METHOD STATEMENT FOR

CONSTRUCTION OF PILES

TRIPOD STAND METHOD

 CONTENTS

1. Introduction .........................................................................................3
2. Purpose.................................................................................................3
3. Scope.....................................................................................................3
4. Normative Refrence..............................................................................3
5. Resources..............................................................................................4
6. Responsibility........................................................................................5
7. Methdology/Procedure........................................................................7
8. Acceptance..........................................................................................13
9. Safety..................................................................................................17
10.Attachment.........................................................................................25
1. Introduction:
Project Name - Initial Pile Load Testing work in Shatabdi Nagar-
Modipuram Section of Delhi-Meerut RRTS Corridor.

2. Purpose:

The purpose of this method statement is describes the sequential steps for installation of
bored cast in-situ piles.

3. Scope of Work:

The purpose of this Method statement is to set guideline for Execution of concrete pile at the
Shatabdi Nagar-Modipuram Section of Delhi-Meerut RRTS
by cast-in-situ method as per the Approved Drawing for the construction.

4. Normative References:
i. Approved drawings – Latest Revision
ii. Contract Specifications Part- 3A, Clause -8.9
iii. IS: 2911 (Part I/Sec – 3) – 1979 Code of Practice for Design and Construction of Pile
foundations
iv. IRC:78 Standard specifications and code of practice for roads and bridges, Foundation &
Substructure
v. IRS Codal Provisions
 vi. Recourses:
i. Total Station ( Leica – TS 11 1 R500)

ii. Hydraulic Rotary Rig with complete tools (Crawler Mounted Rotary Rig) – MAT HR 180
( The size of tools as per site requirement)

iii. Polymer/Bentonite mixing tank, pump, pipes – As per The Site Requirement

iv. Mud pumps & hose pipes.- As per Site Requirement

v. Batching plant

vi. Transit mixers As per site Requirement

vii. Excavator Tippers for Muck Disposal – As per Site Requirement

viii. Water tank – 50000 Liter

ix. Tremie pipes&Funnel – As per Site Requirement

x. Crane - Capacity 20-50 Ton OR as per site requirement

xi. Rebar cutting & bending m/c- As per site Requirement ( Cutting up to 40mm dia )

xii. Trailer/truck – As per Site Requirement

xiii. Diesel Generator – Capacity as per site Requirement

List of major plant and machinery to be deployed can be increased / decreased as per the site
requirement. Major machineries shall be verified for its fitness as per the Project Requirement.

Materials:
i. Grade of Concrete – As per Mentioned in Approveddrawing

ii. Reinforcement – Fe 500 grade conforming to IS 1786

iii. MS liner– Conforming the Requirement of clause no. 8.9.1 sub Clause 5 of Volume 3A CA.

iv. Bentonite / Polymer as per clause 8.9.1 sub clause 11

v. Concrete Cover block 75 mm as per clause 8.9.2 of Volume 3A CA.

vi. Binding wire – conforming the Requirement of clause No. 9.26.5 sub clause 3 of Volume
3A CA.

CONCRETE REQUIRMENT IN PILE

a) Grade of concrete shall be used as specified in drawing but should not be less than M-30.
 b) Cement content should not be less than 350 Kg/ cum of concrete or 10% more than
determined from the mix design whichever is more.

c) The Slump range of concrete shall be 150 – 180mm / Approved Design Mix.

5. Responsibility:
Following are the responsibilities of personnel involved in the scope of this procedure.

Project Manager
 Overall responsibility for the successful planning, execution, monitoring, control
and closure of the activity which involves safety of worksite & employees..

 Key person of the project. Leads across various functionaries shall report to him.

 Responsible for the overall delivery of the project materials as per specification and
standards.

 Investigating non-compliance and non-implemented items.

 Responsible for site SHE Inspection and SHE Plan implementation monitoring.

 He investigates all high potential incidents and non-compliance and ensures immediate remedial
action to stop recurrence.

Construction Manager

 Reports to the project Head.

 Site Engineer and his team.
 Planning and arrangement of resources from Headquarters.
 Coordinate with Site execution team.
 Implementation of Safety System.
 Monitoring the program Vs progress and achievement as per the Target.
 System Implementation.

6. Procedure/ Methodology

Bored cast in-situ circular cross section concrete piles (Viz., 1000/1200mmdia.) shall be formed
by boring up to the bottom level. The Concrete shall be poured as indicated in approved
drawing. Following are the steps involved in the scope of this procedure:-

7.1 Layout / Setting Out of pile point :

 Survey will be carried with the help of Total Station. Four Reference point shall be marked by
the Total Station on either side of North and East Coordinate having at least 2M offset. Offset
may vary depends upon site condition as shown in below figure. Pile Location shall be marked
as per Approved GFC Drawing. All Reference point shall be marked with Iron pegs of 150mm
long, 6mm to 10mm diameter rods, covered with concrete and the tip of the rod painted, before
commencing the work. The Intersection of Four Points will be the center point of Pile and it
shall be verified by String line during boring without Total Station.

7.2 Pile Installation

a) Installation of pile shall be done as per the Approved GFC drawing.
b) The Permissible limits/ Tolerance for deviation with respect to the cross section
dimensions, Position, Alignment, Level etc. shall be as below ( As per Clause No. 8.14
of volume 3A , CA and IS 2911)

Sl. No. Description Tolerance Limit

Permissible Tolerance for Bored Pile

1 Variation in cross sectional dimensions

+50mm, -10mm

2 Variation from vertical 1.5%

3 Variation in the final position of the head in plan 75 mm

 4 Variation of level of top of piles +25 mm

Permissible Tolerance for Pile Cap

5 Variation In Dimension +50mm , - 10mm

6 Misplacement from specified position in Plan 15mm

7 Surface irregularities measured with 3 Mt. Straight Edge 5mm

8 Variation of level at the Top ± 25mm

c) The Working Pile shall be installed after then successful completion of the initial pile
load test.
d) Each pile shall be marked with paint with unique identification number.
e) The records shall be maintained as per the attached format during installation of Pile.

7.3 PILE BORING:

 The pile bore shall be drilled by Hydraulic Rotary Rig drilling machine (Crawler Mounted
Rotary Rig) to specified depth as shown in Approved GFC drawings.
 The Sequence of piling as per clause no. 8.9.8 in a pile group the sequence of
installation of piles shall normally be from the center to the periphery of the group or
from one side to the other i.e. the piling shall be done on the alternate pattern.
 The pile boring in hard Rock as per clause no. 8.9.1 sub clause 8, In case hard rock is
encountered, chiseling method shall be adopted for softening of the rock and same
shall be done with consent of the engineer at no Extra cost to the Employer.

7.4 Installation of guide casing/temporary liner:

I. The Drilling of bore hole shall be done up to the desired depth of liner. After the boring
Temporary MS casing / Guide casing of Inner dia (Equal to the required Pile dia as
specified in drawing as per clause no. 8.9.1 sub clause3) of about 3 to 4 Mt. Approx.
length from the Ground level / As per mentioned in Approved Drawings / As per Site
conditionshall be driven to protect loose soil from failing in the bore hole at location
where the spill is in loose state and there is a tendency of collapse of bore hole. The
temporary casing shall be driven by help of hydraulic rig. After Driving the casing its
verticality shall be checked by Plumb bob.
The temporary casing / Liner shall be removed after concreting
II. Permanent liner for the piles shall be provided wherever required depending upon the
site condition and Approved Drawings. MS liner from MS sheet to suit diameter of the
 pile shall be fabricated as per approved GFC drawings. The Required length of the liner
shall be made up by welding each unit at site. The thickness of MS liner shall not be
less than 6mm as per clause no. 8.9.1 sob clause 5 of Volume 3 A. / Mentioned in the
Approved GFC Drawing.
7.5 Formation of pile bore shaft:
After the temporary casing has been installed, drilling continues from the top of the hole.
Boring will proceed with the auger or bucket or bailer/chisel until the required depth is reached.
Drilling mud Polymer/bentonite slurry will be kept in the pile bore hole up to the ground water
table to stabilize the soil and avoid soil collapse inside the bore.

7.6 Fabrication and lowering of the rebar cage:

Prefabricated reinforcement cage will be cleaned out of loose material and maintaining the
proper cover throughout the length of cage. Cage will be in two or three parts. Cage lowering
will be done from bottom edge to top edge (one after another) by welding the main vertical
reinforcement. Cage will be welded in between main vertical rod and stiffener to maintain
rigidity. Proper Cover to reinforcement shall be maintained as specified in Drawing by Concrete
Spacer(CircularCover Block) of same grade of concrete.
7.7 Tremie pipe fixing:

After completion of cage lowering, Tremie pipe of 200/250mm diameter will be provided
through the pile shaft. Tremie pipe will be fixed one after another by thread & socket joints. All
tremie joints should be air tight. Tremie length will be provided right up to required depth of pile
with minimum clearance to flow the concrete through the pipe.
7.8 Flushing / Cleaning of bore Hole:
1. After Completion of pile bore up to the required depth the pile bore shall be cleaned by
three Stage Flushing of slurry using airlift Technique. The stages are as below :-
a. After Boring
b. After lowering the Reinforcement
c. Before Starting the Concreting.
The bottom of the pile bore shaft be thoroughly cleaned by airlift technique. Cleaning
shall ensure that the pile bore is completely free from Sludge / Bored material, Debris of
Rock / Boulder etc.
Airlifting is normally carried out prior to concreting to remove debris and clean the base
of Pile bores. It’sessentially acts as an airlift pump by using compressed air. The setup
airlifting operation an arrangement will as below shown:
A hollow tube shall be placed inside the pile bore and a side tube shall be connected to
the end of the tube near pile bottom for the passage of compressed air inside the tube.
 The upper end of the tube shall be linked to a discharge tank for the circulation of
pumped fluid from pile base.
The efficiency of airlifting operation dependent on the performance of air compressor.
During airlifting, Compressed air is piped down the tube and returns up to the discharge
tank carrying it with the fluid. It functions by imparting energy to the fluid and forces the
fluid to move vertically upwards. The injected air mixes with the fluid, resulting in the
formation of lower unit weight of the combined when compared with surrounding fluid.
This hydrostatic pressure forces the fluid / Air mixture up to the discharge tank.

Airlifting Operation of Bore Pile

2. Pile bore shall be cleaned by fresh drilling mud through tremie pipes before and after
placing the reinforcement and just before the concreting.
ACCEPTANCE CRITERIA FOR CLEANING
Drilling mud density of bottom of pile bore shall not be more than 1.25gm/ml in case of
bentonite Slurry.The bentonite slurry shall be maintained at 1.5 m above the ground
water level during boring operations and till the pile is concreted. The bentonite slurry
shall be under constant circulation till start of concreting.

7.9 Pile Concreting

I. For bored holes, the Finishing & Cleaning of the bore, Lowering of the reinforcement
cage and concreting of the pile for full height must be accomplished in one continuous
operation without any stoppage.
II. Before concreting the bored hole shall be cleaned of drilling mud and all soft and loose
materials.
III. Concreting shall be started after consent of the Engineer.
IV. Concreting for the Piles shall be done by Tremie method. The requirements / Operation
of the Tremie concreting shall be governed by IS: 2911 Part 1 Section 2.
a. The Tremie Pipe for concreting should be large enough with due regard to the size
of aggregate. For 20mm aggregate the tremie pipe should be of diameter not less
than 200mm. Aggregate more than 20mm in size shall not be use.
 b. The tremie should have uniform and smooth cross section inside.
c. The tremie shall be water-tight throughout its length and have a hopper attached at
head by a water tight connection.
d. The tremie pipe shall have lowered to the bottom of the bore-hole , allowing water or
drilling mud to rise inside it before pouring concrete.
e. The side of the bore hole have to be stable throughout.
f. The tremie pipe shall always be kept full of concrete and shall penetrate well in the
concrete in the bore hole with adequate margin of safety against accidental
withdrawal if the pipe is surged to discharge the concrete.
g. While concreting the tremie shall be withdrawn slowly ensuring adequate height of
concrete outside the tremie pipe at all stages of withdrawal.
h. All tremie tubes should be scrupulously cleaned after use.
v. The First charge of concrete shall be placed with a sliding plug pushed down the tremie
tube ahead of it to be prevent mixing of water and concrete.
Vi. Sufficient head of green concrete shall be maintained to prevent inflow of soil or Water
into the concrete.
Vii. Concreting by Tremie shall continue to allow initial pours of concrete mixed with
bentonite slurry , sludge and cut spoils from the bore over flow till the consistency and
quality of the overflowing concrete is comparable to that of the designed mix. The
length of the overflow shall be as consented by the Engineer.
Viii. The top of the concrete in a pile as cast shall be above the cut-off level by 1.0mt
( Maximum) to permit removal of all laitance and weak concrete and to ensure good
concrete at cutoff level for proper embedment in to the pile cap.The cut-off level of pile
shall be indicated in the Approved Drawing.
IX. It shall be ensured that the volume of the concrete poured is at least equal to the
theoretically computed volume of the pile shaft being cast. Accordingly a continuous
record shall be kept as the volume of concrete placed in relation to the pile length.
X. The slump of the Concrete shall be 150 – 180 mm Design Mix.
Xi. In case any of the working pile within a group is rejected then same pile shall be
chipped off below the pile cap bottom level so that it cannot contribute to the pile group
capacity.The new pile shall be bored as per the Approved GFC drawing.
Xii. If the Pile is resting on the soil where N value is less than the required value, then
based on the Designer recommendation the Cement Grout will be done.

i. Pile cut-off and extension

ii. Excavation shall be carried out up to the bottom of the pile cap with necessary shoring.
 iii. The pile shall be chipped and the debris be carted away. During chipping and trimming off
piles, care shall be taken to avoid damaging of concrete.
iv. The overflow concrete with laitance from the completed pile/s will be removed by regular pile
chipping after seven days of the pile casting without affecting the quality of existing Pile such
as loosening, Cracking etc. and to the satisfaction of The top of pile after stripping shall
project in to Pile cap at least 50mm.
v. If stripping of pile concrete is required to be done to a level lower than the specified cut-off
level on account of defective concreting, workmanship etc., the pile shall be built-up with
one grade higher concrete than specified grade for pile.On completion of pile cut-off; all
exposed reinforcement shall be cleaned.

7. Acceptance criteria :
28 days cube compressive strength or Pile integrity test.
Permissible Tolerances for pile shall be as per Table 8.2 as per contract vol III.
Bored Piles

8. Environment, Health & Safety (Measures for ensuring Safety)

i. All safety norms and precautions to be taken care as per the site safety plan (EHS plan) for each
activity and safety clearance to be taken before commencing the activity.
ii. Drinking water, toilet and rest place shall be suitably located for the easy access to workers. All the facilities
shall be properly cleaned and maintainedduring the entire period of operation
iii. All staff and workmen shall wear safety gear such as helmet, fluorescent vest etc. Safety harness
while working at height and face shield with suitable dark glass for welding work shall be used.
iv. The work area shall be properly barricaded as laid down in the traffic management plan.
v. First aid box, ambulance and first aider shall be available at site during execution.
vi. Rig-operator, Riggers and Foreman shall have adequate knowledge and experience.
vii. Lifting tools and tackles shall have load test certificates of Competent Person.
viii. Persons shall not be under the suspended load while lifting load.
ix. Loose materials/tools shall not be left at height in the mast.
x. Piling area shall be restricted to unauthorized persons.
xi. While the rig is in operation, nobody including the concerned workmen shall be allowed in the
operation area.
xii. Exposed reinforcement heads shall be properly covered and the area barricaded.
xiii. Adequate no. of fire extinguisher of various type as per requirement will be placed.
xiv. Protection against Overhead & Underground Utilities,
a. Avoidance – find out if the work really has to be carried out under or near overhead lines, and
can't be done somewhere else. Make sure materials (such as bales or spoil) are not placed
near overhead lines, and temporary structures (such as polytunnels) are erected outside safe
clearance distances;

b. Diversion – arrange for overhead lines to be diverted away from the work area; or Isolation –
arrange for lines to be made dead while the work is being done.
c. Clearance – the safe clearance required beneath the overhead lines should be found by
contacting the Distribution Network Operator (DNO);
d. Exclusion – vehicles, plant, machinery, equipment, or materials that could reach beyond the
safe clearance distance should not be taken near the line;
e. Modifications – Vehicles such as cranes, excavators and tele-handlers should be modified by
the addition of suitable physical restraints so that they cannot reach beyond the safe
 clearance distances, measures should be put in place to ensure these restraints are effective
and cannot be altered or tampered with;
f. Maintenance – operators of high machinery should be instructed not carry out any work on
top of the machinery near overhead power lines;
g. Supervision – access for plant and materials and the working of plant should be under the
direct supervision of a suitable person appointed to ensure that safety precautions are
observed
h. The danger area should be made as small as possible by restricting the width of the
passageway to the minimum needed for the safe crossing of plant. The passageway should
cross the route of the overhead line at right angles if possible.
xv. Precautions while working near Running railway track and Road/Highways,

Measures Prior to Start of the Work

1. Contractor shall provide the necessary training to supervisors and staff and shall ensure that they know about the safety
norms to be followed for working in the premises of IR/NHAI and in the vicinity of running tracks and electrified territories.
2. Inform the Engineer / Employer about:
(a) Name and address of the Contractor’s supplier / sub-contractor assigned to execute the work
(b) Name of the vehicle drivers / equipment operators identified for the work
(c) Location, duration and timings during which the SOD of IR is to be infringed
3. Provide the Engineer / Employer with:
(a) Copy of detailed planning of work including protection of IR track and safety measures proposed (duly
approved by the Engineer)
(b) Copy of the competency certificate of the Contractor’s Supervisor in charge of the work (to be issued by the
Engineer).
(iv) Demarcate the working area at site in consultation with the Engineer / Employer.
(v) Barricade / temporary fencing along the stretch of the concentration of the work area along the IR track
IR/NHAI, as consented by the Engineer.
(vi) Provide adequate watch and ward, flagmen, lighting etc. including signage boards.
Measures While Execution of Works
a. It shall be ensured that no workmen and staff is working on line / trackside unless proper ‘Permit to Work’
is issued for those lines by the Indian Railways IR/NHAI and Engineer.
b. It shall be ensured that the moving dimensions of IR IR/NHAI shall not be infringed. In case of track
crossing, the work is required, the same shall not be carried out without permission from the Engineer
and IR. Safety of all the existing fixed structures near the vicinity of the Site shall also be ensured.
c. No vehicles shall be plied within 6m of center of the IR IR/NHAI track without the specific approval from
Engineer / Employer. Individual vehicle / construction equipment shall not be left unattended. No vehicle
shall ply from sun-set to sunrise and during the period when the visibility is impaired, except in case of
emergency and with the consent of the Engineer.
d. Where the construction vehicles are required to ply along the existing running tracks of IR IR/NHAI, the
Contractor shall deploy the adequate patrolmen to prevent tendency of the vehicle drivers to come close
to the tracks and infringe.
e. All the drivers of the road vehicles / machines plying near the running tracks of IR IR/NHAI shall be
provided with a red flag / red lamp so that in the event of any obstruction, they can stop the incoming
train.
f. It shall be ensured that the line of demarcation shall not be infringed by the road vehicles / construction
equipment.
 g. It shall be ensured that only eligible and competent staff shall be employed for the work and they must
wear identity card while working near running tracks of IR IR/NHAI.
h. For working during night, sufficient illumination shall be provided for the entire work area for safety of the
workmen and public.
i. Temporary Engineering signals as required shall be provided.
j. Existing engineering indicator boards shall be lit as per Permanent Way Manual (PWM) of Indian
Railways.
k. Lookout man with red and green flags / hand signals and whistle shall be deployed wherever required.
l. Use of appropriate Personal protective equipment’s should be ensured.
m. Any temporary arrangement shall not infringe with the moving dimensions of IR IR/NHAI.
n. Where the work is planned to be done within 3.5m from the center of the IR tracks, it shall require traffic
block and all the necessary safety precautions shall be ensured as per the requirements of Para No. 806
and 807 of PWM of Indian Railways.
o. First aid kit shall be readily available at the site.
p. In case any cable / utility is found while working, the Contractor shall inform the Engineer immediately. In
case a large number of cables / utilities are found during excavation, the work shall be carried out in the
presence of representative from the concerned owning agency of the utility / cable.
q. It shall be ensured that the existing emergency sockets of IR are not damaged.
xvi. Precautions during fabrication of reinforcement cage
a. Prior to any site construction work all staff/operators/workers must undergo Railway and Construction safety
Induction training. All workmen must be screened & ID cards must be issued to   them by the Admin department.

b. The site must be supervised by a competent supervisor who is familiar with all safety precautions and
work processes on the site.
c. Only trained workmen should be deployed for preparation of reinforcement cage
d. This HIRA document, Method statement and structure design drawing must be communicated to all
responsible people on site by the responsible person directing the work & must be available at site.
e. A safety tool box talk/ Pep talk must be delivered to all staff prior to the start of the shift by the site
responsible person.
f. Work activity should not be carried out during violent storms or high winds or any other hazardous
situation.
g. If night works are to be carried out, the area shall be provided with sufficient lightening.
h. All Electrical arrangements must ensure for safe operations.
i. Site engineer must ensure that prior to any structure work, that he is familiar with the emergency
procedures, has access to a vehicle/ambulance and has adequate first aid facilities and trained first
aiders. The first Aid equipment must be readily available at site.
j. Suitable fire extinguisher shall be placed near work activity.
k. First –Aid arrangements shall be readily available at site.
l. Alcohol consumption/ Smoking should be strictly prohibited at site.
m. Necessary PPE’s including goggles must be worn by all Engineers, workmen, operators etc.,
n. Site Supervisor should raise Site Work permit, Heavy lifting operations and lifting operations closer to
power line etc.
xvii. Precautions of storage, handling & disposal of Bentonite
 a. Minimize dust generation and accumulation. Provide appropriate exhaust ventilation at places
where dust is formed. In case of insufficient ventilation, wear suitable respiratory equipment.
Practice good housekeeping.
b. Wear proper PPE’s
c. Store in original tightly closed container. Store in a well-ventilated place. Guard against dust
accumulation of this material. Store away from incompatible materials
d. Generated slurry shall be disposed off in the hard rocky strata in the nearby vicinity with prior approval of
the land owner. If hard strata are not found, it is recommended to dispose the slurry over the plastic
layer. At no case the slurry shall be disposed in & around the water body or at agriculture field.
e. Slurry can be effectively used to prepare the sealing material in the construction and rehabilitation
landfills to ensure the protection of ground water from the pollutants because of the impervious nature
(due to the clay content present)
xviii. Permit to work system shall be followed during lifting and lowering of cage.
xix. Following safety checklist shall be maintained during entire operation
a. Lifting Operation
b. Lifting work permit
c. Pre-life inspection of Crane
d. Equipment Fitness Inspection
e. Tool Box Talk
f. Crane Inspection
g. Vehicles & Earth Moving equipment Inspection.
h. Emergency Preparednss Measures
 Document No: SLT-IM-49-A
SAFETY & HEALTH MONITORING PLAN
Revision No: 00
Date: 26.08.2017
LIFTING OPERATION
Site name
Location: Date:
 Remark
Sl. Items Checked Observations s
A Data of Cranes
1 Make & model:    
 2 Capacity (- 25% for Tandem Lifts):    
 3 Jib length:    
 4 Outrigger spread:        
 5 Max. ground bearing capacity:    
 6 Counterweight:        
 7 Weight of crane:        
B Data of lifting tools
 1 Diameter of wire rope:        
 2 Capability of wire rope:        
 3 Condition of wire rope:        
C Data of lifting object
 1 Weight:        
 2 Height:        
 3 Width:        
 4 Length:    
D Data of lifting scheme        
 1 Number of lifting worker:        
 2 Crane fixing condition:        
Lifting height:        
 3
 4 Distance between crane and lifting material        
Distance between crane and mounting point of lifting        
 5 material
E Lifting Criteria
 
  Are all lifting appliances tested by the competent persons and  
1 have valid certificates? Is photocopy of all certificates such as
F.C, Test Certificate, and approval letter displayed in the
appliances?  
 2 Is SWL marked/ stamped in all lifting appliances?    
     
Are lifting appliances register maintained with all
 3 records?    
 4 Whether all lifting appliances including all parts and gears        
 thereof have been thoroughly tested and examined by
competent person once in every Six months or after it has
undergone any alterations or repairs liable to affect its
  strength or stability?        
5 Whether re-examination by the same competent person
has been carried out if the lifting appliances are shifted to
a new site?
Are the lifting appliances provided with the indicators and
 6 alarms?    
Is automatic safe load indicator certified by BIS/
International safe working loads provided all lifting
 7 appliances like cranes, hydras etc.,?    
Are lifting appliance operators and riggers qualified/
 8 trained and medically fit?    
 9 Is regular maintenance performing and records available?    
Is swinging radius area of the rotating superstructure of
 10 lifting equipment barricaded?    
 11 Whether all piping & fittings are maintained leak proof?    
Whether all hooks have been fitted with Master ring
 12 having certificate of fitness from the competent person?    
Whether pedestrians and road traffic is being stopped
 13 before load slewed over public areas?    
Is Permit to work system followed when working near
 14 overhead lines?    
Do the boom of the crane is kept lowered during idle
 15 condition?    
Are the guide rope system is followed during the lifted
 16 material moved?    
 17 Is color coding system followed for lifting tackles?    
Status: Indicate  for one of the three
1. Work Allowed 2. Work on Hold condition concluded during

2. Work Stopped

Remarks:

Inspected By:
SLT,S Supervisor/Engineer Signature of SHO

Document No: SLT- 49 -A

SAFETY & HEALTH MONITORING PLAN
Revision No: 00
Date: 26.08.2017
PRE-LIFE INSPECTION OF CRANES

Sl. Description Yes No Remarks

 1 Is the trained riggers and the operator are used
Is the tool box talk given to all workmen before
2
the activity?
Is the proper communication done between
3
rigger and operator about the lifting plan?
Is the lifting tools & tackles are checked for any
4
visible damage and for safe load capacity.
Is limit switch for different motion checked for
5
crane?
6 Is emergency situation is briefed.
Check whether pick and carry cranes not used
7
for the protruding lifting activates.
8 Is the green card displayed in the crane?

List of riggers / operator involved in this activity.

1. 6.
2. 7.
3. 8.
Note: all the above points shall be complied before starting the lifting activity

Signature of activity in-charge: Signature of SHO

Sl.
Checkpoints Observation Remarks
1 Hook andHookLatch
 2 Over-Hoist Limit Switch
3 Boom-Limit Switch
4 Boom Angle indicator
5 Boom-Limit cut-off switch
6 Over loadlimitswitch
7 Conditionofboom
8 ConditionofRopes
9 No. ofloadlines
10 Swing Brake&Lock
11 Propel Brake& Lock
12 Hoist Brake& Lock
13 Boom Brake&Lock
14 Swing Alarm
15 Mainclutch
16 Leakage in hydrauliccylinders
17 Out riggersfullyextendible
18 Tyre pressure
19 ConditionofBatteryandLamps
20 Guardsofmovingandrotatingparts
21 Load chartprovided
22 Numbers, positionandsizeof pendant ropes
23 Reverse horn& Rearview mirror
24 Validity ofCertificationbycompetentauthority
25 Operators Fitness
26 Fire Extinguisherinoperator’scabin
27 Caution Boards
28 Validity ofPUCcertificate (fortyremounted)
29 Validity ofFitnesscertificate(fortyremounted)
ThisCranehas been checkedfor theabovepointsand

FoundFIT fordeployment FoundUNFITfordeployment

_
P&M Engineer SHO

_______________ SAFETY & HEALTH MONITORING PLAN

Document No: SLT-IM-12-A
Revision No: 00
Date: 26.08.2017
 
TOOL BOX TALK REPORT
PROJECT TOPIC

LOCATION CONDUCTED BY

Sl. NAME DESGINATION SIGNATURE

SIGNATURE

DATE /TIME

SLT-IM-28-
SAFETY & HEALTH MONITORING PLAN Document No: A3
Revision No: 00
Date: 26.08.2017
 
EMERGENCY PREPAREDNESS
Sl Particulars Yes No Remarks
1 Availability of First aid boxes and its contents with first
aider?
2 Identified nearest hospital or medical center
3 Displayed of Contact list of local fire, police and ambulance
and provide them with your site plan and list of potential
emergencies
4 Availability of site cranes man/material bucket.
5 Availability of emergency response team & alternates (Post
names)
6 Is Emergency Plan availableand important telephone
numbers displayed?
7 Iscommunication or public address system placed at site?
8 Is audio alarm system available & audible to the person
working in the vicinity?
9 Is Assembly place designated?
10 Is barricading material available?
11 Are Fire fighting equipment’s available and operable
12 Are ambulance available to nearest place?

SAPO Site in charge

Document
SAFETY & HEALTH MONITORING PLAN No: SLT-58-A
Revision No: 00
Date: 26.08.201
BEFORE STARTING OF WORK NEAR INDIAN 7
 RAILWAY
Sl. Check Points Yes N N/
o A
A. Prior To Start of Work
1 Are ensured training imparted to staff and workers including sub-contractor
& certificate issued?
2 Are ensured barricade/temporary fencing along the stretch provided as
consented by the Engineer/Employer?
3 Does the person identified, who is going to be site in charge and
competency certificate issued by the Engineer?
4 Are name of Vehicle driver/equipment operator identified and briefed
about safe working?
5 Before start of work, proper line marking/barricading done at site of work?
6 Are ensured that lookout men deputed for protection of track along with
safety equipment?
7 Has caution order issued for the train drivers in case work is being done
within 6M of center of running track?
8 Has Risk Assessment carried out and all necessary precautions taken?
9 Are Sufficient lighting provided at site?
10 Are Infringements checked?
11 Are adequate watch & ward, flagman, signage boards and lighting
provided?
12 Are ensured that availability of Walkie-Talkie sets for communication?
13 Are ensured that Plan of work, brought to the knowledge of open line
AEN/IOW/PWI?
B Stacking of Material
14 Are ensured that Plan of proposed stacking of materials and location
prepared in advance and selected location marked by lime.
15 Are ensure that no part of stacked material infringed the moving direction?
16 Are ensured that material stacked to such a height that it does not lead to
infringement of SOD?
17 Are ensured that Presence of Engineer/employer ensured during loading
and unloading of materials?

9. Attachments:
Annexure-1 ITP

Annexure-2 Sample Format for Concrete Dispatch Slip

Annexure-3 Sample Format for Safety Checklist

Annexure-4 Sample Format for Permission for Boring

Annexure-5 Sample Format for Reinforcement Inspection

Annexure-6 Sample Format for Cage Lowering

Annexure-7 Sample Format for Permission of concreting

Annexure-8 Sample Format for Tremie Chart

Annexure-9 Sample Format for Pile Pour Card

Annexure-10 Sample Format for Bentonite Test Report

Annexure-11 Sample Format for HIRA Report

Formats-19.06.2015.
xlsx