Method Statement Proforma

(To be Submitted at Least 5 working Days Prior Commencement of Work)

Project Name: SOHO Place Project Number: SO30222

Company: Waverley Blinds Document Number: 001

Title / Task: Survey & Installation of Drop Rods Revision Number: 00

Date of Issue:19/10/2020 Quest Joinery Ltd Alastair Elliott

Contact:

Other Trade Contractors to be copied with Method

Statements and Risk Assessments for information,
co-ordination and interface purposes

Revision No: Date Reviewed by Quest Reviewed by: Quest

Joinery Ltd Joinery Ltd

Method Statement Proforma 1 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
22/10/2020
21/06/21
1.0 PROPOSED START DATE: PROPOSED START TIME: 0830
1 day
1.1 EXPECTED DURATION:
th
5 Floor rehearsal space
1.2 EXACT LOCATION (S): ATTACH PLAN (If
Necessary)
1.3 Russell Keegan
DOCUMENT PREPARED BY:

1.4 FULL DESCRIPTION OF METHODOLOGY / SEQUENCE OF WORKS

Pre-requisites prior to works

• All operatives to attend QJL induction on site prior to commencing work on site.
• All tools to be utilised will be checked to ensure no damage or faults and to ensure they are fit for
purpose. 110V tools will be checked to ensure the PAT Test is current. If out of date, the tool will not
be used until a re-test has been undertaken.
• All plant including access equipment to be checked by the site supervisor, Site supervisor to be fully
PASMA trained to enable the signing off of scaff tags. Records of all inspections will be kept within the
site H&S folder.
• All operatives to wear full PPE according to the specific task requirements and site rules. The
minimum PPE requirements for any operatives working on behalf of Waverley are: Hi-Viz, Hard Hat
with 4 point chin strap, Safety Boots, 4343 gloves, Light eye protection which must be worn at all
times.
Install of track fixing structure
• Site Supervisor to confirm that the Specification is latest and “current” issue
• Site Supervisor to confirm that the drawings are latest issue and are “for Construction”
• Site Supervisor & operatives to confirm that the work area is clear and safe to be worked in.
• Waverley to set out and confirm that all drops are in the correct position.
• Waverley to install unistrut required to the structural steelwork in the u shaped section.
• The threaded rod will be set out according to the plans and installed to each passion at 1200mm
centres.
• The rods will be fixed into place using @zebs’ spring nuts directly into he pre-installed Unistrut by
others
• Rods will be cut to length leaving an excess of approx. 200mm for future adjustment.

COVID 19 POLICY
 All staff working on the RMS project for Waverley will need to read and understand the full QJL
 COVID 19 policy and the full Waverley COVID 19 Policy. As a minimum, the following should be
followed
 Staff should wash hands using the sanitizer points available at regular intervals following guidance.
 Staff should work at 2 meter distances from other members of staff where ever possible.
 At any sign of symptoms, you must remove yourself from site making no contact with anyone and
report
 Directly to your supervisor over phone. Follow all guidelines on self isolating.
 Staff should be prepared to adapt to any changes on site or to either policy document as the
pandemic
 changes or government guidelines change.

Method Statement Proforma 2 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma

RISK RISK
2.0 RISK ASSESMENTS ATTACHED: Working at Height
A list of identified risks throughout the task will be
Manual Handling
noted here, The full risk assessments to be attached
for each task/significant risk identified. Slips trips and falls
Hand tools
See Appendix: 1 Covid
N/A
2.1 COSHH:
A comprehensive list of materials is to be entered
here. This will highlight which COSHH Assessments
and manufacturers Material Data Safety Sheet
(MSDS) should be attached to the Method Statement.

Manual Handling will be required to move installation materials,

2.2 MANUAL HANDLING: access equipment, and tools required.
What activities req manual handling. How will you
minimise manual handling, what training will your
operatives receive ? Manual handling risk assessment attached

All operatives are suitably trained in manual handling and have

regular tool box talks to enforce knowledge

All records are kept in H&S file on site

2.3 N/A: selection of fastening tools with vibration levels below

HAND ARM VIBRATION: EVA=2.5m/s2 permit use throughout a 8 hour shift without risk
to personnel.

18v battery drills being used only

2.4 NOISE:
What activities will generate noise. How will you See Appendix 4
minimise noise? How will you define noisy areas? Will
you undertake a noise assessment?
See Appendix: 4
Hilti Laser Measure, Laser Class - Visible 635 nm, output
2.5 RADIATION / LASERS: power < 1 mW: Laser Class 2 EN 60825-1:2007; IEC 60825-
Consider the risks to eyesight presented by lasers
during setting out activities. When a laser is first
1:2007; Class II CFR 21 § 1040 (FDA
delivered/brought onto site, check the label to ensure it
is classified as Class 1, Class 2 or Class 3A. Classes
of laser higher than 3A are not to be used on site i.e.
3B or Class 4. Consider using 'Laser Hazard' warning
signs.

Method Statement Proforma 3 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
2.6 ACCESS / EGRESS:
Describe access, both on to site and to the workplace All deliveries to be booked in 48 hours in advance and to follow
once on site. Reference should be made to road
names, width restrictions, entry/exit points, suitability
all Quest induction rules if you are to be using anything larger
for unloading, restrictions on stopping, parking etc. On than a transit. For transit deliveries 15min slots are available on
site consideration should be given to one-way circuits turning up. We must have An operative in the loading bay to
and the separation of pedestrians and vehicular traffic. receive the delivery.
This section could also be used to describe availability
of on- and off-site parking for contractors.
Consideration of movements of material, operatives, All goods to be taken to our store area and then to be
vehicles, waste. disseminated to site areas when required.

Working at height is a last resort where the site / plant cannot be

3.0 WORK AT HEIGHT: PERSONS
Apply the hierarchy of controls as detailed in the Work
at Height Regulations 2005 and describe the
measures taken to ensure your operatives can work
safely at height.
Fall prevention: You will need to consider all site
activities that may involve persons working at height
including: loading and unloading vehicles, slinging
and un-slinging loads, working adjacent to leading
edges, open risers, shafts and ducts, use of mobile
towers/ podiums / ladders etc. Provide details of any
Work at Height Training including harness inspection
and training records.
measured / observed from ground level.
-All working at height to be as hierarchy of control:
-Up to working height of 3.5m – PECO lift or Delta Decks
-Above working height of 3.5m –mobile towers as required.
-Any Aluminium towers will be comprised of 250mm tubes. No ladder
towers allowed. To be erected by PASMA certified operatives. When
erected, modified of disassembled, sign and issue scaffag.
-Step ladders will only be used in restricted areas under ISG step
permit. Permit to be on operative’s person for duration of work.
-PECO’s or Delta decks to be used as first choice of access
equipment over mobile
towers and step ladders.
MEWPS to be used where additional height is required

3.1 WORK AT HEIGHT: FALLING OBJECT Exclusion zone to be set up around work area when working at
PREVENTION height.
The prevention of tools, articles and materials falling Tool tethering if over 3m working height
needs to be considered whenever work at height is
undertaken. Considerations needs to be given to:
 The storage of materials and
tools at height
 Control/ tethering of tools when
undertaking work at height
 Controlling materials and
components during the
install/removal process
 Establishing and maintaining
exclusion zones,
 Sequencing high level works to
minimise risks

Method Statement Proforma 4 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
3.1a Prevention of tools falling Tools to be tethered at times where:
When working at height in the following circumstances,
tools must be tethered at all times:
• At a height, greater than 3m
 At a height, greater than 3m • When working <2m away from an edge
 When working <2m away from an edge • When a dropped tool could result in injury
 When a dropped tool could result in injury • When working at height >3m externally to a building
 When working at height >3m externally to a • Any situation where tools could fall into a PPE free zone
building
• When working in or adjacent to risers, shafts stairwells etc
 Any situation where tools could fall into a
PPE free zone • Or when persons are working immediately below the work
 When working in or adjacent to risers, shafts area
stairwells etc
 Or when persons are working immediately
below the work area
If the tool is too heavy or a suitable anchor point
doesn’t not exist, exclusion zones must be set up
below the work area

4.0 No OF PERSONNEL/JOB TITLE (NAMES IF Works will be carried out in a two man team and will be supervised by
APPLICABLE): one of our on site supervisors.

4.1
SUPERVISOR (WITH CONTACT No): Name: Russell Keegan 07818856908
OR PERSON ON SITE THAT IS IN CHARGE Training Certs/Qualifications: CSCS Skilled, smsts,

4.2 PLANT / EQUIPMENT/TOOLS: Only hand held measuring tools

This section is purely a list of plant and equipment that
Stepladders
Tower to be used, guys to have pasma training
it is proposed to use on site. It may be useful to
include dimensions, weights etc. This box can then be
referred to later when specific risk assessments are
attached for the various operations/activities. Copies
of Plant/Equipment and maintenance and inspection
records will be required including competency
certification for all Operative.:

MATERIALS: n/a
4.3 List of materials to be used

TECHNICAL INFORMATION:
Any information that is critical to the Health & safety of
n/a
4.4 the project; this may include elements of the structural
engineer’s reports, previous Health & Safety plans,
any design drawings or specifications that may be
available.

WASTE REMOVAL: n/a

4.5 How will waste be removed from site? Consider
location of skips, provision of bins and what collection
arrangements will be put in place.
Disposal of controlled waste?

4.6 HOUSEKEEPNG and STORAGE: n/a

How will materials be stored on site?
How will you maintain the required standard of
housekeeping?

4.7 PREVENTION OF LEAKS & SPILLS: n/a

During any activity that requires or may generate large
volumes of water/fluids, consideration needs to be
given to preventing leaks and spillages.
During Flushing activities, a proprietary polypropylene

Method Statement Proforma 5 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
tank is to be used to house the Flushing Rig, with
adequate consideration given to the volumes of water
involved. If there is a chance of a leak or spillage, a
Wet-Vac needs to be readily accessible.

No
5.0 PERMITS REQUIRED: YES / NO
n/a
5.1 PERMIT TYPE:
n/a
ISSUED BY:
5.2
SECURITY ARRANGEMENTS: e.g MOD Client requirements etc
5.3
All operatives to hold up to date CSCS/ECS skill cards
5.4 TRAINING OF PERSONS INVOLVED: -Project manager to hold SMSTS.
Outline clearly activities requiring training that are
going to take place on site. If a certain standard of -Supervisor to hold SSSTS
training is required, then ensure it is detailed here. -Tool box talks to be given on a weekly basis.
Operatives must be competent to undertake the tasks
they are expected to carry out (all training -On-Site training provided where required.
requirements must be fulfilled prior to operatives being -Certification for use of Spit Pulsa Compressed Air fastening tools
set to work) and ISG will require copies of certification.
-Records for each operative to be kept in the site H&S file to be
reviewed an updated at regular intervals.
-PASMA training for operatives erecting, modifying or inspecting
aluminium / mobile towers.
IPAF training for use of MEWP

6.0 MANDATORY SITE PPE ( AS PER BRITISH Hard Hat EN12492 with 4 point chin strap/ Safety Footwear with
AND EUROPEAN STANDARD: midsole protection/ Hivis Clothing / Gloves 4343/ Light Eye
Protection
6.1
TASK SPECIFIC PPE: n/a
Identified as per risk assessment.
State grade and standard. Note: Consideration of
working environments will need to be included and
additional PPE may be required e.g. cut resistant arm
protection for work in ceiling voids etc.

6.2 Respiratory Protection Equipment (RPE):

When selecting RPE you must ensure that it is n/a
adequate and suitable to ensure the wearer is
protected:

•Adequate – It is right for the hazard and

reduces exposure to the level required to protect
the wearer’s health.
•Suitable – It is right for the wearer, task and
environment, such that the wearer can work
freely and without additional risks due to the
RPE.
NOTE: Consideration needs to be given to all
construction generated fumes, vapours and
dusts including Respirable Crystalline Silica.

Method Statement Proforma 6 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
7.0 EMERGENCY ARRANGEMENTS FOR:
- First aid boxes located in ISG offices
7.1 RESCUE: - In event of accident contact a Waverley first aider listed below,
This should include address, phone where the first aid - In event of emergency report to ISG and Waverley, ISg will contact the
kit is held,a rescue plan for specific operations emergency services if required
e.g Confined space - All acidents and near misses to be reported immediately,
Falls from Height
Isolated work areas

In case of an emergency the closest hospitals are:

7.2 University College Hospital
235 Euston Rd, London NW1 2BU
n/a
FIRST AID ON SITE (QUALIFIED PERSON):
First Aid Equipment and certification required

8.0 PEDESTRIAN / TRAFFIC REROUTING

ARRANGEMENTS: n/a
Will your works interfere with current pedestrian / traffic
arrangements.

8.1 FIRE SAFETY ARRANGEMENTS:

Will your works create additional fire risks or n/a – no hot works
additional requirements E.G Hot Works

8.2 RESPONSIBILITY FOR TASK LIGHTING: n/a

Consideration should be given to site hours; this may
immediately highlight the need for artificial lighting if
work starts before first light or continues after dusk.
Additionally the requirement for general site lighting and
specific task lighting would be inserted here
NO PORTABLE HALOGEN LIGHTS ALLOWED

9.0 TO WHOM THE INFORMATION / WILL BE -Method statement will be delivered to operatives.
COMMUNICATED AND HOW?
-Signing briefing sheets to be submitted prior to
( TO INCLUDE NON ENGLISH SPEAKING commencement of works.
OPERATIVES) -All operatives speak fluent English

9.1

Method Statement Proforma 7 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
CONFIRMATION OF OPERATIVES BRIEFING:

agreed

Name. Signature.

Signed briefing sheets to be submitted prior to commencement of

works

Method Statement Proforma 8 of 16 FOMS CN 395 07/07/2017

Method Statement Proforma
10.0 PERSON RESPONSIBLE FOR Russell Keegan - 07818856908
MONITORING/REVIEW OF THE SAFE
SYSTEM OF WORK AND ENSURING
COMPLIANCE:
Show here who is responsible for this operation/task,
and their contact numbers.

Quarterly, or as per changes in site conditions

10.1 REVIEW DATES:
Russell Keegan
AMENDMENTS AUTHORISED BY:
10.2

All Waverley operatives via hard copy

10.3 AMENDMENTS COMMUNICATED TO: To Quest via Email

DATE:
19/10/2020
10.4
Rev 00
REVISION STATUS: E.G A,B,C ETC

Method Statement Proforma 9 of 16 FOMS CN 395 07/07/2017

Manual Handling Operations Checklist
Mark boxes as appropriate. Every activity must be marked
Company- Waverley Project/premises – Soho Pklace Activity- installing blinds
Materials to be handled- Measuring Equipment Hazardous contents – n/a Location- all floors
Can manual handling be eliminated – no
TASK

YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO
LOAD

YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO

ENVIRON

YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO
PERSON

YES NO YES NO YES NO YES NO YES NO

Assessor Name R.Keegan Signature: R.Keegan Date:19/10/2020

Method Statement Proforma 10 of 16

COSHH Assessment Form N/A
This form provides details of the hazards and risks associated with the task/substance identified below. You must read the
information provided and implement the measures specified on the form.

Project Name: Project Number:

Assessment Number: Assessment Date: Review Date:
Product/substance name(s): Chemical name:
Synonyms: Hazard phrase:
Appearance:
How is the Substance used:

Area: Work Activity:

Risks to Health:
Factors which increase risks:
Exposure routes: Inhalation Ingestion Eye Skin Absorption Injection
contact contact
Symptoms of harmful exposure:

Storage precautions:

Transport precautions:

Handling/use precautions:

Personal protective equipment required:

Disposal precautions:

Emergency action
Spillage:
First aid:
Fire:

Emergency action contact:

Additional information:
Relevant Risk Assessment form number:
Medical advice:
Name, address and telephone number of supplier of substance:

Datasheet included Yes/No

Assessment By: Date:

Method Statement Proforma 11 of 16

Risk Assessment Log
Project Name:

Document Status

Rev No: Date Reviewed Document Prepared By

00 19/10/20 RK Russell Keegan

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Method Statement Proforma 12 of 16

 Risk Assessment Matrix
Assessor: RK
X 5 4 3 2 1
RA No. Sheet 1 of 2 5 25 20 15 10 5
Persons Affected; Employees x Contractors x Client Employees Public
4 20 16 12 8 4
3 15 12 9 6 3
2 10 8 6 4 2
Project Address Soho Project Number Management Systems Required
1 5 4 3 2 1
Place SO30222
Permit to Work Reference Numbers Low 1-6 Medium 8-12 High 15-25

Standard Control Measures New Control Measures

No. Hazard Risk
1 Working at height Potential fatality, serious
injury to many parts of body
due to a potential fall from
height or falling objects at
height
Additional
Completion Date
S L S L R Residual Risks Control S L R
R Control Measure Measures
& Signature
5 4 20 Competent operatives (CSCS, 5 1 5
IPAF, PASMA) to be utilised
only. Areas directly below
cordoned off and controlled,
where possible. No
unauthorised access. All
working at height to be
planned, controlled and
supervised by site
management. All working at
height to be in accordance
with the Working at Height
Regs (2005)

2 Manual Potential hernias, back 4 4 16 No major objects to be 4 1 4

Handling strains, cuts, bruising, crush
or broken bones injuries.
moved manually. Competent
operatives utilised only.
Appropriate PPE worn. Any
awkward / heavy
lifting to be planned, controlled
and supervised by site
management.

SEVERITY LIKELIHOOD
S Severity No Injury 1 Almost Never
L Likelihood Minor Injury 2 Seldom
R Result >7 day Injury 3 Possible
Major Injury 4 Probable
Death 5 Frequently

Assessor Signature R.Keegan Date for Review: 19/10/2020

Method Statement Proforma 13 of 16

 This continuation sheet should be attached securely to the first sheet
RA No. Sheet 2 of 2
S – Severity L – Likelihood R - Result

Action By Completion
Additional Control
No. Hazard Risk S L S L R and Time S L R Date &
R Control Measure Measures
Signature
Scale
3 Slips, trips and -Fall of operatives 3 3 9 -Good house keeping 3 1 3
Fall -overturning of steps. -Keeping walk ways clear
-Correct foot wear worn

4 Hand Tools Damage resulting from 2 3 6 -All operatives to be 2 2 4

irresponsible use trained and competent.
-Hand tools to be in good
working condition, free
from damage and suitable
for the task at hand.
- Operative to wear Mandatory
4543 gloves.
Tool box talks on correct use
of Hand Tools
5 COVID Catching the virus 5 4 20 Social distancing, regular 5 1 5
hand washing, following all
of Quest Joinery and
Waverley covid policies.

SEVERITY LIKELIHOOD
No Injury 1 Almost Never
Minor Injury 2 Seldom
>3 day Injury 3 Possible
Major Injury 4 Probable
Death 5 Frequently

Assessor Signature R.Keegan Date for Review: 19/10/2020

Method Statement Proforma 14 of 16

Noise Assessment Single Equipment
Project: Activity: Sheet: Completed By: Date:
rd
Project No: People affected / at risk of being harmed: (Include 3 Parties)

No Activity Tools in use Pre Control Risk Rating Controls Required Post Control Risk
Rating
High Medium High Medium Low
Above 85dBa 80 – 85dBA
1 N/A N/A N/A N/A N/A N/A N/A N/A

Guidelines;
 80dBA is the First Action Level – hearing protection should be offered.
 85dBA is the Second Action Level – hearing protection is mandatory.
 Before resorting straight to PPE, look at the organisation of the work and consider if the risk can be reduced any other way. For example by isolating the noisy work, reducing the number of people exposed, or
the length of time someone is working in the noisy environment
 Noise ratings can be determined using a sound level meter. Should you require a noise assessment, please contact the Health & Safety Dept.
 As a rough guide, if you have to raise your voice to be heard from 2 metres away, the noise will be approximately at the first action level. If you are raising your voice to be heard at 1 metre away from the
source, it is likely to be at the second level
 Download the Noise Exposure Calculator from http://www.hse.gov.uk/noise/calculator.htm to calculate exposure from multiple activities or to calculate exposure duration before the action level is reached
 Don’t forget to take into account other persons working within the noisy area.
 Exposure limit values (ELV): These relate to personal exposure to noise and must not be exceeded, peak sound pressure of 140 dB.

Method Statement Proforma 15 of 16

Noise Assessment Multi Equipment
(This form is to be used when multi equipment is used in a specific area to ensure the peak sound pressure levels are not exceeded)

Project: Activity: Sheet: Completed By: Date:

rd
Project No: People affected / at risk of being harmed: (Include 3 Parties)

No Activity Tools in use Pre Control Risk Rating Controls Required Post Control Risk
Rating
High Medium High Medium Low
Above 85dBa 80 – 85dBA
1

Guidelines;
 80dBA is the First Action Level – hearing protection should be offered. 85dBA is the Second Action Level – hearing protection is mandatory.
 Noise ratings can be determined using a sound level meter. Should you require a noise assessment, please contact the Health & Safety Dept
 As a rough guide, if you have to raise your voice to be heard from 2 metres away, the noise will be approximately at the first action level. If you are raising your voice to
be heard at 1 metre away from the source, it is likely to be at the second level
 Download the Noise Exposure Calculator from http://www.hse.gov.uk/noise/calculator.htm to calculate exposure from multiple activities or to calculate exposure
duration before the action level is reached
 Don’t forget to take into account other persons working within the noisy area.
 Exposure limit values (ELV): These relate to personal exposure to noise and must not be exceeded; peak sound pressure of 140 dB.

Method Statement Proforma 16 of 16