Method Statement Ref No. PDM/FCLC
Site Address:
Little Chef, Rising Bridge, Blackburn Road, Accrington. BB5 2SB
Task / Activity:
Demolition of Little Chef building
Personnel: Names to be added
Name Trade
Andy Bolton Machine Driver
Mark Bell Machine Diriver
Plant/Tools Required:
JCB JS220 XS excavator
Materials Required:
Other Equipment:
Select o grab attachment
Specific Hazards:
Refer to Risk Assessments
Temporary Supports or Props Required:
N/A
Hazardous Substances: Applicable:
i.e. Lubricants/Solvents/Flammable materials/Welding gases etc
Very Toxic Harmful / Irritant
Corrosive Dangerous Oxidising
Highly flammable
Asbestos
No No No No No No No
PPE Required:
Safety Boots
Hard Hats Safety Gloves
Hearing Protection
Respiratory Protection
Eye
Protection Other:
X X X X
Emergency Procedures: DIAL 999, STATING LOCATION AND NATURE OF ASSISSTANCE REQUIRED
First Aid Facilities:
Name of First Aider: Mark Bell
Location of First Aid Box: A box in every vehicle
Location of Nearest Hospital: Royal Blackburn Hospital
Other Information / Comments, or Amendments:
Method of Work
1) The site will have been fully fenced off and secured by Forrest Contractors. 2) Welfare facilities will be provided by Forrest Contractors. 3) All services will have been disconnected and certificates provided by Forrest
Contractors. 4) Air conditioning units will have been de-gassed by others. 5) Works will commence once operatives are wearing the following PPE, Hard hats,
Safety boots, Eye protection, gloves. 6) The excavator will be unloaded on the car park, using tyres to protect the tarmac
surface. 7) The asbestos survey states that there are no ACMS present within the building, but
should any suspect material be found, cease work and report to the office for further instructions.
8) Commencing from the car park side of the building, the excavator with grab will remove the front panels and roof, then slowly work its way through the building.
9) The rear and right hand side walls are to be pulled inwards to keep within site boundaries.
10) All materials, wood, metal, plastic, etc, are to be sorted into appropriate skips which will be sited to the left of the building, to be removed from site for recycling.
11) Hardcore is to be removed from site for recycling. 12) The base is to be grubbed up and removed from site. 13) The whole site is to be left clean and tidy.
* UNDER NO CIRCUMSTANCES MUST ANYONE ENTER THE BUILDING ONCE DECONSTRUCTION HAS COMMENCED*
All work will be undertaken by qualified competent persons with experience of the type of work described above, and in all cases, in full accordance with safety procedures specified in the companys Health and Safety Policy.
Signed: .......................................... John Mee
Date: 28th August 2013
FORREST CONTRACTS DUST CONTROL MEASURES
FOR
MCDONALDS HASLINGDEN Task Works involve the demolition of an old Little Chef, car park extension and construction of a side by side drive thru. All works will be carried out between the hours of 07.00 – 18.00 hours Monday to Sunday. Dust/Mud Control If particularly dry conditions are encountered during construction works the site will be damped down with water to prevent dust from spreading across the surrounding area. It is not anticipated that mud will be a problem at this store as construction traffic will not be directly entering the excavations due to their relatively minor nature. The cleanliness of all hard surfaces will be continually monitored and they will be regularly hosed and swept off as required.
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment B07 Part A – General Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Excavators
Client: Forrest Contractors Site: Little Chef, Rising Bridge, Accrington, BB5 2SB Date of Assessment: 28/08/2013
Hazards Harm
Risk prior to ControlMeasures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Impact with machines or persons Contact with live power cables Over turning / collapse of ground beneath machine Falling material
Crushing / trapping injuries Electrocution / burns Trapping / Crushing injuries Serious injuries
S=4 L=3 R=High S=4 L=3 R=High S=5 L=2 R=High S=3 L=3 R=Medium
Operators, other site workers Operator / Persons adjacent Operator / Perons adjacent Site operatives
All machine drivers are to be trained to CMPE standard and competent. All drivers are to be informed of pedestrian routes and traffic management plans. Banksmen to be used for reversing and manouvering vehicle. Drivers are to be made aware of any possible buried cables or services, Care must be taken whe operating on inclines or traversing slopes, Loads must not be slued over persons, site accommodation or other occupied areas. No persons are allowed to be within the operating range of the vehicle without the operators permission.. A minimum distance of 600mm shall be left between the outer radius of the machine and any structures/obstructions. All machines are to be inspected before and after use. If the machine is to be left unattended the keys shall be removed and the excavator secured. Management must ensure the correct excavator has been selected , and the correct excavation techniques are implemented.
S=2 L=2
R=Low
S=2 L=2
R= Low
S=3 L=2
R= Low
S=2 L=2
R= Low
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment B07
Part B – Site Specific Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Excavators
Consider: Location (space available, lighting, environment, one way traffic requirements) Others affected (other work in vicinity, staff, public, vulnerable persons including children)
Hazards Harm
Risk prior to Control Measures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Site Specific Assessment compiled by ____________________________________ Date ________________
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A21 Part A – General Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Site Access / Egress
Client: Forrest Contractors Site: Little Chef, Rising Bridge, Accrington, BB5 2SB Date of Assessment: 28/08/2013
Hazards Harm
Risk prior to ControlMeasures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Impact / collision between site traffic and other users Muddy roads and pavements on the site approach roads Restricted access for emergency vehicles Increase in the number of large / heavy delivery vehicles/
S=4 L=3 R=Medium S=4 L=3 R=Medium S=5 L=2 R=Medium S=3 L=3 R=Medium
All staff to be informed of traffic and parking restrictions such as no parking on the approach roads. Ensure parking is made available for all staff likely to be present on site. Ensure approach roads are kept clear of mud and other debris. Consider regular road sweeping Ensure police and other emergency services are kept informed about the works, particularly if any changes occur during the works Ensure a properly marked path is identified, and vehicular traffic is kept separated. Provide a dedicated pedestrian access to and from site. Ensure that sufficient warning sighs are displayed on the approach roads to the site. Ensure the site entrance and site roads are adequately illuminated Consider traffic control systems to control traffic entering and exiting site. Use banksmen to assist with vehicular movements into and out of the site.
S=2 L=2
R=Low
S=3 L=2
R= Low
S=3 L=2
R= Low
S=2 L=2
R= Low
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A21 Part B – Site Specific Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Site Access / Egress
Consider: Location (space available, lighting, environment, one way traffic requirements) Others affected (other work in vicinity, staff, public, vulnerable persons including children)
Hazards Harm
Risk prior to Control Measures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Heavy vehicles entering onto a busy main road
Moderate injuries, vehicular damage
S=3 L=3 R=Medium
Drivers/ other road users
A banksman will be used when vehicles are entering or exiting the site.
Instruction and supervision
S=2 L=2
R= Low
Site Specific Assessment compiled by ____________________________________ Date ________________
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A18 Part A – General Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Pre-Demolition Enabling Works
Client: Forrest Contractors Site: Little Chef, Rising Bridge, Accrington, BB5 2SB Date of Assessment: 28/08/2013
Hazards Harm
Risk prior to ControlMeasures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Exposure to live services Exposure to hazardous substances Asbestos / Lead etc ) Fire caused by site clearance Contaminated substances
Major injury Severe injury, disability Burns Moderate injury
S=4 L=3 R=High S=4 L=3 R=High S=5 L=2 R=Medium S=3 L=3 R=Medium
Operatives Operatives / Persons adjacent Operatives / All site personnel Operatives
All services are to be disconnected and certificates provided Asbestos survey to be carried out prior to commencement, and be removed before start of work. Burning of waste materials is not permitted No smoking is allowed on site Staff informed of the need for good hygiene All cuts and scratches should be treated and covered immediately.to prevent infection. All suspicious substances should be left intact and reported immediately, and work in the area stopped until the issue has been resolved.
Certificate to be displayed. Asbestos survey Supervision and training Supervision and training
S=2 L=2
R=Low
S=2 L=2
R= Low
S=2 L=2
R= Low
S=2 L=2
R= Low
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A18 Part B – Site Specific Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Pre-Demolition Enabling Works
Consider: Location (space available, lighting, environment, one way traffic requirements) Others affected (other work in vicinity, staff, public, vulnerable persons including children)
Hazards Harm
Risk prior to Control Measures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Unknown hazards in the building
Possible sevre injuries
S=4 L=3 R=High
Operatives
There has been no access into the building as it is sealed shut. It is unknown what condition the building is in internally. The asbestos survey states that there are no ACMs on the premises. Operatives are not to enter the building, it is to be demolished by machine and materials sorted and placed into skips. All services will have been isolated prior to work commencing.
Instruction and supervision
S=2 L=2
R= Low
Site Specific Assessment compiled by ____________________________________ Date ________________
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A08 Part A – General Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Demolition works
Client: Forrest Contractors Site: Little Chef, Rising Bridge, Accrington, BB5 2SB Date of Assessment: 28/08/2013
Hazards Harm
Risk prior to ControlMeasures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Premature collapse Exposure to hazardous substances Contact with live services Noise and vibration Falls from height Falling objects Plant and machinery
Injuries. Collapsing structures Ill health Death, major injury HAVs hearing damage Physical injury Physical injury Contact with personnel or structure
S=4 L=3 R=Medium S=4 L=3 R=Medium S=5 L=2 R=Medium S=3 L=3 R=Medium S=4 L=3 R=Medium S=4 L=2 R=Medium S=4 L=2 R=Medium
All site personnel All site personnel Operatives Site personnel operatives All site personnel All site personnel
Ensure all demolition works are carefully planned and sequenced to prevent premature collapse. All workers should be competent trained demolition staff with knowledge of the works in hand. All workers undertaking other works in proximity to the demolition works should be kept at a safe distance. Personnel should be made aware of the location of hazardous substances. Appropriate PPE should be worn when dealing with these. All staff are asbestos awareness trained. Ensure all services are disconnected before commencing work in any area. ******* site manager to confirm and issue certification. Keep noise levels to a minimum wherever possible, and take regular breaks. Use hearing protection. Harness or lanyards are to be worn while using scissor lifts. When moving heavy materials from or to height, ensure the area is cordoned off to prevent unauthorised access. Use designated areas. Restrict access to authorised persons Ensure a clear working area is kept around all plant and machinery.
Structural survey report, Staff instruction Asbestos report Suitable PPE Instruction and training Safety certification Ear protection, Training and Instruction Training and instruction Training and instruction
S=2 L=2
R=Low
S=3 L=2
R= Low
S=3 L=2
R= Low
S=2 L=2
R= Low
S=2 L=2
R= Low
S=2 L=2
R= Low
S=3 L=2
R= Low
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A08
Part B – Site Specific Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Demolition works
Consider: Location (space available, lighting, environment, one way traffic requirements) Others affected (other work in vicinity, staff, public, vulnerable persons including children)
Hazards Harm
Risk prior to Control Measures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Site Specific Assessment compiled by ____________________________________ Date ________________
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A01 Part A – General Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Working with Asbestos containing materials (ACMs)
Client: Forrest Contractors Site: Little Chef, Rising Bridge, Accrington, BB5 2SB Date of Assessment: 28/08/2013
Hazards Harm
Risk prior to ControlMeasures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Inhalation of dust fibres Falls through fragile materials
Mesothelioma, Lung Cancer, Asbestosis Fratures / Major Injury
S=5 L=4 R=High S=4 L=3 R=High
Operatives / Persons adjacent Operatives
All operatives are to be ‘Asbestos Awareness’ trained Appropriate PPE to be worn at all times Restrict access and designate work area as ‘respirator area’. Ensure ACMs are kept damp to reduce fibre release Double bag all asbestos waste and mark bag ‘Asbestos’. No work is to be carried out from on the roof All work to be undertaken from below using MEWPs and safety harnesses. Safe system of work required to detail work method. ONLY LOW GRADE ‘NON-NOTIFIABLE’ ASBESTOS
Supervision and training Supervision and training
S=2 L=2
R=Low
S=2 L=2
R= Low
Pete Marquis Contractors
Pete Marquis Contractors - Risk Assessment A01 Part B – Site Specific Hazards
Risk Assessment Ref: -
PM/FCLC
Activity:
Working with Asbestos containing materials (ACMs)
Consider: Location (space available, lighting, environment, one way traffic requirements) Others affected (other work in vicinity, staff, public, vulnerable persons including children)
Hazards Harm
Risk prior to Control Measures
Persons at Risk
Required Control Measures
Records/Actions
Risk - Control
Measures Applied
Site Specific Assessment compiled by ____________________________________ Date ________________
Pete Marquis Contractors
Note: All activities should be assessed as LOW risk after the introduction of control measures. In exceptional conditions MEDIUM risk operations may be carried out subject to extra supervision and care
LIKELIHOOD
SEVERITY
1 Very Unlikely
(freak event – no known history)
2 Unlikely
(Unlikely sequence of events)
3 Possible
(Foreseeable under unusual circumstances)
4 Likely
(Easily foreseeable - odd incident may have
occurred)
5 Very Likely
(Common occurrence - aware of incidents)
1 Negligible
(No visible injury – no pain)
Low
Low
Low
Low
Low
2 Slight
(Minor cuts, bruises – no long term effects)
Low
Low
Low
Medium
Medium
3 Moderate
(Heavy bruising, deep flesh wound. Lost time accident)
Low
Low
Medium
High
High
4 Severe
(Lost time accidents and major injuries)
Low
Medium
High
High
High
5 Very Severe
(Long term disability or death)
Low
Medium
High
High
High