Safe Work Method Statement

Project Name: Bluestar Project Address: Godrej 2, eastern expressway,Vikhroli-East,Mumbai-400079

Company Name: ANA Designs Pvt. Ltd. Company Address: 1A New india Chambers, MIDC central Rd, Andheri east. Mumbai
Engineer Name: Velu M Contact No: 9137177375

Trade: Design & Build Work Location: 13th & 14 th Floor

Description of work
Hazardous Work Activity:
(Please tick relevant work activity) Х Energised electrical installation / services. Х Structural alterations / repairs with a potential for structural collapse.

√ Coring / Chasing / Cutting (no electrical power in the area) Х Works involving asbestos. Х Demolition of a load-bearing element of a structure.

Х Roof Access √ Working at heights (risk of falling more than 2 metres). Х Works in or near a 1.5+ metre shaft / trench (excavation).

Demolition / Strip-Out Works (that does not involve disturbing a

Х load bearing structure) Х Use, transport or storage of chemical, fuel or refrigerant lines. Х Works in or near a tunnel.

Х Shop Front Works (including glazing) Х Works near to or use of moving mobile plant. Х Works in areas exposed to extreme temperature.

Х Fire Services Х Works in or near a confined space. Х Works in or near water or other liquids with a risk of drowning.

Structural Work (all structural works including steel posts, beams

Х and concrete works) Х Tilt-up or precast concrete work. Х Construction diving work.

Х Works in contaminated or flammable atmospheres / areas. Х Works involving traffic corridors or other non-pedestrian traffic. Х Use of explosives.

Hydraulics work (all mains, waste water, sewerage, storm water

Х and hydraulic supply) Х Works carried out on a tower. Х Works on or near pressurised gas / piping.

Х Mechanical Work (all works related to air conditioning and lift services; pumps, pipes and ductwork related to other services structural work) Х Other

Tick the Personal protective equipment (PPE) requirements. Emergency arrangement details

Other Job
Specific PPE
Head Foot Hi-vis vest Hand Eye Hearing Fall arrest Fire/evacuation First Aid Pollution/spill
Hazardous materials: Are hazardous materials to be used? Yes No Is MSDS Available

Mention Specific controls required as per MSDS:

Permit required (tick below)

Permit to work confined spaces Excavation Permit LOTO

Hot-work permit Night work permit Height Work Permit Other

Person responsible for ensuring compliance with SWMS: Date of SWMS review:

What measures are in place to ensure compliance with the SWMS?

Person responsible for reviewing the SWMS control measures: Date SWMS received by reviewer:

How will the SWMS control measures be reviewed?

(SWMS control measures to be reviewed (and revised if SWMS Monitoring Record Reviewed when scope of work changes
necessary) if work tasks / methods change or unexpected
issues arise) Reviewed during weekly / regular contractor meetings Site Inspection observations

Review date: Reviewer's signature:

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 Safe Work Method Statement
Inherent Risk Residual Risk
Potential Hazards / Risk Possible Control measures.
Description of Work Activity Risk before Risk after
(What might go wrong?) Likelihood Consequences
controls (How do you stop it going wrong?) Likelihood Consequences
controls
Mobilization of manpower Personal injury,
Material damage 1)Ensure Safety Induction Should be done for all
worker
2) Required PPEs to be provided.
3)Hazard &Risk-Untrained Workers, Tress passers, and
Precaution Vendors must follow Entry/Exit to the
project premises for all the workers, and materials will
be from the designated entrance/exit point only.
4) The record of Entry/Exit of the personnel will be
maintained by the security.
Likely Minor Moderate 5) Ensure NO unauthorized person comes inside the Possible Insignificant Low
working area.
6)trained and experienced workforce to be deployed.
7)Adequate illumination must be added.
8)All Materials are to be stacked not more than 1.5m in
a designated area
and to be barricaded & isolated the flammable material.

Material Loading / Unloading Stuck by Suspended load 1) Material loading and unloading area should be free
Fall of man /material from height. from obstacles.
Material Damage, 2) Use of PPEs like safety belt is must.
Use Lifting Equipment. 3) Use proper means of communication.
Uneven Ground. 4) Onsite Emergency Plan to be considered.
5) Good working platform to be provided.
6) Do the Third party inspection for lifting tools tackles,
chain, D- cycle, pulley etc
Likely Moderate High Likely Insignificant Low
7) Lifting Equipment inspection should be done.
8) Entry to unauthorized persons close to hoist should
be restricted.
9) All moving parts should be guarded.
10) Display warning signs.
11)Drivers Documents to be submitted

Material Shifting Lifting of Excessive Weight Manually 1) Tool box talk to be given.
Slips trips fall. 2) Proper supervision.
Muscle strains, 3)Follow proper material handling technique’s
4)Avoid obstruction (Cables, materials, waste etc.) in
walkways
5) Proper PPEs to be used.
6) Ensure good housekeeping
7)trained and experienced workforce to be deployed.
Likely Moderate High 8)shifting of material does not use a scaffold for shifting likely Minor Moderate
the materials.
9)Adequate illumination must be added.
10)All Materials are to be stacked not more than 1.5m
in a designated area and to be barricaded & isolated the
flammable material.

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 Housekeeping Slip, trip, fall of Material due to improper stacking or fall of 1) Use of PPEs like hand gloves, safety shoes /
material on body. gumboot, nose mask.
Fall of person. 2) Proper training & proper supervision.
Caught in between materials. 3) Area defines for material stacking.
Exposure to dust. 4) Access to be cleared.
5) Waste disposal facility to be provided at site.
6) Use of proper PPE (Nose mask).
7) Personal cleanliness.
8)Precaution-Sprinkling of water before sweeping the
floors to be done.
Unlikely Moderate Moderate 9) Fresh air movement is to be provided. Likely Insignificant Low
10)Debris must be covered and a barricade with a fire
extinguisher provision must be added.
11)Materials to be segregated, and stacked in order as
per the shape and size of the materials/objects.

Unlikely

Safe Work Method Statement

Inherent Risk Residual Risk
Potential Hazards / Risk Possible Control measures.
Description of Work Activity Risk before Risk after
(What might go wrong?) Likelihood Consequences
controls (How do you stop it going wrong?) Likelihood Consequences
controls

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 Safe Work Method Statement
Workers briefed on the hazard associated for the activity and control measures on safe execution.
I understand and agree to adhere to the contents of this method statement. I have attended the briefing that explained the safe way to execute the activity as per recommended control measures.
ID No Name of Worker Worker Signature ID No Name of Worker Worker Signature

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Version: 01 24-01-2025 Page 5 SWMS Loading & unloading (1)