Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 1 of 7

METHOD STATEMENT AND JOB SAFETY ANALYSIS

FOR PDA RE-STRIKE TEST USING DROP HAMMER

MSDP PROJECT
STATUS AUTHORIZED
NAME SIGNATURE DATE
REVIEWED/APPROVED

REVIEWED/APPROVED
WITH COMMENTS AS
MARKED
NOT APPROVED; TO BE
RESUBMITTED
(Not Applicable to IFIR)
REASON FOR NOT APPROVED

OWNER : PT. FREEPORT INDONESIA

CONTRACTOR : BLACK & VEATCH INTERNATIONAL
SUBCONTRACTOR : PT. WIJAYA KARYA (PERSERO) TBK.
MANYAR SMELTER DESALINATION PLANT PROJECT

A Issued For Approval Aug 08, 2022 MDH KN DJR

Rev. Description Date Prepared Reviewed Approved

Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 2 of 7

TABLE OF CONTENT

1. GENERAL ..................................................................................................................... 3
2. TECHNICAL DATA ....................................................................................................... 3
3. SITE LOCATION FOR PDA RE-STRIKE TEST............................................................. 4
4. DETAIL WORKFLOW ................................................................................................... 5
5. PREPARATION WORK ................................................................................................. 6
5.1. Equipment and Manpower Mobilization ............................................................................ 6
5.2. Equipment Setting.............................................................................................................. 6
6. PDA RE-STRIKE PROCEDURE.................................................................................... 6
6.1. Survey Work....................................................................................................................... 6
6.2. Excavation Work ................................................................................................................ 6
6.3. PDA After Curing Method using Drop Hammer ................................................................... 7

APPENDIX

APPENDIX-1 Illustration Work Method

APPENDIX-2 Lifting Plan
APPENDIX-3 Job Safety Analysis
Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 3 of 7

1. GENERAL
This method statement was written as a guidance for the execution of PDA re-strike
test using drop hammer on:
Project Name : Manyar Smelter Desalination Project
Location : Gresik, East Java, Indonesia

The purpose of the method statement is to provide a procedure how to do PDA Re-
strike test using drop hammer on the test pile location.
This method statement is a guidance to achieve a successful project completion with
acceptable quality, within specified time frame, and within a controllable budget for
the purpose of Client’s satisfaction. The following topics will be described / explained
in this method statement.
To prevent un-controllable discrepancy of work performance from this method
statement, this method statement must be followed strictly. Any change or adapting
action taken to anticipate job site / work conditions, can only be performed under
written notice / instruction from Site Manager and approval of Contractor or
Authorized Contractor Representative

1.1 REFERENCE
a. 907679.71.1000 Manyar Smelter Desalination Plant General
Construction - Substructures_Technical PO

b. MSD-WK-C-MS- Method Statement and Job Safety Analysis of

GR22-002 Piling Work

2. TECHNICAL DATA
No List of Equipment Remarks
1 Service Crane 60 Ton
2 Drop Hammer equipment set 16 Ton
3 PDA Test Equipment 1 Unit
4 Plywood Pile Cushion 100 – 300 mm
5 Survey Tools
6 Measuring Instrument
7 Water Pump (for Dewatering) For dewatering
8 PPE
9 Safety Sign
Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 4 of 7

3. SITE LOCATION FOR PDA RE-STRIKE TEST

The proposed site location on Manyar Smelter Desalination Project shown in figure:

Figure 3.1 Site Location for PDA Re-Strike Test Location

1. Pile TP #1 located in the south side of Lamella Clarifier Tank, the elevation
about 50 cm below actual ground elevation

Figure 3.2 Site Location TP #1

Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 5 of 7

2. Pile TP #2 located in the south side of Filtered Water Pump House, the
elevation about 1m above actual ground elevation

Figure 3.3 Site Location TP #2

4. DETAIL WORKFLOW

Figure 4.1 Detail Workflow

Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 6 of 7

5. PREPARATION WORK
5.1. Equipment and Manpower Mobilization
a. All equipment must be inspected prior to mobilize, inspection conducted
on physically at workshop along with documentation checking such as
SIA, SIO, calibration certificate, historical energy transfer of hammer and
other required documents by authorized SHES person.
b. PDA Test equipment must be calibrated prior to mobilize.
c. Manpower and staff who will be assigned at project site has to conduct
medical examination and swab antigen test.
d. Submit driver register for mobilization of equipment and submit request
for safety induction for mobilization of manpower.
e. Make sure that this work is supervised by Construction and SHE team.

5.2. Equipment Setting

a. The equipment of which will be mobilized at jobsite as much as possible
placed nearby PDA Test location.
b. Setting up equipment based on manufacture standard.
c. For crane or heavy equipment must be inspected by PJK3 before use.

6. PDA RE-STRIKE PROCEDURE

6.1. Survey Work
Check the verticality and elevation of the pile.
6.2. Excavation Work
Dig the soil around the pile to place the drop hammer and line of PDA
instrumentation cable about 1.5 m x 1.5 m with 2 m depth for TP #1 and 1m
depth for TP #2.Digging will be done carefully to avoid damage to the pile.
Hand digging also be applied at nearby pile.

Ground Level

Figure 6.1 Excavation Illustration

Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

PDA Re-Strike Test Using Drop Hammer

Rev: A 7 of 7

6.3. PDA After Curing Method using Drop Hammer

a. Make a lifting plant as shown in Appendix-2
b. Install the set equipment of drop hammer 16 ton above the pile and make
sure that the drop hammer is on the axis of the pile

Figure 6.2 Drop hammer

c. Make sure the drop hammer was level before installing the cable
d. Install the PDA Instrument cable to the test pile

Figure 6.3 PDA instrument installation

e. To ensure the drop hammer is stable and having vertical free drop of
weight, we install steel frame at bottom of stop hammer which attached on
the ground level and around the hammer.
f. Cushion will install on the top of test pile with thickness 300 mm.
g. Lift the hammer at 0.30 mm and fall at the first and then increased to 0.5
m, 1 m, 1.5 m, 2 m with compressive stress does not reach 36.1 MPa.
h. The cushion will install from thickness 300 mm and then reducing to
minimum 100 mm depend on the stress in the pile at reach striking.
Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

Rev: A PDA Re-Strike Test Using Drop Hammer

APPENDIX I

ILLUSTRATION WORK METHOD

Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

Rev: A PDA Re-Strike Test Using Drop Hammer

Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

Rev: A PDA Re-Strike Test Using Drop Hammer

1. 2.

Place the set equipment of drop Lift it up the hammer with interval
hammer 16 set on the position at test 0.5 m, 1.5 m, 2.0 m, with
pile, install the cushion on the head compression test does not reach
of test pile. 36.1 MPa. Thickness cushion will
reduce depend on the stress in the
pile at each striking.

3.
4.

Release the wire from the hook, so Read the velocity and subsequent
the hammer will fall onto the pile. force on the PDA equipment in every
interval drop height and thickness of
cushion.
Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

Rev: A PDA Re-Strike Test Using Drop Hammer

APPENDIX II

LIFTING PLAN
Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

Rev: A PDA Re-Strike Test Using Drop Hammer

 LIFTING PLAN CALCULATION FOR PDA-RESTRIKE TEST DROP HAMMER

TECHNICAL DATA
1. DROP HAMMER
Weight = 16,000 kg

CRANE SPECIFICATION ZOOMLION ZCC600V

1. Crane Capacity = 60000 kg
LIFTING PLAN CALCULATION FOR PDA-RESTRIKE TEST DROP HAMMER
 LIFTING PLAN CALCULATION FOR PDA-RESTRIKE TEST DROP HAMMER

CALCULATION
1. LOAD (DROP HAMMER) = 16,000 kg
2. RIGGING WEIGHT = 500 kg
3. HOOK WEIGHT = 655 kg
TOTAL = 17155 kg
4. SAFETY FACTOR 1.20 20586 kg
6. RADIUS = 7 m
6. CAPACITY = 23400 kg
SAFETY FACTOR = 1.14 SAFE! Max Load
PERCENTAGE = 68%
Date: Aug 08, 2022 Method Statement and Job Safety Analysis for MSD-WK-C-MS-GR22-011

Rev: A PDA Re-Strike Test Using Drop Hammer

APPENDIX III

JOB SAFETY ANALYSIS

 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00

JSA
JOB STEPS POTENTIAL HAZARD: Inherent fatality risk? Responsible Person
Who is responsible to
(Sequence of work) If 'yes' FRM required
Existing Risk Hold point? Impact What harm could What must be in place to prevent harm? Include Rating specific responsibilities implement the control?
Step # Residual Risk Rating
What could hurt me / others or impact the Rating Y/N? occur? where required
environment?
What am I going to do?
JSA PDA RE-STRIKE DROP HAMMER WORKS

1. PERSIAPAN/PREPARATION

Use mask, washing hand with soap, social distance

Covid-19 Exposed Medium (4) N N Major Injuries Implementing health protocols Low (2) ALL

Follow the rules from client

Follow traffic management

a Manpower/Material Mobilization Traffic Accident Medium (4) Y N Major Injuries Obey traffic rules and drive safely Low (2) ALL

Vehicle must be in good condition

Hit by a vehicle Medium (4) Y N Major Injuries Make sure the driver has a driver's license issued by the Authorities Low (2)

Exposed to vehicle fumes Medium (4) N N Minor Injuries Vehicles must be clean and in good condition Low (2) ALL

Dust / Micro hazardous partical Low (2) N N Minor Injuries Make sure workers wear masks/respiratory protection Low (1)

Memakai masker, mencuci tangan menggunakan sabun, menjaga jarak

Penyebaran Covid-19 Medium (4) N N Major Injuries Menerapakan protokol kesehatan Low (2) ALL

Mengikuti aturan prosedur dari Klien

Melaksanakan manajemen lalu lintas

a Keberangkatan Pekerja dan Alat Kecelakan Lalu Lintas Medium (4) Y N Major Injuries Patuhi peraturan lalu lintas dan berkendaralah dengan aman Low (2) ALL

Kendaraan harus dalam kondisi baik

Tertabrak kendaraan Medium (4) Y N Major Injuries Pastikan sopir memiliki Surat Ijin Mengemudi yang dikeluarkan oleh pihak terkait Low (2)

Terpapar asap kendaraan Medium (4) N N Minor Injuries Pastikan kendaraan dan jalan dalam kondisi bersih Low (2) ALL

Bahaya debu dan partikel kecil Low (2) N N Minor Injuries Pastikan pekerja menggunakan masker/pelindung pernafasan Low (1)

Traffic accident Medium (4) N N Major Injuries Install aricade and warning sign Low (2) SPV

Dehydration Low (2) N N Minor Injuries Provide a place to drink Low (1) SPV

b Survey/Stacking out Hit by a vehicle Medium (4) N N Major Injuries Make sure the driver has a driver's license issued by the Authorities Low (2) SPV

Exposed to vehicle fumes Low (2) N N Minor Injuries Vehicles must be clean and in good condition Low (1) SPV

Dust / Micro hazardous partical Low (2) N N Minor Injuries Make sure workers wear masks/respiratory protection Low (1) SPV

Kecelakaan lalu lintas Medium (4) N N Major Injuries Pemasangan barricade dan rambur peringatan Low (2) SPV

Dehidrasi Low (2) N N Minor Injuries Siapkan tempat untuk minum Low (1) SPV

b Survey/Stacking Out Tertabrak kendaraan Medium (4) N N Major Injuries Pastikan sopir memiliki Surat Ijin Mengemudi yang dikeluarkan oleh pihak terkait Low (2) SPV

Terpapar asap kendaraan Low (2) N N Minor Injuries Pastikan kendaraan dan jalan dalam kondisi bersih Low (1) SPV

Bahaya debu dan partikel kecil Low (2) N N Minor Injuries Pastikan pekerja menggunakan masker/pelindung pernafasan Low (1) SPV
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00

2. Assembly Crane/Perakitan Crane

The land Area should be compacted and aligned before placing the mat plate.
Position the crane unit on top of the
Physical, Mechanical, Environment, Chemical &
a mattress with a soil condition that is Medium (4) Y N Minor Injuries Low (2) SPV & HSE
Gravity Workers should focus on working (Worker stay Focus),
flat and dense

Use personal protective equipment while working (always use hand gloves)

Area kerja harus padat dan datar sebelum diletakan pelat matras
Posisikan Crane diatas pelat dengan Bahaya Fisik, Mekanik, Lingkungan, Kimia,
a Medium (4) Y N Minor Injuries Pekerja harus fokus selama melakukan pekerjaan Low (2) SPV & HSE
kondisi tanah yang datar dan padat Ergonomi

Penggunaan alat pelidung diri (selalu memakai sarung tangan)

Physical, Mechanical, Gravity Monitor (6*) Y N Minor Injuries Ensure bolt connection of boom connected properly, Medium (4) SPV & Crew

Tools fall down,Operation failure Monitor (6*) Y N Major Injuries Check all tools and equipment before installation Medium (4) SPV & Crew

Supervisor check condition of connection before start

Be sure to bind properly and use a sling that is still worth wearing,
Setting boom ladder crane and
b
hammer
Ensure third- party Certified wire rope and webbing sling
Material hit Monitor (6*) Y N Major Injuries Medium (4) SPV & Crew
Ensure safe location for crane radius, flagman stand by, and barricade working area

Supervisor provides briefing and do safety talk before starting work,

Use gloves while working,

Bahaya Fisik, Mekanik, dan Ergonomi Monitor (6*) Y N Minor Injuries Pastikan baut pada sambungan boom terpasang dengan benar Medium (4) SPV & Crew

Alat kerja jatuh, kegagalan operasi Monitor (6*) Y N Major Injuries Pengecekan semua peralatan dan perlengkapan alat sebelum dipasang Medium (4) SPV & Crew

Pengawas cek kondisi sambungan pada boom

Pastikan untuk mengikat dengan benar dan penggunaan wire sling dalam kondisi
Pemasangan Ladder Boom dan baik
b
Hammer Wire sling dan Webbing Sling telah diperiksa dan dikeluarkan sertifikat oleh pihak ke
tiga
Material jatuh Monitor (6*) Y N Major Injuries Medium (4) SPV & Crew
Pastikan lokasi kerja aman dalam radius crane, siaga flagman, dan baricae area
kerja
Pengawas memberikan pengarahan dan lakukan safety talk sebelum melakukan
pekerjaan

Penggunaan sarung tangan

Scratched,stabbed by a sharp Supervisor do safety talk before start work

c Housekeeping object,Slip,Stumble Low (2) N N Minor Injuries Low (1) All
Stay focus on work

Pengawas memberikan pengarahan dan lakukan safety talk sebelum melakukan

Tergores, tertusuk benda tajam, Tergelincir, pekerjaan
c Kebersihan area kerja Low (2) N N Minor Injuries Low (1) All
Tersandung
Pekerjaan harus fokus
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00

Designing and organizing tasks to avoid manual handling completely, or at least

restrict it.

Using automation and lifting equipment.

Organizing manual handling tasks in a safe way, with loads split into smaller ones,
d Manual lifting of materials Musculoskeletal Disorder Medium (4) N N Minor Injuries and proper rest periods provided. Low (1) SPV & HSE

Providing information and training to workers on tasks, and the use of equipment and
correct handling techniques.

Ensure taking the appropriate

Merancang dan mengatur tugas untuk menghindari penanganan manual

sepenuhnya, atau setidaknya membatasinya.

Menggunakan otomatisasi dan peralatan angkat.

Gangguan Otot
d Pengangkatan Manual Medium (4) N N Minor Injuries Mengatur tugas-tugas penanganan manual dengan cara yang aman, dengan beban Low (1) SPV & HSE
dibagi menjadi yang lebih kecil, dan waktu istirahat yang tepat disediakan.

Memberikan informasi dan pelatihan kepada pekerja tentang tugas, dan penggunaan
peralatan dan teknik penanganan yang benar.

Pastikan mengambil yang sesuai

3. Heavy Equipment/Crane Moving/Pergerakan Alat Berat

Nothing work Permits Monitor (6)* N N Minor Injuries Make sure the work permit is approved before work starts Low (2) SPV & HSE

Crane overturned Actionable (8) Major Injuries Crane/Heavy equipment must be clean and in good condition Medium (4) SPV & HSE

a Heavy Equipment/Crane Moving There are no workers around the heavy equipment in operation and workers who
Hit by heavy equipment Monitor (6)* Major Injuries work with the equipment must pay attention to a safe distance from the heavy Low (2) SPV & HSE
equipment

Hit by heavy equipment swing Monitor (6)* Major Injuries Ensure safe location for crane radius, flagman stand by, and barricade working area Low (2) SPV & HSE

Tidak ada izin kerja Monitor (6)* Minor Injuries Pastikan izin kerja disetujui sebelum pekerjaan dimulai Low (2) SPV & HSE

Crane Terbalik Actionable (8) Major Injuries Crane/Alat berat harus bersih dan dalam kondisi baik Medium (4) SPV & HSE

a Pergerakan/Perpindahan Alat Berat

Tidak ada pekerja di sekitar alat berat yang beroperasi dan pekerja yang bekerja
Tertimpa alat berat Monitor (6)* Major Injuries Low (2) SPV & HSE
dengan alat tersebut harus memperhatikan jarak aman dari alat berat

Pastikan lokasi yang aman untuk radius crane, flagman stand by dan area kerja
Tertabrak alat saat berputar Monitor (6)* Major Injuries Low (2) SPV & HSE
barikade
4. PDA Test
Perform daily inspections (Daily Checklist Crane) as well as slings (Webbing and
wire) used and shackles.
Use mechanical gloves
Workers hit by sling Monitor (6)* Y N Major Injuries Low (2) SPV
Ensure safe location for crane radius, flagman stand by, and barricade working area

Supervisor do safety talk before start work

PDA Test The Permit is not prepared, Monitor (6)* N N Permit management one day in advance Low (2) SPV
Hit by heavy equipment Monitor (6)* Y N Major Injuries Crane/Heavy equipment must be clean and in good condition Low (2) SPV
Supervisor do safety talk before start work

Ensure safe location for crane radius, flagman stand by, and barricade working area
Hit by heavy equipment swing Monitor (6)* Y N Major Injuries Low (2) SPV
Make sure the Crane and Operator has a license issued by the Authorities
Supervisor check condition of connection before start
Lakukan pemeriksaan harian (Daily Checklist Crane) serta sling (Webbing dan Wire )
yang terpakai dan shackles
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00
Penggunaan sarung tangan
Pekerja terkanan sling Medium N N Minor Injuries Pastikan lokasi kerja aman dalam radius crane, siaga flagman, dan baricae area Low (2) SPV
kerja
PDA Test Pengawas memberikan pengarahan dan lakukan safety talk sebelum melakukan
pekerjaan
Tidak ada izin kerja Monitor (6)* Minor Injuries Siapkan ijin kerja sehari sebelum bekerja Low (2) SPV

Tertimpa alat berat Monitor (6)* Major Injuries Pastikan Alat dan Operator memiliki sertifikat yang dikeluarkan oleh pihak terkait Low (2) SPV

Tertabrak alat saat berputar Monitor (6)* Major Injuries Pengawas cek kondisi sambungan pada boom Low (2) SPV
5. House Keeping
Incorrect material lifting position Low (2) N N Minor Injuries Tidy up the tools that have been used and place them in the toolbox Low (1) All
body parts scratched by sharp objects Low (2) N N Minor Injuries Pay attention to the position of the hand when holding the cleaned material Low (1) All
Use gloves and a mask
Housekeeping Use a mask for respiratory protection
Dusty work location Low (2) N N Minor Injuries Low (1) All
Wearing PPE ((Helmet, Safety Glass, Mask, Gloves and Safety Shoes)
Non-ergonomic movements during preparation (struck, pinched, sprained)
Slip Low (2) N N Minor Injuries Stay focus and Concentration at work Low (1) All

Peletakan material bukan pada tempatnya Low (2) N N Minor Injuries Merapikan alat-alat yang telah digunakan dan meletakkannya di dalam kotak alat Low (1) All

Bagian tubuh tergores oleh benda tajam Low (2) N N Minor Injuries Perhatikan posisi tangan saat membersihkan material Low (1) All
Lokasi kerja berdebu Low (2) N N Minor Injuries Gunakan sarung tangan dan masker Low (1) All
Kebersihan area kerja
Tergelincir Low (2) N N Minor Injuries Gunakan masket khusus (Repiratory Protection) Low (1) All

Menabrak Low (2) N N Minor Injuries Gunakan PPE (Helm, Kaca mata, masker, sarung tangan, dan sepatu safety) Low (1) All

Tersandung Low (2) N N Minor Injuries Gerakan non-ergonomis selama persiapan (terbentur, terjepit, terkilir) Low (1) All
 Job Safety Analysis
Doc. Ref: 22MS01-MS-50-002 Form No: 22MS01-JSA-50-001
Date: 08 Aug 2022 MANYAR SMELTER DESALINATION PLANT PROJECT Revision No: 00