RWTP-GB-C&S-MST - 000063-00 - General Repair Work

No.
Submission Checksheet (MST) Status Comments
1 Scope definition
2 Objective
3 References (incl. relevant Contract Specification)
4 Codes and standards
5 Manpower and Responsibility
6 Tools and equipment
7 Pre-requisite approvals/permits NA
8 Work phases (if applicable)
9 Preparation
10 Construction work methodology and sequence
11 QA/QC control procedure
12 Health and Safety procedures / instruction
13 Emergency response protocol, team and communication
14 Risk assessment register and prevention action
15 Testing/inspection plan
16 Management of as-built data NA
17 Other enclosure (if any) NA
Checked by : Reviewed by :
Nur Nadia Syerifaizal Hj. Mustapha

QAQC Engineer QAQC Manager
RWTP
RASAU WATER TREATMENT PLANT
PENGURUSAN AIR SELANGOR

SDN BHD
METHOD STATEMENT
METHOD STATEMENT FOR
GENERAL REPAIR WORKS
Reference No : RWTP-GB-C&S-MST- 000063-00
Revision : 00
Date : 23 April 2024
Action Name Designation Signature
Approved by Khor Thiam Chay Project Director
Consultant
Approved by Ir. Leong Khoon Heng (Sepakat Setia
Perunding Sdn.Bhd.)
Reviewed by Joshua Entol Construction Manager
Reviewed by Syerifaizal QAQC Manager
Prepared by Ooi Jeh Tsong Assistant Manager
REF. NO: RWTP-GB-C&S-MST-000063 Page 1

RWTP

SDN BHD
METHOD STATEMENT
Contents
1.0 SCOPE OF WORKS ................................................................................................................... 3
1.1 General Description .............................................................................................................. 3
1.2 Work Sequence Flow ............................................................................................................ 3
1.3 Materials ................................................................................................................................. 3
1.4 Machinery and Equipment ................................................................................................... 4
1.5 Work Procedure .................................................................................................................... 4
1.5.1 Minor Honey-comb .................................................................................................................. 4
1.5.2 Major Honey-comb .................................................................................................................. 4
1.5.3 Minor Crack Line ..................................................................................................................... 4
1.5.4 Major Crack Line ..................................................................................................................... 5
2.0 SAFETY AND HEALTH REQUIREMENTS ............................................................................... 5
2.1 Job Safety & Health Analysis ............................................................................................... 5
2.2 Information to Personnel ...................................................................................................... 5
2.3 Emergency Arrangements ................................................................................................... 6
2.4 Permit Requirements ............................................................................................................ 7
2.5 Housekeeping ........................................................................................................................ 7
3.0 ENVIRONMENTAL ISSUES....................................................................................................... 7
4.0 QUALITY ASSURANCE & QUALITY CONTROL ........................................................................... 9
4.1 Contractual Requirements ......................................................................................................... 9
4.2 Inspection and Testing ............................................................................................................... 9
5.0 APPENDICES ................................................................................................................................. 10
5.1 Job Safety Analysis................................................................................................................... 10
5.2 Emergency Response Flow Chart ........................................................................................... 11
5.3 Environmental Aspect & Impact Register ............................................................................... 14
5.4 Inspection & Test Plan .............................................................................................................. 15

RWTP

SDN BHD
METHOD STATEMENT
1.0 SCOPE OF WORKS
1.1 General Description
This work method statement is to outline the sequence of the activities, method and resources
required for the repair of honey-comb and crack line found in concrete structures. Generally,
the defects may be classified as either minor or major, based on the following criteria:
Defect type Minor defect Major defect

Honey-comb Honey-comb on surface only. No rebar Rebar is exposed after clearing all
exposed. loose concrete
Crack line Surface cracks and shrinkage cracks. Structural cracks.
1.2 Work Sequence Flow
The typical sequence of workflow for the proposed works shall be in the following order:
1) Detect concrete defect
2) Inspect and classify defect
3) Preparation work for repair
4) Repair defect
5) Repair Completed
1.3 Materials
1.3.1 Materials to be used will be:

Item Materials
1 Sika product Sika Grout-215
2 Mapei product Mapefill GP non-shrink grout
3 Fosroc product Conbextra GPA non-shrink grout
4 Mapei product Adesilex PG2 SP epoxy-resin
5 Mapei product Epojet LV epoxy-resin

RWTP

SDN BHD
METHOD STATEMENT
1.4 Machinery and Equipment

Item Machinery / Equipment Description
1 Hammer & Chisel For chip off the defect area
2 Air compressor For connect to pneumatic breaker
3 Light-duty Pneumatic breaker For hack off defect area
4 Mechanical pump For grout injection
1.5 Work Procedure

Repair methods for the different defects are explained below.
1.5.1 Minor Honey-comb

1. Hack and chip off all loose concrete.
2. Clear the honey-comb of dust and debris.
3. Prepare non-shrink grout with adequate water as recommended by the manufacturer
for repair. Ensure grout achieves a homogenous consistency after mixing.
4. Patch the honey-comb evenly and thoroughly. Trowel the outer face smoothly.
5. Allow grout to set for 24 hours.
1.5.2 Major Honey-comb

1. Hack and chip off all loose concrete
2. Clear the honey-comb of dust and debris.
3. Close the honey-comb with formwork and secure it properly. Leave a small gap at the
top to allow pouring of grout into the honey-comb
4. Prepare non-shrink grout with adequate water as recommended by the manufacturer
for repair.
5. Pour the grout into the honey-comb slowly, until the grout has reached the brim.
6. Allow grout to set for 24 hours before striking the formwork
1.5.3 Minor Crack Line

1. Chip the concrete surface on both sides of the crack line to form a groove line.
2. Clear the groove line of dust and debris.
3. Prepare Mapei product Mapefill GP non-shrink grout.
4. Patch the groove line evenly and thoroughly. Trowel the outer face smoothly.
5. Allow grout to set for 24 hours.

RWTP

SDN BHD
METHOD STATEMENT
1.5.4 Major Crack Line

1. Clean and remove all dirt along the crack line.
2. Install surface mounting packer (entry port) across the lines at 300mm c/c. Blow the
line by using an air compressor.
3. Prepare Mapei product Adesilex PG2 SP epoxy-resin
4. Seal the crack line with the epoxy-resin. Allow to set for 24 hours.
5. After the epoxy-resin has set, start injection repair on the 1st entry port using Mapei
product Epojet LV epoxy-resin. Maintain the injection until the epoxy-resin appears at
the other port.
6. Plug the 1st port with a port cap and proceed to inject the next port.
7. This is repeated until the all the ports are injected with epoxy-resin.
8. A manifold can also be used to inject several ports at the same time to speed up the
work if there are many ports.
9. After all ports are injected, allow epoxy-resin to set for 24 hours.
2.0 SAFETY AND HEALTH REQUIREMENTS

2.1 Job Safety & Health Analysis
Job Safety & Health Analysis shall be carried on the project site. Cautions and hazards signs
shall be established at location of works. The hazards in a particular activity and the control
measures implemented shall be briefed to the workers during SHE induction, tool box talk and
JSA Briefing. Please refer to the attached Appendix 5.1
2.2 Information to Personnel
2.2.1 All workers employed in the project site must have CIDB green card.
2.2.2 All new workers and staff to attend the SHE Training or SHE Induction Course
before commencing works at site and attendances shall be recorded in an induction
checklist.
2.2.3 All site personnel are mandatory wear proper Personnel Protective Equipment

RWTP

SDN BHD
METHOD STATEMENT
(PPE):
2.2.4 Safety helmets, Safety vest, Safety boots, Hand gloves and any other additional
PPE required in JSA or advised by SHE Department.
2.2.5 Monthly SHE Committee meeting shall be held with all the contractors related to the
works.
2.2.6 All workers are compulsory to attend the daily pre-task briefing and weekly toolbox
meeting conducted by the SHE Department/Representative and attendances shall
be recorded.
2.3 Emergency Arrangements
2.3.1 Project Emergency Response Plan and Procedure shall be established.

2.3.2 The potential hazards during Defect Rectification Works are as below:
i. Accident due to machinery/equipment failure and movement
ii. Fall from height, contact with sharp edges/protruding rebar and etc.
iii. Fire
2.3.3 An Emergency Response Team shall be formed at the site.
2.3.4 Please refer to the Appendix 5.2 for Safety, Health & Environmental Emergency
Response Flow Chart.
2.3.5 The organization chart, list of emergency contact person and relevant authorities
with their contact numbers shall be showed in the Notice Board.
2.3.6 In the event of emergency, the site management staffs must evaluate the situation
and commence the necessary procedures as follow:
• Raise the alarm
• Stop works
• Remain composed.
• Make sure notifications of emergency or evacuation are in place for all
workers surrounding the vicinity.
• Make sure all workers are assembled at designated assembly point.
• Make sure first aid kits are prepared at assembly point.
• All workers are told not to leave the assembly point until clear sign is issued.

RWTP

SDN BHD
METHOD STATEMENT
• Headcount shall be conducted

• First aiders shall attend to the injured workers
• Prepare assessment reports for the losses.
2.4 Permit Requirements
No Description Person or Authorities in- Remarks

charge
1 SHE permits to work such as SHE Department
Crane and Lifting Operation
permit, Excavation permit, Night
work permit, Hot work permit
and etc.
2.5 Housekeeping
Housekeeping is an essential part of SHE for the daily routine. Housekeeping would include
the following items:
• Maintain the access way to all working area.
• Proper material arrangement.
• Park the machineries in orderly manner.
• No littering around the site.
3.0 ENVIRONMENTAL ISSUES

3.1 Environmental Aspects, Impacts & Control Measures
All activities at work site shall comply with requirements stated in Environmental Management
Plan. Work site shall observe potential environmental impacts that will be generated from
activities stated in this method of statement, proposed control measures, responsible parties'
in-charge and relevant legal applicability.

RWTP

SDN BHD
METHOD STATEMENT
The significant environmental impacts associated with the Defect Rectification Works have
been identified and listed in the Appendix 5.3.
3.1.1 Air Quality and Noise Level
Machineries shall be in well maintain and in good working condition to reduce

emission of soot, smoke and noise.
The following measures shall be implemented if the above mentioned (soot,
smoke and noise) is deteriorating:
▪ Increase maintenance frequency.

▪ Replace to better equipment if necessary.
▪ Switched-off equipment if not in used
▪ Supply workers on-site with proper PPE (i.e. ear plugs and mask).
3.1.2 Water Quality
All surface runoff and contaminated water generated from activities stated in this
method of statement, must be channel to temporary earth drain and shall be
channel into sediment basin/ silt trap for further treatment.
3.1.3 Soil Erosion and Sediment Control
Precaution measures of erosion and sediment transport during the surface

preparation, construction, operation and closure phase of project shall comply
with Erosion and Sediment Control Plan (ESCP).
Erosion control such as phasing of works, vegetation buffers, turfing, protection

of slopes and stockpiles to be implemented. Sediment control such as
construction of sediment basin/ silt traps, sump, silt fence, sandbag and wash
trough shall be provided and maintained regularly.
3.1.4 Waste Management
All type of waste must be segregated, stored and disposed of in accordance with
the Construction Waste Management Plan and shall be removed from site
regularly.

RWTP

SDN BHD
METHOD STATEMENT
Scheduled waste from maintenance works of machineries, vehicles and tools will
be placed in designated areas. Proper oil tray or drum shall be placed to prevent
the oil spillage all over the place. Subsequent waste shall be collected and
transfer to area as assigned.
4.0 QUALITY ASSURANCE & QUALITY CONTROL
4.1 Contractual Requirements
4.1.1 Shall be implemented in accordance with submitted comprehensive IMS plan.
4.2 Inspection and Testing
4.2.1 All inspection shall follow the Inspection and Testing Plan.

RWTP

SDN BHD
METHOD STATEMENT
5.0 APPENDICES
5.1 Job Safety Analysis

Appendix A to RWTP-GB- QSHE- MSP-0010-1
RWTP
SDN BHD JOB SAFETY & HEALTH ANALYSIS (JSA)
PREPARD BY: OOI JEH TSONG

PROJECT/DIV/DEPT: RWTP DESCRIPTION OF JOB: GENERAL REPAIR WORKS
REVIEWED BY: SITI KHAIRIAH
LOCATION: P1-P6 JSA NO: 063 REV NO: 00
APPROVED BY: JOSHUA ENTOL
TYPE OF ACTIVITIES: ROUTINE / NON-ROUTINE/EMERGENCY DATE: 15-3-2024 PAGE: 1-8
NO. JOB HAZARD CURRENT CONTROL RISK ASSESSMENT HIER ADDITIONAL CONTROL LEGAL REVISED RESIDUAL RISK RESPONSI
SEQUENCE IDENTIFICATION MEASURES ARCH MEASURES/ & RATING BLE
/ STEPS Y OF OPPORTUNITIES (O) OTHER PERSON
Proba Severi Risk Rating CONT REQ
Hazard & Risk P S Risk Rating
bility ty ROL
PxS PXS
(P) (S)
Score Level Score Level
1 Road Possibility of -Appoint flagman, 2 2 4 L 4 -Appoint Traffic Controller OSHA ‘94 1 2 2 L CM/SE/SS/SS
diversion/ FMA S
traffic accident install signage and -Install more warning (BOWEC)
Closure
Conduct daily pre task signages 1986
talk before start work.

Collision with Barricade the area & 3 3 9 M 4 -Appoint signalman / OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
static object close supervision. rigger, install warning (BOWEC)
signages, barricade, 1986
improve close supervision

2 Skylift Possibility of -Appoint flagman, 2 2 4 L 4 - OSHA ‘94 - - - - CM/SE/SS/SS
parking at FMA S
traffic accident install signage and (BOWEC)
site
daily pre task talk 1986
-Appoint Traffic
Controller
Skylift Failure of hoisting Barricade, tag line & 3 3 9 M 4 -Daily inspection of OSHA ‘94 1 3 3 L CM/SE/SS/SS
parking at FMA S
buddy system highly hoisting component by the (BOWEC)
site (cont.)
1986
Page 1 of 8
Rev. No:01 / Date: 18 JAN 2023
RWTP
bility ty ROL
PxS PXS
(P) (S)
monitoring by site skylift operator.

supervisor, competent -Valid PMA certificate of
operator. the skylift.
-Approved WAH PTW
before start work.
Skylift Collision with -Barricade the area & 3 3 9 M 3 -Appoint signalman / OSHA ‘94 1 3 3 L CM/SE/SS/SS
parking at FMA S
static object close supervision. rigger to control the (BOWEC)
site (cont.)
-Do marking on the machine. 1986
nearest objects. -Install warning signages,

Barricade lifting area,
3 Hacking the -Failure of -Keep record major 3 3 9 M 3 -Provide training, OSHA ‘94 1 3 3 L CM/SE/SS/SS
affected maintenance / FMA S
service record. implement by using (BOWEC)
concrete Collapse of skylift
(Honeycomb) -Competent operator checklist close monitoring. 1986
-Cordon work area -Ensure the skylift

-Approved PTW before outriggers are fully extend.
start work.
-Falling objects/ -Barricade and cordon 3 3 9 M 3 -Install warning signages, OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
tool from height the work area. barricade. (BOWEC)
-Use nettings to catch -Good housekeeping 1986
concrete waste. inside skylift bucket.

-Use bag to keep the -Use hand tools lanyard.
hand tools.
Page 2 of 8
RWTP
bility ty ROL
PxS PXS
(P) (S)
Hacking the Body parts -Pre-task talk before 1 3 1 L 4 -Use guide wire when OSHA ‘94 - - - - CM/SE/SS/SS
affected FMA S
contact with start work. hoisting (BOWEC)
concrete
(Honeycomb) components -Keep record major 1986
(cont.)
service record
Low
-Competent operator
-Cordone work area
Apply PTW
Falling from height -Pre-task talk before 3 3 9 M 4,5 -Workers are not allow to OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
start work. climb over the skylift (BOWEC)
-Wear safety harness. bucket. 1986
-Hook body harness.

lanyard at the provided
anchorage points.
High Force -Pre-task talk before 3 3 9 M 4 -Allow regular rest break OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
actions start work. (BOWEC)
-Wear safety harness. 1986
Failure of hoisting Barricade, tag line & 3 3 9 M 4 -Daily inspection of OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
buddy system highly hoisting component by the (BOWEC)
monitoring by site skylift operator. 1986
supervisor, competent -Valid PMA certificate of

operator. the skylift.
-Approved WAH PTW
before start work.
Page 3 of 8
RWTP
bility ty ROL
PxS PXS
(P) (S)
Hacking the Collision with -Barricade the area & 3 3 9 M 3 -Appoint signalman / OSHA ‘94 1 3 3 L CM/SE/SS/SS
affected S
static object close supervision. rigger to control the FMA
concrete
(Honeycomb) -Do marking on the machine. (BOWEC)
(cont.) 1986
nearest objects. -Install warning signages,
Barricade lifting area,
5 Clean all the Falling object from -Barricade and cordon 3 3 9 M 4,5 -Make sure all the worker OSHA ‘94 1 3 3 L CM/SE/SS/SS
debris FMA S
equipment the work area. involved follow method (BOWEC)
-Use bag to keep the statement of job task. 1986
hand tools. -Closed supervision from

-Install safety net person in charge.
under the beams to
prevent falling object
contact to public
vehicle.
Tripping hazard -Good housekeeping 1 3 3 L 4 - OSHA ‘94 - - - - CM/SE/SS/SS
FMA S
and materials (BOWEC)
arrangement. 1986
- No obstruction at the
access way.
Clean all the Inadequate -Lighting install at 2 2 4 L 4 - OSHA ‘94 - - - - CM/SE/SS/SS
debris (cont.) FMA S
lighting working area must be (BOWEC)
at least 100lux. 1986
-To check the lighting
Page 4 of 8
RWTP
bility ty ROL
PxS PXS
(P) (S)
condition before start

work.
4 Installation of Struck by falling -Barricade and cordon 3 3 9 M 3 -Install warning signages, OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
formwork objects the work area. barricade. (BOWEC)

hand tools.
Falling from height -Provide lifeline & hard 3 3 9 M 3,4 -Approved WAH PTW OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
barricade. before start works. (BOWEC)
-Provide body harness. -Provide internal training & 1986
-Hook body harness at close supervision.

the provided -Inspection of body
anchorage points. harness before start work.
-Close supervision
Trip and fall -Good housekeeping 2 2 4 L 4 - OSHA ‘94 - - - - CM/SE/SS/SS
S
and materials FMA
arrangement. (BOWEC)
-No obstruction at the 1986
access way.
5 Apply grout Exposure to -Provide PPE as per 2 2 4 L 4 - OSHA ‘94 - - - - CM/SE/SS/SS
Safety Data Sheet FMA S
materials chemical (BOWEC)
during handling the
chemicals. 1986
-SDS to be available.
Page 5 of 8
RWTP
bility ty ROL
PxS PXS
(P) (S)
-Standby water for

cleaning purposes.
-Monitoring and
supervision
6 Uninstall Struck by falling -Barricade and cordon 3 3 9 M 3 -Install warning signages, OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
formwork objects the work area. barricade. (BOWEC)

hand tools.
Falling from height -Provide lifeline & hard 3 3 9 M 3,4 -Approved WAH PTW OSHA ‘94 1 3 3 L CM/SE/SS/SS
FMA S
barricade. before start works. (BOWEC)
-Provide body harness. -Provide internal training & 1986
-Hook body harness at close supervision.

the provided -Inspection of body
anchorage points. harness before start work.
-Close supervision
Trip and fall -Good housekeeping 2 2 4 L 4 - OSHA ‘94 - - - - CM/SE/SS/SS
FMA S
and materials (BOWEC)
arrangement. 1986
-No obstruction at the

access way.
7. Using air- Faulty air- -Check all equipment 3 3 9 M M -Valid PMT certificate if OSHA ‘94 1 3 3 L CM/SE/SS/SS
compressor FMA S
compressor are in good condition relevant.
(BOWEC)
equipment before use.. -Use whiplash at the air 1986
Page 6 of 8
RWTP
bility ty ROL
PxS PXS
(P) (S)
-Check all hoses / compressor hoses.

connectors are in good
condition.
8. Apply epoxy Exposure to -Provide PPE as per 2 2 4 L 4 - - - - - CM/SE/SS/SS
Safety Data Sheet S
chemical
during handling the OSHA ‘94
chemicals. FMA
-SDS to be available. (BOWEC)
-Standby water for 1986
cleaning purposes.
-Monitoring and
supervision
Page 7 of 8
RWTP
PROBABILITY SEVERITY PRIORITY OF ACTION

Probability Description Rating Severity Description Rating Risk Rating Action Urgency
Very Is practically impossible and 1 Insignificant Minor ill health or first aid type 1 1-4 Risk is considered as acceptable and If required
Unlikely has never occurred /negligible injury further reduction may not be necessary.
Unlikely Has not been known to occur 2 Minor Injury involving temporary 2 LOW Continuous monitoring needs to be in
after many years disability place
Likely Might be occurred at some 3 Moderate Injury involving Permanent 3 5-12 Identified control measures shall be 1 week
time in future disability implemented to minimize the risk level.
Very Likely Has a good chance of 4 Major Single fatality or major 4 MEDIUM Continuous monitoring shall be in place.
occurring and is not unusual property damage
Almost The most likely result of the 5 Catastrophic Numerous fatalities or 5 15-25
Requires immediate action to control Immediate
Certain hazard/event being realized irrecoverable property damage and minimize the hazards. Work should
HIGH not commence until proposed control
measured have been implemented.
** Note: The description and level of severity and probability may vary, subjected to project, legal and other requirements. Loss on property damage can be incorporated and
shall be in accordance to project requirements.
Group Hierarchy of Control

1 Elimination
2 Substitution
3 Engineering controls, reorganization of work, or both:
4 Administrative Control
5 PPE
Page 8 of 8
RWTP

SDN BHD
METHOD STATEMENT
5.2 Emergency Response Flow Chart

RWTP

SDN BHD
METHOD STATEMENT

RWTP

SDN BHD
METHOD STATEMENT
Emergency Response Flowchart
Event occurred
Identifier shall inform ERT
Emergency commander shall

act according to situation Emergency commander shall declare as
emergency (alarm trigger)
ERT activate
Evacuate all workers to

assembly point
Assemble accordingly
and head count
Rescue team activate

(if missing workers reported)
Emergency situation under

control
Emergency TERMINATE by
commander
Debriefing by emergency
commander
Finish
REF. NO : RWTP-GB-C&S-MST- 000063-00 Page 13

RWTP

SDN BHD
METHOD STATEMENT
5.3 Environmental Aspect & Impact

Register

APPENDIX 5.3
ENVIRONMENTAL ASPECTS AND IMPACT REGISTER

Reference No.: RWTP-GB-CNS-MST-000063
Package/ Location: RWTP Rasau Water Treatment Plant
Revision No.: 00
Type of Work: General Repair Works Date: 15/3/2024
Condition Risk Rating Significant R&O that need to be addressed

PROJECT ACTIVITY ASPECTS IMPACTS MITIGATION MEASURES TO BE IMPLEMENTED
N* A* E* L* S* Rate Yes No
(LxS)
1. Recommend to conduct work at night or during off peak hours to minimise traffic
disruption.
Risk:
2. Maintain most number of lanes wherever possible
- Public complaint
3. Reduce number of lanes (only when unavoidable and when all other alternatives
Road closure, land diversion and - Heavy traffic congestion
Traffic Cogestion N 3 3 9 YES have been exhausted) to be designed to facilitate contra flow options.
reduction
4. Provide sufficient warning signs and flagmen at all work areas to facilitate better
Opportunities:
traffic flow
- NA
5. Maintain traffic management devices and temporary/ warning signs to ensure
maximum effectiveness in terms of traffic management.
Risk:
1. Inspection by weekly and maintenance of machinery to be conducted regularly to
- Legal action by authorities
ensure machines are in good working condition with no leakage.
Oil spillage/ leakage Land contamination E 2 2 4 YES
2. Manually excavate the contaminated area and put into a suitable container and
Opportunities:
must be stored at scheduled waste storage for proper disposal.
- NA
Risk:
- Public complaint
1. The machinery will be maintained in good working order to ensure that exhaust
Generation of black smoke Air pollution N 2 2 4 YES Opportunities: emission is controlled
- Regular maintenance of 2. Allow only machinery that is in good condition to enter the site.
machinery
- Increase life span of machinery
1. Mobilisation / Risk:
1. Speed limits (15km/ hr) and traffic volume restriction within the site area will be
Demobilisation (Loading - Public complaint
implemented to reduce the dust dispersion.
and Unloading Machinery) 2. Dampen all access. Water bowser need to standby for watering all the time.
Generation of Dust Air pollution N 2 2 4 YES
3. Vehicles transporting earth to be installed with tailgate and covered with tarpaulin.
4. To wash the construction vehicles wheels at a wash trough facility before leaving
Opportunities:
from construction site.
- NA
Risk:
Generation of scheduled waste Immediately clear any spillage on the ground. Scheduled waste will be stored at
Land contamination N 2 2 4 YES
(including disposal of waste) scheduled waste storage area and disposed by licensed contractor.
Opportunities:
- NA
Risk:
Inspection by weekly and maintenance of machinery to be conducted regularly.
- Public complaint
Installation of hoarding or temporary noise barrier. All noise generating equipment
Generation of noise/ vibration noise/ vibration nuisance N 3 3 9 YES
and machinery will be shut down when not in use and work will be conducted within
Opportunities:
approved working hour.
- NA
Risk:
- Public complaint 1. Wash trough to be provided at the site exit with water jet and operator.
Dirtying of public road Public nuissance/ public complaint N 3 3 9 YES 2. Temporary drainage will be constructed to channel surface runoff to silt trap.
Opportunities: 3. Water bowser need to be standy for watering purposes.
- NA
APPENDIX 5.3

Revision No.: 00

(LxS)
Risk:
2. Dampen all access. Water bowser need to standby for watering all the time.
Air pollution N 3 3 9 YES
Opportunities:
- Enhancement of SHEI
Generation of dust
Risk:
Public nuisance/ complaint N 2 2 4 YES Water bowser to be provided for access washing.
Opportunities:
- Enhancement of Construction
Waste Management Plan/ SHEI.
Risk:
2. Hacking works (affected - Legal action by authorities
concrete) All type of waste will be segregated, stored and disposed in accordance with the
Generation of non-scheduled Opportunities:
Land contamination N 2 3 6 YES Construction Waste Management Plan. Open burning is strictly prohibited. Waste
waste (including disposal of waste) - To reuse/recycle the waste for
will be disposed at the approved disposal site.
other purposes
Risk:
Public nuisance/ complaint N 3 3 9 YES Provide maintenance on time for fuel burning equipment, vehicle & machineries.
Opportunities:
- Nil.
Noise generation
Risk:
- Nil
1. To turn off machineries when not in use.
Noise pollution N 2 2 4 YES
2. Limit working hours.
Opportunities:
-Nil
Risk:
Air pollution N 2 2 9 YES
Opportunities:
- Enhancement of SHEI
Generation of dust
Risk:
Opportunities:
- Enhancement of Construction
APPENDIX 5.3

Revision No.: 00

(LxS)
Risk:
Public nuisance/ complaint N 2 3 6 YES Provide maintenance on time for fuel burning equipment, vehicle & machineries.
Opportunities:
- Nil.
Noise generation
Risk:
- Nil
Noise pollution N 2 3 6 YES
Opportunities:
-Nil
Risk:
- Nil
Depletion of non-renewable 1. Do not leave machineries unattended while machine in running condition.
Fuel consumption N 2 3 6 YES Opportunities:
resources 2. Turn off machine while not in use to avoid diesel wastage.
-Nil
3. Install and Uninstall
formwork.
Risk:
- Public complaint
1. Spent oil and grease from machines, generators will be collected in drums,
Water pollution E 3 2 6 YES transported and disposed off site by licensed contractor.
Opportunities:
2. To provide drip tray to contain spillage.
Enhancement of Construction
Oil spillage/ leakage

Risk:
- Public complaint
1. To provide spill kits to contain and spillage.
Land contamination E 3 3 9 YES 2. To provide adequate training to site off on schedule waste management.
Opportunities:
Risk:
Immediately clear any spillage on the ground. Scheduled waste will be stored at
Land contamination N 3 2 6 YES Opportunities:
scheduled waste storage area and disposed by licensed contractor.
- NA
Generation of scheduled waste

(including disposal of waste) Risk:
Immediately clear any spillage from surface water, stream, pond by using spill kit
Water pollution N 3 2 6 YES Opportunities: manually and put into a suitable container and will be stored at scheduled waste
- NA storage prior to disposal.
Risk:
All type of waste will be segregated, stored and disposed in accordance with the
Generation of non-scheduled
Land contamination N 2 3 6 YES Opportunities: Construction Waste Management Plan. Open burning is strictly prohibited. Waste
waste (including disposal of waste)
- NA will be disposed at the approved disposal site.
APPENDIX 5.3

Revision No.: 00

(LxS)
Risk:
Immediately clear any spillage on the ground. Scheduled waste will be stored at
Land contamination N 3 2 6 YES Opportunities:
scheduled waste storage area and disposed by licensed contractor.
- NA

Immediately clear any spillage from surface water, stream, pond by using spill kit
Water pollution N 3 2 6 YES Opportunities: manually and put into a suitable container and will be stored at scheduled waste
- NA storage prior to disposal.
Risk:
Generation of non-scheduled
Land contamination N 2 3 6 YES Opportunities: Construction Waste Management Plan. Open burning is strictly prohibited. Waste
waste (including disposal of waste)
- NA will be disposed at the approved disposal site.
4. Repair work for Honey Risk:

Comb and Crack Line - Legal action by authorities
(including concreting and Public nuisance/ complaint N 3 3 9 YES Provide maintenance on time for fuel burning equipment, vehicle & machineries.
grouting activity) Opportunities:
- Nil.
Noise generation Risk:

- Nil
Noise pollution N 2 3 6 YES Opportunities:
-Nil
Risk:
Air pollution N 3 3 9 YES Opportunities:
Generation of dust
Risk:
Opportunities:
APPENDIX 5.3

Revision No.: 00

(LxS)
Risk:
1. A petroleum based machines or equipment be placed on the secondary
Land contamination N 3 2 6 YES Opportunities: containment/ tray.
- NA 2. Any spillage to be collected and treated as scheduled waste.

1. Immediately clean any spillage.
Water pollution N 3 2 6 YES Opportunities: 2. Scheduled waste shall be stores as designated scheduled waste storage area
5.Housekeeping
- NA and disposed by licensed contractor.
Risk:
Generation of non-scheduled Opportunities:
Land contamination N 2 3 6 YES Construction Waste Management Plan. Open burning is strictly prohibited. Waste
waste (including disposal of waste) - To reuse/recycle the waste for
will be disposed at the approved disposal site.
other purposes
Prepared by Reviewed By Approved By N* = Normal

Name Siti Norlissa Bt Ishak Siti Khairiah Mohd Hashim Joshua Enthol A* = Abnormal
E* = Emergency
L* = Likelihood (refer to Appendix B)
Signature
S* = Severity (refer to Appendix B)
# Risk Rating calculation shown in Appendix B
Date 15/3/2024 15/3/2024 15/3/2024
Appendix B
Risk Rating Evaluation
SEVERITY
1 2 3 4 5
No environmental change or the Adverse impact may occur, but the Adverse impact is not permanent, Can cause adverse impact, but the Can cause severe adverse impact,
environmental impact is benificial. effect is easily recoverable or short term and repairable or damage is not permanent / only major pollution, e.g. permanent / long
E.g.: Generation of used paper contribution to the impact is very low. contribution to the impact is low. medium term or contribution to the term environmental damage or
E.g.: Generation of food packaging on E.g.: Bentonite spillage on the road
impact is high. contribution to the impact is very high.
the ground E.g.: Black smoke from low E.g.: Silt trap malfunction/damage
maintenance machineries
No rectification needed Rectification can be done immediately Rectification can be done within 1 day Rectification can be done within 1 Rectification can be done more than 1
week week
Very likely. It is almost certain that the
event will occur. Common or frequent
occurrence.
5 5 10 15 20 25
May happen daily in normal situation.
Likely. There is a strong possibility the

event will occur or there is a history of
frequent occurrence.
4 4 8 12 16 20
May happen once a week in normal
situation.
Possible. The event could occur or

LIKELIHOOD
there is a history of occurrence.

3 3 6 9 12 15
May happen once a month in normal
situation.
Unlikely. Not expected, but there's a

slight possibility it may occur at some
time.
2 2 4 6 8 10
May happen once a year or only
happen in abnormal situation
Rare. It may only occur in exceptional

circumstances.
1 1 2 3 4 5
May happen more than once a year in
abnormal situation.
Risk Rating
Level Rating Significant

Level 1 - Very Minor 0-1 No
Level 2 - Minor 2-3 No
Level 3 - Moderate 4-6 Yes
Level 4 - Major 7 - 16 Yes
Level 5 - Critical 17 - 25 Yes
RWTP

SDN BHD
METHOD STATEMENT
5.4 Inspection & Test Plan

RWTP

SDN BHD
METHOD STATEMENT

Project: ITP for: GENERAL REPAIR WORK Rev: 00
(RWTP)
Discipline: C&S Ref. No: RWTP-GB-C&S-ITP-000063-00
Discipline code: REFER TO PROCEDURE Date: 23/4/2024 No of Pages: 1 of 2
Inspection Point
No. Activity Description Controlling Document Acceptance Criteria Frequency Record
CR SC CA
Technical Prior to
Submission of Method Method Statement and Approved Method of
1.1 Specification/Construction commencement of H R R
Statement Inspection Test Plan (ITP) Statement; Approved ITP
Drawing work
Technical Technical Prior to
Submission of Material for Comment Review Sheet
1.2 Specification/Construction Specification/Construction commencement of H R S
approval for Material Submission
Drawing Drawing work
Approved Material
Technical Technical Prior to
Submission / Request for
1.3 Material inspection Specification/Construction Specification/Construction commencement of H W S
Inspection (RFI) / Delivery
Order (D.O.)
2.0 General Repair Work
Technical Technical During
Work Inspection Request
2.1 Minor honeycomb Specification/Construction Specification/Construction commencement of H W S
Checklist
Technical Technical During Work Inspection Request
2.2 Major honeycomb Specification/Construction Specification/Construction commencement of Checklist H W S
Technical Technical During Work Inspection Request
2.3 Minor crack line Specification/Construction Specification/Construction commencement of Checklist H W S

RWTP

SDN BHD
METHOD STATEMENT

Project: ITP for: DIAPHRAGM AND DECK SLAB CONSTRUCTION Rev: 00
(RWTP)
Discipline: C&S Ref. No: RWTP-GB-C&S-ITP-000063-00
Discipline code: REFER TO PROCEDURE Date: 23/4/2024 No of Pages: 2 of 2
Inspection Point
No. Activity Description Controlling Document Acceptance Criteria Frequency Record

CR SC CA
Technical Technical
After Concreting Work Inspection Request
2.4 Major crack line Specification/Construction Specification/Construction H W S
Work Checklist
Drawing Drawing
Remarks: Inspection Authority:

H : Hold Point Points where no further works shall proceed without the written approval of the Supervising CR Contractor Representative
Consultant representative SC Supervising Consultant
W : Witness Point Points where Supervising Consultant can opt to observe/ or visually examine or participate in the work
CA Contract Administrator
operation.
S : Surveillance Points where the SC representative monitor the contractor activities to the degree necessary for
confidences that work process/ method is complying with the established criteria
R: Review Review of the contractor’s ITP records for correctness and completeness
Prepared Reviewed Approved
Ooi Jeh Tsong Syerifaizal Bin Mustapha Joshua Entol

Name (Assistant Manager) (QAQC Manager) (Construction Manager)
Signature
Date 23/04/2024 23/04/2024 23/04/2024

Rasau WTP Form detail report
Form detail
#17199: QAQC CHECKLIST - CONCRETE REPAIR WORKS
Forms
Location
Form date Apr 23, 2024
Description
Due date
Created by Jeh Tsong Ooi
Status In progress
Last update Apr 23, 2024, 4:20 PM UTC+08:00
Last updated by Jeh Tsong Ooi
Included references Assets | Files | Forms | Issues | Photos
1. Form Details
1.1 Inspection Date
1.2 Detailed Location
If necessary
1.3 Drawing No.
1.4 Request for Inspection (RFI) No.
2. Preparation Works
Crack mapping
Created by Jeh Tsong Ooi with Autodesk® Construction Cloud™ on Apr 23, 2024 at 4:21 PM UTC+08:00 Page 1 of 6
2.1 Contractor
Pass Fail N/A
2.2 Supervising Consultant

Pass Fail N/A
2.3 CA Representative
Pass Fail N/A
3. Preparation Works
Approved material (epoxy injection resin)
3.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A
4. Surface Crack Repair

Cleanliness of cut surface
4.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A
5. Surface Crack Repair

Filling of epoxy injection resin is full
5.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A
6. Through Crack Repair

Installation of injection packer
6.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A
7. Through Crack Repair

Pressure injection
7.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A
8. Concrete Honeycomb Repair

Patching surface is free of residue, oil or grease
8.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A

Bonding agent application
9.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A

Patching and leveling
10.1 Contractor
Pass Fail N/A

Pass Fail N/A
Pass Fail N/A
11. Final Inspection Status

To be filled up by Supervising Consultant
11.1 Allowed to proceed with the next stage of work?

Yes No N/A
11.2 Reason for failure or reinspection
If any
11.3 Any Non Conformance Report (NCR) to be raised?
Please add the NCR as Form References if your answer is yes
Yes No N/A
12. Signatory
REMINDER: ALL NCR SHALL BE CLOSED BEFORE SIGNING OFF THIS CHECKLIST
12.1 Subcontractor
-
12.1 Contractor
-

-
-

RWTP-GB-C&S-MST - 000063-00 - General Repair Work

Uploaded by

Copyright:

Available Formats

RWTP-GB-C&S-MST - 000063-00 - General Repair Work

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

RWTP-GB-C&S-MST - 000063-00 - General Repair Work

Uploaded by

Copyright:

Available Formats

No.

Submission Checksheet (MST) Status Comments

3 References (incl. relevant Contract Specification)

4 Codes and standards

5 Manpower and Responsibility

6 Tools and equipment

8 Work phases (if applicable)

10 Construction work methodology and sequence

11 QA/QC control procedure

12 Health and Safety procedures / instruction

13 Emergency response protocol, team and communication

14 Risk assessment register and prevention action

16 Management of as-built data NA

17 Other enclosure (if any) NA

Nur Nadia Syerifaizal Hj. Mustapha

PENGURUSAN AIR SELANGOR

METHOD STATEMENT FOR

GENERAL REPAIR WORKS

Reference No : RWTP-GB-C&S-MST- 000063-00

Date : 23 April 2024

Action Name Designation Signature

Approved by Khor Thiam Chay Project Director

Reviewed by Joshua Entol Construction Manager

Reviewed by Syerifaizal QAQC Manager

Prepared by Ooi Jeh Tsong Assistant Manager

REF. NO: RWTP-GB-C&S-MST-000063 Page 1

PENGURUSAN AIR SELANGOR

REF. NO: RWTP-GB-C&S-MST-000063 Page 2

PENGURUSAN AIR SELANGOR

1.0 SCOPE OF WORKS

1.1 General Description

Defect type Minor defect Major defect

1.2 Work Sequence Flow

1.3.1 Materials to be used will be:

REF. NO: RWTP-GB-C&S-MST-000063 Page 3

PENGURUSAN AIR SELANGOR

1.4 Machinery and Equipment

1.5 Work Procedure

1.5.1 Minor Honey-comb

1.5.2 Major Honey-comb

1.5.3 Minor Crack Line

REF. NO: RWTP-GB-C&S-MST-000063 Page 4

PENGURUSAN AIR SELANGOR

1.5.4 Major Crack Line

2.0 SAFETY AND HEALTH REQUIREMENTS

2.2 Information to Personnel

REF. NO: RWTP-GB-C&S-MST-000063 Page 5

PENGURUSAN AIR SELANGOR

2.3 Emergency Arrangements

2.3.1 Project Emergency Response Plan and Procedure shall be established.

REF. NO: RWTP-GB-C&S-MST-000063 Page 6

PENGURUSAN AIR SELANGOR

• Headcount shall be conducted

2.4 Permit Requirements

No Description Person or Authorities in- Remarks

3.0 ENVIRONMENTAL ISSUES

REF. NO: RWTP-GB-C&S-MST-000063 Page 7

PENGURUSAN AIR SELANGOR