Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Method Statement Title

  • Location
  • Site Manager

  • Has a method statement been prepared for the task?

Method Statement Details:

  • Method Statement title, date and revision number:

  • Overview of the works:

  • Details of site supervisor carrying out the method statement briefing

Method Statement- (Main Points Covered / sequencing of works / control measures)

New Safety Issues Raised

  • Are there any other safety issues to report or discuss?

  • Add new safety issues arising from this meeting

  • Safety Issue
  • Description of safety issue

  • Other Notes / Comments

  • Add an Action to this item if this item requires further follow up.

  • Who raised this issue?

Acceptance and understanding

  • Each and your acknowledgement of the same team member to sign name and signature acknowledging attendance of this method statement briefing and understanding of the sequence of works proposed, the associated risks and control measures in place, to ultimately agree to work only in consistent with the proposed method statement and to give consideration to those working in close proximity to you or those that may be affected by your actions at all times. Safety First.

    It is a legal duty for all operatives to look after the safety of them selves, their work colleagues and any effected by their work activities.

    If you see anything you feel is unsafe. Report it immediately.

  • Team Member
  • Name & Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.