Fillable Printable Blank Method Statement Template
Fillable Printable Blank Method Statement Template
Blank Method Statement Template
Title:
Site details
Contractor name and contact details:
Project name and site address:
Site manager name and contact details:
Transfer of information from client /
contractor to relevant sub-contractor
Attendances
Method statement
Work activity
Pre-start checks:
Description of the contract:
Sequence of work:
Plant details:
Deliveries and site access:
Personnel
Foreman:
Operatives eg. driver, plant operator, banksman etc.:
Training:
Appointed person (if appropriate):
Other site operations / third parties:
Health and safety management and control measures
Personal protective equipment:
Site rules:
Specific site hazards:
Access to the work area:
Welfare facilities:
Amendments and additional information
Amendments to the method statement:
Should any part of this method statement require amendment or alteration, this must be notified
for agreement to all relevant parties prior to it being enforced.
Communication of method statement:
Communicate this method statement to all relevant parties (via toolbox talk) and ensure it is
signed by all personnel.
This method statement was prepared by:
Date:
Method statement record
Please sign to confirm you have read and understood this method statement.
Name: Company: Signature: Date:
