| Form ort SAF O13 | Y|TSL Method Statement Appraisal Form [sta 'fyou think the documents are unsuitable for the task to be undertaken safely, sign this form off as unsuitable and return to the sub-contractor Fequesting suitable amendments. 'f unsure about the proposed working practices Stated, seek advice from senior personnel and / or the sub-contractor management team. Know your limitations and don’t be afraid to ask On projects where there are two or more personnel in the Management team two signatures are required below. A- APPROVAL (Site Manager / Construction Manager / Project Manager) | have reviewed the content of the associated Method Statement and Risk Assessment (No:- 028 / 033) and find them suitable / unsuitable (delete as applicable) for the works to commence safely: [ NAME (Print Edgar Checa | I COMPANY TSL GmbH | POSITION HSQE Advisor =] [DATE 248.21 | SIGNATURE La [REE DATE (if applicable) q B - APPROVAL (Site Manager / Construction Manager / (Senior) Project Manager! HSQE Team Member) | have reviewed the content of the associated Method ‘Statement and Risk Assessment (No:- 028 / 033 ) and find them suitable / unsuitable (delete as applicable) for the works to commence safely: [NAME (Prin | Daniel Prueffer COMPANY TSL GmbH POSITION ‘Site Manager [oT 248.21 | SIGNATURE | Al = | REVIEW DATE (irapplicabley —] = | Page 2 of 2Form No SL AFORE Dl TSL Method Statement Appraisal Form | "08 Issue Date: 20/05/20 sees tan Settee a Ege) eee aa Dee te ete AMAZON HALL Installation of Handrail & Speed Bumps Uns REQUIREMENTS: a! Detailed sequence and method of working stated? Timing and location of works detailed? Resources required? Training competencies required ie: CSCS, IPAF etc? Means of Safe Access / Egress to works area? Risk reduction methods detailed? (control of HAVS, WAH, manual handling etc)? PPE identified & sufficient for hazards? Required Plant, Equipment & Tools stated including inspection regimes? ‘Means of plant / pedestrian segregation delalled Le. barriers around work at height? Signage requirements specified? Means of Communication to Workforce including signature to confirm RAMS briefed? Pre-Work Inspection of Work Site (Take 6 booklets)? LOTO Isolations Required & by who? ‘Access to Clients areas required? Permit Requirements (Details in Comments. Should Cautral Bria works impede into Client areas are Client Permits Voto Braref- required. If so, please state. ) Suitable COSHH Assessments submitted & SDS 4 available? Emergency rescue plan for work at height / rescue of Berson suspended in harness Name of responsible Supervisor clearly stated? <1 _ KBr Bryan Any special competencies required ie: asbestos i awareness training? TS. provi cle VAIN AIS IMIS 1 Aid procedures / requirements stated? M Does the operation require lifting of objects and is the area capable of supporting possible loadings? Is a lifting plan required? Are suitable measures stated for Covid-19 social distancing procedures and any potential works within the 2 meter rule (Face shields & N95 / FFP3 Masks)? Ue Page 1 of 2BRANDSAFE ‘he tmpect sofely specialists Ss AMAZAN DTM9 WITTEN Le eee CONTENTS 1, SITE SPEIFIC REQUIREMENTS 2. Arrival at Site 3. Setting Up SAFE Work Areas 4. Loading/Un-Loading 5. General Method Statement 6. Site Management & Supervision 7. Method Statement A Handrail B SPEED BUMPS C Covid 19 D Sign off 8. Issued Log [Link] SPECIFIC REQUIREMNETS a) Observe operational and construction elements of site activity ») Park in visitor space prior to commencement of works C) Report to TSL PROJECTS for site induction and permits 2) Agree safety plan for specific operational observations and needs ©) Agree vehicle off-load and parking locations 2. ARRIVAL ON-SITE (process and procedure 2) For specific tasks - request to take vehicle onto site to conduct certain works Can be discussed with TSL PROJECTS site management ») Our operative will be allocated and wearing, safety hats, Safety Glasses, gloves, boots and YELLOW high-visibility vests and trousers as Mandatory PPE. Operatives will use other relevant PPE where required and appropriate 3. SETTING UP SAFE WORK ZONES a) Zone-off work areas with at ground level cones, red/white tape and or chapter 8 temporary barriers to prevent access from pedestrians into the “work zone?») All works conducted from generators will be used in conjunction with drip trays/nappy’s and Liners 4. LOADING and UNLOADING LOADING and UNLOADING a) Agree a location for bulk storage of materials 5. GENERAL METHOD STATEMENT a) All BrandSAFE site operatives attend TSL PROJECTS site induction training b) Ensure site rules for Fire Evacuation and First Aid procedure and understood are followed ©) Observe all site rules and make a note of welfare facilities and first aid points and personnel d) Safe access and egress to working area must apply at all times ) A plan of works to be agreed between BrandSAFE Project Manager,TSL PROJECTS and then BrandSAFE operatives 8) All waste to be disposed of in the BrandSAFE bins/bags provided and or relevant Skips provided or brought back to BrandSAFE factory in Milton Keynes 8) Referring to the formal issued drawing - agree setting-out distances and discuss all specification requirements with specific attention to end h) Upon commencing installation, full consideration to be given to all other contractors at all times ') On completion of works/project, an inspection will be carried out before the handover to the client 3) AUl BrandSAFE operatives to keep a clear distance of 2 metres away from all pperatives and persons working on site at all times as stated by government k) All BrandSAFE operatives to ensure gloves are worn at all times, washing there hands on a regular basis All operatives working on-site to have read and understood below safe working practise §.SITE MANAGEMENT AND SUPERVISION: 8:SITE MANAGEMENT AND SUPERVISION; Project safety manager |Mark Bryant }T: +44 7577726950 Managing Director [Susy Keating 'T: 07730 424773 Emergency Procedures - to be discussed and agreed at site induction and observed at all times.BRANDSAFE }1. PRODUCT / SYSTEM TYPE & LOCATION KEE KLAMP HANDRAIL 3. SEQUENCE OF WORKS / METHODOLOGY "= Unloading of tube and fittings from drop side ‘ruck by hand and distribute to work/storage area Using pallet truck "= Barrier off area to be worked on making sure not to clash with other trades = Mark position posts and mark holes = Drill concrete slab with 4kg SDS Drill with ant vibration feature - clean out hole of dust ' Reposition Post, secure with knock-in bolts and tighten with Impact wrench "= Repeat to all post positions ® Tighten all connections (bolted and Allen key type), line and level © Any custom cuts to be undertaken in a hot works zone with fre extinguisher and watcher present Access/Exit to Areas v 2. Delivery / Distribution 3. Operational Staff in Close Proximity 4. Working at Height N/A 5. Other ISee Separate Risk Assessment Attached Is. HEALTH PROTECTION OF JOPERATIVES 1 "= Clean away debris and dust using vacuum/dust an to provided industrial bin Mandatory PPE as follows: "= Personal Eye Protection BS EN 166:2001 v "= Hard Cap/Hat 8S EN397:2012 v & Safety Boots BS EN 1S0 20345:2004 v = Work Wear v = Hi-Viz Vest EN ISO 20471 v ' Safety Gloves BS EN 388:2003 v 2. Dusk; Dust Mask BS EN 149:2001 v 3. Manual Handling; v }4. Noise; Ear Plugs/Defenders BS EN 352-1: 2002, EN 352-2:2002 & EN 1352-3:2002 v J5._Hand/Arm Vibration (HAVS); 17. EQUIPMENT CHECKS ISDS Drilling Rig (110v) v Himpact Wrench (110v) v JAngle Grinder 9” (110v) v Power Leads (110v) v [All portable appliances PAT Tested 8. HAZARDOUS MATERIALS/COSHH 9. PERMITS (ootain via 731) Petrol v Permit To Work v Hot Works PermitAMAZON DTM9 WITTEN TSL PROJECTS RISK ASSESSMENT A\ | ACTIVITY / PROCESS; > RAISED By; (MARK BRYANT INTERNAL AND EXTERNAL INSTALLATION Safety Shoes Must Be Hard Hats Must Be Worn eg Worn @ Keep Fire Routes and Fire Doors Clear © ity Clothing Must Be Worn Inside and Out. Do Not Obstruct Fire Fighting Equipment or Alarm Call Points Obey All Safety Signage €&> Follow Poet cece @ Erect Barriers warming signs Around Work Areas. Protect © Protect @ Protect Your ® ee ra a 1 1 Your Ears! Your Eyes! Handal Assessments a Use 110v and battery tools. Users must pre-use check tools and leads at the beginning of each shift. Check tools have been PAT tested within the last 6 months, No Smoking! ‘You may smoke in designated area You may bring mobile phones on site for work safe place. When calling emergenc) Purposes, Do not wander about when making or receiving calls. Find a 'y Services dial 112 to be connected to local Control centre. You must not take food and drink into the work area. You You must not attend work if you are si IDENTIFIED HAZAROS 80/epPee u may take bottled water with a cap into the construction area. ‘uffering from certain illness, See site register, KEY RISKS I EXISTING CONTROL MEASURES / PRECAUTIONS[1 angle nang Gone Cute stration te hands body [er must have appropriate ann to se abravo wren (All cuting works tobe cared 0 ‘4 contoled area away rom oer trades tobe used where appropriate a, '2. Generation of sparks/debris- potential fre [2. Angle Grinding - Sparks/Debris a [sereen to shefd cutting, Hot Works Permit must be obtained BEFORE ‘carrying out any Hot Works Tasks (588 algo point 4 under Residual Risk ‘Assessement) (Correct Personal Protective Equipment must be worn whilst conducting hot |works: Safety Goggles, Long Sleaved workwear & Gloves. '3 Angle Grinding - Physical Hazard ‘8, Personal Injury from Sparks/Debris {Watcher & Portable Fire Extinguisher to be In use whi 14 Risk of Fe 14 Risk of fre ignition from sparks lar boing carried out. Hot Werks permit tobe signed of [departure from site each day 5. Hand Tools - Physical Hazara to sarana 20 causing physical hazard [Work in a housekept manner, tools Kopi clear of aczase and uckng ules = {to self and others in work area use cones and barriers I ols Up-To-ale Checked Tor Wax damage during Cally Wee aI SSIS PAT ‘a, Hand Tools - Electrical Shock 5a, Danger of electrical shoek/injury Tested and within date. Conforms to PUWER policy for use of equipment at rh 16 Sip Tips and Falls \way to barrer-off areas. Observe visual check eilight 7. Vehice hazard by others and own Fork | when accessing other erees, rent o enforce best practice to minimise land Scissor Lits fisk. Use of hors on vehicles when moving near pedestrians/operatves, [Banksman to be present d jovernents 7. Vehicle Movements 17a. Vehicle hazard by HV vehicles as 7 Venice Movements ‘access to site through Client Traffic Route eed limits and vehicies to be pared allocated parking. Use designated pedestrian routes at al tires 8. Manual Handling/Liting '8, Manual Handling Injury Use of forkit and palit ruck 2 man if where appropriate 10, Dring Concrete/Bricks Noise and Vibration ‘Dust masks, ear defenders, high impact goggles {Frequent change of tasks and rolaion of drilling across the @man team | {intermittent use of dri) [Provide tsk ighiing whore appropiate - ensure gaodhavsaveoping atalimes 1. Hanavrm Vibration 11, Exposure to White Finger = reas = Pororbional Sip- 12, Working in Poor Lighting Areas 13, Liting Equipment ceklents using Forkift and or | Trained personnel to operate this equipment. Dailywoekly checks and cuvent LOLER Certificate Ur-Loading fo be by FORKLIFT WHEREVER POSSIBLE - DO NOT ATTEMPT | 14, Un loading Lorries fals from vehicles To cuMBONTO cere Protection for Goris 10 view 5 Coming ino contac wat somone wih [15 Bistalfto be clear2 meter distance form cer workers on seat RESIDUAL RISK ASSESSMENT Maranon ores [“aceioeir “TAccioenr a aPROBABILITY | SEVERITY ‘SCORE 1 Cuts / abbrassion to hands / body 1 4 4 2. Generation of sparks/debris - potention fre hazard 1 4 4 eae Permit, Fe Extinguisher, Blanket '3. Personal injury from Sparks/Debris 7 3 3 4. Risk offre ignition from sparks 7 4 4 5, Loads and tools causing physical hazard to self and > 7 : thers in work area ‘5a, Danger of electrical shock/iniury 1 4 4 6. Of-cuts, fixings and other debris lef by sel and others A lin work areas . a 7. Vehicle hazard by others and own Forkt and Scissor ‘ ‘ 4 Lins hazard by HGV vehicles as access to ste fl , ‘A Ithrough TSL PROJECTS Traffic Route Handling Injury 7 3 a 2 2 4 11, Exposure to White Finger 2 2 4 - 1 4 4 1 4 4 8 using Forklift and or Scissor it 14. Potential falls tom vehicles 1 4 4 15. Coming into contact wth somone wih the virus 2 4 8 "ACCIDENT PROBABILITY "ACCIDENT SEVERITY RESIDUAL RISK Nery Likely | [very Serious 4 SCORE | FACTOR ‘ACTION [Reasonably Likely 3 | |Reasonabty Serious 3 9-16 peor anan eee x = ec [Reasonably Unikely 2 | |Reasonabiy Moderate 2 5-8 esas ot i Low. Pca [very Unite 1 |__ [vegrtinor 1 4 Seco) OTHER REFERENCE INFORMATION (REF. ITEM Yor NIA? [Link]. REF, ITEM Y or NIA? -[Link]. COSHH Assessment v aw Noise Assessment v wvManual Handing Assessment _v aw Training Requireme v 7 PPE Assessment - v ww (Other Spectic Requirements v Ww ASSESSED BY: MARK BRYANT REVIEWED BY: ‘Susy Keating POSITION: 7 PROJECT SAFETY MANAGER POSITION: - Managing Director (DATE: - 20 August 2021 DATE: 20 August 2021 EMPLOYEE SIGN-OFF; AMAZON DTM9 WITTEN TSL PROJECTS No. NAME DATE ‘SIGNATURE 1 @!~JoleBRANDSAFE AMAZON DTM9 WITTEN TSL PROJECTS. ~ ae COSHH SHEET / RISK ASSESSMENT lazer suosrance PRI ren [nteaods tne Sovcacre ease ‘Sei zane evs STG ConTRO MEASURES SRE eSmons METHOD Lat a pst tna, STATEMENT And Fereconto ‘wit ane S859 eas RISK Adhesive Fume "Nausea, Vomiting, Disiness Sickness Uso in wel vettaied aes -preferaiy extemal Inhalation i eaeneeeun is ind " Adhesive Spi, an ev ao ng seve vriney, see so cape sehen ennai JAdResve Spi senantoes isu an use of mak goad Sl apy er Splash cannons ere 4042 Fo o¢ 4/2i3l. ihe z fans : ia! 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No. [Cosi Assert Noss Assesment NA area anaing Assit Nik aning Reger a Pee aarecona ‘Other Specie Regus a ASSESSED BY: Mask BivanT REVIEWED Susy Keaing fos PROJECT SAFETY MANAGER ROSIN Manages Bese "mug 20%, DATE: 2DAuguat21 ©0068 200000 i H earog Protection euied ye Protection Required Protection eauied Face Required || Protective ‘loting eul Protection Tequred Foot oer ump cap Hh VitityBRANDSAFE > What is Social Distancing Travelling to and from work > Use of Welfare Facilities > Working Methods > Sign off sheet = COvID-19 (coronavirus) Svevonein Morera hou now They are to: » Avoid contact with someone who is displaying symptoms of coronavirus (COVID19). These symptoms include high temperature and/or new and continuous cough * Avoid non-essential use of public transport when possible * Work from home, where possible. BrandSAFE will support you to do this, x Wold large and small gatherings in public spaces. Infections spread easily in Closed spaces where people gather together. ® Avoid gatherings with friends and family. Keep in touch using remote technology such as phone, internet, and social media > Use telephone or online services to contact your GP or other essential services Everyone should be trying to follow these measures as much as is possible Travelling to and from work: * You need to maintain 2m safe distance including when travelling to and from work * This means that if you normally travel with other people you have to be at least 2m (6 feet) away from them whilst travelling; this won’t be possible in most cars and vans, » You should therefore travel alone or in a vehicle large enough to allow 2m distance between you and other passengers,* If you use public transport, you need to try and keep 2m away from other People on the same public transport. » Wash your hands thoroughly before leaving the house and then again when arriving at work Use of welfare facilit > When using on-site Canteen, please ensure there are only 2 chairs at each table _ this provides 2m safe distance. Break times should be split to reduce numbers in the canteen at break times. » Make use of the outside break area during good weather conditions - this will help maintain 2m safe distance when taking breaks, * It’s important to make sure you wash before and after eating, drinking or smoking. » Keep toilets in a clean and tidy condition; please don’t abuse the facilities, Good standards of hygiene are obviously even more important at the moment. > Ensure clothes are taken home and washed regularly; remove any unnecessary items from workspace. * Follow guidance on thorough hand washing which is displayed on posters at all hand washing stations. * When walking to and from site keep 2m between you and any other person. Don’t walk together, maintain 2m distance from anyone else Working method: > Tasks which involve Personnel having to work together less than 2m apart MUST be avoided. *Medical face masks to be worn at all times internal/external areas other than cating, drinking or smoking in the designated areas required and that if a member Of staff was to fall ill and have Covid Symptoms at work that they would make the Contractor manager aware and leave site immediately » Please consider alternative ways of working which allows social distancing whilst working. » This may be achieved through using a different working method, different tools and equipment or through the use of different materials. Any changes to working methods must be documented and agreed. This could be achieved using a STOP, THINK, REVIEW » Consider where you are working and make sure you separate yourself from other site personnel - maintain 2m safe distance.BRANDSAFE Sign off Sheet Amazon DTM9 WITTEN Signature - T have read and understand the method statement; a Peet Beat | q v s = Ss |