NAME OF THE DOCUMENT: Excavation and back filling of cable trenchless, HTPE Pipe and Earth
pits work
INSTAKART SERVICES PRIVATE LIMITED
DOCUMENT NO: PACE-HTEI-HIRA-005
PO ORDER: 2414569783 PACE ELECTRICALS PVT LTD
PROJECT NAME: KALASH, NCR BIG BOX
PROJECT LOCATION: PATLI, HAZIPUR.GURGOAN
DOCUMENT SUBMISSION STATUS
☐FIRST SUBMISSION
☐ RESUBMISSION WITH INCORPORATED COMMENTS
DOCUMENT CATEGORY
☐ REVIEW
☐ INFORMATION
PREPARED BY CHECKED/REVIEWED BY APPROVED BY
Name: Mr. Sampath Kumar M Name: Mr. Shinu S Name: Mr. Rajeev Shopra
REV NO: ISSUE DATE:
Designation: EHS Designation: EHS - Manager Designation: Project Manager
Date: 9/1/2025 Date: 9/1/2025 Date: 9/1/2025
DOCUMENT REVIEW STATUS
(INSTAKART SERVICES PVT LTD)
☐ APPROVED
☐ APPROVED WITH COMMENTS. WORK MAY PROCEED SUBJECT TO COMPLIANCE WITH COMMENTS.
☐ REJECTED, REVISE AND RESUBMIT
☐ RETAINED FOR INFORMATION
DATE REVIEWED BY
NAME:
SIGNATURE:
HZARAD IDENTIFICATION AND RISK ASSESMENT
Name of the Project: KALASH, NCR - BIG BOX, PATLI HAJIPUR, GURGOAN Risk Assessment Team: Mr. Rajeev Shopra Mr. Sampath Kumar M
Name of the Activity: Excavation and back filling of cable trenchless, HTPE Pipe and Earth pits work Document No: PACE-HTEI-HIRA-005 Rev: 00
GENERAL REQUIREMENTS: ֍Work permit shall be
taken before commencing activity
֍ Hazard & Control Measures clearly communicated to all personnel.
֍First aider and first aid kit available on the site
֍Round the clock diligent supervision by immediate supervisor at all times.
֍Shall provide adequate shelter/rest facility and drinking water supply nearer to the work location.
֍All incidents immediately reported, properly acted upon and adequate information communicated to the concerned.
֍All personals including the operators and Banks man will be approved with Medically fit certificates and screening form.
֍Any Plant and Mechinary deployed will be TPI approved one including Excavator.
֍Mandatory PPE's include Hard Hat, Hi-Wiz Jacket, Safety Shoes, Goggles, Ear Pluggs.
Risk Level Residual Risk
Additional Control Measures
Sr .No Steps to be performed during erection of task/ Activity Hazard Risk Present Control Measures
Likelihood Consequences Risk rating Likelihood Consequences Risk rating (if residual risk rating is beyond acceptable level)
1. close monitoring of supervisor
2. job specifc trainng to all workers
3. ensure all hand tools are inspected.
4. keep access and walkway clear from any obstructon Experienced workforce to be engaged for specific job.
personal hit by hand tools. Only medically fit persons shall be engaged without influence of drugs or alcohol.
1. Physical Injury. 5. Ensure peoper housekeeping from daily basis.
1 Manual Excavation for Trench and earthpit works. Slip Trip Fall Likely Moderate Medium Unlikely Minor Low
6. restrict unauthorised person and moment in live area
working near live are Housekeeping of all working areas on regular basis.
7. proper coordinaton with Site team regarding all work
360° inspection of the area prior to work.
8. Electrical clearance before start work
1. Fill and material shall be placed and vechile place more than 2m away to prevent collapse for all excavaton
2. Follow safe work procedure as per Flipkart SOP.
3. TBT to Operator and signal man
4. PTW will be obtained prior to work.
5. All Necessary documents to be checked for the equipment and operators including the TPC.
6. cutting of soil benching and sloping method will be provided accordingly.
Trained & skilled person shall be deployed.
7. Maintain slope based on the type of soil, or shoring.
Overspeed / Overturn of Work permit should be check before start the work.
theVehicle. 8. Excavated pit to be barricaded.
1.Physical Injury. Warning signs to be displayed.
2 Excavation and Trench ( Mechanical ) Revesing of the vehicle Likely major High 9. Separated access to be ensured for workmen. Unlikely Minor Low
vehiclewithout helper 2.Property Damage. Excavation should be as per drawing.
10. Materials shall be stacked away from 1 metre Distance from excavated pit.
Improper Surface area. Informatory and danger signage shall be provided.
11. Excavated material to be disposed regularly.
One person shall be deputed to control the traffic.
12. Proper access shall have to provide from excavated pit by means of ladder.
13. Provide hard barricading with min clearance of 1m from the excavated pit.
14. Separate access to be maintained for vehicle and workmen.
15. Wheel stopper to be provided.
16. Ladder should be attached with supports and it should be above 1 m from the excavated pit.
17. Access and egress should be free from slippery materials
1. All persons must be trained for safe Manual handling.
2. Proper PPE shall be used while handling any kind of material.
3. Know the weight of all lifting material prior to lifting
4. Before carrying heavy wooden/steel material make sure that the root is clear.
5. Plan your lift & protect the back.
Back pain and body injury due to 6. Don’t carry more weight than they can carry safely. 1. Follow the PTW procedure strictly
poor manual handling. 1.Physical Injury.
3 Manual handling of materials ( Pipe Laying ) Accident due to sharp-edged Likely Moderate Medium 7. Training on proper posture for manual lifting shall be imparted to all labors Likely Minor Low 2. All persons to be made aware of danger through Toolbox talk.
materials 2.Property Damage.
Loss of control, slip/trip 8. Impart training on proper lifting procedures. 3. Intermediate break for the workforce
9. Avoid manual handling of heavy material.
1. All operators to be Third Party approved for the type of machine, licence available for review at all times;
2. Machine in – Men out mantra to be adhered to. No personnel shall be inside the excavation when the
Workers struck by operating excavator is working, when personnel are inside the excavation the excavator shall rotate away and be isolated;
plant;
3. Banksman to control excavator movements; Spotter to assist operator to observe and warn of any
Worker struck by reversing plant; unidentified services;
Underground service strike; 4. Backfilling of trenches/excavations to be undertaken as soon as possible after verification or completion of Daily checks on machine undertaken prior to commencing work
4
Back filling mechanical 1.Physical Injury. Likely Moderate Medium works; Unlikely Minor Low
and manual Material falling into excavation; 2.Property Damage.
Damage to machine;
Collapse of excavation due to
incorrect design/digging;
1. Remove the unwanted material from pathway Ensure all workers are trained on housekeeping procedures and hazard identification.
2. Frequently do the housekeeping to avoided slip and trip hazard its help with emergence
evacuation
3. Proper housekeeping should be done at the end of the work
1. Personal injury
1. Slip / Trip Hazards 4. Mandatory PPE'S to be worn at all times.
5 House Keeping 2. Sharp Objects Likely Moderate Medium Likely Minor Low
3. Dust & Debris