Abu Dhabi Plaza – Astana, Kazakhstan Document No.

Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 2 of 25
Heat Tracing System (Electrical)

REVISION DESCRIPTION SHEET

Rev. Para. Revision Description

000 Issued for Review / Comments
001 Issued for Review / Comments
002 Issued for Review / Comments

Hold
Para. Description of Hold
No.

The Inspection Forms are controlled within this MS and are

included during the Review and Approval cycle.

The latest revision of an Inspection Form shall be used during

work execution.

Revisions after Rev.0 are denoted by a triangle in the left

hand margin against the revised text, with the revision
number displayed next to revision line. As shown by the
example below: -

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 3 of 25
Heat Tracing System (Electrical)

Item
Comments On Rev.001 Contractor’s Response
No.

1. Comply

Not comply, the RFIT is covering

all the necessary tests to be done
during Installation and is already
2 included in Pre-Commissioning
chapter. During Commissioning
the system shall be in working
condition.
Not comply, the RFIT is covering
all the necessary tests to be done
during Installation and is already
3 included in Pre-Commissioning
chapter. During Commissioning
the system shall be in working
condition.

Noted
4

Hand writing comment: to insert raws on the commissioning sheet with Comply
5
instruments to be used, calibration certificate, serial number

Page 3 of 25
 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 4 of 25
Heat Tracing System (Electrical)

Table of Contents

1.0 Purpose

2.0 Scope of Work

3.0 References

4.0 Definitions

5.0 Resources, Roles & Responsibilities

5.1 Competency
5.2 Commissioning Engineer
5.3 Foreman
5.4 QC Engineer
5.5 HSE Supervisor
5.6 Supplier Technician

6.0 Tools Requirements

7.0 Method and Sequence of work

7.1 Preparation
7.2 Procedures for Testing of Gully, Roof Trench, Snow Melting & Heat Tracing System
7.2.1 Pre-commissioning
7.2.2 Commissioning

8.0 Health, Safety & Environmental

8.1 Induction
8.2 PPE
8.3 Hazard Identification, Risk Assessment & Control
8.4 Toolbox Talks
8.5 Permit to Work
8.6 Training of Personnel

9.0 Attachments

9.1 Approved Shop Drawing/Schematics (To be supplied later)

9.2 JSTI
9.3 Risk Assessment
9.4 FM-MS-ADP-220533-006-01
9.5 FM-MS-ADP-220533-006-02
9.6 FM-MS-ADP-220533-006-03
9.7 FM-MS-ADP-220533-006-04

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 5 of 25
Heat Tracing System (Electrical)

1.0 PURPOSE

The main purpose of this method statement is to demonstrate procedure Gully, Roof Trench, Snow
Melting & Heat Tracing System (DEVI Heat Tracing System) test & commissioning and to ensure that it
complies with Project Specification Requirements.

2.0 SCOPE OF WORK

This Commissioning Method Statement is applicable for DEVI Heat Tracing Systems installed in all
assets in Abu Dhabi Plaza. The objective is to put in operation, test & commission than record all the
necessary parameters which validates the good functionality of the DEVI Heat Tracing System in Abu
Dhabi Plaza.

3.0 REFERENCES

 Project Health & Safety Plan ADP-013529-002.

 LOTO procedure, Ref. ADP-013529-026 (Lock-out-Tag-out)
 Approved Shop Drawings.
 Specifications: 220533 - Heat Trace For Roof and Plumbing Piping
 General Method statement for winter working, Ref. No. : ADP-015000-036
 Project Quality Plan Ref. No.: ADP-014000-020
 Approved Inspection and Test Plan. Ref. no. ADP-213000-002
 Risk Assessment Plan, Ref. No: ADP-013529-028.000
 QMP Ref.: ADP-014000-040 rev.003 Field Inspection & Testing.
 Fall protection , Ref No: ADP013529-023
 Material Approval ADP-220533-002 rev001
 CSA 130.3, section A.3 (Wet Location Applications)
 IEEE 515.1-2004, section 4.3.1 (Increased Moisture resistance Test)

4.0 DEFINITIONS

MML: Mott Macdonald LTD.

CSC: Construction Supervision Consultant. (AECOM-KZ)
ACCL JV: ACCL Joint Venture.
RBG: Robert Bird Group (JV Design/Structural Consultants).
P & T: P & T Architects (JV Architect/Lead Design).
RED: Red Group Services FZ-LLC Dubai, UAE (MEP design consultant).
CxA: CML International (Commissioning Authority)

5.0 RESOURCES, ROLES & RESPONSIBILITIES

The Commissioning Manager will individually assess the manpower requirements required for DEVI Heat
Tracing System Commissioning to meet the schedule. Typically these will include:
 Commissioning Engineer
 Foreman
 QC Engineer
 HSE Supervisor
 Supplier Technician

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 6 of 25
Heat Tracing System (Electrical)

5.1 Competency

The competency of all construction personnel shall be controlled in accordance with the
Competent Persons Designation Procedure Ref: ADP-013529-066.

5.2 Commissioning Engineer

 Commissioning Engineer will be in charge of all operations during commissioning of DEVI Heat
Tracing System following HSE requirements and Project Quality Plans.
 Maintains work permits with coordination of the HSE Supervisor.
 Coordinates with QC Engineer for inspections and raise RFIT if applicable.
 Ensures that only trained and competent personnel are involved commissioning process.
 Ensures that all plant & equipment are certified, maintained and used correctly.
 Ensures that all the required documents and related drawings to execute the Works are up to
date.
 Shall prepare open front for his crew and liaise with planning department for progress reporting
and schedule monitoring.

5.3 Foreman

 The foreman will carry out his duties by maintaining continuous coordination with the
Commissioning Engineer on daily basis, and ensure proper distribution of the workforce in the
required and planned locations.
 To ensure that his assistant foreman/ charge hand are aware of the job requirements and they
have enough information to carry out their duties properly.
 To ensure in consultation with the site engineer that the manpower involved in the works are
moving as agreed and planned for the work.
 To ensure that the daily work is progressing as planned and advice the Commissioning Engineer
of any requirement for additional resources.
 To ensure full coordination with the safety officer to maintain safe working and proper
housekeeping of the site, following the approved safety measures and further ensure that all his
working team are aware of the same to prevent accident and losses.
 To inform the Commissioning Engineer and of the areas ready for inspection.

5.4 QC Engineer

 Ensure that all inspection and test reports pertaining to everyday work activities are submitted to
the QC inspection.
 Prevent the use of equipment that could cause improper functioning of DEVI Heat Tracing
System relative to project Specifications.
 Stop any work that is not being done in accordance with the specified requirements and
approvals.
 Ensure that commissioning have been done in accordance with approved drawings, approved
method statement , manufacturer recommendation and materials prior to offer for CSC’s & CxA’s
inspection.

5.5 HSE Supervisor:

 Assist the Site Engineer in conducting Tool box talks prior to starting the activity.
 Ensure PPE shall be worn as appropriate according to the nature of job.
Ensure safety precautions shall be followed as per established project HSE requirements and
Project Quality Plans safety plan

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 7 of 25
Heat Tracing System (Electrical)

5.6 Supplier Technician

 DEVI Supplier’s Technician shall supervise the testing & commissioning of the Gully, Roof
Trench, Snow Melting & Heat Tracing System
 DEVI Supplier’s Technician will sign off the pre-commissioning check list and commissioning test
sheets when the requirements stated in this Method Statement are satisfied.

6.0 TOOLS REQUIREMENTS

The following tools & equipment will be used during the Test & Commissioning of DEVI Heat Tracing
System Commissioning
 Electro - Mechanical Complete Hand Tools Box
 Thermometer
 Clamp Meter / Multimeter
 Torch
 Movable Step ladders
 PPE( Hand Gloves, Safety Goggles)
 Safety harness while working in high level in ladders or scaffolding

Note: All tools and equipment’s will be inspected and colour coded before use at site.

7.0 Method and Sequence of Work

7.1 Preparation

 Ensure that all approved shop drawings, necessary documents, tools, instruments and other
materials involved are available prior for doing such activities.
 Check if work locations / areas are ready for commissioning of DEVI Heat Tracing System
 Before starting the work, check that all Safety precautions are in place. Safety Team / Officers
shall be available for monitoring safety measures.
 Layout drawing showing the position, ID and other necessary information regarding the unit(s) to
be tested.
 Isolation of the areas, Safety Permits, PPE's and warning signs to be displays for carrying out
activities for testing the DEVI Heat Tracing System.
 Ensure adequate of manpower, lightings and electrical power supply are provided in the works
areas in order to execute the task activities properly.
 The cables will be tested for electrical continuity and insulation integrity before energizing (test
sheets to be included in RFIT)

7.2 Procedures for Testing of Testing of Gully, Roof Trench, Snow Melting & Heat Tracing
System

7.2.1 Pre-commissioning
 Installation completed with approved RFIT signed off.
 DB Panel serving each Heat Tracing loop to be commissioned with signed RFIC
 Area around controllers and thermostats to be free of debris and accessible for testing and further
maintenance
 Record equipment data on the commissioning test sheet

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 8 of 25
Heat Tracing System (Electrical)

7.2.2 Commissioning

 Testing the Cables

- The cables will be tested to verify rating and power input: energize the cable and measure
the current and voltage simultaneously
- Measure the loop insulation resistance, record it in the commissioning test sheet for Devi
Cables
- As per Devi Installation Guide, the ohmic resistance must be within -5 to +10% of the value
labelled and the insulation resistance should read >20MΩ after one minute at min.500V DC
Note: repeat the tests after repairing heating cables with new products

Testing the Thermostat(s)

 The Devireg™ type 330 temperature working range is : -5° to +45°C

 The Devireg™ type 610 temperature working range is : -10° to +50°C
 Energize the Devi Heat Trace loop
 Set the temperature at the maximum, check if heating is on - LED indicator is red
 Set the temperature at the minimum, check if heating is off - LED indicator is green
 Set the design temperature setpoint and record the actual measured value
 Record the thermostats data and temperature setting on the commissioning sheet

Testing the Controller(s)

 The Devireg™ type 850 temperature working range is : -10° to +50°C

 Energize the Devi Heat Trace loop
 Set the controller temperature at the maximum, check if heating is on - LED indicator is red
 Set the controller temperature at the minimum, check if heating is off - LED indicator is green
 Set the design temperature setpoint and record the actual measured value
 Test the functionality of the display and buttons
 Record the controller’s data and settings on the commissioning sheet

7.2.3 BMS Integration

- BMS is only monitoring the running status of the controller (ON / OFF status)
-The BMS monitoring of the trace heating controllers will be demonstrated during BMS
commissioning

8.0 HEALTH, SAFETY & ENVIRONMENTAL

8.1 Induction:

Prior to commencing work all personnel shall have attended the HSE induction course conducted by the
JV HSE department. No work shall be undertaken by personnel who have not attended the Project HSE
induction.

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 9 of 25
Heat Tracing System (Electrical)

8.2 Personal Protective Equipment (PPE)

All personnel involved in the Testing and Commissioning will comply with the Project requirements for
PPE:
 Work Boots with toe protectors
 Safety Helmet
 Eye Protection with side shields
 Gloves (as required)
 Dust masks (as required)

Additional PPE identified by the task risk assessment shall also be provided. Personnel shall sign and be
responsible for their own items of PPE issued to them and the Site Engineer shall ensure that his team
is complying with the minimum required PPE and that damaged or defective PPE is replaced or repaired
immediately.

8.3 Hazard Identification, Risk Assessment & Control (attached)

Hazard identification, risk assessment and control are detailed in the appropriate risk assessment and
Job Safety Task Instruction (JSTI) attached herewith. Hazards may vary as the works progress and shall
be re-evaluated. All personnel undertaking DEVI Heat Tracing System commissioning activities shall be
aware of particular location hazards. The Project Risk Assessment Procedure ADP-013529-028 is to be
referred to during the planning stages. Should changes occur during the course of construction which
alters the associated risks then the risk register shall be updated to reflect any additional risk and
mitigation measures.
The attached JSTI is provided to cover the initial work tasks relating to: Gully, Roof Trench, Snow Melting
& Heat Tracing System (DEVI Heat Tracing System) -JSTI (attached). This JSTI is prepared based on
theoretical information interpreted from the project documents. A further assessment will be required at
the actual work site to verify the control measures and address any additional hazards. Reference is to
be made to the relative Health, Safety, Environmental & Security procedures to control the risks
associated with activities where they occur.

8.4 Toolbox Talks

Prior to the commencement of site activities the Site Engineer, with support from the HSE Officer, shall
conduct a pre-start toolbox talk with all the crew present. The MEP Supervisor shall explain the DEVI
Heat Tracing System Commissioning activities, focusing on the hazards and risks involved in the activity
and the mitigation measures that shall be taken as detailed in the Risk Assessment.
Regular Toolbox talks shall be conducted in order to prevent complacency within the crew. The Site
Engineer shall conduct a Pre-start toolbox talk for the new person/s prior to starting work.

8.5 Permit to Work

A Permit to Work shall be obtained, in accordance with the requirements of Permit to Work Procedure
prior to perform the DEVI Heat Tracing System Commissioning.
The supervisor will ensure that all relevant risk assessments, method statements and permit to work
control measures are in place and that all relevant procedures contained within these documents are fully
understood by the operative personnel. Control of substances hazardous to health (COSHH) must be
attached on the work permit for each particular chemicals to be used for the activity, COSHH assessment
must be discuss to the workers pertaining to the proper usage of PPE’s, proper handling of chemicals,
proper disposal and etc. prior to use the chemical.

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 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Method Statement for Testing and Commissioning of Gully, Roof Trench, Snow Melting & Rev 002
Page 10 of 25
Heat Tracing System (Electrical)

8.6 Training of Personnel

8.6.1 Safety Training

All personnel involved in DEVI Heat Tracing System commissioning shall be trained in
accordance with the requirements of the Project HSE Program. No personnel shall be assigned
tasks that they have not received appropriate training in or have been assessed for competency.
Further training shall be given as required and when additional training is identified during the
risk assessment process.

8.6.2 Trades & Qualifications

All personnel involved in DEVI Heat Tracing System Commissioning activity shall be assessed
for qualifications, competency and if they have the required trade skills and experience, or
trained in accordance with the requirements of the Project standards.

9.0 Attachments:

9.1 Approved Shop Drawing/Schematics (To be supplied later)

9.2 JSTI
9.3 Risk Assessment
9.4 FM-MS-ADP-220533-006-01
9.5 FM-MS-ADP-220533-006-02
9.6 FM-MS-ADP-220533-006-03
9.7 FM-MS-ADP-220533-006-04

Page 10 of 25
 Abu Dhabi Plaza – Astana, Kazakhstan Document No.
Work Package 4 – Main Works ADP-220533-006

Document Title:
Inspection & Test Plan (ITP) – Gully, Roof Trench, Snow Melting & Heat Tracing System Page 1 of 1 Rev.002
(JV REF. ITP-1122-320 T&C)

Testing Inspection and

Reference
Reference Requirement / Acceptance
No. Activity Description Type of Inspection Transmittal
Document Acceptance
T&C AECOM CML Form
Criteria

 Specification 220533
Pre-Commissioning  Approved Installation
RFIT All relevant
Checklist for Gully, RFIC & FM-MS-
 Review of Documents  Approved Drainage document must be
1. Roof Trench, Snow S R R ADP- ADP-
 Pre-Commissioning RFIT approved by
Melting & Heat 220533-006-001
 Approved Electrical Consultant.
Tracing System RFIC
 Approved Drawings

 Specification 220533
All relevant
Commissioning  Approved Test RFIC & FM-MS-
 Measuring the insulation document must be
2. Checklist for Heat Procedure H W W ADP- ADP-
resistance approved by
Tracing Cables  Calibration Consultant. 220533-006-002
Certificate

 Specification
220533 All relevant RFIC & FM-MS-
Commissioning  Checking the functionality
3.  Approved Test document must be ADP- ADP-
Checklist for Controller  Checking the settings Procedure approved by H W W 220533-006-003
Consultant.

All relevant
 Specification document must be RFIC & FM-MS-
Commissioning
 Checking the functionality 220533 approved by ADP- ADP-
4. Checklist for H W W
 Checking the setting  Approved Test Consultant.
Thermostat
Procedure
220533-006-004

Legend: S – Surveillance Inspection W – Witness Inspection Point H – Mandatory Hold Point for Inspection R – Record Review
 ARABTEC CONSOLIDATED CONTRACTORS COMPANY LTD. ABU
DHABI PLAZA – ASTANA, KAZAKHSTAN

Gully, Roof Trench, Snow Melting & Heat Tracing System

Pre-Commissioning Record Sheet

FM-MS-ADP-220533-006-001 Revision:002 Date: 16/09/17 Page 1 of 1

Block / Bldg.: System: Plumbing
Level: Heat Tracing Loop ID Tag:
Serving:
Ready
No. Description Comments
YES NO N/A

1 RFIT for Installation signed-off

2 DB serving the Heat Tracing Loop - RFIC signed off

Area around the Controller / Thermostat - free of debris and

3
accesible for commissioning and further maintenance

4 Drainage serving the Heat Tracing Loop area(s) - RFIT signed off

Remarks:

Witnessing & Approval

Position Name Signature Date

Supplier Representative

JV Commissioning Engineer

JV QA/QC Engineer

(CSC) AECOM KZ

(CxA) CML

FM-MS-ADP-220533-006-001
 ARABTEC CONSOLIDATED CONTRACTORS COMPANY LTD. ABU
DHABI PLAZA – ASTANA, KAZAKHSTAN

Gully, Roof Trench, Snow Melting & Heat Tracing System (Electrical)
DEVI Heat Tracing Cables Commissioning Record Sheet

FM-MS-ADP-220533-006-002 Revision:002 Date: 16/09/17 Page 1 of 1

Block / Bldg.: System: Plumbing

Level: Sub System: DEVI Heat Tracing

Measurements
Insulation Resistance
Current Voltage Power
No. Loop ID Serving (MΩ) Comments
Design Actual (A) (V) (kW)

10

Remarks:

Measuring Instrument Model S/N Calibration Certificate

Witnessing & Approval

Position Name Signature Date
Supplier Representative

JV Commissioning Engineer

(CSC) AECOM KZ

(CxA) CML

FM-MS-ADP-220533-006-002
 ARABTEC CONSOLIDATED CONTRACTORS COMPANY LTD. ABU
DHABI PLAZA – ASTANA, KAZAKHSTAN

Gully, Roof Trench, Snow Melting & Heat Tracing System (Electrical)
Controller Commissioning Record Sheet

FM-MS-ADP-220533-006-003 Revision:002 Date: 16/09/17 Page 1 of 1

Block / Bldg. : System: Plumbing
Level: Sub System: Heat Tracing
Controller ID Tag: Serving:
Controller Manufacturer: Type: Serial Number:
Ready
No. Functions Checks Comment
YES NO
1 Display iluminated without visible defects

2 "Info" button working

3 "Next" button working

4 "Enter" button working

5 No "Alarm" on the display

6 Menu navigation working

Setting
No. Settings Checks Comment
Factory Actual

1 Moisture Level 50

2 Melting Temperature 1.5 °C

3 Post Heat 1 hour

4 Clogged Drain On

5 System Mode Automatic

Measurements
3 Temperature: setpoint / actual ( °C) /
Remarks:

Measuring Instrument Model S/N Calibration Certificate

Witnessing & Approval

Position Name Signature Date
Supplier Representative

JV Commissioning Engineer

(CSC) AECOM KZ

(CxA) CML

FM-MS-ADP-220533-006-003
 ARABTEC CONSOLIDATED CONTRACTORS COMPANY LTD. ABU
DHABI PLAZA – ASTANA, KAZAKHSTAN

Gully, Roof Trench, Snow Melting & Heat Tracing System (Electrical)
Thermostat Commissioning Record Sheet

FM-MS-ADP-220533-006-004 Revision:002 Date: 16/09/17 Page 1 of 1

Block / Bldg.: System: Plumbing
Level: Sub System: Heat Tracing
Thermostat ID Tag: Serving:
Thermostat Manufacturer: Type: Serial number:
Ready
No. Checkings Comment
YES NO
1 "Stand-By" mode working (LED - green light)

2 "Heating" mode working (LED- red light)

3 Temperature adjustment button working full scale

4 "On-Off" button working

Measurements Comment
1 Current : design / actual (A) /

2 Voltage : design / actual (V) /

3 Temperature : setting / actual (°C) /
Remarks:

Measuring Instrument Model S/N Calibration Certificate

Witnessing & Approval

Position Name Signature Date

Supplier Representative

JV Commissioning Engineer

(CSC) AECOM KZ

(CxA) CML

FM-MS-ADP-220533-006-004
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности
Step 1: Task Planning (task identification and details)/ Шаг 1: Планирование задания (выявление задачи и деталей)

Supervisor name: Work area: Date:

ФИО Супервайзера: Рабочая зона: Дата:
Activity: Testing and Commissioning of Gully, Roof Trench, Work specific location:
Деятельность: Snow Melting & Heat Tracing System Определенное место работы:
Number of crew members: JSTI Number:
Число работников: Номер Оценка Риска:
Start time/ Finish time/
Work Duration: Permit To Work number:
Начало работы Завершение работы
Продолжительность работы: Номер Наряда-Допуска:
_______________ ______________
Step 2: Job Planning (competent persons, tools and equipment necessary to do the job) Шаг 2: Планирование работы (компетентные работники, инструменты и
необходимые оборудования)

Competent Persons Required Tools Required Equipment Required

(Example: Lifting, Equipment Operator, Scaffolder, Vendors) (Example: radios, special testing meters, electric tools, special tools, (Example: excavator, man lift, compressor, crane,
Компетентные Работники SCBA.) forklift, truck)
(Пример: Операторы подъемника, лесамонтажники, производители) Необходимые инструменты (Пример: рация, метровка, Требуемая техника: (Пример: эксковатор,
электрические инструменты) подъемник, компрессор, кран, погрузчик,
грузовик)
 Commissioning Engineer  Electro - Mechanical Complete Hand Tools Box
 Foreman  Thermometer
 QC Engineer  Light Torch
 HSE Supervisor
 Supplier Technician
 Labour

Step 3: Risk Management (list any nearby activities that may impact the work) Шаг 3: Управление Рисками (перечень деятельности которые могут повлиять на работу)
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности
Step 4: Job Safety/Hazard Analysis/ Шаг 4: Анализ/Оценки Рисков
Activity
(What must be done? i.e. tools, Hazards Risks
equipment, and material used) (How could an injury occur?) What Can Happen Recommendations
Item
(Can hazards be eliminated or modified?)
Планирование работы. Опасность Риски Меры контроля
Номер (Что надо для работы. Например: (Как может произойти (Что может произойти) (Как опасность может быть устранена)
инструменты, оборудование и травма)
материалы)

 Pay attention during tool box talks.

 Work flow will be discussed.
 Understand your role.
 Not paying attention  Wear all required PPE’s.
 Injury to personnel due to
during meeting  Safety shoes (steel toe)
being unprepared for the
 Not being informed task.  Hard hat
when work starts
 Hypothermia  Visibility Vest
1 Pre-start Meeting  Icy surfaces  Dust mask as
 Cold weather  Safety glasses
 Required PTW must be obtained prior to
commencement of work.
 Monitor the temperature, and wind chill index.
 Implement the work rest period.
 Wear Winter PPE.
 Provide hot beverage for employees

 All personnel must wear sufficient PPE.

 Proper supervision from the concerned
 Contact with sharp  Injury to personnel
supervisors.
objects because they are not
 Tools must be inspected by the competent
 Pinch points wearing sufficient PPE’s
person prior to use.
2  Icy surfaces  Property damage due to
Hauling of materials  Monitor the temperature, and wind chill index.
 Cold weather failure of machines.
 Implement the work rest period.
 Hypothermia
 Wear Winter PPE.
 Provide hot beverages for employees
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности
 Ensure that personnel engaged of working at
 Serious injury to personnel height are trained and competent to the given
or even fatality due to fall task.
 Fall of material from height.  Supervisor must provide full body harness for
 Fall from height  Injury to personnel due to personnel engaged of working at height.
Working at heights  Collapse of scaffold falling debris.  Workplace place must be barricaded underneath
3
 Cold weather  Injury to personnel or even prior to start the work.
fatality due to collapse of  A proper work platform should be provided
scaffolds.  Monitor the temperature, and wind chill index.
 Hypothermia  Work rest period implemented.
 Wear Winter PPE.
 Provide hot beverage for employees.

 All personnel must wear sufficient PPE’s.

 Proper supervision from the concerned
supervisors.
 Tools must be inspected by the competent
person prior to use.
 Injury to personnel  Evaluate the condition of floor along path from
 Improper manual because they are not origin to destination.
handling posture wearing sufficient PPE’s  Monitor the temperature, and wind chill index.
 Slips, Trips & Fall  Property damage due to  Work rest period implemented.
4 Material handling  Pinch points failure of machines.  Wear Winter PPE.
 Cold weather  Back injury  Provide hot beverage for employees
 Hypothermia  When lifting bend at the knees and hold load
close to your body. Use legs as the source of
power to lift object.
 The allowable load each person can carry is
only 20 kg. /person.
 Ask for help if object too heavy.
 Ensure personnel involve in task have manual
handling training.
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности

 Keep unauthorized personnel away from the

 Contact with sharp workplace
edges  Barricade the workplace and provide signage for
 Slips, Trips & Fall  Back injuries people awareness
Pre-Commissioning:  Trailing cables  Foot injury  Secure all exposed wires
5  Exposed live wires  Personnel injury or death  Ensure no simultaneous operation
 Cold weather due to electrocutions
  Proper supervision from the concerned
 LOTO not applied Hypothermia
supervisors.
 Tools must be inspected by the competent
person prior to use.
 Implement LOTO procedure

 Keep unauthorized personnel away from the

Commissioning area.
 Barricade the workplace and provide signage for
people awareness
 Improper manual  Valid calibration certificate for all testing
handling posture  Back injuries Equipment’s.
Commissioning activities  Slips, Trips & Fall  Foot injury  Secure all exposed wires
 Hot surface  Personnel injury or death
6  Testing the Cables  Ensure to wear heat resistant gloves.
 Exposed live wires due to electrocutions
 Testing the Thermostat(s)  LOTO not applied  Hypothermia  Proper supervision from the concerned
 Testing the Controller(s) supervisors.
 Tools must be inspected by the competent
person prior to use.
 Implement LOTO procedure
 Ensure no simultaneous operation
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности
 Wear all required PPE’s.
 Slips, trips and fall due to  work boots/ rubber boots with toe
 Slips scattered materials or protector
 Trips rubbish.  hard hat
 Fall  Foot injuries  visibility vest / jacket
7 Housekeeping  safety glass
 Hand injuries
 Dust Mask ( as required )
 Personnel injury due
 Gloves
slippery surface
 Supervisor must ensure that used materials
must be stored in designated, to prevent
scattered at work area
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности

Step 5: Unplanned Events (if any of the following occurs, stop work and talk to your supervisor)/ Шаг 5: Незапланированные мероприятия: если следующие случаи имеют
место, то остановите работу и известите супервайзера
Nearby work hazards Chemical spills or release
Excessive noise Fires and explosions Unusual odours Heat stress
Опасности на рабочем Утечки химических
Черезмерный шум Пожар и взрывы Странный запах Тепловой удар
месте веществ
Extreme weather/high
winds
Significant near miss Change in the following work conditions:
Evacuation alarm Экстримальные
Существенное, возможное Изменение в процессе работы:
Эвакуация/тревога погодные условия и
происшествия
сильный ветер

Step 6: Unplanned Events (if any of the following occurs, stop work and talk to your supervisor) Шаг 6: Незапланированные мероприятия: если следующие случаи имеют
место, то остановите работу и известите супервайзера
Emergency telephone number: Alarm Code (for commission period)
Телефон экстренной связи: +77015301064 Код сигнализации (при пусконаладке)
Nearest Muster Point/Safety Shelter location: Nearest First Aid Station location:
Ближайший пункт Место Сбора: Ближайший пункт Первой Помощи:
Evacuation Route (Supervisor to explain to workers): Safety shower / eye washer location:
Пути эвакуации(Супервайзер должен объяснить работникам): Пункт промывки глаз:
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности
Step 7: Working Crew Details Шаг 7 Список работников (рабочей бригады)
I acknowledge receiving & understanding these instructions, I will fully comply with the assigned job requirements.
Я, подтверждаю что полученную информацию понимаю в полной мере , и я буду полностью соответствовать должностным требованиям.
Sr. Badge No. Signature Sr. Badge No. Signature
Name Ф.И.О Name Ф.И.О
№ № Бейджа Подпись № № Бейджа Подпись
1 26
2 27
3 28
4 29
5 30
6 31
7 32
8 33
9 34
10 35
11 36
12 37
13 38
14 39
15 40
16 41
17 42
18 43
19 44
20 45
21 46
22 47
23 48
24 49
25 50
 Astana/Kazakhstan, Abu Dhabi Plaza Project Астана/Казакстан, Проект Абу Даби Плаза

Job Safety Task Instructions Form (JSTI) Форма Оценки Риска по Технике Безопасности

Supervisor Name:
Ф.И.О Супервайзера: ________________________________________ Signature/ Подпись: __________________ Date/Дата: ____________________________ /______/________

Foreman/charge hand Name:

Ф.И.О Мастера/Бригадира: ___________________________________ Signature/ Подпись: __________________Date/Дата: ____________________________ /______/________

HSE Officer Name:

Ф.И.О Инспектора по ТБ: ____________________________________ Signature/ Подпись: ___________________Date/Дата: ____________________________ /______/________

This JSTI is prepared based on theoretical information interpreted from the project documents. A further assessment will be required
at the actual work site to verify the control measures and address any additional hazards. Reference is to be made to the relative
Health, Safety, Environmental & Security procedures to control the risks associated with activities where they occur.