METHOD STATEMENT & RISK ASSESMENT (MSRA)
PROJECT DETAILS: FLIPKART RKV-Grocery, Anekal, Bangaluru
Project:Flipkart RKV-Grocery
Area: North side, Dock area
Job Address: Mayasandra, anekal, bangaluru
Job Description: Sprinkler line droping from existing system(100mm Dia- 4M Height)
WORK ACTIVITY:
Sprinkler line droping
Consult relevant workers during development, approval and communication of this MSRA
MSRA Approved by:
Name:
Name:
Signature:
Job Title:
Date:
Proje Engineer
Signature:
Safety officer
Date:
Adithya sing
Ebi Ealias
Personnel responsible for monitoring and managing activity: Ashique pp (PMC)
Page 1 of 07
____/____/2021
Overall Risk Rating After
Controls
1-3
Acceptable
8-10
High
COMMUNICATE THIS MSRA TO ALL PERSONS INVOLVED IN TASK PRIOR TO WORK COMMENCING






____________will inspection and observations to ensure MSRA is being complied with.
conduct Tool Box Talks, Height&Hotwork Training.
Cease work immediately if incident or near miss occurs. Amend the MSRA in consultation with relevant persons.
______________ will approve and communicate amendment to all affected workers before work resumes.
As required by WHS legislation, make the MSRA available for inspection or review.
As required by WHS legislation, keep record of MSRA (until job is completed).
Authorised by:
Signature:
Date: 10:07:21
Page 1
4-6
Further view
11-25
Unacceptable
Potential
Hazards/Risks of
Each Step
Task Steps
L
C
R
B
Control Measures - Steps To Follow
Safety Checks & PPE
L
R
A
C
Responsi
ble
Officer
NOTE: RB = Risk Rating before controls implemented, RA = Risk Rating after controls are implemented, L=Likelihood, C=Consequence Severity
1. Shifting of
100mm Dia fire
fighting pipe from
storage area to
working area.

Faulty
machineries,

Before starting to use the trolley check the
hydraulics are working properly

Manual Handling,


Before placing the load, always check the structural
integrity of the wooden pellet.
collision of trolley
with other
persons or
vehicle in the
premiss,

Do not lift heavy loads by single person

Proper training should be given to workers about
safe lifting methods and supervisor should make
sure that these methods are followed.

Use PPEs such as Helmet High visibility
Jacket,Safety shoes ,Gloves etc

Trolley should be moved with minimum speed and
with the presence of a banks man.

Load should not be placed on the pellet unevenly

Turning of the trolley should be done with extreme
caution

Authorised by:
Signature:
toppling of the
trolley
4
2
8
Superviso
r /
Safety
Officer
1
2
2
Date: 10:07:21
Page 2
Potential
Hazards/Risks of
Each Step
Task Steps
L
C
R
B
Control Measures - Steps To Follow
Safety Checks & PPE
L
R
A
C
Responsi
ble
Officer
NOTE: RB = Risk Rating before controls implemented, RA = Risk Rating after controls are implemented, L=Likelihood, C=Consequence Severity
2. Lifting Fire
fighting pipe

material can fall
from height

Use Hydraulic lifting equipment(mobile elevated
work pltform) instead of manual lifting

Musculoskeletal
Disorders

Proper barrication should be done and signages
should be displayed to restrict the movement of
other vehicles and persons in the work area

Supervission should be provided

Lifting training should be given

Provide Helmate, jacket, safety shoe, safety
harness,

Height work training to be provided for all work
force.
Obtain Special permit for working at height.
Use full body safety harness and anchor it on a
suitable anchorage point,and other PPEs such as
Helmet High visibility Jacket,Safety shoes ,Gloves
etc
3
4
Supervisor
/ Safety
Officer
12
1
3. Work at heigh
(Scissor lift)

Man can Fall
from height.

Falling of tools &
materials
4
Authorised by:
Signature:
5
20


2
2
2
2
4
Date: 10:07:21
Page 3
Supervisor
/ Safety
Officer
Potential
Hazards/Risks of
Each Step
Task Steps
L
C
R
B
Control Measures - Steps To Follow
Safety Checks & PPE
L
R
A
C
Responsi
ble
Officer
NOTE: RB = Risk Rating before controls implemented, RA = Risk Rating after controls are implemented, L=Likelihood, C=Consequence Severity




4. Welding work
at height
4. House
keeping
Authorised by:
Signature:

Burn,

fire,

Electric shock,

Flash burn
 Dust inhalation







Welder should be competend
Welding machine should be inspected, Cables should
be cut free And industrial socket should be available
Aproan, Leather glove, Welding face shield, and baisic
PPE should be provided for welder
Welding area, Scissor lift bucket shold be covered by
fire blanket
All the fire causing materials should be removed from
the surroundings
A fire watcher should be deployid
Suitable Fire extinguisher should be available
Welding area should be barricated
Supervission should be provided
Hot work permit should take

Wear facial mask, Hand gloves.

4
4
16


4
1
4
Check the vitals of the worker before starting the
height work
Make sure the worker is not Acrophobic
Do not keep loose material,Tools on edge ofthe
scissorlift
Do not over stock materials on scissorlift.
Supervisor
/ Safety
Officer
1
2
2
1
2
2
Date: 10:07:21
Page 4
Supervisor
/ Safety
Officer
IMPORTANT NOTES:
COVID-19 SPECIAL SAFETY PROTOCOLS
In light of the recent pandemic outbreak,Special safety protocols are implemented to ensure the safety of the workers and others,Supervisors and
safety officer are to make sure these safety protocols are strictly followed in the premiss.
1) FACIAL MASK SHOULD BE WORN AT ALL TIMES
2) ALWAYS KEEP A SOCIAL DISTANCE OF 6FT
3) EVERYONE SHOULD BE SUBJECTED TO TEMPERATURE CHECKS WHILE ENTERNG AND EXITING THE PREMIS
PERSONAL PROTECTIVE EQUIPMENT
Personal Protective Equipment Requirements
Foot
Protection
Protective
Clothing
Head
Protection
Eye
Protection
Hand
Protection
Facial mask
Fall protection
PPE Notes:
The above PPE Requirements are the minimum requirements for all personnel involved in this task. Be sure to conduct a Risk Assessment for other
factors that may influence the work environment such as Temperatures – Hot/Cold, Working in the Sun, Night Work etc. Be sure that all PPE used is
approved by Indian Standards.
Authorised by:
Signature:
Date: 10:07:21
Page 5
RISK ASSESSMENT
References: Risk Management Code of Practice 2007,
Step 1 Determine Likelihood – What is the possibility that the effect will occur?
Step 2 Determine Consequence – Expected Consequences
Step 3 Determine the risk score
Step 4 Record risk score (Note – Risk scores are only estimated and should not be
Solely relied upon the competent person)
SEVERITY
5
5
10
15
20
25
4
4
8
12
16
20
Likelihood
3
3
6
9
12
15
2
2
4
6
8
10
1
1
2
3
4
5
1
2
3
4
5
Rating 1 = Very unlikely
Rating 2 = Unlikely
Rating 3 = Likely
Rating 4 = Very likely
Rating 5 = Almost certain
Severity
Rating 1 = First aid injury or illness
Rating 2 = Minor injury or illness
Rating 3 = LTI injury or illness
Rating 4 = Major injury or illness
Rating 5 = Fatality, disabling injury, etc
LIKELYHOOD
Risk = Likelihood x Severity
Acceptable
Authorised by:
Signature:
Further review
High Risk
Unacceptable Risk
Date: 10:07:21
Page 6
SIGN OFF
Workers and relevant Persons Conducting Business or Undertaking (PCBU) were consulted for developing this MSRA. I have read the above MSRA and I understand
its contents. I confirm that I have the necessary training and skills, including any relevant certifications to undertake the related tasks contained in this MSRA. I agree
to comply with any safety guidelines, requirements and recommendations as set forth by the responsible officer within this MSRA including safety instructions and
use of recommended Personal Protective Equipment.
Name
Authorised by:
Signature:
Qualifications
Signature
Date
Time
Employer
Date: 10:07:21
Page 7