Method Statement. Main Contractor: xxxx. Address: Tel: xxxxx. Sub-Contractor: Firepro Logistics Limited. Tel:

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1 Main Contractor: Name: xxxx Address: xxxxx Tel: xxxxx Sub-Contractor: Project Name Name: Logistics Limited xxxxxx Address: Bray Road Loughlinstown Co. Dublin Tel: Method Statement Title (To be Site, Task & Area specific). Description of the Task/Activity Site Address/Location: (Passive Fire Protection) (Passive Fire Protection) xxxxx Start Date/Time: xxxx Finish Date/Time xxxx Name Role/Trade Personnel Involved Adi Pana Bart Orzack Czeslaw Kopic Dan Herghlegiu Dylan Murray Kenny Hudson James Rooney Laimutis Maciunas Lucasz Jacubowicz Pavel Mastalko Piotre Doening Piotr Kolec Stephen Murray Tomasz Pachowicz Mark McLoughlin Fire Protection Sprayer Site Supervisor: James Rooney Tel: Safety Officer Mark Corcoran Tel:

2 Key Plant & Tools (Attach Certification) Scissor Lift Bratts Podium Ladders: metre, Telescopic Straight/A Frame Ladder, (for difficult access only), Mobile Access Towers( Only competent s allowed to alter Alloy Towers),Small hand tools Key Equipment Small hand tools, Mastic Gun, 25mm retractable Stanley knife, 20mm flexible scraper, measuring tape, putty knife, head light, screwgun. Specific Staff Training Manual Handling; Safe Pass; Use of Podium Ladders, Erection of Mobile Towers Boom/Scissor Lift; Fall Arrest Sequence of Operations: (include sketches if required) to arrive on site by Van carrying Podium Ladder, Alloy Tower and Materials ie; Batts, Mastic, Compound, Collars & Wraps. Sign off Method Statement After xxxx induction proceed to collect materials at gate as previously arranged to enable s to carry out the works Controls for working at Height Podium Ladder / Alloy Tower or A frame if permitted ( Only competent s allowed to alter Alloy Towers) s are instructed to ensure tower is complete, tagged and signed off daily. Checked that it s adequate to provide safe access. When Tower is not in use it should be dismantled, ensuring there is no access to others not employed by. Any problems to be reported to the Site Manager and Sisk Site Manager. Work curtailed pending completion of remedial action Check with Site Manager that there is clear access to working area and there are no obstacles or debris which may cause slips or trips. Training for scissor lift access Prepare access Secure Podium Ladder in place on level ground or floor. Always use straps attached to Ladder for your own safety. Make sure there is no debris or other materials in your way which may cause slips or trips to you or others. (House keeping must be carried out at all times as you go). Take care to avoid coming in contact with the ceiling grids when you are working above them as there may be sharp edges and could cause scrapes or even cuts. Seal top of walls as required with mastic and batt if necessary to provide a fire stop. When sealing around cables should you notice any damage to cables do not touch and report to the Site Manager, xxxx Site Manager and Electrical Contractor (Refer to Toolbox talks on Electricity and working in confined areas ) Keep in mind the danger of electrocution at all times

3 When working between floors check that no one is in riser below especially when you are pouring compound. When sealing around cable trays should you notice any damage to cables do not touch and report to the Site Manager, xxxx Site Manager and Electrical Contractor (Refer to Toolbox talks on Electricity and working in confined areas ) Keep in mind the danger of electrocution at all times General works Measure penetration Mark out batt Cut batt to required size Prepare ope Install batt and seal with mastic Apply compound pour where required ie: sealing opes with fire batt & mastic, shuttered if required followed by compound pour in floors Identify work with label Fill in measurements Mark-up drawing Take Photo of work with android phone Clothing High Visibility Vest, Hard Hat and Boots appropriate to conditions, overalls as deemed necessary. Maxiflex Sanitized EN 388 Gloves and Glasses are mandatory as per Main Contractor s Directive. (see data sheets attached) All waste materials to be removed in vans by and taken to depot disposed of by Greenstar or Panda Waste Disposal (Dockets attached) All s waste products are non hazardous and are not obliged to carry a licence All Coshh Data sheets attached

4 Emergency Considerations. Assess Risk Situation Establish individual risk or risk to others Raise alarm without endangering yourself or others In the event of a fire: Raise alarm or extinguish if possible In the event of minor injury: escort injured party to first aid In the event of assessed severe injury: call 999 and alert site management Name of On-Site First Aider: xxxxx First Aid Facilities: First Aid Box Location: Location of Nearest Hospital: Site Office Mater Hospital Method Statement Briefing Record Briefing delivered by: James Rooney Position: Contract Manager

5 We (the undersigned) have had the contents of Method Statement for In House Training Room explained to us and agree to work its conditions. If the work activity changes or deviates from that originally envisaged, we will seek further advice and request an amended method statement. Name (Print) Position Signature Date James Rooney Contract Manager Adi Pana Bart Orzack Czeslaw Kopic Dan Herghlegiu Dylan Murray Kenny Hudson Laimutis Maciunas Lucasz Jacubowicz Pavel Mastalko Piotre Doening Piotr Kolec Stephen Murray Tomasz Pachowicz Mark McLoughlin

6 RISK ASSESSMENT: SITE: xxxx ACTIVIT: Installing Fire Protection RISK ASSESSMENT Applicable Legislation: Applicable legislation: SHWW (General Application) Regulations 2007, SHWW (Construction) Regulations 2006, Safety, Health and Welfare at Work Act 2005 RISK ASSESSMENT DEFINITIONS: Hazard something which has the potential to cause harm or loss. Likelihood the probability of an incident/injury occurring Risk assessment rating a combination of the likelihood and consequence of the hazard. Resulting in a Low, Medium, or High Rating (see table below). HIGH -extremely likely, has happened before Likelihood MEDIUM-probable or possible Consequence LOW MED HIGH LOW-unlikely to happen LOW MED MED LOW x Consequence severity of the outcomes of an incident or injury MED MED MED HIGH HIGH MED HIGH HIGH HIGH fatality, high cost MEDIUM- major injury, lost time, costs incurred LOW- minor first aid treatment, no injury Controls are put in place to manage the risk. If after the assessment process the existing control is not acceptable then an additional measure must be taken to manage that particular hazard. Controls are hierarchical and applied in the following order; Elimination, Substitution by something less hazardous, Enclosure in a way that eliminates or controls the risk, Guarding of the hazard, Systems of work/procedures/instructions, Personal protective equipment, Supervision/monitoring including health surveillance, Training Occupational Health Some risk assessments will have occupational health risks. Identify in the table below any such risks which should be cross referenced to the relevant specific assessment. Noise N Display Screen Equipment N Dust oung Persons N Manual Handling Expectant Mothers N

7 RISK ASSESSMENT RATING Hazard Inhalation of Intumescent products (Non Hazardous) Falling from Height Slips, Trips & Falls Electric shock Injury to head, hands, eyes Injury to other Persons at risk Likelihood Consequence Rating LOW LOW LOW RISK ASSESSMENT: SITE: xxxxx ACTIVIT: Installation of Intumescent Non Hazardous) EXISTING CONTROLS Hazard No. Responsible 1 Inhalation of Intumescent products (Non Hazardous) 2 Use of MEWP, Podium Ladder and/or Alloy Tower 3 Slips, trips & falls 4 Electric shock 5 Injury to head, hands, eyes 6 Injury to others, falling objects 7 Getting trapped in confined space In place? /N

8 ADDITIONAL CONTROLS Should any of the existing controls listed above be deemed inadequate then additional controls should be documented below and put in place*. Hazard Number Additional Control 1 Wear dust mask 2 All must be trained and certifid to use plant 3 Be awear of your working suroundings and clean as you go 4 When installing fire batt near cable trays insure cuts are not make towrds cables 5 Wear all ppe at all times, hard hat, gloves, glasses 6 Keep all tools in safe places when working above others 7 Confined space training Put in Place /N *Note: If Method Statement is required, please attach, to complete Risk Assessment Signed: The signatory must ensure that all s partaking in the above activity, have been made fully aware of the risks and controls as identified in this risk assessment and of any attached method statement. Date: COP DATE