Method Statement Template
SA-S-002-01-05
1. Project Information
Project Name ADMIN BLOCK
Project Reference VIDPL-MS-09
Number
Client / Customer ABB INDIA ltd.
Name
Client / Customer Site Admin block, ABB India Limited, survey no 88/3,88/4
Address Nelamangala road, Basavana halli, Hasaba hobli,
Nelamangala town, Karnataka 562123
2. Site Description
Activity…
Method Statement for: Cable tray Installation & Electrical cable laying
Location;
Admin block, ABB India Limited, survey no 88/3,88/4
Nelamangala road, Basavana halli, Hasaba hobli, Nelamangala town, Karnataka - 562123.
ABB India Limited / Nelamangala
Planned schedule of Activity: 09-08-2024
3. Contractors Details, Roles, Responsibilities & Contact Details:
M/s Vaibhav Inter Decor Pvt Ltd.
No. 51, SSI Area, 4th Cross,
5th Block, Rajajinagar,
Bangalore - 560 010
Tel : 49534536, 49534537, 2314 6238
URL : www.vaibhavinterdecor.com;
Telephone
Role Name E-Mail
Number
Vendor side
Sr.Project Mr. Ajay 9611261995 [email protected];
Manager(M Kumar HR
EP
Sr.Project Manoranjan 7411586272 [email protected];
Manager Kumar
Project Mr. Harish T 9663685912 [email protected];
Engineer
Project Mr.Vrushabh R 9380508539 [email protected];
Engineer Hulimani
Manager- Ramesh C 9945652734 [email protected];
Safety Ramachandira 9843649293 [email protected];
nR
Store Mr. Ramappa 8050400794 [email protected];
Incharge K
Safety Mr. Rahul R B 8095229720
Incharge
ABB
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Method Statement Template
SA-S-002-01-05
Project Mr.Sundaresh 9008031701
[email protected] ;
Manager KJ
PMC Mr. Surendar L 9176234842
[email protected];
Mr. Nikhil. 7618770845
[email protected];
Kapileshwari
HSE Mr. Soubhagya 9337934469
[email protected];
Manager Mr. Ranjith 8548063114
[email protected];
EHS Head Mr. Vimal S S 7022007979
[email protected];
4. Emergency Arrangements
The emergency procedure specific to the work area will be covered during the client
induction and task specific controls outlined in this method statement.
a) All operatives will be aware of the assembly points in the event of an emergency.
Assembly points will be discussed on site.
b) During an emergency the ABB Site Responsible Manager will take charge and will
ensure that the appropriate steps are taken to contact the client representatives.
c) All incidents will be reported to the or by the ABB Site Responsible Manager
immediately who in turn will contact the client and ABB HSE Manager.
d) First aid kits and trained First Aiders & Fire Wardens will be made available from the
client, clearly identified and arrangements communicated to the ABB team. ABB
First Aiders and Fire Wardens will be listed below where necessary.
Emergency Contacts:
Description Address Contact Number
Nearest Emergency HARSHA HOSPITAL 08027724003 /
Hospital / Doctor (add 9900671713
map below)
Local Ambulance Service Nelamangala 108
Local Fire Service Nelamangala 101
Local Police Force Nelamangala 100
Contractor
On-Site Emergency Harish T 9663685912
Number Ramesh C 9945652734
On-Site First Aid Number Ramappa K 8050400794
Site Supervisor
5. Ajay Kumar HR 6. 9611261995
Site Manager
ABB
Site Responsible Mr. Sundaresh K J 9008031701
Manager
First Aider Mr. Ranjith 8548063114
Mr. Soubhagya
First Aider 9337934469
Fire Warden 7.
EMERGENCY EQUIPMENT
Description Type Location Quantity
Automatic External NA
Defibrillator (AED)
First Aid Box BOCW Store and site 01
area
Eye Wash 01 Store and site 01
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Method Statement Template
SA-S-002-01-05
area
Fire Extinguisher ABC & CO2 Office and site 06 corresponding
area
Fire Blanket NA Office & Site Not Applicable
area
Map Showing Location of Project Site & Nearest Emergency Hospital / Doctor:
05. Date & Duration of Works
The projected date for the works on site is: 10-08-2024
From 9:00AM
To 6:00PM
Site Working
8 HOURS
Hours
06. Scope of Work / Detailed Work Description
Enter the detailed scope of work and tasks to be undertaken:
Sr/ Activity Work Description
no
1 Deployment Licensed Electrician, Skilled Electricians and
of competent Unskilled workers shall be deployed or Empower
work force Connection.
2 Vehicle entry Document will be verified before enter the site
to work premises. Valid DL, RC, Insurance
premises Ensure wheel stopper while parking the vehicle.
Should be ensure indicator, horn & reverse horn,
seat belt is available of vehicle.
Do not allow the workmen to blind spot of vehicle.
Speed limit 10kmph to be followed
3 Materials Unloading of Cable tray, Cables & accessories
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Method Statement Template
SA-S-002-01-05
need to be Identify the designated location before dismantling
shifted to the & Shifting
respective
location by Manual handling needs to done under supervision
manually Ensure those workmen are trained on job.
Barricade the work area with warning tape and
signage.
Where necessary use lifting machinery like, Pallet
trolley.
Gate assistant for load which are heavy or have
awkward dimension;
Two-man lift.
Don’t allow to a single person lift more than weight
of 25 kg Clearly.
4 Marking with Follow the instructions as per the MSDS.
blue powder Work shall be monitored by competent supervisor.
or enamel Work with proper suitable PPE’S means job specific
paints Safety PPES
5 Cable tray
Ensure threaded rods are used for securing the for-
supports
cable tray support and channel support to be firmly
fixing for
secured
cable trays
Do not over load or climb on cable tray or support
installation
channel
Conduit pipes to be fixed using spacer saddle with
max. of standard spacing between each spacer
saddle
Do not run more cables on conducting refer the
conducting cabling drawing
Provide barricade to unauthorized entry to work
location
6 Cable trays Cable trays & raceways are in good condition with
and race make certificate (Approved make)
ways GI cable tray installing with support thread rod
installation Only approved brand cable tray shall be allowed to
for power used
cables Mark the location of installation and install the
routing approved cable trays
7 Electrical Cable Wire shall be checked for physical damage
laying & wiring condition and tagged for fit to use condition.
work Pulling wire crew should not pull the cable fast.
Teamwork must be followed
Shall be ensured that the work area is ready and
safe to start pulling of wire
Shall be ensuring that the proper work permit has
been signed by concerned authority and all
precaution, which shall be mentioned
in work permit, has been included.
Before Wire pulling, open require Conduit/Race
Way. Blockage shall be checked by inserting the
draw wire and check that it reaches to other end
without disturbance.
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This document is uncontrolled when printed.
Method Statement Template
SA-S-002-01-05
8 Housekeepin After above all the works completed shall be done
g at the end Housekeeping properly.
07. On Site Requirements – ABB Requirements & Contractor
Requirements
ABB REQUIREMENTS FROM THE CONTRACTOR
1. Hospital tie of for all workmen and staff for carried out the project activity.
2. Before starting the activity all statutory documents need be submitted to ABB
HSE Team.
3. MS and ABRA need to be prepared for all activity and get approval from ABB
Team before starting the activity.
4. Before deputing any person for work contractor team need to ensure the person
was physically fit or not.
5. TBT need to be conducted by site HSE/ engineer with all working person before
starting the work on regular basis.
6. Weekly hazard and statistic report need to be prepared by Site safety officer and
need to be send to ABB HSE on every week.
7. Competent electricians electrical license
8. WCP policy, CAR policy, Contractor license
CONTRACTOR REQUIREMENTS FROM ABB
1.Power arrangement from ABB side
2.Water tap-off point
3. Area Requirement for labor resting area, material storage yard & Site office, Labor
toilet, Debris yard, Induction room, assembly point.
4. PTW required from ABB side for all activity.
5. TBT, Checklist format from ABB side for all activity.
6.ABRA & MS approval from ABB.
08. ABB Scope of Work Boundaries
Interior Renovation Activities at Main Office Ground Floor.
09. Delineation & Signage Requirements
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This document is uncontrolled when printed.
Method Statement Template
SA-S-002-01-05
10. Plant / Tools / Equipment
List all plant, tools and equipment to be used, and verify they are within their certification /
test dates:
Description Quanti Certification/Test Date SRM Signature
ty
Hammer Machine 02
Measurement Tape 03
Drilling machine 04
Welding machine (If 01 Yes
required)
Chop saw machine 01
Hand Saw 02
Screw driver 03
Cutting Machine 02
Soft barricading 1 set
material.
Fluke meter 02
Crimping tool 02
11. Materials / Chemicals to be Used on Site
List all materials and chemicals to be brought on site by ABB:
Description Quanti Safety Data Sheet SRM Signature
ty Present
NA
List all chemicals / substances which are present at the Client Site, which ABB could
potentially be exposed to during our work on site:
Description Potential Hazard Control Measures SRM Signature
NA
12. Personal Protective Equipment (PPE) Requirements
List all PPE required either, by Client requirements, or determined from the task specific
risk assessment:
PPE Type Specific Requirements
Safety shoe Yes
Safety helmets Yes
Reflective jackets Yes
Cut resistance hand Yes
gloves
Nose mask Yes
Safety goggles Yes
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Method Statement Template
SA-S-002-01-05
Full body Harness Yes
13. Sequential Safe System of Work
This method statement considers the conclusions of the task specific risk assessment,
client’s requirements, and current best practice, to ensure that what is reasonably
practicable has been applied, to enable all tasks to be carried out in a safe manner (safe
system of work).
All personnel will have completed the Client’s project specific induction and will attend
refresher inductions as required by the Client.
This method statement and task specific risk assessment will be brought to the attention of
the site team by the Site Responsible Manager or Person In charge of Work (PICW) and all
the team will sign off to say they have understood the requirements set out within these
documents.
A Stop Take 5 (ST5) will be completed, communicated, reviewed and signed on to by the
Site Team a daily basis to address site, environmental and task conditions. It is the
responsibility of the Site Responsible Manager to complete the ST5 and brief the Site Team.
Location Safety Induction
1 In case of any emergency – 6848/+91 8022946848
2 Take nearest exit and reach nearest assembly point near Infront of ABB canteen
3 Walk fast don’t run in emergency
4 Wait for instruction at assembly points
5 Your nearest assembly point is near Infront of ABB canteen
6 In case of you observe any emergency:
Report emergency through from local phones with location and type of emergency
7
dialling for mobile: +91 8022946848
8 Keep away emergencies like fire and exposures
14. Safety Documentation
Please list all safety documentation required to complete the scope of work (e.g., risk
assessments, permits to work, safety data sheets, reference documents etc.)
Document Type Reference No. Approved (Y/N) SRM Signature
Method statement VIDPL-MS-09
Risk assessment VIDPL-ABRA-09
15. Task Specific Training Requirements
Please list all task specific training/competency requirements required to complete the
scope of work
Training/
Task Competency Verified (Y/N) SRM Signature
Requirement
Site induction & TBT Yes Yes NA
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Reproduction, use or disclosure to third parties without express authority is strictly forbidden.
This document is uncontrolled when printed.
Method Statement Template
SA-S-002-01-05
Height work Yes Yes NA
Electrical/ Power Yes Yes NA
tool
General Work Yes Yes NA
Hot Work Yes Yes NA
16. Sign Off Register
I confirm that I have read, understand and will comply with any control set out within this
method statement and the associated task specific risk assessments:
Print Name Signature Company Date
Mr. Ajay Kumar HR Vaibhav Inter Décor Pvt
Ltd
Mr. Harish T Vaibhav Inter Décor Pvt
Ltd
Mr. Ramappa K Vaibhav Inter Décor Pvt
Ltd
Mr. Ramesh Vaibhav Inter Décor Pvt
Chandanagouda Ltd
Mr. Vrishabh H Vaibhav Inter Décor Pvt
Ltd
Mr. Manohar Vaibhav Inter Décor Pvt
Ltd
Mr. Ramachandiran R Vaibhav Inter Décor Pvt
Ltd
Mr. Rahul R B Vaibhav Inter Décor Pvt
Ltd
Mr. Ravi Prakash Sree Manjunatha
Electricals
Mr. Chethan B S Sree Manjunatha
Electricals
Mr. Anill Kumar Sree Manjunatha
Electricals
Mr. Yashavantha Sree Manjunatha
Electricals
Mr. Pandurangan Sree Manjunatha
Electricals
17. Amendments & Changes to Scope of Work
Any amendments made to this method statement on site should be detailed here:
Amendment Made By: Date:
Please note all changes made to scope of work here…
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Reproduction, use or disclosure to third parties without express authority is strictly forbidden.
This document is uncontrolled when printed.
Method Statement Template
SA-S-002-01-05
Method Statement Prepared By: -
Title: - Ajay Kumar HR
08/08/2024
Method Statement Reviewed By: -
09/08/2024
Title: - Mr. Nikil K / Mr. Surendar L
Method Statement Approved By: -
09/08/2024
Title: - Mr. Sundaresh KJ / Vimal SS
I confirm that I have read and understand the changes to this method statement and the
associated task specific risk assessments: workman attendance sheet for Vaibhav
Inter Decor Pvt Ltd -09
SL Print Name Signatu Company Date
No re
01
02
03
04
05
06
07
08
09
10
11
12
13
14
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Reproduction, use or disclosure to third parties without express authority is strictly forbidden.
This document is uncontrolled when printed.
