Method of Statement

Date -
PTW No :-
Job Title - Trial , Setting and Programming of new lift cage ,tightning where ever necessary
Job Location - Old TSP new lift area
Tools & Equipment
Sr. No. Sequence of Basic Job Steps Existing or Potental Hazards PPE Used Control measures
Used

hand gloves , safety

hand gloves , safety Oxygen level must be maintain between 19.5 to
1 Site inspection and barrication , oxygen measurement dust , slip , trip , fall injusries shoes , PPEs ,Oxy
shoes , PPEs 21.5%
Meter
2 Proper Permit & approval
Helmet , cut free hand area barrication , authorised person entry , proper
porper ropes ,
3 Power supply on for external testing & progremming electrical shock gloves ,safety shoes , lifting tools and tackles with safety harness , skilled
caution tape
safety belt person
proper tools and safety shoes , tools and
4 release the testing of power supply to drive and ERD electircal shok , injury proper with skilled electrical person only
skilled perosn tackles
safety shoes, helmet
5 To check the lift operation in slop speed up / down LDB switch for on / off , emergency switch No perosn to enter in pit or lift cage / top cage
and gloves
cotton hand gloves ,
spanners & hand mechanical locking , wheel rope locking & electrical
6 Entry for car top by taking car to floor level Slip,Fall,injury , over head danger , cut injury helmet , safety shoes ,
tools , safety interlock
safety belt ,
porper standing on Helmet , cut free hand area barrication , Trained person form kone only
setting of door allignment , coupler ,oiling , senser fitting , sharp edges , cut injuries , fall from height ,
7 car , spanner & hand gloves ,safety shoes , entry , tools and tackles with safety harness , skilled
lop cable dressing , wall cleasning etc spanner fall
tools , barrication safety belt person
Helmet , cut free hand
spanners & hand meachinal locking and electrical, lock testing and in
8 testing of lift in slow speed slip , trip , fall , hand injusries , car failure gloves ,safety shoes ,
tools operation , Only Authorize person conduct the test
safety belt
two emergency and stop switches will in loop and
Oxy Meter, spanner cotton hand gloves , mechanical & electrical break applied , locked
9 One person to go in pit for setting and allignment head injury , slip , trip, fall , cut , car slip
& hand tools helmet ,Oxygen level must be maintain between 19.5 to
21.5%
cotton hand gloves ,
10 to come on top floor after the pit job over head injury , slip , trip, fall , cut , car slip hand gloves taking car safety in loop
helmet
Switch off supply from panel agfter completion & 100 %
11 electical shok, STF hand gloves skilled electrician only Skilled electrician only
supervision ouitside in all jobs
1) Lift has 6 rope support 2) Lift machine has disc brakes which hold the cabin with ropes
3) Lift has mechanical safety at bottom of the lift car
12 Safety Features Of Lift During trial & Alignment Work 4) Lift has Over speed governor safety feature which will stop the car in over speed or free fall condition
5) Electrical safety & limit switches are available in lift which will be stop the power supply of the lift.
6) Inspection mode is available on car top to control the lift in inspection travel from cartop to do adjustment and maintenance work.

SIGNATURE OF CONTRACTOR SUPERVISOR SIGNATURE OF PERMIT ISSUER