Method Statement Template PDF

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METHOD

STATEMENT
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Method Statements
Method statements are used as a means of demonstrating that the hazards
and risks associated with a particular task or series of tasks have been
properly considered and evaluated. Method statements should outline the
appropriate risk control strategies that are required to be implemented in order
to ensure the health, safety and welfare of the workforce and others affected
by the works. A method statement can only be prepared once the potential
hazards have been identified and the risks assessed. This therefore requires
the completion of a properly considered risk assessment for each activity, or
series of activities, which identifies not only the hazards, but also the required
controls measures that are necessary to manage the residual risks.

The following method statement template can be used to formulate and


structure method statements for specific tasks and activities, though it should
be noted that every situation would require a site-specific method statement.
Generic method statements cannot be prepared, as every site/situation will
differ to a larger or lesser extent. The template has been developed so that all
of the information required for a method statement can be set out in a logical,
easy to understand format. This aids not only those preparing and reviewing
method statements, but it also helps in the communication of the information
contained within the method statement to those who are carrying out the work.

The pages following the template provide further information and guidance on
the type of information that should be included within a method statement.
When preparing method statements, reference should be made to the controls
and requirements of the risk assessments, together with other guidance
contained within HSE publications and guidance. Method statements should
address all of the major issues whilst avoiding irrelevant material, which is not
applicable to the specific situation.

The requirement for method statements (or safe systems of work) is not new.
Section 2 of the Health and Safety at Work etc Act 1974 requires all
employers to ensure safe systems of work, a safe place of work and a safe
working environment etc.

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Ref No.:
Method Statement Template S
Description of the
AFC Booth Activation - Installation
Task/Activity:

Project Name: AFC Roadshow Activation Project Ref:

Site Address/
Oasis Area Start Date/Time: 20th December 2023
Location: 12 AM – 7:30 AM
Finish Date/Time: 21st December 2023
12 AM – 7:30 AM
Name Role/Trade

Personnel involved:

Works Supervisor: Role: Tel:

Key Plant and Tools


Required:

Key Materials
Required:

Other Essential
Equipment:

Specific Identified
Residual Hazards:
(or refer to the task specific
risk assessment(s))

Specific Staff
Training
Requirements:

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

(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:
(ie: Guard Rails/Toe Boards/Brick Guards/Safety Harnesses/Exclusion Zones etc)
Fall Protection
Measures:
(Where work at height cannot
be eliminated - consider both
Personnel & Materials)
(ie: Lubricants/Solvents/Flammable Materials/Refrigerants/Welding Gases etc)

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(ie: Lubricants/Solvents/Flammable Materials/Refrigerants/Welding Gases etc)

Hazardous
Substances:
S
(Attach COSHH Assessments
and MSDS) Very Toxic Harmful/ Corrosive Dangerous Oxidising Highly Explosive
Irritant for the flammable
environment
Applicable: No No No No No No 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: All SWL can be found on or in excavators/telehandler

Other:
1. Hi-Viz

Required Personnel 2. Coveralls


Protective Equip.: 3.
Safety Hard Hats Safety Hearing Respiratory Eye
Boots Gloves Protection Protection Protection
Yes Yes Yes Yes Yes Yes

Emergency
Procedures:

Name of On-Site First Aider:

First Aid
First Aid Box Location:
Facilities:

Location of Nearest Hospital:

Other Information &


Comments:

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S
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:

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Method Statement Briefing Record S


Briefing delivered by:

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, we will seek further
advice and request an amended method statement.

Name (Print) Signature Date

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INFORMATION TO BE INCLUDED IN
METHOD STATEMENTS
S
The content of the Method Statement will depend on the complexity and size of the job. Its purpose is to show
how the work will be carried out safely. Method Statements should address each of the following:

1. Details of supervisory personnel on site who will be responsible for the work.
2. Where applicable details of Safety Consultant and their name and telephone number.
3. Details of any personnel not involved on site but who can be contacted regarding design or other specialist
information if necessary.
4. Work sequences.
5. Stabilisation of the works during their progress e.g., any temporary props, struts or supports that are
required.
6. The method of executing the works, which will include methods of lifting, fixing, holding or bolting.
7. Methods to prevent any falls from heights. Full details should be given i.e. working platforms, handrails,
safety harnesses or other means of preventing falling.
8. Access and egress to the job, i.e. by ladders, mobile work access platforms, hoists etc. Also specify the
location of any ladders or other means of access.
9. Methods of protecting materials falling from heights i.e. toe boards, debris/brick guards, boarding on
platforms etc.
10. The description of plant to be used in the execution of the work, its safe working load and details of any
tests, certificates, inspections/registers which are applicable.
11. Details of what to do in case of emergency. This would include details of first aid and names of qualified first
aiders.
12. Details of storage and the stacking of items on site together with any delivery procedures and any assembly
work that is going to be carried out.
13. Detailed calculations for any loading of platforms, props, temporary works or supports that are
to be provided during the progress of the job.
14. Personal protective equipment to be provided for employees and sub-contractors in particular, safety
helmets etc.
15. Details of any confined space hazards and where necessary, atmospheric monitoring procedures and
emergency equipment to be provided.
16. Details of any shoring to be provided in excavations, means of entry and barriers or secure coverings to be
provided.
17. Details of certification of personnel on site i.e., Construction Industry Training Board Certification Scheme
for Scaffolding, Steel Erectors, Plant Operators, Demolition Operatives etc. Details of any certification such
as Mounting of Abrasive Wheels, Cartridge Operated Tools etc.
18. The training of operatives on site i.e., induction training and any details regarding their part to be played
within the Work Method Statement.

The Method Statement or Safe System of Work is a requirement of the Health and Safety at Work Etc Act
1974 and is intended to outline the information, procedures and controls necessary to undertake the job
safely. It is essential that a copy of the Method Statement is made available on site for inspection by all
personnel. In addition, it is the responsibility of Management to ensure that all operatives are aware of
their role in the job that is outlined within the Statement.

The above points are not an exhaustive list and simply offer an outline of the details of the type of
information that should be provided within a Method Statement.

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