Al Maryah Central

Al Maryah Island, Abu Dhabi, United Arab Emirates

METHOD STATEMENT COMMENTS SHEET FORM

REFERENCE No. : M1467-MCL-BMES-MSS-005 REV. : 01 DATE : 18.08.2019

Method Statement and Risk Assessment for Erection Adaption

SUBJECT : PROJECT No.: M1467
and Dismantling of Independent Scaffolding with Cantilever

Please find enclosed:

No. of
ITEM DRAWING/DOCUMENT NO. REV DESCRIPTION
Copies
Method Statement and Risk Assessment for Erection Adaption
1 1 M1467-MCL-BMES-MSS-005 01
and Dismantling of Independent Scaffolding with Cantilever

Review by Name Signature Date Y/N/NA

Project Manager Luke Watson

Construction Manager Prabhu Srinivasulu

HSE Manager Joby John

QA/QC Engineer Ramil Magano

MEP Manager Robert Heard

Others

This section to be completed by Construction Manager:

A - Approved B – Approved with Comments C – Revise & resubmit
Work may proceed subject to incorporate
Work may proceed Work may not proceed
of comments indicated

Name: Designation: Signature: Date:

This section to be completed by HSE Manager:

A – Approved B – Approved with Comments C – Revise & resubmit
Work may proceed subject to incorporate
Work may proceed Work may not proceed
of comments indicated
Joby John Safety Manager
Name: Designation: Signature: Date:

This section to be completed by QA/QC Engineer:

A - Approved B – Approved with Comments C – Revise & resubmit
Work may proceed subject to incorporate
Work may proceed Work may not proceed
of comments indicated

Name: Designation: Signature: Date:

Originator Subcontractor:

DANIEL SARMIENTO SCAFFOLDING DESIGNER 18.08.2019

Name: Designation: Signature: Date:

QMS012 (UAE) 01/19 – Rev.13 (AMC) Page 1 of 1 Method Statement Comments Sheet Form