Method Statement

SFPS-HSE-FM-14 Rev.00

Company Name
Purpose of Method
Statement
Scope of work

Location

Exact site

1. Title

 Name activity

2. Equipment

 List the type of all major plant and equipment to be used.

3. Site Planning & Preparation

 Provide information on location of work and potential coordination with other

contractors.

4. Work Methodology

 Describe in detail the construction methods in a step by step logical sequence.

5. Work Force
 Basic details of all the levels of personnel involve in the activity

6. Organization, Responsibility & Preparation

 Method Statement
SFPS-HSE-FM-14 Rev.00

 List the contact details of the following:

Name of Key Designation Mobile No. Email address

Personnel

7. Additional documents

 Attach any relevant documents

 Certificates of the equipment
 Operators certificates / driving license

8. Person prepared the Method Statement (Contractor)

Method Statement Prepared by (Name)…………………………………...........

Signature ………………………………………………………..

Date ………………………

Position ……………………………………………………………….

9. Person in charge of Reviewed and Approved by (GWC PTW requestor /

Department designee)

Name…………………………….………………..........

Signature ………………………………………………………..

Date ………………………