Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Project client
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Area
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Site Address
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Permit number
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Operatives are obliged to carry out work to the standards required by the New Roads and Street Works Act 1991
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Supervisors and operatives will have the relevant NRSWA accreditations from the relevant board
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Brief description of works
- Repairing of existing BT OR duct infrastructure to enable the installation of fibre optic cables
- Location, marking and avoidance of underground apparatus and services
- Signing, lighting and guarding units as and where applicable
- Excavation in the carriageway or public highway to repair damaged ducts on the BT OR network
- Reinstatement and compaction of backfill materials
- Reinstatement of sub-base and road-base in non-bituminous materials
- Reinstatement of cold-lay bituminous materials
- Reinstatement of modular surfaces and concrete footways
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Site operatives must continually monitor and assess risks to themselves and members of the public in the immediate vicinity
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Traffic signs, barriers, cones and other apparatus for the control of traffic and pedestrians will be erected to conform to Safety at Street Works and Road Works (ACOP) and Chapter 8 Traffic Signals Manual
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Persons affected by works
- Site operatives
- Client personnel
- Members of public/site visitors
- Other
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Describe how persons are affected
Hazards
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Safety
- Working at height
- Fragile roofs
- Plant, equipment & tools
- Mobile plant
- Overhead services
- Underground services
- Electrical
- Confined spaces
- Hot works
- Gases
- Fire/explosion
- Falling materials
- Collapse of structure
- Other
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Please specify
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Health
- Noise/vibration
- Asbestos
- Hazardous substances/atmosphere
- Manual handling
- Rats/birds or other
- Lead
- Other
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Please specify
Site operatives
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Name
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Job
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Name
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Job
Welfare Facilities
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Use on site if possible, otherwise public toilets
Plant & Equipment
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Equipment on this site
- Hydraulic breaker pack
- Cobra duct rod reel
- Pit lifters
- Various hand tools
- CAT and Genny
- Plate compactor
- Petrol generator
- Stihl saw
- Diamond core drill rig
- GDU
Method of Works/Sequence
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- Report to site contact, sign in and complete any applicable induction
- Make sure vehicle is parked safely, legally and is locked
- Review permission to work ensuring any permits are valid
- Review risk assessments and safe working procedures
- Ensure any additional or site-specific hazards or risks are noted on the risk assessment
- Check and confirm any underground services in your works area using CAT and Genny. All services to be marked as appropriate
- Footway and carriageway boxes will be tested and monitored for gas. No smoking or open flames permitted. Constant monitoring will be in place in open boxes
- If there are any visible risks on site that you are unsure of, please contact your supervisor
- Select the appropriate PPE and ensure it is fit for use, clean and in good condition
- Make sure all plant is in safe condition and inspected before use and complete all pre-user checks
- Only use plant and equipment if you are trained and competent to do so
- Where applicable, make sure permit board is displayed with valid permit number clearly visible
- Personnel check for debris at work areas including checks for syringes and broken glass before work commences
- Carry out all works as described in the SML Fibre job pack
- All work to br carried out in accordance with training and instruction
- All accidents, incidents and near misses to be reported to your supervisor or manager
- Dust will be controlled by water suppression/dampening down
- Only competent trained personnel to Diamond/core drill
- Personnel to follow the specific user instructions for the Diamond/core drill they are using
- Measures should be taken to protect any equipment or services located inside footway and or carriageway chambers
- Make good any defect caused by drilling operations
- Diamond drill equipment will be 110V
- All services to be assumed live unless otherwise proven
- Remember: A clean site is a safe site!
- Correct signage to be in place on both footpath and/or carriageway as per your Red Book
- Continue to review any risks throughout the work day for possible changes
- Remove all signs, barriers, spoil and debris from site at the end of the job
- Complete documentation and report on all works carried out highlighting any significant changes
- Sign out with site contact
PPE
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Specification detail
- EN 397
- EN 345S
- EN 388
- EN 166 B
- EN 352
- EN 149-FFP3
COSHH
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Product details
- Toxic
- Harmful
- Corrosive
- Flammable
- Oxidising
- Explosive
- Dangerous to the environment
Emergency
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Location of nearest hospital
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Names of first aid trained personnel
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Location of first Aid box
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Location of nearest fire station
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Location of fire assembly point
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Site amendments
Risk Summary Overview
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Tick all that apply
- Concrete flooring
- Coring holes in concrete
- Excavations
- Muckshifting
- Installation of manhole rings
- Work near buried surfaces
- Work near overhead lines
- Roadworks
- Work with concrete slabs
- Bituminous surfacing
- Protection of electrical supplies
- Manual handling operations
- Lone working
- Unauthorised site access
- Work in confined spaces
- Refurbishment operations
- Materials - delivery and removal
- Working in clients premises
- Use of a waste skip
- Working on contaminated land
- Working in the countryside
- Archaeology
- Noise and vibration exposure
- Use of plant and equipment
- Plant maintenance
- Use of dumpers
- R.T Forklift or telehandler
- Crane operations
- Use of excavators
- Use of mobile crusher
Sign off
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I have read, understood and will adhere to this method statement. Before undertaking any changes to the above works I will immediately advise the site supervisor of the changes
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Name
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Sign
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Date
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Name
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Sign
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Date
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Name
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Sign
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Date
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Name
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Sign
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Date
Pre Site Set Up
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Please upload pictures of site set up for approval before starting the job
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Please upload pictures of your gas detector at any chambers you open and of the screen showing it is charged and calibrated.