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˿ < #1 8 Method Statement Title:
Site Set up and Trial Holes Method Statement No:
Enter MS No. HereCatchment Area:
Enter Scheme No. HerePrepared By:
Position:
Company:
Signed:Date:
Checked By:
Position:
Company:
Signed:Date:Approved By:
Position:
Signed:
Date:
Accepted for use By:
Position:
Signed:
Date:
Accepted for use By:
Position:
Signed:
Date:
Issued By:
Position:
Document ControllerIssue:
Revision A0Status:
For ConstructionDate:
Issued To:Position:Please acknowledge receipt of your copy of this MS, by signing and returning the transmittal note:Transmittal Date:Project Office (orig)Site File (copy)
1. Introduction
1.1This method statement outlines initial proposals for this activity. Where it is identified that there is a need to change the method of work due to unforeseen circumstances for example, then revision, authorisation and issue will follow the same procedure as the original. 1.2The working area plan and access route drawing is attached at Annex A.2. Scope of Works
2.1Excavation of services to provide information for design.3. Responsible Persons in Charge
3.1Name:Position:Mobile:3.2The David Lewis Agent is responsible for the satisfactory completion of the works.4. Equipment and Plant.
4.104.114.124.134.144.154.164.174.184.19
5. Induction/Training/Permits
5.1All site personnel to be inducted records available at the main site office, [Please Enter Address of Site Here.]5.2All site personnel will then be familiarised with the site and made aware of any hazards. 5.3A Permit to Excavate will be issued by the David Lewis Designated Person prior to any works commencing.6. Procedure/Method of Work
6.1Site Set-up6.1.1Prior to commencement of any works the Site Engineer will mark out the working easement. 6.1.2The Site Engineer will mark out the location of any existing services in the close vicinity of the work area.6.1.3Overhead cables will be protected/highlighted by the use of goalposts (upright poles with bunting strung across at the minimum clearance height below and minimum horizontal clearance to the cables)6.1.4Signage will be fixed to the compound fencing detailing contact numbers, PPE and access requirements etc. 6.1.5Access for deliveries will be via site entrances. These will be clearly sign posted. Material lorries arriving on site will be guided by a banksman during unloading procedures. He will be responsible for opening the entrances into the site and ensuring that the entrances are closed and secure after deliveries. The entrances must be kept closed at all other times. During break times it will be necessary for one person from the gang to supervise and maintain security on the site, by ensuring that all accesses are closed and secure.6.1.6Welfare facilities will be provided in the form of an all in one unit, comprising of a toilet, canteen, drying room and storage area. An integral silenced generator will power the unit. The compound will also have a storage container.[or use the following]:The welfare facilities provided will be a site office, canteen, toilet\shower block and drying room. Compound general waste will be discarded into a general waste skip. A COSHH skip will be provided for all COSHH waste. There will also be a COSHH cage for the storage of COSHH materials, and two containers for the storage of general materials. The site will be powered by a super silenced generator, which will be situated in a drip tray, and fuelled from a static diesel tank which will be situated in a block bund.6.2Trial Holes6.2.1Prior to excavation in road, traffic management will be erected in accordance to Chapter 8 and also with the approval of the highway authority. For trial holes in land other than highway, the appropriate notices and liaison with land owners should be in place. 6.2.2For trial holes in the road, the surface will be cut using a road saw, the operator of which will wear goggles and ear protection as specified in the attached risk assessment. Dust suppression will be by use of a reservoir supplying water to the cutting blade. For trial holes in verge the topsoil will be stripped and stored away from the excavation, as to not cause a problem during the excavation process.6.2.4 Existing tarmacadam will be broken out by the use of a machine-mounted breaker. The breaker will be operated by a trained person, who will be under the supervision of a banksman. It should be noted that all personnel in the immediate vicinity of the breaking operation will require eye and ear protection. It should be noted that all personnel in the immediate vicinity of the breaking operation will require eye and ear protection.6.2.5Trial holes will be excavated to a depth of *****. Due to the depth of the proposed trial holes it may be necessary to install a trench support system during the excavation process. The temporary works system may be in the form of sheet piles or as a trench box. If specific details are required for a specific trial hole the temporary works designer should be contacted so that a specific scheme can be designed. The design will be attached to the method statement and should be adhered to at all times. Should an adaptation of this system be required proposals should be made to the temporary works designer who will agree changes. Sheet piles will be utilised where crossing services may create a problem. They will be lowered into the excavation by the use of the excavator. All straps, chains and shackles will have current test certificates. A nominated person will bank the machine during the lifting operations and whenever a movement is required. Trench boxes will be utilised where possible.6.2.6The excavation of the trial holes to locate existing services will, where possible be conducted by hand excavation Once the bulk excavation is completed and all necessary temporary works are in place, entry into the trial hole will be gained to the workplace by means of a ladder access. This ladder will be in a suitable condition and placed where there is no risk of damage from plant or materials being lowered into the excavation, and shall be either tied at the top or footed by a secondary party.6.2.7Barriers will be provided around the top perimeter of the excavation. These will be a minimum of 910mm high. Where possible, this will be done by utilising the temporary works system, which will protrude above ground level. All vehicle movements within the vicinity of the works area will be under the supervision of a banksman.6.2.8Notes will be taken by the site engineer as to the ground conditions, services encountered (depth, diameter, location and nature) and water table level where water is encountered. 6.2.9When all necessary notes have been taken the trial hole can then be backfilled. For areas in field, suitable excavated material will be used to backfill the trench. It will be compacted with the use of a suitable trench rammer. The operator will be trained accordingly. For trial holes taken in road, the holes will be backfilled with Type1 stone, lean mix concrete or foam concrete, depending on the requirements of the local Highway Authority. Tarmac will be reinstated to suite the class of road in which the hole was excavated.6.3Reinstatement6.3.1Upon completion of the trial holes, all works materials will be removed and topsoil re-laid to the area.6.3.2The topsoil will be cultivated and re-seeded.6.3.3The road areas will be reinstated to HAUC specification. 7. Quality Assurance
7.1All works to be carried out within the David Lewis quality procedures.7.2The Inspection Test Plan is to be checked by the Catchment Agent at the end of all operations specific to these works.
8. Contingency Plans
8.1In the event of any incident requiring the attendance of the Emergency services, raise the alarm by dialling 999. The caller should be prepared to give their name, location and nature of the emergency. Then contact the main site office using the hand held radios or by telephoning on: Enter Site No. 8.2First Aid kits are available in the Site Cabins and with the appointed First Aiders, and in Site Engineers cars.8.3No extra contingency plans are deemed necessary for the work being carried out under this method statement.9. Special Conditions
9.1No special conditions apply for the work being carried out under this method statement. Should any conditions be imposed they shall be briefed to the necessary operatives by means of toolbox talks.10. Approvals
10.1This method statement is only valid when the person who has prepared it and the persons who have authorised it have signed the front sheet accordingly.10.2This method statement should also be distributed to the persons on the method statement Tracking and content sheet for approval status and/or comment.11. Risk Assessments
11.1See the appended risk assessment references 1 to Enter No. 1Trial holesContact with rat infested waterWeils DiseaseFatality
Major injuryS4S3S12Good hygiene
Issue PPE & train in use
Tool box talks
Welfare facilities
COSHH assessmentS4S1S42Trial holesContaminated WaterWater borne Pollutants / bacteria etc.Fatality
Major injury
PathologicalS4
E3S3
E4S12
E12Good hygiene
Issue PPE & train in use
Tool box talks
Welfare facilities
COSHH assessment
Water testing regime
Suitable clothingS4
E3S1
E1S4
E33Trial holesLiquid leakagesSpills.
Poorly maintained plant.
Damaged containers.Destruction of waterborne life forms.
De-oxygenation of water courses.
Contamination of natural watercourses.S3
E3S3
E4S9
E12All hazardous liquids to be placed in secure bunded areas.
No re-fuelling of plant within river boundaries. Or over/adjacent to gullies.
PPM scheme on all plant.
Spill response kit on site.
Spill response procedures in place.
All washing out of equip. away from site.S3
E3
S1
E1S3
E3
4Trial holesBacterial infectionBad personal
Hygiene, touching
Face/mouth with
Dirty hands, infection
Through open woundsSerious illness and possible deathS4S3S12Wash thoroughly after exit from contaminated areas(both equipment and body), do not touch face, wear protective clothing e.g. gloves and overalls, use barrier cream and cover abrasions with sterile waterproof dressing.S3S1S35Trial holesFalling and tripping
Falls into open manholes.Serious injury or death due to fall from height.
Falling onto sharp or awkward objectsS4
E1S3
E1S12
E1Solid barrier to physically prevent falling into open manhole.
Use of signs to warn of open manhole beyond barriers.
Provide substantial covering to possible fall hazard.S4
E1S2
E1S8
E16Trial holesFalling objectsObjects falling onto operatives from existing ground level.Serious injury from impact and possible death.S4
E1S3
E1S12
E1Good house keeping to work area.
Ensure operatives wear head protection.S4
E1S2
E1S8
E1
7Trial holesGeneral public and local residents, children.General public gaining access to the site causing injury to themselves.Possible death or injury due to falling, tripping and other accidents due to ignorance of the danger on construction sites.S4
E2S4
E4S16
E8Take all practicable measures to ensure that access cannot be gained to the work area during day or night.
Provide signs to highlight the dangers present.S4
E2S2
E2S8
E48Trial holesTrafficCollision.Serious Injury and possible death.S4
E2S3
E3S12
E6Traffic management schemes and use of high visibility clothing for all personnel.S3
E2S1
E1S3
E29Trial holesUnderground ServicesExcavation in the vicinity Electric cables Gas Mains etc.Fatality serious injuryS4S3S12Permit to dig system following examination of service drawings and liaison with stats. CAT scan of area. Trial holes as necessaryS4S2S810Trial holesNoiseOperating plantEar damage
Environmental impactS3S4S12Silenced plant
Correct PPE issue and trainingS3S1S3
11Trial holesPlant, Vehicle movementCollision with operatives and other plant.
Working in restricted access areas.Serious injury, crushing possible fatality.
Damage to plant and equipment.S4S3S12PPE High visibility clothing
Use of trained banksman/signallers
CTA trained plant operatives.
Designed vehicle routes for deliveriesS4S2S812Trial holesCrushing due to trench collapsePoor ground conditions
Adverse weather conditions causing ground rotation
Ingress of ground water causing underminingCrushing and /or burial of operatives at the work face. Possible ingress of plant and other operatives due to the surface effect. Usual effect of collapse S4S3S12Use of suitable temporary works as detailed on the temporary works drawings attached to method statement.
Regular inspection of temporary works.
Stockpile horizons away from excavation
Avoid plant excavation.S4S2S813Trial holesEating and drinkingIncrease contact with contaminant during meal breaksIngestion due to direct contact via hand to mouthS3S4S12Provision of suitable welfare to include siting of wipes, skin safety cradle and appropriate disposal arrangementsS3S1S3
14Trial holesEnvironmental storagePoor storage of contaminated material including disposable overallsRun off of contaminated material from spoil heap and mobilisation around site and pollution of adjacent watercoursesS3
E2S4
E3S12
E6Dedicated storage area segregated away from other waste
Bunding of sensitive areas
Cover contaminated material
Dedicated bins for disposable overallsS3S1S315Trial holesJack hammers
Heavy breakers Noise/Vibration caused by hammer action, and flying debrisDamage to hearing from prolonged use. Vibration injuries. Eye damage from flying debrisS4
E2S4
E3S12
E6Avoid using hand held tools where possible. Use of machine mounted breakers in preference to hand tools. Concrete drilling and cutting operation in preference to hand tools. Ensure adequate ear protection. Eye protection. The use of gloves for breaking operation. Adequate signage around site. Rotation of operatives if extended use required.S3S1 S316Trial holesUse of vibrating toolsHAVS, Damage to ears, eyes(from flying debris)Vibration white finger, eye injury, damage to hearingS3s3S9Low vibration tools to be ordered where possible, operatives to wear gloves and keep hands warm (to aid circulation), rotation of operation between operatives to reduce time using vibrating tools. Appropriate PPE must be worn during such operations (i.e. ear defenders, goggles, dust mask, gloves.)S32S6
17Trial holesLifting operationsUncontrolled lifting of loads causing failure of lifting appliances or equipmentDropping of load in an unsafe manner uncontrolled slewing causing collision with plant or operativesS4S3S12Regularly tested appliances and equipment with test certificates, to be used.
Trained banksman to control lifts.S4S2S818Trial holesMoving/Lifting of loadFailure of lifting equipmentLoad falling
Fatality
Crushing/Injury
DamageS4S3S12Only approved lifting appliances and equipment to be used.S4S1S419Trial holesAbrasive WheelsInjury to user and other personnel from flying debris or incorrect use of wheel.Serious injury and possibly death. Damage to eyes and hearing .
Prolonged use can cause Vibration White Finger.S4S3S12Use of goggles (to BS2092)
Use of ear defenders (E.A.R.Classic or similar).
Use of gloves (short rigger type)
Ensure all necessary guards are in place.
Competent person only to change blade ensuring speed match.
Do not use side of blade
S4S2S8
20Trial holesSmall toolsElectrocution of Operator due to faulty equipment.
Injury from flying debris.
Damage to hearing.Electrocution causing possible death or burns.
Damage to eyes.
Prolonged use may cause Vibration White Finger. Some small tools may exceed first or second action level db(a)S4S3S12Use of goggles (to BS 2092)
Use of ear defenders (E.A.R.Classic or similar).
Use of gloves (short rigger type)
Small tools to be P.A.T tested prior to use.
110V tools only.S4S1S421Trial HolesUse of Shovels (Small Tools)Injury from worn/damaged toolsPossible injury to body during use.
Flying fragment of metal.S3S3S12Use correct PPE
Use of Gloves
Equipment to be inspected prior to used
Scrap tools when become worn or damaged
Use the correct toll for the correct job.22Trial holesAir hoses
Hoses blowing from winch/airspannerOperatives struck by hose end fractures head injuriesS3S3S9Correctly fitted hoses
Hoses over 20mm to be fitted with whip checks
Air supply turned off at tap when charging tools (No manual crimping)S3S1S323Trial holesConcrete placing and finishing.Poor PPM for working with concreteAlkali burns to exposed skin and eyes.S3S3S9Cover bare skin before working with concrete
Use of goggles (to BS 2092).
Wear gloves (PVC coated).S3S1S3
24Trial holesDiesel fuelPoor PPMDermatitis and poisoning if ingestedS3S3S9Cover exposed skin and wear gloves (PVC coated).S3S1S325Trial holesUse of small toolsInjury to operativesCuts, lacerations and abrasions.S34S12Ensure that tools are fit for purpose. Check tools for any defects, signs of wear and tear, parts missing due to impact etc.
Use of correct PPE.
Gloves, eye protection, overalls safety footwear.S22S326Trial holesDog FaecesSlipping, and falling, Touching
Face/mouth with
Dirty hands, infection
Through open woundsSerious illness and possible death. Blindness due to ToxoplasmosisS3S4S12Provision of suitable welfare to include siting of wipes, skin safety cradle and appropriate disposal arrangements. Wash thoroughly after exit from contaminated areas(both equipment and body), do not touch face, wear protective clothing e.g. gloves and overalls, use barrier cream and cover abrasions with sterile waterproof dressing.
Good house keeping to work area.S3S1S327Trial holesManual LiftingInjury to operativesShort term & Long term injuries
Crushing of LimbsS3
S34
4S12
S12Ensure that correct lifting procedure is adopted, and that operatives have training in correct manual lifting. Mechanical means of lifting to be used where possible. S4
S32
2S8
S6
Method Statement Title:
Site Set up and Trial Holes Method Statement No:
Enter MS No. HereIssued By:
Position:
Document ControllerIssue:
Revision A0Status:
For ConstructionDate:
Induction By:
Position:
Signature:
Date:
The following personnel have been inducted in the procedures required to carry out the operations detailed in this method statement.
(Note: please complete the original method statement attendance sheet [to be kept in the on-site master file] and return when induction is complete. Copies of the original method statement are to be distributed to the method statement holders).
(Note to Contractor: whenever the method of work changes significantly you must seek agreement from David Lewis before proceeding. Remember to instruct all new starters and get them to sign below).
Name:Job Description:Signature:Employer: Control Sheet:
Method Statement/Risk Assessment Tracking and Content
Name:Position:Consulted:Status*/Comments:Y/NY/NY/NY/NY/N Status*: A Work can proceed as described B Work can proceed when comments are incorporated
C Re-submit before work can proceedNoPrompt ListYesNoIn PartN/A1Describes the works/individual tasks/the sequence and method?2Names and titles of key personnel/supervisors responsible?3Resources required eg. equipment, plant, men, materials?4Programme of works and working hours identified?5Interfaces/security of the client/public/other contractor identified?6Specific risk assessment attached and satisfactory? Are all the hazards identified? Have all the risks been evaluated? (see item 7)7High risk or safety critical activities identified/controls specified?8Access/scaffolding requirements clearly set out?9Certificates of competence or qualification of operatives provided?10Certificates for plant/equipment/inspection/examination provided?11COSHH, noise, manual handling issues dealt with?12Personal protective equipment specified?13Permit requirements identified?14Monitoring (checks and inspections) identified?15Any builders work in connection, identified/adequate notice given? 16Temporary protection/support identified (eg. fire, traffic, services)?17Environmental controls/waste disposal identified?18Craneage certificates/checklist/lifting plan in place?19Lifting equipment certificates in place?20Emergency arrangements/first aid/special welfare?21Statement confirming operatives to sign as being inducted?22Statement confirming regular eg. daily briefing of operatives by supervisor?23Toolbox talks to be provided?24Method statement signed on behalf of contractor?25Any other (specify)? Any generic risk assessment must be amended/confirmed as site specific.
METHOD STATEMENT
Page PAGE 1 of 15 Rev. A0 Enter Date
RISK ASSESSMENT
RISK ASSESSMENT FORM ACTIVITY: Site Set up and Trial Holes
(C) Environmental Consequence (C) Health & Safety Consequence (F) Frequency (RR) Risk Rating (Consequence x Frequency)
E1 Insignificant (No Effect) S1 Insignificant (No Effect) 1 Improbable 1-5 Insignificant
E2 Marginal (Minor Effect) S2 Marginal (Minor Injuries) 2 Unlikely 6-8 Acceptable PROCEED
E3 Serious (Major Effect) S3 Serious (Major Injuries) 3 As Likely As Not 9-15 Unacceptable WORK SHALL NOT START
E4 Critical (Irreversible) S4 Critical (Fatalities) 4 Probable 16-25 Intolerable
E5 Catastrophic S5 Catastrophic 5 Highly Probable
No
Activity/
Event/
Feature/
Situation
Hazard/Issue/
Interaction
(Cause)
Undesired Event
Consequences
Before Control
After Control
(C)
(F)
(RR)CONTROL
(C)
(F)
(RR)
NB: Any risk assessments for expectant/nursing mothers and young persons must be in conjunction with the South Wales Safety Consultancy
Person completing the risk assessment: Enter Name and Position Date : Enter Date
Page PAGE 13 of 15 Rev. A0 Enter Date
METHOD STATEMENT
Page PAGE 14 of 15 Rev. A0 Enter Date
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