Title Page

  • Site conducted

  • Document No.

  • Client / Site
  • Method statement date

  • Dynamic RAMS author

  • Client contact

  • Expected job duration

  • What is the "other" job duration

  • Start date

  • Location

  • To be worked in conjunction with RAMS No.

  • Company carrying out the works

  • Other company

Method Statement

Planned Work Summary

  • What type(s) of work are being performed?

  • What other works are being performed

  • Any issues or concerns with the working area

  • What are the concerns

  • Methodology

  • Access equipment, Plant and power tools being used

  • What other equipment will be used

  • Have the relevant daily pre start checks/ sheets been completed

  • Delivery

Risk assessment

  • Assess each task for hazards and controls

  • Break down of activities

  • What other elements are being carried out

  • Hazards from activities
  • Select potential hazards that may be encountered while completing this task today.

  • Describe the "other" potential hazards that may be encountered while completing this task today.

  • What categories of hazard control will you apply to this task?

  • What specific controls will you apply to the above hazards for this task?

  • Describe any "other" specific controls that will apply to the above hazards for this task.

  • Items of PPE required for the task

  • Describe any other PPE that is required

Final Checks

  • Does every member of the on-duty crew have adequate and appropriate PPE for today's work tasks?

  • REMEMBER, if you feel anything is unsafe or you are unsure of the process. STOP and ASK

Crew Sign Off

  • Each present team member to sign name and signature acknowledging the above tasks, hazards and controls.

  • Team Member
  • Add signature

Sign off

  • Name

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