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TRANSMISSIONLINES WORKS
Contract Number:
Client:
Contractor Engineer:
Sub-Contractor:
CLEANING OF LAND SLIDE
ACCES TRACK AT 10
Method of Statement (Specific)
Document Number:
00 23/01/201 8 Approval Arber Dogani
REV DATE ISSUED FOR ISSUED BY HSE CHECKED BY QA/QC TD PM
Contractor
Engineer
□ □ □
DATE BY APPROVED REJECTED NA COMMENTS
Present document is property of the Ow ner and it is prohibited any copy and/or convey of its original copy w ith any means, before the w ritten
confirmation and approvalof the Company's legal representative.
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: 22/01/2018
Revision: 01
Page 2 of 22
REVISION TRACKING PAGE
Revision
Number
Revised
Page
Revision Date Description of Revision Prepared by
00 all 23/01/2018 Prepared and Published A.Dogani
Rev No. 01 02 03 04 05
Date
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 3 of 22
CONTENTS
1 PURPOSE..................................................................................................................................................................................5
2 SCOPE.......................................................................................................................................................................................5
3 DEFINITIONS ...........................................................................................................................................................................6
4 REFERENCES ............................................................................................................................................................................6
5 HEALTH, SAFETY, AND ENVIRONMENT CONSIDERATION.............................................................................................6
5.1 Requirements......................................................................................................................6
5.2 Team Members Trainings.....................................................................................................7
5.3 Tools and Equipment...........................................................................................................7
5.4 Weather Condition ..............................................................................................................8
5.5 Personal Protective Equipment(PPE)....................................................................................8
5.6 Communication...................................................................................................................8
5.7 Working time.......................................................................................................................8
5.8 First Aid and First Aider........................................................................................................8
5.9 Environmental Measures......................................................................................................9
5.10 Visitors or Vendor on site.....................................................................................................9
6 METHODOLOGY .....................................................................................................................................................................9
6.1 Description..........................................................................................................................9
6.2 Clearing and excavation Operations....................................................................................10
7 CONTRACTOR'S ORGANIZATION FOR ACCESS ROAD CONSTRUCTION....................................................................11
8 ATTACHMENT A - LOCATION MAP...................................................................................................................................12
9 ATTACHMENT B – PHOTOS................................................................................................................................................13
PHOTO 1 ..........................................................................................................................................................................................13
10 ATTACHMENT B/2 – PHOTOS ...........................................................................................................................................14
11 ATTACHMENT B/3 – PHOTOS ...........................................................................................................................................15
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 4 of 22
12 ATTACHMENT C - RISK ASSESSMENT SPECIFIC..............................................................................................................16
13 ATTACHMENT D - JOB HAZARD ANALYSIS .....................................................................................................................19
14 ATTACHMENT E – LAST MINUTE RISK ASSESSMENT....................................................................................................21
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 5 of 22
1 PURPOSE
To establish methodology on cleaning of land slide at at 10 required for construction of AT 10 and
towers 8 I, 8 u, 9 u (Appendix A - LOCATION MAP)
2 SCOPE
This procedure establishes description and guidelines for works performed during the removal of the
land slide near tower 9u.
Duration of the works is estimated to be 15 working days starting from receiving confirmation for
starting of the works. However final duration of the works, will be determined by field performance.
Will be used for these work:
Company:
2 Excavators, 2 operators, 2 workers (Wachman’s), 1 Lead Civil Engineer
Contractor:
1 Geologist
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 6 of 22
3 DEFINITIONS
- -Contractor Inginieria y Construccion
PM- Project Manager
DPM- Deputy Project Manager
4 REFERENCES
Health Safety and Environmental (HSE) Plan
 Chapter 6:
Point 6.1 ; Point 6.2 ;
 Chapter 10:
Point 10.1
 Chapter 11: Point 11.1.
 Chapter 12:Point 12,1
 Chapter 13: Points 13.1, 13.2, 13.3, 13.4, 13.5, 13.6, 13.8, 13.10.
Quality Assurance / Quality Control (QA/QC) Plan
5 HEALTH, SAFETY, AND ENVIRONMENT CONSIDERATION
5.1 Requirements
Before the Contractorstart constructionof access roadto towerlocationsthe requirements listedbelow
must be followed and completed.
1. All the crew must be trained for such activity;
2. RiskAssessment(RA)(Appendix C- RISKASSESSMENT) andJobHazardAnalysis(JHA) (Appendix
D - JOB HAZARDANALYSIS) mustbe prepared before any start of activity. JHA must be read and
signed by all the members of the crew before the activity starts;
3. Equipmentmustbe ingoodconditionandall safetydevices mustbe functional andactive during
all the time;
4. Last Minute Risk Assessment will be prepared and signed from HSE Lead and Lead Engineer
every day(No Works will be performed without LMRA)
5. Tools must be in good shape and not damaged or modified;
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 7 of 22
6. Housekeeping and working area must be clean in order to protect the Environment;
7. Communication (Radio);
8. Working time (8Hours).
5.2 Team Members Trainings
Team members must be trained in different disciplines to perform this activity.
 General induction training;
o HS&E Induction
o Environmental Awareness
o Emergency Response Plan Training
o Fire Fighting Training
o First Aid Training
o JHA/Risk Assessment
o HS&E Leadership
o Stop Works
o HS&E Assessments
o Accident/Incident Reporting & Investigation
o Near Miss Reporting
o Cost of Accidents
 Tools and equipment training;
 Watchman Daily Instruction
 PPE training;
 Equipments,
Only this category of workers should be working in Cleaning of Land Slide at AT 10 construction.
5.3 Tools and Equipment
 Tools must be in good condition and free from any damage;
 Only proper tool are allowed to use in this activity;
 Homemade tools are not allowed to use on site;
 Equipment must be in good condition and checked periodically;
 Only authorized operator must use them and to be shore that the equipment to be well
maintained;
 Radio communication
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 8 of 22
 Acoustic High Signal
 Where the equipmentissettle, the areashouldbe barricade byhighvisible safetytape andalso
warning signs must be put in order to inform the public about the work activity.
5.4 Weather Condition
It is not allowed to perform any activity during bad weather condition like;
 storm
 snow
No activity will be performed if equipment are not able to perform safe work because of weather
condition.
5.5 Personal Protective Equipment (PPE)
In order to prevent any injury or accident during the working time, we are forced by the HSE plan and
the AlbanianLaborLow to use the followingpersonal protective equipment during all the time on site.
 hard hat;
 gloves;
 safetyshoes;
 highvisible vest;
 Reflectivesigns.
 Acousticsignalization
All these PPEswill be usedandwearbyeveryone thatwill be partonthe workingsite.Visitorsshall wear
these PPEs (except reflective sign), as well.
5.6 Communication
In orderto have a safe working activity, the communication is a very important issue to be considered.
Workers are not allowed to use or talk on the phone when they are operating or guiding equipment.
Visible and acoustic signs must be used on site.
5.7 Working time
In order to have a safe work condition, road access activity will be performed only during day time. If
proper lighting is provided works can be performed by management decision.
5.8 First Aid and First Aider
Emergency numbers must be place in a visible table from everyone. First aid kit will be put in a place
where everyone may have access.
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 9 of 22
5.9 Environmental Measures
In order to keep a good environment on site, spill prevention must be present on site, garbage and
waste of food will be removed from site and deposited in safe waste area. All the area must be clean
and in good environment condition after work activity.
5.10 Visitors or Vendor on site
Visitors or Vendors are not allowed to enter on site until they have permission, however, visitors and
vendormust have a brief training before they go on site and also they should sign the attendance list.
6 METHODOLOGY
6.1 Description
Cleaning of land slide at access track at 10 will be done with these steps:
 We will beginthe excavationinzone 1, as it is rocky area during excavator work, it will create a
vibrationthatwill affectthe provocation of the surrounding area to see if there is any possible
movement,thisareaisthe safestpartcompact rockerwhere the excavatorwill work and in this
way does not endanger the vehicle and maneuver.
 If the terrain does not show any sign of new displacing, and after the Contractor Geologist
checks and gives OK we will continue with the second phase.
 Afteritwill be continuedwithZone 3 excavation, this area consists of dislocated rock material,
no compact rock,there are soil layers between the rock layers and vegetation and about 60-70
cm of soli above the surface.
Excavationinthiszone will startfromtowerNo.8 inthe directionof landslidebyharassingandrelieving
by 3m created by the land sliding, to see if we will have any possible slide or not.
 If everythinggoeswellandthe Geologisttogetherwiththe Engineeragreesthat the structure is
stable and there is certainty to enter that already cleaned area on both sides then we can
proceed with the cleansing of the rock massive.
 Excavatorsshouldworkwith interchange, only one at the same time during the excavations of
Zone 1 and 3, to avoid any possible incident and to react on time.
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 10 of 22
 For these typesof workwhere the dangerishigh,the escortingteamshave tobe equippedwith
acoustic signalizations and radio to signal the excavator maneuverer to immediately pull back
with the vehicle in case of sliding terrain.
Picture 1: Map of landslide and zones of work
6.2 Clearing and excavation Operations
1. Main contractor shall ensure all required permits are in place prior to the start of clearing and
excavation work operations.
2. Main contractor Geologistshall be presentduringall time toestablishif terrainconditionsallow
to proceed further with the works of clearing and excavations.l
3. The Contractor shall ensure compliance with environmental requirements such as silt fencing,
run-off protection, or dust limitations during clearing and grubbing operation.
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 11 of 22
7 CONTRACTOR'S ORGANIZATION FOR ACCESS ROAD CONSTRUCTION
ProjectManager (ErlirCompany)
Construction Manager (Klevi Kalemi)
Site Engineer (Anil Company)
Excavation Team (Surveyor,
Forman, Operator)
HSE Lead (Arber
Dogani)
Geologist(Contractor)
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 12 of 22
8 ATTACHMENT A - LOCATION MAP
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 13 of 22
9 ATTACHMENT B – PHOTOS
PHOTO1
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 14 of 22
10 ATTACHMENT B/2 – PHOTOS
PHOTO 2
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 15 of 22
11 ATTACHMENT B/3 – PHOTOS
PHOTO 3
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 16 of 22
12 ATTACHMENT C - RISK ASSESSMENT SPECIFIC
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 17 of 22
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 18 of 22
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 19 of 22
13 ATTACHMENT D - JOB HAZARD ANALYSIS
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 20 of 22
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 21 of 22
14 ATTACHMENT E – LAST MINUTE RISK ASSESSMENT
Method of Statement
Removal of land slide at
AT10
ISSUING DATE: __/01/2018
State ofissue: 00
Page 22 of 22

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Specific method of statmeents risk assessment -job hazard analysis for land slide

  • 1. DV 1x400 kV, 2x400 kV TRANSMISSIONLINES WORKS Contract Number: Client: Contractor Engineer: Sub-Contractor: CLEANING OF LAND SLIDE ACCES TRACK AT 10 Method of Statement (Specific) Document Number: 00 23/01/201 8 Approval Arber Dogani REV DATE ISSUED FOR ISSUED BY HSE CHECKED BY QA/QC TD PM Contractor Engineer □ □ □ DATE BY APPROVED REJECTED NA COMMENTS Present document is property of the Ow ner and it is prohibited any copy and/or convey of its original copy w ith any means, before the w ritten confirmation and approvalof the Company's legal representative.
  • 2. Method of Statement Removal of land slide at AT10 ISSUING DATE: 22/01/2018 Revision: 01 Page 2 of 22 REVISION TRACKING PAGE Revision Number Revised Page Revision Date Description of Revision Prepared by 00 all 23/01/2018 Prepared and Published A.Dogani Rev No. 01 02 03 04 05 Date
  • 3. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 3 of 22 CONTENTS 1 PURPOSE..................................................................................................................................................................................5 2 SCOPE.......................................................................................................................................................................................5 3 DEFINITIONS ...........................................................................................................................................................................6 4 REFERENCES ............................................................................................................................................................................6 5 HEALTH, SAFETY, AND ENVIRONMENT CONSIDERATION.............................................................................................6 5.1 Requirements......................................................................................................................6 5.2 Team Members Trainings.....................................................................................................7 5.3 Tools and Equipment...........................................................................................................7 5.4 Weather Condition ..............................................................................................................8 5.5 Personal Protective Equipment(PPE)....................................................................................8 5.6 Communication...................................................................................................................8 5.7 Working time.......................................................................................................................8 5.8 First Aid and First Aider........................................................................................................8 5.9 Environmental Measures......................................................................................................9 5.10 Visitors or Vendor on site.....................................................................................................9 6 METHODOLOGY .....................................................................................................................................................................9 6.1 Description..........................................................................................................................9 6.2 Clearing and excavation Operations....................................................................................10 7 CONTRACTOR'S ORGANIZATION FOR ACCESS ROAD CONSTRUCTION....................................................................11 8 ATTACHMENT A - LOCATION MAP...................................................................................................................................12 9 ATTACHMENT B – PHOTOS................................................................................................................................................13 PHOTO 1 ..........................................................................................................................................................................................13 10 ATTACHMENT B/2 – PHOTOS ...........................................................................................................................................14 11 ATTACHMENT B/3 – PHOTOS ...........................................................................................................................................15
  • 4. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 4 of 22 12 ATTACHMENT C - RISK ASSESSMENT SPECIFIC..............................................................................................................16 13 ATTACHMENT D - JOB HAZARD ANALYSIS .....................................................................................................................19 14 ATTACHMENT E – LAST MINUTE RISK ASSESSMENT....................................................................................................21
  • 5. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 5 of 22 1 PURPOSE To establish methodology on cleaning of land slide at at 10 required for construction of AT 10 and towers 8 I, 8 u, 9 u (Appendix A - LOCATION MAP) 2 SCOPE This procedure establishes description and guidelines for works performed during the removal of the land slide near tower 9u. Duration of the works is estimated to be 15 working days starting from receiving confirmation for starting of the works. However final duration of the works, will be determined by field performance. Will be used for these work: Company: 2 Excavators, 2 operators, 2 workers (Wachman’s), 1 Lead Civil Engineer Contractor: 1 Geologist
  • 6. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 6 of 22 3 DEFINITIONS - -Contractor Inginieria y Construccion PM- Project Manager DPM- Deputy Project Manager 4 REFERENCES Health Safety and Environmental (HSE) Plan  Chapter 6: Point 6.1 ; Point 6.2 ;  Chapter 10: Point 10.1  Chapter 11: Point 11.1.  Chapter 12:Point 12,1  Chapter 13: Points 13.1, 13.2, 13.3, 13.4, 13.5, 13.6, 13.8, 13.10. Quality Assurance / Quality Control (QA/QC) Plan 5 HEALTH, SAFETY, AND ENVIRONMENT CONSIDERATION 5.1 Requirements Before the Contractorstart constructionof access roadto towerlocationsthe requirements listedbelow must be followed and completed. 1. All the crew must be trained for such activity; 2. RiskAssessment(RA)(Appendix C- RISKASSESSMENT) andJobHazardAnalysis(JHA) (Appendix D - JOB HAZARDANALYSIS) mustbe prepared before any start of activity. JHA must be read and signed by all the members of the crew before the activity starts; 3. Equipmentmustbe ingoodconditionandall safetydevices mustbe functional andactive during all the time; 4. Last Minute Risk Assessment will be prepared and signed from HSE Lead and Lead Engineer every day(No Works will be performed without LMRA) 5. Tools must be in good shape and not damaged or modified;
  • 7. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 7 of 22 6. Housekeeping and working area must be clean in order to protect the Environment; 7. Communication (Radio); 8. Working time (8Hours). 5.2 Team Members Trainings Team members must be trained in different disciplines to perform this activity.  General induction training; o HS&E Induction o Environmental Awareness o Emergency Response Plan Training o Fire Fighting Training o First Aid Training o JHA/Risk Assessment o HS&E Leadership o Stop Works o HS&E Assessments o Accident/Incident Reporting & Investigation o Near Miss Reporting o Cost of Accidents  Tools and equipment training;  Watchman Daily Instruction  PPE training;  Equipments, Only this category of workers should be working in Cleaning of Land Slide at AT 10 construction. 5.3 Tools and Equipment  Tools must be in good condition and free from any damage;  Only proper tool are allowed to use in this activity;  Homemade tools are not allowed to use on site;  Equipment must be in good condition and checked periodically;  Only authorized operator must use them and to be shore that the equipment to be well maintained;  Radio communication
  • 8. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 8 of 22  Acoustic High Signal  Where the equipmentissettle, the areashouldbe barricade byhighvisible safetytape andalso warning signs must be put in order to inform the public about the work activity. 5.4 Weather Condition It is not allowed to perform any activity during bad weather condition like;  storm  snow No activity will be performed if equipment are not able to perform safe work because of weather condition. 5.5 Personal Protective Equipment (PPE) In order to prevent any injury or accident during the working time, we are forced by the HSE plan and the AlbanianLaborLow to use the followingpersonal protective equipment during all the time on site.  hard hat;  gloves;  safetyshoes;  highvisible vest;  Reflectivesigns.  Acousticsignalization All these PPEswill be usedandwearbyeveryone thatwill be partonthe workingsite.Visitorsshall wear these PPEs (except reflective sign), as well. 5.6 Communication In orderto have a safe working activity, the communication is a very important issue to be considered. Workers are not allowed to use or talk on the phone when they are operating or guiding equipment. Visible and acoustic signs must be used on site. 5.7 Working time In order to have a safe work condition, road access activity will be performed only during day time. If proper lighting is provided works can be performed by management decision. 5.8 First Aid and First Aider Emergency numbers must be place in a visible table from everyone. First aid kit will be put in a place where everyone may have access.
  • 9. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 9 of 22 5.9 Environmental Measures In order to keep a good environment on site, spill prevention must be present on site, garbage and waste of food will be removed from site and deposited in safe waste area. All the area must be clean and in good environment condition after work activity. 5.10 Visitors or Vendor on site Visitors or Vendors are not allowed to enter on site until they have permission, however, visitors and vendormust have a brief training before they go on site and also they should sign the attendance list. 6 METHODOLOGY 6.1 Description Cleaning of land slide at access track at 10 will be done with these steps:  We will beginthe excavationinzone 1, as it is rocky area during excavator work, it will create a vibrationthatwill affectthe provocation of the surrounding area to see if there is any possible movement,thisareaisthe safestpartcompact rockerwhere the excavatorwill work and in this way does not endanger the vehicle and maneuver.  If the terrain does not show any sign of new displacing, and after the Contractor Geologist checks and gives OK we will continue with the second phase.  Afteritwill be continuedwithZone 3 excavation, this area consists of dislocated rock material, no compact rock,there are soil layers between the rock layers and vegetation and about 60-70 cm of soli above the surface. Excavationinthiszone will startfromtowerNo.8 inthe directionof landslidebyharassingandrelieving by 3m created by the land sliding, to see if we will have any possible slide or not.  If everythinggoeswellandthe Geologisttogetherwiththe Engineeragreesthat the structure is stable and there is certainty to enter that already cleaned area on both sides then we can proceed with the cleansing of the rock massive.  Excavatorsshouldworkwith interchange, only one at the same time during the excavations of Zone 1 and 3, to avoid any possible incident and to react on time.
  • 10. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 10 of 22  For these typesof workwhere the dangerishigh,the escortingteamshave tobe equippedwith acoustic signalizations and radio to signal the excavator maneuverer to immediately pull back with the vehicle in case of sliding terrain. Picture 1: Map of landslide and zones of work 6.2 Clearing and excavation Operations 1. Main contractor shall ensure all required permits are in place prior to the start of clearing and excavation work operations. 2. Main contractor Geologistshall be presentduringall time toestablishif terrainconditionsallow to proceed further with the works of clearing and excavations.l 3. The Contractor shall ensure compliance with environmental requirements such as silt fencing, run-off protection, or dust limitations during clearing and grubbing operation.
  • 11. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 11 of 22 7 CONTRACTOR'S ORGANIZATION FOR ACCESS ROAD CONSTRUCTION ProjectManager (ErlirCompany) Construction Manager (Klevi Kalemi) Site Engineer (Anil Company) Excavation Team (Surveyor, Forman, Operator) HSE Lead (Arber Dogani) Geologist(Contractor)
  • 12. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 12 of 22 8 ATTACHMENT A - LOCATION MAP
  • 13. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 13 of 22 9 ATTACHMENT B – PHOTOS PHOTO1
  • 14. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 14 of 22 10 ATTACHMENT B/2 – PHOTOS PHOTO 2
  • 15. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 15 of 22 11 ATTACHMENT B/3 – PHOTOS PHOTO 3
  • 16. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 16 of 22 12 ATTACHMENT C - RISK ASSESSMENT SPECIFIC
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  • 19. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 19 of 22 13 ATTACHMENT D - JOB HAZARD ANALYSIS
  • 20. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 20 of 22
  • 21. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 21 of 22 14 ATTACHMENT E – LAST MINUTE RISK ASSESSMENT
  • 22. Method of Statement Removal of land slide at AT10 ISSUING DATE: __/01/2018 State ofissue: 00 Page 22 of 22