REMAK – ENERGOMONTAÅ» S.A ul. ChÅ‚odna 51, 00-867 Warszawa Safety Job Analysis – Scaffolding assembly Reference Risk Matrix (reference is to INO-HSE-RAP-001-Risk Assessment Plan) R/A NUMBER AREA PEOPLE AFFECTED ASSESSED BY DATE ASSESSED APPROVED BY REVIEW DATE Likelihood / Probability Risk Assessment Matrix Key Almost Certain (5) 5 - LOW 10- MEDIUM 15- HIGH 20- HIGH 25- HIGH Likely (4) 4 - LOW 8- MEDIUM 12- MEDIUM 16- HIGH 20- HIGH Possible (3) 3 - LOW 6- MEDIUM 9- MEDIUM 12- MEDIUM 15- HIGH Unlikely (2) 2 - LOW 4 - LOW 6- MEDIUM 8- MEDIUM 10- MEDIUM Remote/Rare (1) 1 - LOW 2 - LOW 3 - LOW 4 - LOW 5 - LOW Negligible (1) Minor (2) Marginal / Moderate (3) Critical / Major (4) Catastrophic / Extreme (5) Severity / Consequence Risk Factor(R)= Probability(P) x Severity(S) R = LOW, MEDIUM or HIGH Page 1 of 5 Job Safety Analysis (JSA): Tasks (What one does in logical steps) Hazard identified with each task hit by a vehicle, containers from overturning, laydown area to tripping, the construction falling site, materials, Transport of tool Harm (without controls) Risk evaluati on P S injury/disability or death of personnel, p damage of property 5 Unloading of tool Falling injury/disability Objects, or death of containers on crane failure, personnel, construction site people under vehicle by crane suspended damages, load, property dropping of damages load, collision, crash with vehicle connection of Electric construction switchboards on the area laydown shock injury/disability or death of personnel, 5 5 Residual Execution Risk Control measures R P The emergency routes and exits, and the traffic routes must be marked and signed. Only follow designed walking paths, All employees must use the PPE specified: protective clothing, warning clothing, long work pants, safety helmet, 4 20 protective glasses, protective 3 shoes and protective gloves according to DIN EN 388 with cut protection. If necessary, further PPE according to instructions of the CONTRACTOR are required. For loader crane rigger and flagman are mandatory Visual check of all lifting equipment before lifting Barricade lifting area A trained slinger/signaller must be appointed prior to any 4 20 lifting going ahead Don’t walk or stand under any suspended loads When lifting or moving loads ensure that the lifting tackle is in the correct position Use mandatory PPE 3 15 Control Use mandatory PPE. Person must have electrician certificate. Make sure you connect to the designated distribution points. Check the correct operation of the construction switchboard and correct operation of the RCD Page 2 of 5 S 3 R 9 To/From Supervisors Construction ,Foreman, Manager, Workers Project Manager, HSSE Manager Supervisors, Safety inspector Competent person Supervisor, Operator, Foreman, Workers, 4 3 12 3 3 By/On Construction Manager, Project manager, HSSE Manager Supervisor, Safety inspector Competent person 9 Supervisor, Construction Foreman Manager, Worker, Project Manager, HSSE Manager Supervisor Safety inspector Competent person Dismantling lamps, transmitters of Boiler HSRG 52 if it’s will be necessary Manual injury/disability handling, or death of falling personnel, objects and property person from damages height, Electric shock 5 3 15 Use PPE ( S3 safety shoes/vest, 3 long work pants, safety helmet, protective glasses, protective gloves, Designation and fencing of the danger zone during work at hegiht. Use only inspected scaffolds, Protecting materials and tools from falling when working at height, 3 9 Supervisor, Construction Foreman Manager, Worker, Project Manager, HSSE Manager Supervisors, Safety inspector Competent person See Risk Assessments in Attachments. Agreement: Operative’s know-how about Safe Work We, the undersigned confirm that the above Method Statement and the related Risk Assessment has been explained to us, understood & agreed to, as a practical method of installation for these works, if any adoptions should be required due to the changes of site conditions or the practicality of carrying these works, then a hand-written amendment will be required with all operatives re-signing to confirm their acceptance & agreement. Given Name Family Name Page 3 of 5 Date Signature Given Name Family Name Page 4 of 5 Date Signature Page 5 of 5