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    Method Statement Template

    Uploaded by

    kkk
    This document outlines the method statement for a construction project. It provides details of the contractor, project name, personnel involved, equipment and materials needed, sequence of operations, safety measures, permits, and more. The method statement is intended to describe the task and ensure it is completed safely in accordance with the contractor's health and safety policies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Method Statement Template

    Uploaded by

    kkk
    182 views4 pages
    This document outlines the method statement for a construction project. It provides details of the contractor, project name, personnel involved, equipment and materials needed, sequence of operations, safety measures, permits, and more. The method statement is intended to describe the task and ensure it is completed safely in accordance with the contractor's health and safety policies.

    Original Description:

    method statement

    Copyright

    © © All Rights Reserved

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    This document outlines the method statement for a construction project. It provides details of the contractor, project name, personnel involved, equipment and materials needed, sequence of operations, safety measures, permits, and more. The method statement is intended to describe the task and ensure it is completed safely in accordance with the contractor's health and safety policies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    182 views4 pages

    Method Statement Template

    Uploaded by

    kkk
    This document outlines the method statement for a construction project. It provides details of the contractor, project name, personnel involved, equipment and materials needed, sequence of operations, safety measures, permits, and more. The method statement is intended to describe the task and ensure it is completed safely in accordance with the contractor's health and safety policies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 4

    MethodStatement

    Contractor

    Name:

    Address:

    Tel:
    Email:

    ProjectName

    Descriptionofthe
    Task/Activity
    Site
    Address/Location:

    PersonnelInvolved

    SiteSupervisor:

    SafetyOfficer

    KeyPlant&Tools
    (AttachCertification)

    KeyMaterials

    OtherEssential
    Equipment:

    Start

    Date/Time:
    Finish

    Date/Time

    Name

    Role/Trade

    Tel:

    Tel:

    (i.e.accessplatforms/winches/ladders,etc)

    JAN2011CopyrightofConstructionIndustryFederationMethodStatement

    MethodStatement

    Specific
    Identified
    Residual
    Hazards:
    (orrefertothe
    taskspecificrisk
    assessment(s))

    SpecificStaff
    Training

    1.

    2.

    3.

    4.

    Sequenceof
    5.
    Operations:

    (includesketches
    6.
    ifrequired)

    7.

    8.

    9.

    10.

    Temporary
    Supportsand
    Propsneededto
    facilitatethe
    works:

    Methodof
    Accessand
    Egresstothe
    workarea:

    (ifnone,statenone)

    (i.e.Ladders/MEWPS/Scaffold/Trestles/StepLadder,etc)

    JAN2011CopyrightofConstructionIndustryFederationMethodStatement

    MethodStatement

    (i.e.GuardRails/ToeBoards/BrickGuard/SafetyHarnesses/ExclusionZones,etc.)

    FallProtection
    Measures:
    (Whereworkat
    heightcannotbe
    eliminatedconsider
    bothPersonnel&
    Materials)

    Hazardous
    Substances:
    (AttachMSDSif
    required)

    AcuteToxic

    Applicable:

    Yes/No

    Storage
    Arrangements:

    Detailsof
    PermitstoWork:

    SWLs:

    HealthHazard

    Corrosive

    Dangerous
    Forthe
    environment

    Yes/No

    Yes/No

    Yes/No

    Oxidising

    Yes/No

    Highly
    flammable

    Yes/No

    Explosives

    Yes/No

    (Detailanylimitsontheloadingsapplicabletotemporaryplant/equipmentorfixedelementsofthestructurewheretheworkistaking
    place)

    Required
    Personnel
    Protective
    Equipment:

    Other:

    SafetyBoots

    EmergencyProcedures:

    HardHats

    SafetyGloves

    Hearing
    Protection

    EyeProtection

    Respiratory
    Protection

    1.HiViz

    2.Coveralls

    3.

    NameofOnSiteFirstAider:

    FirstAid FirstAidBoxLocation:
    Facilities:
    LocationofNearestHospital:

    WelfareRequirements

    Servicestobesupplied

    byOthers

    Otherinformation&

    Comments

    JAN2011CopyrightofConstructionIndustryFederationMethodStatement

    MethodStatement

    Allworkwillbeundertakenbyqualifiedcompetentpersonswithexperienceofthetypeofworkdescribed
    above,andinallcasesinfullaccordancewithsafetyproceduresspecifiedinthecompanyshealthandsafety
    Policy.

    Preparedby:

    Position:

    Date:

    Reviewedby:

    Position:

    Date:

    ItemsAttached:
    Sketches

    Yes No

    CertificationofPlantetc.
    ProgrammeofWork
    RiskAssessments

    MethodStatementBriefingRecord

    Briefingdeliveredby:

    Position:

    Date:

    We (the undersigned) have read and understood the attached method statement and will comply with the
    specified requirements and control measures. If the work activity changes or deviates from that originally
    envisaged,wewillseekfurtheradviceandrequestanamendedmethodstatement.

    Name(Print)
    Signature
    Date

    JAN2011CopyrightofConstructionIndustryFederationMethodStatement

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