9

RAMS Review (Working in Occupied Areas)

To be submitted to [email protected] at least 5 working days prior to commencement of
work.

Trade Contractor: MANCHETT Works 8400

Package:
Method Statement Ref.: GBLWTP2_TS90085_8400- Rev. Number: 10
MS-007- 033000
Title/Task TELEHANDLER RAMS (WN-BRU-032772)
Site/Building WTP2 Exact Location (External / Process hall /
Switchr.)

Project Name: WATER TREATMENT Project Number: TS90085

PLANT 2
Date of Issue: 28/09/2021 ISG Contact: Luke Frederickson
Document valid for: 3 months

The area where you are about to work is now a live environment and under the Clients control. The measures
listed below MUST be considered and if applicable included in the risk assessment. A Works Notification will
not be issued unless this form is completed and signed by both the trade contractor and two ISG package
managers.
Could the works have an impact on and are isolations required for the following services or will the works
create: (Yes/No)
Electrical Supply No Sprinkler System No Dust Yes
Water Supply No Fire Alarms No Noise No
Data Systems No Ventilation No Vibration No
Heating Systems No Cooling Systems No Security No
If “Y” to any of above, please contact ISG and DCops before works takes place.
All isolations requests have to be agreed with ISG and DCOps on daily basis. DCOps POC (Point of Contact)
must be notified daily prior to starting works and on completion.

Control Measures to be considered Yes/No

Do you require security / DC Ops attendance ie. are you entering critical areas? no
Have materials access routes been identified? Yes
Are permits required e.g Hot Works, ladder permit, confined space? No
If “Yes” to above, please list them:

CoSHH substances – Do you require spill kits? Yes

If “Yes” to above, do you have Client Chemical Approval Sheet filled in? Yes
Do you need any electrical or mechanical Isolations - LOTO (Log-Out/Tag-Out) from the Client? No
Comments (ISG Package Manager to fill in only)

Name Signature Status

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Trade Contractor Billy Wishart HSE
(Author)
ISG Manager Luke Frederickson Yondr

ISG H&S Manager Milo Fish Yondr Hse

1.0 Proposed start date: 30/09/2021

1.1 Expected duration of works: 12 Months

1.2 Document prepared by: Billy Wishart +44 (0) 7719303930

1.3 Name of Supervisor and Contact number:

Russ Morris + 44 (0) 7510 079452

1.4

Name Function Other

Artur Gajdek Supervisor

ARTUR GRZEGORZ GAJDEK - Google Drive

Daniel Malinowski Operative

https://drive.google.com/drive/folders/1zuWEcx2Rdi7lxXguy373lFhAGauuxMwq?
usp=sharing

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
2.0 Location (Insert a drawing or a description of the specific location of where the work is going to take place, if not
possible link the document in the corresponding folder in the Work Notification)

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

2.1 Work Description (Describe WHAT you are going to do on site and HOW, including all steps from preparation works
(install barriers, scaffolding,...), execution and dismantling (removing all equipments, wastes produced,...).

Telehandler works.

Prior to commencing works / Travaux préparatoires:

All works have been declared in the CICC / KLIM system and approved by the different
companies.Reference number: N.A.

Tous les travaux ont été déclarés dans le système CICC/KLIM et ont été approuvés par les différentes
compagnies.Numéro de référence: N.A.

1.RAMS and WN to be approved by Yondr Group and the Client prior to commencement of works. RAMS
et WN doivent être approuvés par Yondr Group et le client avant le début des travaux.

2.Related WN (work notification) to be signed every morning prior to works commencing. The WN will
contain the approved RAMS and the names of all workers. The works will not begin if the WN is not
signed.

Les WN devront être signées tous les matins avant le début des travaux. La WN contiendra la RAMS
approuvée et le nom de tous les travailleurs. Les travaux ne commenceront pas avant la signature des
WN.

Every morning before works start notice DCOPS POC of starting works After completion of works at end
of day notice DCOPS POC of ending works for the day.

Tous les matins avant le début des travaux avis DCOPS POC de début des travaux Après achèvement
des travaux en fin de journée avis DCOPS POC de fin des travaux de la journée.

3.The method statement and the risk assessment must be communicated to the workers on site before
the works begins. All works will be communicated to employees on the job via the RAMS and the crew
will sign that they have read and understood the RAMS.

Tous les travaux seront communiqués aux employés sur le lieu de travail via le système RAMS et
l'équipe indiquera qu'ils ont lu et compris le système RAMS.

4.All Manchett workers must receive site safety induction prior to any works. The supervisor is to carry
out an LMRA of the work area before work commence. All Manchett operatives will be compliant to
SOP Covid 19

Tous les travailleurs de Manchett doivent recevoir une initiation à la sécurité du site avant tout travail. Le
superviseur doit effectuer une LMRA de la zone de travail avant le début des travaux Tous les
employés de Galère seront conformes au SOP Covid 19.

5.Only authorized inducted persons will be allowed to access the work area. Only personnel with relevant
competency and with approved certificates will be permitted to work.

Seules les personnes autorisées et ayant passé l'induction auront accès au site. Seul le personnel ayant
les compétences et les certificats approuvés pourront travailler sur le site.

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
6. The work supervisor / foreman will inspect the work area prior to work starts.

Le chef de chantier / conducteur de chantier devra inspecter le chantier avant le début des travaux

7. All checks (plant checks, material checks, etc.) and permits (excavation permit, hot works permits,
etc. ) to be carried out prior to work starting.

Toutes les vérifications de machines, matériels etc. ainsi que les permis (permis d’excaver, permis feu,
etc.) devront être réalisés avant de débuter les travaux.

8. All operatives are to wear a 5-PPE as a minimum

Tous les travailleurs devront porter au minimum les 5 EPI obligatoires.

9. At the end of each week, a weekly return will be provided by Manchett to Yondr Group with all the
safety information.

Yondr Covid Policy will be adhered to at all

times.
Face Coverings will be worn at all times
Minimum 2m between individuals if close
contact of less than 2m is necessary no
longer than a period of 15 mins.
Contact with DCops/client staff must be
kept minimal where possible.

Sequence and Methodology

Before carrying out any work on the project all MANCHETT operatives must receive the ISG induction and the
MANCHETT company induction — a copy of this method statement and signed briefing sheet must be kept in the
MANCHETT site safety file.

Before carrying out any work on site, all MANCHETT operators must read, understand and sign all relevant safe
systems of work, translation assistance must be provided if required.

The Logistics Manager must ensure all vehicles delivering plant must be booked in on the ISG delivery system and that
a safe area to unload or load is prepared and a Traffic Marshall present.

NOTE:
All delivery vehicles will on arrival, in the holding area and in the off-loading area(s) switch off their engines.

NOTE:
Any vehicle not booked will be refused entry to site.
All Plant machinery must have the correct documentation/ service records and plant cards located within a folder within
the vehicle at all times.
Any vehicle that is early and cannot be off-loaded will be sent to the holding area until its designated time. Any vehicle
that is late could be sent away to be re-booked, or if possible, sent to the holding area to wait until it can be off-loaded.

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

The telehandler operator will work in conjunction with a vehicle banksman when reversing

Before any movement of materials or unloading of deliveries takes place the telehandler operator will:

Check that all delivery pallets, lifting frames, crates etc. are in good condition and the loads are safely stacked to enable
safe off-loading. All loads must be secured safely using the appropriate loading restraints (ratchet straps / metal
restraints).
Ensure that the material to be lifted is within the SWL of the telehandler, the telehandler operator can confirm this with
the delivery driver / delivery note.
Ensure that the access route between the initial lift area / delivery vehicle and the allocated lay down is clear and safe
from any dangers. This includes open excavations, confined spaces, slopes and unstable/uneven ground.
Ensure that the work area is suitably segregated and marked and that no unauthorised person can enter the lifting area.
Ensure that the delivery driver does not leave his vehicle unattended at any time.
The telehandler will proceed to off load the materials in a safe manner and place into the designated Iay down area(s).
The speed limit when moving around on site is 10km/h.
When moving a load / material the speed should not exceed walking pace.

When moving materials over distance the load must be secured to the telehandler forks by ratchet strap(s)

When operating the hazard lights and the flashing beacon are always to be switched on .
The operator is not to put himself or others in danger at any time, the telehandler will be banked using hand signals at
all times when reversing.
The Operator will also maintain communications through a radio ensuring safe use of the radio whilst in control of the
vehicle. All operatives must pull over and only use radio communications when the vehicle is stationary and safe.
The operator is to approach a load with care ensuring that no unauthorised person is in the vicinity.
The forks are not to be raised until necessary and they should be lowered immediately following the clearance of
materiel from the lifting point i.e. the lorry bed.
Reversing on site will be kept to a minimum but if necessary, it is to be done with the use of a banksman. Good all-
round observation is to be maintained at all times. If at any time the area becomes unsafe for any reason all lifting
operations will stop until the area is made safe again.
The telehandler operator is to leave the telehandler in a safe manner and at no times is it to be left unattended with the
keys in the ignition.
Forks are to be left in the down position and tilted forward. When not in use the telehandler is to be parked in its
designated parking area, locked and the key returned to the MANCHETT office.
When the telehandler is moving around site without a load it is to have an empty pallet on the forks.
When utilising the bin carrier the telehandler operator must ensure that the attachment is secured to the forks using the
locking pins and that the bin retaining strap is used at all times when bins are inside

Refuelling

The telehandler is to be driven to the designated area and refuelling is only to be undertaken in this designated area,
the fuel bowser is to be double bunded and a drip tray, in place, a spill kit is to be available. Telehandler operatives are
to be familiar with the procedures for refuelling and for dealing with diesel spills, the ISG refuelling and spill procedures
are to be adhered to (copies attached)

General Telehandler Operations

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

At the start of each shift the logistics supervisor responsible for the plant will brief the telehandler operator & any
banksman in the taskings and dangers which will be actioned accordingly. All other lifting requirements come second to
this schedule unless otherwise instructed by the ISG site team.

All certificates of serviceability and testing are to be current and checked upon receipt of a new vehicle.

Only qualified operators are to operate a MANCHETT hired/owned telehandler. A copy of that operator's certificate is to
be held on file.
The operator is to ensure that a full inspection of the telehandler is carried out at the start of each shift with any findings
being reported immediately to the logistics manager. A thorough inspection is to be carried out weekly by a competent
person and the findings entered in the site Lifting register.

Telehandler Operator

Only staff aged 21 years and over and specifically trained and authorised to operate a telehandler may do so. It is a
prerequisite that before undertaking telehandler operating or training an individual must be in possession of a standard
driving license.
You must have read and understood the MANCHETT Health and Safety policy and carry out your work in accordance
with its requirements.
Ensure that you inspect the plant daily and report any defects immediately to your Supervisor.

You must record the daily inspections using the correct ISG plant passport forms.
Do Not use the equipment if there are serious defects.
Know the legal requirements affecting the use of your machine and ensure that it is only used in accordance with these
requirements.
Ensure that when operating your machine that a suitably competent banksman is available when you are reversing.
When using a banksman, ensure that he is always visible and that you obey his signals.
Ensure that when operating the telehandler the work area is suitably segregated and marked prevent unauthorised
entry.
When moving around the site the hazard beacon and hazard warning lights should be activated to ensure that others
are warned of potential movement.
Operate within the site speed limits 15km/h at all times and give way to pedestrians at crossing points.
Only use the machine for tasks for which it was designed.
Only use the correct attachments, ensuring that they are load tested and fit for purpose.
All lifting operations should be carried out in accordance with legal requirements and the respective Lifting plan. Ensure
when loading or unloading from the front fork area that the Telehandler engine is always switched off and the key
removed . Under no circumstances must the vehicle engine be left running when the operative is out of the cab. This
breaches operating instructions and Health and Safety regulations and will result in formal discipline.

Using the mechanised road sweeper-

The operative will be trained and fully competent with the use of the TELEHANDLER . Men
at Work bollards will be placed on the road before operations starts.
.

Cleaning of truck tyres-

Cleaning of debris of the truck tyres will be conducted using a high pressure hose to all vehicles leaving the WTP2
construction site.
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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

Traffic marshal-

The operatives will direct traffic to ensure the safe access around the site.

2.2 Access / Egress (Describe access, both on to site and to the workplace once on site. Reference should be made to road
names, width restrictions, entry/exit points, suitability for unloading, consideration of movements of material, operatives,
vehicles, waste, restrictions on stopping, parking, pedestrian and/or traffic rerouting arrangements, etc. On site
consideration should be given to one-way circuits and the separation of pedestrians and vehicular traffic. This section could
also be used to describe availability of on- and off-site parking for contractors.)
All Operatives must adhere to site access /egress procedures and book in using the appropriate WN through the whatsapp notification to
DCOPS at gate 1. Operatives must adhere to the movement of the site policy as directed in the access/egress route detailed in the risk
assessment below. On completion of WN operatives must book out via DCOPS at the end of the day.

2.3 Specific Conditions / co-activity (Identify surrounding conditions and/or other works/contractors that can or may affect
the work)

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
This will be controlled by point of work risk assessment if/when required.

2.4 Work Equipment / Tools (Identify all the equipments that are going to be used and mark with X if updated documents
are available, which should be provided if requested by ISg)
CE User Maintenanc Safety
Name/Model of the equipment Manual e Plan Verification
Declaration
X X X x
Telescopic telehandler x 2 - JLG 4017RS (17mtr /
4000kg SWL)

Telehandler Bucket Attachment – SWL 1140ltr

JCB 525-60t4 swl 2500 2365797

2.5 Required Personal Protective Equipment (PPE) (Identify with “P” if Permanent or “T” if Temporary in all PPE’s that
are going to be used in the work)

Permanent
(P)
Type Standard and rating Details / Comments
Temporary
(T) N/A

Yes EN ISO 20345 RATING: S3

STEEL TOE CAP AND MID SOLE PROTECTION

No

EN 12492
Yes RATING: 2m drop test SIDE FRONT AND REAR IMPACT PROTECTION
mountaineering rating

CUT LEVEL 5N 388 2016

Yes GREEN COLOUR
4X44E RATING: A5

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

Yes BS EN 166 2020 CLEAR LENS or shaded for outdoor use only..
RATING: 2-12 W1F

Yes Defenders BS EN 352 Various ear plugs are also available

Yes EN ISO 20471 HI-VIZ YELLOW

FFP3
yes RATING: upto 50x OEL or 20x
APF
When selecting RPE you must ensure that it is adequate and suitable to ensure the wearer is protected:
•Adequate – It is right for the hazard and reduces exposure to the level required to protect the wearer’s health.
•Suitable – It is right for the wearer, task and environment, such that the wearer can work freely and without additional
risks due to the RPE.
NOTE: Consideration needs to be given to all construction generated fumes, vapours and dusts including Respirable
Crystalline Silica. Wearing of face coverings is mandatory at all times on site.

No

No

Other:
……
….

2.6 Emergency Response

In case of an emergency call Security (Securitas): +32 495 512 530

In case of a Fire Alarm, after given the evacuation order, all workers should go immediately to the nearest
meeting point as shown above.

In case of Go to Shelter Alarm (SEVESO Incident) all workers should stay inside the building until further
notice.
Contractor Emergency Contact:
Billy Wishart 0044 7719303930

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Contractor First aider(s) name and contact number:
Russ Morris 0044 07510079452

Rescue plan for specific activities (Y/N - if yes please mention the
activity that requires a rescue plan and attach the document to the
RAMS folder)

2.7 Waste Management (Identify all the wastes that are going to be produced, estimate quantities and type of
storage. In the end of the work certificates of destruction must be provided to [email protected])

Type Quantity estimated Storage

N/A

3.0 Main potential risks / activities (Please insert Yes (Y) or No (N) - If YES, the item must be included in the
“Risk Assessment” section)
Manual handling (If YES, please fill in the Manual Handling Operations Checklist in this RAMS) Yes

Working at height (Link to our W@H Standard)

No

Lifting activities Yes

Use of plant and equipment

Yes

Hot works (grinding, welding, cutting, soldering, etc.)

No

Exposure to substances hazardous to health

Yes

Use of power / hand tools

no

Electrical LOTO
no

Working in vicinity of live electrical component

No

Mechanical LOTO
No

Exposure to noise (If YES, please fill in the Noise Assessment single and/or multi equipment in this RAMS)
No

Exposure to vibrations
Yes

Confined spaces
No

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Extreme conditions (very hot, very cold, etc.)
No

Lasers / Radiation (Consider the risks to eyesight presented by lasers during setting out activities. When a laser is first No
delivered/brought onto site, check the label to ensure it is classified as Class 1, Class 2 or Class 3A. Classes of laser higher
than 3A are not to be used on site i.e. 3B or Class 4. Consider using 'Laser Hazard' warning signs.)

Live DC operations and isolations

No

Slips, trips and falls

Yes

Exposure to dust
Yes

Responsibility for task lighting (If YES Consideration should be given to site hours; this may immediately highlight the No
need for artificial lighting if work starts before first light or continues after dusk. NO PORTABLE HALOGEN LIGHTS
ALLOWED)

Environmental risk
Yes

Multiple trades coordination and communication / Interfaces

Yes

Other: Covid 19

Other: ………………………………………………...

Other: ………………………………………………...

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

3.1 Manual Handling Operations Checklist (Mark boxes with Yes or No. Every activity must be marked)

TASK

No Yes Yes No Yes Yes Yes Yes Yes Yes Yes No

LOAD

Yes Yes No No No Yes Yes Yes Yes

ENVIRONMENT

Yes Yes Yes Yes Yes No Yes Yes yes No Yes Yes

PERSON CONTROL MEASURES (Mandatory section to be completed)

ALL PERSONNEL ARE TO MAINTAIN A 1.5m SOCIAL DISTANCE

AT ALL TIMES IF UNABLE TO WORK WITH THIS PARAMETER
STOP WORK AND ADDRESS WITH THE LOGISTICS MANAGER
FOR A SOLUTION

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
No Yes Yes Yes no Maximum weight to be handled by a single operative is 23KG

All operatives are to have received manual handling

training. MHE equipment to be used where possible.
Use TILE (task, individual, load, environment) and Hierarchy of
control (Elimination, Substitution, Engineering controls, Admin,
PPE).

Utilise mechanical/team lifting where appropriate.

Head up back straight and maintain a 1.5m social distance

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

3.2 COSHH

3.2a Chemicals ((Identify all the chemicals that are going to be used in the work)
If not yet approved by Crystal Computing, please attach the SDS, fill the form EHS-III-003A Chemical Evaluation and
Approval Form and submit both to [email protected] (with ISG Manager & EHS in copy) for approval.
When approved, attached the document in the corresponding folder in the Work Notification.
A COSHH Assessment also has to be filled in for each chemical going to be used on site (see later in the RAMS).
Chemical Manufacture Link to DC-EHS form
Usage Link to SDS approved
name r
Diesel Exon Telehandler
Fuel

https://drive.google.com/file/d/19JZ242yOF6k Client approval form

B2iCDUJa-HwydTn_pnrKV/view?usp=sharing

Hydraulic Telehandle https://drive.google

oil r https://drive.goog le.com/file/d/1y1 .com/file/d/1y1BAG
BAGVn0NitV9Q Vn0NitV9QB2Obwr
B2Obwrhi6kJ_YIoLU/view?us hi6k-
p=sharing J_YIoLU/view?usp=
sharing

3.2b COSHH assessment form (table to reproduce for each chemical intended to be used on site for this activity)

Name of the chemical DIESEL

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

Exposure Route (Tick as appropriate ✗ / ✓ )

Eye Absorptio
Inhalation Ingestion Skin contact Injection
contact n
X X X X x

PPE rements k as
te ✗ / ✓ )
Requi (Tic appropria

Other:
…………….

X x

Symptoms of harmful exposure

Combustible liquid.
Harmful if inhaled.
Causes skin irritation. Suspected of causing cancer. May be fatal if
swallowed and enters airways.
May cause damage to organs through prolonged or repeated exposure

Emergency Action
First aid:
Eye contact - In case of contact, immediately flush eyes with plenty of water for at least 15 minutes.
Eyelids should be held away from the eyeball to ensure thorough rinsing. Check for
and remove any contact lenses. Get medical attention Skin contact - In case of contact, immediately flush skin
with plenty of water for at least
15 minutes
First Aid while removing contaminated clothing and shoes. Wash clothing before reuse. Clean shoes thoroughly before
reuse. Get medical attention
Inhalation - If inhaled, remove to fresh air. If not breathing, if breathing is irregular or if respiratory
arrest occurs, provide artificial respiration or oxygen by trained personnel. Get medical attention.
Ingestion - Do not induce vomiting. Never give anything by mouth to an unconscious person. If
unconscious, place in recovery position and get medical attention immediately.
Aspiration hazard if swallowed. Can enter lungs and cause damage. Get medical attention immediately
Eliminate all ignition sources. Stop leak if without risk. Move containers from spill area. Absorb with an
inert material and place in an appropriate waste disposal container. Use spark-proof tools and explosion-
proof equipment. Dispose of via a licensed waste
Protection disposal contractor. The method and equipment used must be in conformance with appropriate regulations and
industry practice on explosive atmospheres. pillage

Eliminate all ignition sources. Stop leak if without risk. Move containers from spill area. Absorb with an
inert material and place in an appropriate waste disposal container. Use spark-proof tools and explosion-
Spill proof equipment. Dispose of via a licensed waste
response disposal contractor. The method and equipment used must be in conformance with appropriate regulations and
industry practice on explosive atmospheres. pillage

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

Avoid

In case of fire, use foam, dry chemical or carbon dioxide extinguisher or spray
Fire

urgent treatment. Because of the risk of aspiration, induction of vomiting and gastric lavage should be avoided.
Gastric lavage should be undertaken only after endotracheal intubation. Monitor for cardiac dysrhythmias.
Info

Supplier Contact Details: Aggreko Nederland B.V (24hr emergency helpline)

Name of the chemical GREASE Spheerol EPL 2

Exposure Route (Tick as appropriate ✗ / ✓ )

Eye Absorptio
Inhalation Ingestion Skin contact Injection
contact n
X X X X x

PPE rements k as
te ✗ / ✓ )
Requi (Tic appropria

Other:
…………….

X x

Symptom
of harmful exposure
s
Eye: No
specific d ata Inhalation: No specific data.
Skin: Adverse ptoms may include irritation, dryness and cracking. Ingestion: No specific date
sym

Emergen
y Action
c
First aid: Eyes: immediately flush eyes with plenty of water for at least 15 minutes. Eyelids should be held away
from the eyeball to ensure thorough rinsing. Check for and remove any contact lenses. Get medical attention.
Inhalation: if inhaled remove to fresh air. Get medical attention if symptoms occur. Skin: Wash skin thoroughly
with soap and water or use recognised skin cleaner. Remove contaminated clothing and shoes. Wash clothing
First Aid
and shoes before reuse. Get medical attention if symptoms occur.
Ingestion: Do NOT induce vomiting unless directed to do so by medical personnel. Get medical attention if
symptoms occur.

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(To be submitted at least 5 working days prior commencement of work)
Product: Where possible, arrange for product to be recycled. Dispose of via an authorised person/ licensed
waste disposal contractor in accordance with local regulations.
Protection
Packaging: Where possible, arrange for product to be recycled. Dispose of via an authorised person/ licensed
waste disposal contractor in accordance with local regulations.

Spillage: Small spills: stop leak if without risk. Move containers from spill area and absorb with a inert material
and place in an appropriate waste disposal container.
Large spills: Stop leak without risk. Move containers from the spill area and prevent entry into sewers, water
Spill course, basements or confined areas. Contain and collect spillage with non-combustible, absorbent material eg.
response Sand, Earth,
Vermiculite or diatomaceous earth place in container for disposal according to the local regulations. Suction or
scoop the spill into appropriate disposal or recycling vessel, then cover spill area with oil absorbent. Dispose of
via a licenced waste disposal unit.

n/a
Avoid

In case of a fire, use water fog, alcohol resistant foam, dry chemical or carbon dioxide extinguisher or spray. Do
NOT use water jet. Combustion may include vapours of carbon oxides
Fire

. Store in accordance to local regulations.

Store in a cool fry and well ventilated area away from incompatible materials. Keep away from heat and direct
sun light. Keep container tightly closed and sealed until ready to use. Containers that have been opened must be
Info carefully resealed and kept upright to prevent leakage

Supplier Contact Details: (24hr emergency helpline)

Name of the chemical Hydraulic Oil

Exposure Route (Tick as appropriate ✗ / ✓ )

Eye Absorptio
Inhalation Ingestion Skin contact Injection
contact n
X X X X x

PPE rements k as
te ✗ / ✓ )
Requi (Tic appropria

Other:
…………….

X x

Symptoms of harmful exposure

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(To be submitted at least 5 working days prior commencement of work)

Inhalation: Unlikely to be hazardous by inhalation because of the low vapour pressure of the product at ambient temperature.
Ingestion: No Harmful effects expected from quantities likely to be ingested by accident.
Skin: Skin irritation should not occur when used as recommended. Repeated exposure my cause skin dryness or cracking.
Eye: May cause temporary eye irritation.

Emergency Action
First aid:
Inhalation: If spray/mist has been inhaled, proceed as follows. Move affected person to fresh air and keep warm
and
at rest in a position comfortable for berating. Get medical attention if any discomfort continues. Ingestion: Get
First Aid medical attention if any discomfort continues. Do NOT induce vomiting.
Skin: Remove contaminated clothing immediately and wash skin with soap and water. Eye: Rinse immediately
with plenty of water. Remove any contact lenses and open eyelids wide apart. Continue to rinse for at least 15
minutes. Get Medical attention promptly if symptoms occur after washing.

Protection

Contain spillage with sand or earth. Collect spillage for reclamation or disposal in sealed containers via a
licensed waste contractor. Avoid water contacting spilled material or leaking containers. Spillages or
Spill uncontrolled discharges into watercourses must be reported immediately to the
response
Environmental Agency or other appropriate regulatory body. In case of spillage on water prevent the spread by
use of suitable barrier equipment

Avoid spilling. Always remove with soap and water or skin cleaning agent, never use organic solvents. Do NOT
use oil-contaminated clothing or shoes, and do not put rags moistened with oil into pockets
Avoid

Fire
Suitable fire extinguishing’s are foam, carbon dioxide, dry powder and water fog
Waste, residues, empty containers, discarded work clothes and contaminated cleaning materials should be
collected in designated containers, labelled with their contents. Dispose of waste via a licenced waste disposal
contractor
Info

Supplier Contact Details: For Technical advise call

Carechem: +44 (0) 1235 239 670 (24/7) (24hr emergency helpline)

Name of the chemical ANTIFREEZE (MONO ETHYLENE GLYCOL)

Exposure Route (Tick as appropriate ✗ / ✓ )

Inhalation Ingestion Eye contact Skin contact Absorption Injection

X X X X x

PPE s (Tick as
Requirement appropria te ✗ / ✓ )

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GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

Other:
…………….

X x

Symptoms of harmful exposure

Inhalation. Irritation of nose, throat and airway. Ingestion May cause discomfort if swallowed. Ingestion may result in
unconsciousness, blindness and death. Central nervous system depression. Skin contact Prolonged skin contact may cause redness
and irritation. Eye contact Irritation, burning, lachrymation, blurred vision after liquid splash.

Emergency Action

General information Remove affected person from source of contamination. Get medical attention if any
discomfort continues. Inhalation Move injured person into fresh air and keep person calm under observation.
If necessary, seek hospital and bring these instructions. Ingestion Immediately rinse mouth and drink plenty of
water. Keep person under observation. If person becomes uncomfortable take to hospital along with these
instructions Skin contact Remove affected person from source of contamination. Remove contaminated
clothing and flush with plenty of water until pain disappears. If discomfort persists transport to hospital and
bring these instructions. Eye contact Immediately flush with plenty of water for up to 15 minutes. Remove any
First Aid contact lenses and open eyes wide apart. Get medical attention if any discomfort continues

Eliminate all ignition sources. Stop leak if without risk. Move containers from spill area. Absorb with an
inert material and place in an appropriate waste disposal container. Use spark-proof tools and explosion-
proof equipment. Dispose of via a licensed waste
disposal contractor. The method and equipment used must be in conformance with appropriate regulations
Protection and industry practice on explosive atmospheres. pillage
Eliminate all ignition sources. Stop leak if without risk. Move containers from spill area. Absorb with an inert
material and place in an appropriate waste disposal container. Use spark-proof tools and explosion-proof
General information Remove affected person from source of contamination. Get medical attention if any
discomfort continues. Inhalation Move injured person into fresh air and keep person calm under observation.
If necessary, seek hospital and bring these instructions. Ingestion Immediately rinse mouth and drink plenty of
water. Keep person under observation. If person becomes uncomfortable take to hospital along with these
instructions equipment. Dispose of via a licensed waste disposal contractor. The method and equipment used
Spill response must be in conformance with appropriate regulations and industry practice on explosive atmospheres. pillage

Avoid

In case of fire, use foam, dry chemical or carbon dioxide extinguisher or spray

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

Extinguishing media Use fire-extinguishing media appropriate for surrounding materials. Unsuitable
extinguishing media Do not use water jet as an extinguisher, as this will spread the fire. Special hazards arising
Fire from the substance or mixture Hazardous combustion products Thermal decomposition or combustion may
liberate carbon oxides and other toxic gases or vapours. Unusual Fire & Explosion Hazards No unusual fire or
explosion hazards noted. Advice for firefighters Special Fire Fighting Procedures No specific fire fighting
procedure given. Protective equipment for fire-fighters Leave danger zone immediately

urgent treatment. Because of the risk of aspiration, induction of vomiting and gastric lavage should be
avoided. Gastric lavage should be undertaken only after endotracheal intubation. Monitor for cardiac
Info
dysrhythmias.
Supplier Contact Details: TETROSYL LIMITED BEVIS GREEN WORKS WALMERSLEY BURY BL9 6RE 0161
764 5981 0161 797 5899 [email protected] (24hr emergency helpline)

3.3 Noise assessment - Single equipment

People affected / at risk of being harmed:

N/A
(include 3rd parties)

Post
Pre Control Control Risk
Risk Rating Rating
No Activity Tools in use (High
. (High or Control Measure details
Med) Me
or/Low)
1 Can noisy work be eliminated?
Y/N If Yes, control measures
details:

Can the equipment be substituted?

Y/N If Yes, control measures details:

Can the number of employees exposed be

reduced? Y/N
If Yes, control measures details:

Can the exposure time be reduced?

Y/N If Yes, control measures details:

Hearing protection provided on request?

Y/N If Yes, control measures details:

Mandatory hearing protection?

Y/N If Yes, control measures
details:

Hearing protection zones set up?

Y/N If Yes, control measures details:

Signage in place? Y/N

If Yes, control measures details:

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Guidelines:
- Risk rating: HIGH (>85dBa) / MEDIUM (80-85 dBa) / LOW (<80dBa) - 80dBA is the First Action Level –
hearing protection should be offered.
- 85dBA is the Second Action Level – hearing protection is mandatory.
- As a rough guide, if you have to raise your voice to be heard from 2 metres away, the noise will be approximately at the
first action level. If you are raising your voice to be heard at 1 metre away from the source, it is likely to be at the
second level
- Before resorting straight to PPE, look at the organisation of the work and consider if the risk can be reduced any other
way. For example by isolating the noisy work, reducing the number of people exposed, or the length of time someone is
working in the noisy environment.
- Noise ratings can be determined using a sound level meter. Should you require a noise assessment, please contact the
Health & Safety Dept.
- Download the Noise Exposure Calculator from http://www.hse.gov.uk/noise/calculator.htm to calculate exposure
from multiple activities or to calculate exposure duration before the action level is reached - Don’t forget to take into
account other persons working within the noisy area.
- Exposure limit values (ELV): These relate to personal exposure to noise and must not be exceeded, peak sound
pressure of 140 dB.

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

3.4 Noise assessment - Multi equipment

People affected / at risk of being harmed:

N/A
(include 3rd parties)

Post
Pre Control
Control Risk
Risk Rating
Activity Tools in use Rating
No. (High or Control Measure details (High
Med)
Me or/Low)

Guidelines:
- Risk rating: HIGH (>85dBa) / MEDIUM (80-85 dBa) / LOW (<80dBa) - 80dBA is the First Action Level –
hearing protection should be offered.
- 85dBA is the Second Action Level – hearing protection is mandatory.
- As a rough guide, if you have to raise your voice to be heard from 2 metres away, the noise will be approximately at the
first action level. If you are raising your voice to be heard at 1 metre away from the source, it is likely to be at the
second level
- Before resorting straight to PPE, look at the organisation of the work and consider if the risk can be reduced any other
way. For example by isolating the noisy work, reducing the number of people exposed, or the length of time someone is
working in the noisy environment.
- Noise ratings can be determined using a sound level meter. Should you require a noise assessment, please contact the
Health & Safety Dept.
- Download the Noise Exposure Calculator from http://www.hse.gov.uk/noise/calculator.htm to calculate exposure
from multiple activities or to calculate exposure duration before the action level is reached
- Don’t forget to take into account other persons working within the noisy area.

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
- Exposure limit values (ELV): These relate to personal exposure to noise and must not be exceeded, peak sound
pressure of 140 dB.

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

3.5 General Risk Assessment

Persons affected: (highlight / delete as appropriate) Employees / Contractors / Client / / Public / Other

N R
Hazard Risk L Control Measures S L R
o. S
Overreaching
depositing
bags in skip,
Bags not being
deposited
correctly
Lifting Waste inside skip
Stream Bin ,and fall Take care when depositing bags in skip ensure bags
1 bags into skip outside 3 2 6 enter the skiip,and do not fall outside 3 1 3

All Handymen to receive manual handling

Incorrect training MHE equipment to be used where
manual possible
handling Head up back straight and maintain a 1.5m social
Slips,Trips techniques distancing.
2 Falls, Personal Injury 3 3 9 Use TILE and hierarchy of control. 3 1 3

All Handymen to receive manual handling

Incorrect training MHE equipment to be used where
manual possible
handling Head up back straight and maintain a 1.5m social
Manual techniques distancing.
3 Handling Personal Injury 3 3 9 Use TILE and hierarchy of control. 3 2 6

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Risk of fire,- refuelling
spillage
& spill procedures are to be adhered to. Only
(environmental
competent persons to refuel,- refuel in the
damage),-risk
designated area only,- fuel bowser to be double
of explosion,
bunded and a drip tray in place, - Correct PPE
dermatitis,-risk
(Rubber
of ingestion &
absorption by Gauntlets) to be worn when
Coshh operative refuelling,- spill kits to be readily available along with
(refulel of refuelling fire extinguishers,- do not overfill,- refuelling is not to
Diesel / (Diesel) Risk be carried out adjacent to any hot works, or any
Antifreeze of Coshh other contractors or
/Hydraulinc substance visitors,- no smoking during or adjacent to refuelling
fluid / grease) contaminatio 1 operations.
4 n. 4 3 2 Coshh – All substances when not in use will be stored 4 2 8

in the appropriate Coshh substance / locker on site

with all relevant MSDS.

Hydraulic fluid / Grease will not be stored on site as

this is covered in the Telehandlers operations
maintenance schedule and will only be carried out by
a qualified Telehandler mechanic. The mechanic
would carry these items to carry out his maintenance
repairs when required.

Operatives must be fully aware of these 2 substance

incase of leak due to Telehandler maintenance failure
or breakdown as result of a burst hydraulic line or
spillage from these substances.
Operatives would continue to carry out spill
procedures and control the spillage as directed in
standing operating procedures and report the
Maintenance issue to the Telehandler company.

All personnel to maintain a social distance of 2 m. Face

masks are mandatory as per Belgium legislation .Hand
protection is always to be worn. On completion of task
clean all hand tools that you have been using with
bacterial wipes, and regularly wash your hands. If
Minimum distance is not maintained then a maximum
period of 15 mins is permitted.
Contact with an 2 Minimal interaction with DCops/Client staff at all
5 Covid 19 affected person 5 4 0 times. 5 3 15

Use mandatory FFP3 dust

masks Change masks regularly
Respiratory Clean shaven wherever possible to assist with seal on
6 Dust Illness 4 2 8 mask. 4 1 4

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Operatives must obey site rules for movement
around site.
Operatives must follow site directional arrows and
instructions as per clients access plan.
Operatives must ensure that they are visible to
others at all time (wearing correct hi-viz ppe) If
task requires access route to be obstructed,
operatives must ensure client and manchette
manager informed and alternative routes laid
Personal Injury, down or alternative working arrangement made.
injury to others Barriers and signage to be displayed when access
Movement Damage to routes obstructed.
around site buildings / Only use qualified banksman / traffic Marshall if route
7 (access) obstructions 4 3 12 requires traffic control. 4 1 4

Operatives must obey site rules for movement

around site.
Operatives must follow site directional arrows and
instructions as per client’s access plan.
Operatives must ensure that they are visible to
Personal Injury,
others at all time (wearing correct hi-viz ppe) If
Movement injury to others task requires egress route to be obstructed,
8 around site Damage to 4 3 12 operatives must ensure client and manchette 4 1 4
(Egress) buildings / manager informed and alternative routes laid
obstructions down or alternative working arrangement made.
Barriers and signage to be displayed when egress
routes obstructed.
If route becomes unsuitable for passable vehicles the
use of vehicle control by a qualified banksman traffic
Marshall must be carried out
Sweeper
operators /
Banksman at
risk of assault
by Delivery
In the event of conflict arising the Sweeper operator
drivers /
/ Banksman must call their supervisor to resolve the
contractors if situation, - the Telehandler operator / Banksman
there is must remain calm, nonaggressive and polite at all
conflict caused times. If they feel
by drivers /
threatened they must ensure they are a safe distance
contractors not
from their aggressor,-
adhering
Conflict MANCHETT
to site rules and
9 management procedures 3 3 9 Manager to be informed if violence is threatened 3 1 3

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)
Accidents
occurring when
a truck is being
All staff to
driven by an
complete the
untrained
driver, MANCHETT induction as required, - All staff to read
and sign the SSoW, - Only trained and authorised
Accidents
Telehandler drivers to operate telehandlers at GBL4A,
occurring when
- all loads to be lifted and moved as per training,
a truck is being
Check that all delivery
driven too fast
for site pallets, lifting frames, crates etc. are in good condition
and the loads are safely stacked to enable safe
conditions may
offloading , ensure that the material to be lifted is
lead to
within the SWL, of the telehandler. When required all
overturning, A loads must be secured with a strop.
truck driven The speed limit must be adhered too, drivers must get
with an
assistance from the banksman if visibility is
insecure load
compromised upon entering and leaving the work
may lead to the areas telehandler driver must sound his horn to alert
load falling, pedestrians, especially when approaching pedestrian
Pedestrians / crossing points. Daily vehicle checks must be carried
contractors out at all times and any defects must be reported
maybe struck immediately for rectification. If the Manager feels
by the truck, that the vehicle is unfit for purpose it must be
Telehandler Failure of load removed immediately.
10 Operations bearing parts 4 4 16 4 2 18
may lead to load Operatives must ensure they fully understand the
falling parking and securing machine procedures when they
are parking the telehandler when not in use. Only park
in the designated bay ensure the plant machinery is
secure and down. Engine cut off switch is secure and
the key is removed with the vehicle locked and key
returned to the office.

when operating the plant machinery in loading bays,

the telehandler must ensure its hazard warning
beacon is operating at all times and the operator has a
banksman present when in restricted spaces. This will
alleviate blind spots and the potential of risks
occurring.. At all times when the plant machinery is
operated and unloading / delivering loads on site the
vehicle must always be accompanied by a banksman
in the area of operations. The plant driver must
ensure that all guidance for the loading / lashing and
securing of loads laid down in the training manual is
adhered to at all times and loads are stacked / spaced
securely before the tasks commences of the
movement of load.

Only attachments that are deemed operational and

supplied with the telehandler can be used on the plant
machinery. It is forbidden to use other plant
machinery attachments that has not been rated or
safety inspected for purpose of use. If the task can
not be completed safely with the allocated
attachments inform the supervisor immediately. Do
not attempt to use altered attachments.

2 of 3 FRM 058 01/2017

GBL Risk Assessment Method Statement Proforma
(To be submitted at least 5 working days prior commencement of work)

2 of 3 FRM 058 01/2017