Scribd
Upload
17K views3 pages

Method Statement Template 1 PDF

1. This document is a method statement template for a construction project that outlines safety procedures for tasks and activities. 2. It includes details about the personnel, equipment, materials, hazards, emergency procedures, and personal protective equipment required. 3. The method statement template provides guidance on sequencing the work operations and addressing issues like fall protection, hazardous substances, and load limits.

Uploaded by

hejjj jjjjjjjjjj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Topics covered

  • Project Management,
  • Project Safety,
  • Protective Equipment,
  • Qualified Personnel,
  • Safety Reporting,
  • Safety Documentation,
  • Fall Protection,
  • Emergency Procedures,
  • Safety Planning,
  • Plant and Tools
17K views3 pages

Method Statement Template 1 PDF

1. This document is a method statement template for a construction project that outlines safety procedures for tasks and activities. 2. It includes details about the personnel, equipment, materials, hazards, emergency procedures, and personal protective equipment required. 3. The method statement template provides guidance on sequencing the work operations and addressing issues like fall protection, hazardous substances, and load limits.

Uploaded by

hejjj jjjjjjjjjj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Topics covered

  • Project Management,
  • Project Safety,
  • Protective Equipment,
  • Qualified Personnel,
  • Safety Reporting,
  • Safety Documentation,
  • Fall Protection,
  • Emergency Procedures,
  • Safety Planning,
  • Plant and Tools

afety

ervices

SS

Direct.com

Ref No.:

Method Statement Template


Description of the
Task/Activity:
Project Name:

Project Ref:
Start Date/Time:

Site Address/
Location:

Finish Date/Time:
Name

Role/Trade

Personnel involved:

Works Supervisor:

Role:

Tel:

Key Plant and Tools


Required:

Key Materials
Required:
(ie: access platforms/winches/ladders etc)

Other Essential
Equipment:

Specific Identified
Residual Hazards:
(or refer to the task specific
risk assessment(s))
(ie: Confined Spaces/Abrasive Wheels/Working at Height/Plant Operators etc)

Specific Staff
Training
Requirements:

Page 1 of 3

Downloaded from http://www.tidyforms.com

afety
ervices

SS

Direct.com

1.
2.
3.
4.
Sequence of
Operations:

5.

(Specifying methods of
working, tools, materials and
equipment utilised)

6.
7.
8.
9.
10.
(If none, state none.)

Temporary Supports
and Props needed to
facilitate the works:
(ie: Ladders/MEWPS/Scaffold/Trestles/Step Ladder etc)

Method of Access
and Egress to the
work area:
Fall Protection
Measures:

(ie: Guard Rails/Toe Boards/Brick Guards/Safety Harnesses/Exclusion Zones etc)

(Where work at height cannot


be eliminated - consider both
Personnel & Materials)
(ie: Lubricants/Solvents/Flammable Materials/Refrigerants/Welding Gases etc)

Hazardous
Substances:
(Attach COSHH Assessments
and MSDS)

Applicable:

Very Toxic

Harmful/
Irritant

Corrosive

Dangerous
for the
environment

Oxidising

Highly
flammable

Explosive

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

(Detail any limits on the loadings applicable to temporary plant/equipment or fixed elements of the
structure where the work is taking place.)

SWL's:

Other:
1. Hi-Viz

Required Personnel
Protective Equip.:

2. Coveralls

Safety
Boots

Hard Hats

Safety
Gloves

Hearing
Protection

Respiratory
Protection

Eye
Protection

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

Page 2 of 3

Downloaded from http://www.tidyforms.com

3.

afety
ervices

SS

Direct.com

Emergency
Procedures:

Name of On-Site First Aider:


First Aid
Facilities:

First Aid Box Location:


Location of Nearest Hospital:

Other Information &


Comments:

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 companies Health and Safety Policy.
Prepared by:
Position:

Date:

Reviewed by:
Position:

Date:

Page 3 of 3

Downloaded from http://www.tidyforms.com

You might also like