing
 Do not lift more than the capacity of slings.
 Ensure the lifting equipment has sufficient
capacity to handle the load safety.
 Nobody is allowed to instruct the operator
directly except the certified rigger.
 Barricade, warning signage and Flagman shall
be provided to safeguard traffic and
pedestrians.
 Operator shall be alert and keep safe lifting
radius throughout the operation.
 Don’t allow lifting above the Load capacity of
boom truck as mentioned in load chart.
 Road closure permit and road closure license
must be followed and secured if required.
 Adequate Supervision must be provided.
 First Aid box along with competent first aider
must be available on site all the time.
 WPR must be present all the time.
Transportation and  Property Damage  Driver must be oriented and well trained
handling  Personnel Injury  Driver must have Saudi Driving License.
 Fracture  KAUST traffic and safety policy must be
Road accident  Fatality delivered to all team.
Incompetent Driver  Damage to another  Training / TBT must be conducted prior to start
Non designated route vehicle by hitting the activity on daily basis.
Defective vehicle  Material may fell on  Vehicle is to be follow the designated route.
Overloaded vehicle the road  Vehicle must have to be maintained properly
Road block  Congested space. and maintenance record is to be kept.
Over speeding  Trucks not to be overloaded and follow the
SWL. The trees are not extended the length of
trucks.
 Flagman should be there to control the traffic
at congested road.
 Do not block the road, if accidentally blocked
immediately take actions to unblock the road.

Page 10 of 20
  Driver must has to follow the speed limit
mentioned on the routes.
 Truck and heavy equipment must have to be
escorted by pilot vehicle.
 At least one worker is to be in the pilot vehicle
if there is any spilt soil on the road.
 Always wear personal protective equipment
 Can cause various
(dusk mask (N95), safety vest, safety shoes,
respiratory diseases
gloves, hard hat, safety goggles etc).
 Dust allergy and
 Airborne  Working area should be barricaded and
respiratory illness due
Hazards from signage is mounted to prevent entry of
dust
to huge exposure of
unauthorized person
6 2
dust
 Keep worker away from direct exposure to
 Nose and eye
dust.
irritation
 Adequate PPE must be used, proper hand
 Skin irritation
protection is to be used by all workers.
 Only approved equipment will be used for
lifting & transport of materials
 Supervision by safety officer is mandatory.
 Site supervisor must be present at site.
 Equipment used will be maintained in a good
condition.
 Defective equipment will be removed from the
service and effective remedial actions taken.
 Reverse alarm and lights must be in working
condition.
 Ensure the flash rotating light / beacon light is
Heavy Equipment
 Hand injury properly working installed on the equipment.
 Equipment roll
 Damage to the  Operators must have Saudi Driving License and
over
equipment third party certification (TUV).
 Fall of Materials
 Property Damage  Third party certification (TUV) of equipment
 Hit to personnel or
 Personnel injury must be available and valid.
property
 Access blocked
 Bone Fracture  Daily heavy equipment inspection checklist 6 2
 Stuck between must be performed by operator.
 Unauthorized
 Cramps and back pain  Suitable fire extinguisher must be available in
operator
 Fatality the heavy equipment.
 Defective
 Entry of unauthorised  Pay attention to surroundings while working
equipment
personnel. moving material.
 Daily inspection of equipment for leaks.
 Maintenance performed by competent
persons. Maintenance record must be kept on
the site and updated after every maintenance.
 If you are working in same place for long time
make sure to barricade area and apply
signage.
 Don’t use mobile or any entertainment while
operating heavy equipment.
 Flagman / banksman must be provided for the
heavy equipment movement.
 Using damaged or  Muscle pains, back  Supervisor should check all the tools and 8 4
improper hand and pain making sure the use of proper tools to do the
power tools  hand (or) body task. Electrical tools should be insulated.
injuries  Wear the task and equipment-based PPE.
 cuts Safety vest, rubber coated hand gloves, safety
 Abrasion shoes, safety goggles, hard hat, dust mask
 eye injury (N95).
 Electrocution due to  Electrical tools should be insulated. check the
damage cables tools by supervisor before its use and make

Page 11 of 20
 sure all the require tools are applicable and
safe for job
 Remove the improvised and custom-made
tools from the site.
 Periodic inspection of hand and power tools
must be carried out regularly.
 Provide barricade to the area and put safety
signage for people awareness and for
unauthorized entry.
 Skilled and well-trained workers should be
assigned to do the task.
 Activity will be supervised by competent and
experienced Supervisor.
 Organizational Control – Clear organizational
structure and reporting lines; job descriptions;
psychological counselling on referral by
 Working on deadlines physician
 Pressure owning to  Personal control – staff have access to well –
 the nature of work equipped gym
 Psychological environment  Training and information (Soft skills course in):
Hazard and  Workplace bullying 1. Coping with accusation in workplace 6 4
Stress that can lead to 2. Managing workplace stress
headaches, anxiety, 3. Coping with aggressive behaviour in
depression, and workplace
absenteeism’s 4. Preventing unhealthy workplace conflicts
5. Facing and resolving conflicts in
workplace
 Local controls – Employee assistance service
 Use proper trollies to transfer the materials to
the site.
 Body or hand injury
 Provide proper rest intervals to avoid any
 Back injury
muscle pain, cramps, or fatigue.
 Cumulative disorder
 Task and equipment-based PPE must be
due to gradual and
always worn. Safety vest, anti-slip rubber
cumulative
gloves, safety shoes, safety goggles, hard hat,
deterioration of the
visibility vest, dust mask (N95).
 Transfer of muscles skeletal
 Conduct the TBT prior to start the work
materials and system
tools to the  Muscle pain
 Do not lift heavy weight by one person. 6 2
 Provide enough manpower according to the
site  Fatigue
weight need to be carried.
 Muscle cramp
 Well trained / Skilled personal should be
 Back pain
assigned to the task
 Follow safe lifting and manual handling
techniques.
 Supervisor must be present at site during job
execution.
 Safety officer should be present at site.
 Lack of  Misunderstanding  Communicate in an understandable manner,
coordination/ that may lead to clear to all and with a language common to all.
communicati fights  Use pictographs, images, and sign language
on  Project delays and more understandable by all.
unproductivity.  Conduct training and TBT’s related to
 Unresolved conflicts. Communication Barriers and Topics on How to 6 4
 Frustrations deal with Cultural Diversities.
 Limited Employee  Adopt good patterns of communication
engagement. effective for all if not most of the recipients.
 Uncertainty and  Supervisor should be present at site to
confusion. supervise the workforce.

Page 12 of 20
  Use proper trollies to transfer the materials to
the site.
 Improper  Provide proper rest intervals to avoid any
 Body or hand injury
Manual muscle pain, cramps, or fatigue.
 Back injury
handling  Task and equipment-based PPE must be
 Cumulative disorder
always worn. Safety vest, anti-slip rubber
due to gradual and
gloves, safety shoes, safety goggles, hard hat,
cumulative
visibility vest, dust mask (N95).
deterioration of the
muscles skeletal
 Conduct the TBT prior to start the work 6 4
 Do not lift heavy weight by one person.
system
 Provide enough manpower according to the
 Muscle pain
weight need to be carried.
 Fatigue
 Well trained / Skilled personal should be
 Muscle cramp
assigned to the task
 Back pain
 Follow safe lifting and manual handling
techniques.
 Site supervise should supervise the activity.
 Repetitive  Muscle pain due to  Control repetitive handling by introducing
motion/ergon repetitive body frequent rest breaks or job rotation to
omic motion minimize the length of time that an individual
 Fatigue worker must perform the task.
 Cramps and back pain  Proper posture to be fixed to prevent back
pain and muscle cramps.
 All concerned personnel shall be well informed
before commencing the job.
 Toolbox meeting must be conducted to all
personnel involved in the task.
 All possible/probable hazards in the area must 6 2
be discussed completely to ensure awareness
of all personnel involved.
 Regularly monitor the workforce.
 Don’t give hard job to workers above fifty
years and people with medical conditions and
histories.
 Provide task-based PPE to carry out the
activity, like, hard hat, rubber or cotton gloves,
dust mask (N95), high visibility vest, eye
protection, safety shoes etc.
 Reasonable working hour and over time
 Increase job control
 Anxiety
 Stop bullying and harassment
 Workload  Mental stress
 Provide proper training
6 3
 Depression
 Sufficient break time
 Introduce job rotation method.
 Poor  Dust Allergy  Waste material should be removed 4 2
housekeeping  Slip and trip immediately from site and hand over to KAUST
and waste  obstructions approved third party.
material  Personnel and  Recyclable waste must be disposed of in
 Dust Environment Damage separate container and sent to AVERDA
inhalation.  Respiratory problems. recycling plant in KAUST
 Good housekeeping routine orderly prior to
respective area of work.
 Proper segregation of materials, chemicals,
and tools
 General waste, hazardous waste and recycle
waste should be handled separately
 Follow the KAUST environment policy
 All hazardous chemicals, containers, and

Page 13 of 20
 materials to be handle accordingly.
 Housekeeping should be done time to time.
Hot Works (Gas  Burns  Comply with KAUST hot work permit if 8 3
cutting) if required.  Eye, hand and skin require.
 Fire injury  PTW must stay at the during execution of job.
 Exhaust spark  Fatality  Only Welder with valid TUV can perform the
 Property Damage  Slipping, Tripping and job.
fall.  Hot work checklist must be filled and singed
 Property Damage. before to start work.
 Explosion.  Safety officer must be discus job related
 Metal Fumes hazards and control measures with team
 Ultraviolet Radiation before start to work.
 Exhaust Spark
 Emergency evacuation plan must be discus
 Incompetent
Operator/Technician with team commence work.
 Fuel gets Fire  Emergency numbers must be place on
 Touching with bare working location.
hand  All tools should be inspected and colour
 Vibration coded periodically by competent person
 Pinch point  Fuel must not be stored at site.
 Flying metal
 All workers should be trained for job
particles/Dust
 Explosion  Mandatory PPE should be provided according
 Manual Handling. to activity requirement like safety shoes, face
mask, safety goggles, safety helmet, face
shield etc during job execution
 Ensure good working practices are followed-
work area clear of obstructions.
 Working area should be cover with fire
blanket for grinding and cutting work.
 Good housekeeping must be conduct before
start to work.
 No flammable or combustion material Near to
hot work activity (should be 15 meter away).
 Trained and certified fire watch should be
available all time.
 Fire watch will stay 30 minutes at site after
complete hot work activity to make sure
there is no spark ignition.
 Fire warden shall inspect the area on daily
basis.
 Suitable Fire extinguisher with valid
inspection must be available near to working
location.
 Check all tools regularly during operation
 Clear area of any lose debris or slag after
work.
 Safety personal should be monitor work
location all time.
 Ensure good working practices are followed
 All access and egress must be clear to avoid
slipping tripping fall hazards
 First aider and First aid kit must be available
on the site

Page 14 of 20
  After the activity, Equipment/Cylinders must
be stored in designated area.
 Adequate supervision must be provided all
the time.
 The gas cylinders must be secured with chain
and in vertical position.
 The empty and full cylinders must be store
separately in the designated area.
 If gas bottles not in use must be capped
properly.
 Flash back arrestor is to be installed to the
hose of gas bottles.
 Proper PPEs like (leather gloves, face shield,
eye protection etc.) must be used by the
workers.
 No other activity is to be allowed underneath
while hot work is ongoing on height.
 Unauthorized personnel must not have
allowed to the workplace.

 Wear the task-based PPE like clear safety

glasses, hard hat, and dust mask (N95), safety
shoes, hand gloves, high visibility vest etc.
 Hit by objects
 Area must be well lit, provide additional lights
 Minor injuries by Slip,
 Poor Lighting
trip, fall
to avoid eye strain and got hit by objects. 6 3
 Keep area free of obstacles to avoid any slip,
 Eye strain
trip, and fall.
 Warning signs and barricades should be used
to isolate the area
 Heat stress  Cool, moist skin.  Work should have suspended during 12 PM to
3 PM from 15 June to 15 Sep as per Saudi law.
6 2
 Heavy sweating.
 Headache.  Control - the temperature using engineering
 Nausea or vomiting. solutions e.g. change the processes, use fans
 Dizziness. or air conditioning, use physical barriers that
 Light headedness. reduce exposure to radiant heat.
 Weakness.  Provide - mechanical aids where possible to
 Thirst. reduce the work rate.
 Vomiting  Regulate - the length of exposure to hot
 Fatality environments by: allowing workers to enter
only when the temperature is below a set level
or at cooler times of the day; issuing permits
to work that specify how long your workers
should work in situations where there is a risk;
providing periodic rest breaks and rest
facilities in cooler conditions.
 Prevent - dehydration. Vital lost water must be
replaced. Provide cool water in the workplace
and encourage workers to drink frequently
and in small amounts before, during (where
possible) and after working.
 Provide PPE - Specialized personal protective
clothing is available which can incorporate
personal cooling systems or breathable fabrics.
The use of some protective clothing or
respiratory protective equipment may increase
the risk of heat stress.

Page 15 of 20
  Provide training - for your workers, especially
new and young employees, telling them about
the risks of heat stress associated with their
work, what symptoms to look out for, safe
working practices and emergency procedures.
 Allow - workers to acclimatize to their
environment and identify which workers are
acclimatized or assessed as fit to work in hot
conditions.
 Identify - employees potentially most
susceptible to heat stress due to illness,
condition or medication that may contribute
to the early onset of heat stress or those with
heart conditions. You may need advice from
an occupational health professional.
 Monitor - the health of workers at risk. Where
a residual risk remains after implementing as
many control measures as practicable, you
may need to monitor the health of workers
exposed to the risk. You should then seek
advice from an occupational health
professional.
 Offer – appropriate rest time rest time.
Implement work/rest schedules according to
temperature and humidity levels allowing
workers to shake off excess heat, slow down
the production of internal body heat, reduce
the heart rate, and improve blood flow to the
skin. Recommended rest time is dependent on
the clothing worn - the heavier the clothing,
the more rest time will be required.
 All personnel shall strictly observe the
following:
 Mask must be always worn and worn
correctly/properly.
 Physical distancing of 2 meter shall be strictly
observed.
 Wash hands properly with soap and water for
 Preventive
 Transmission of the 40 seconds before eating, drinking, after
measures for
virus from one person sneezing/coughing, using toilet, touching trash 6
COVID 19 not 2
to another. and after removing hand gloves.
followed
 No touching of face if hands not
washed/sanitized.
 Mouth and nose shall be covered when
coughing or sneezing.
 Use only the designated toilet.
 Eat at designated eating area/shelter only and
observe social distancing rule.

Page 16 of 20
 PLANT AND EQUIPMENT
TEST
DATE OF LAST
ITEM NAME SERIAL NUMBER CERTIFICATE REMARKS
MAINTENANCE
ATTACHED

To ensure that all equipment is in

Hand Tools N/A N/A N/A good conditions.
Electrical Power _ _ _ Must be inspected.
Tools
Jack hammer Must be inspected.
N/A N/A N/A

Ladder/Scaffold _ _ _ Must be inspected.

Boom Truck Third party certificate will be

_ _ _ provided separately.
Surveying Tools Calibration certificate will be
_ _ _ provided separately.

Page 17 of 20
 Mini digger _ _ _ Third party certificate will be
provided separately.
Mobile Crane _ _ _ Third party certificate will be
provided separately.
Man lift _ _ _ Third party certificate will be
provided separately.
Gas cutter _ _ _ Must be inspected.

LIST OF SAFETY EQUIPMENT and PPE

DATE OF LAST TEST CERTIFICATE

ITEM NAME SERIAL NUMBER REMARKS
MAINTENANCE ATTACHED
To ensure that all PPE is in good
Hard Hat ANSI/ISEA Z89 - - conditions

To ensure that all PPE is in good

Safety Shoes EN ISO 20345 - - conditions

To ensure that all PPE is in good

Protective Gloves ANSI/ISEA 105 - - conditions

To ensure that all PPE is in good

Dust Mask UNE-EN149 - - conditions

- - - To ensure that is in good

Barricading conditions

Page 18 of 20
 - - - To ensure that all PPE is in good
Disposable face
conditions
mask
- - - To ensure that is in good
Warning signs conditions

- - - To be ensured inspected and

Fire extinguisher color coded

- - - To be ensured inspected and

Fire blanket color coded

All Personnel Should Read, Agree & Sign on this sheet before starting the Activity
Acknowledgement
OPERATIVES SIGN OFF SHEET
I acknowledge receiving and understanding these instructions, I will fully comply with the assigned task requirements
NAME COMPANY Position / Trade / BADGE/ID NO. SIGNATURE
Skills

Page 19 of 20
(Supervisor will ensure completed combined Method Statement and Risk Assessment forms are forwarded to the Area /Bldg.
Manager and PTW Office)

Page 20 of 20