Fillable Printable Example Work Method Statement

Example Work Method Statement

Work Method Statement

Activity:

Changing light globes

Contractor:

AB lighting

Person completing this statement:

Peter Spirit

Tel:

( 02 ) 9585 5744

Date:

01/04/07

Contract number:

IG 568754

Key steps Equipment or plant required Possible hazards Safety controls including

personal protective

equipment (PPE)

Licences, qualifications or

work permits

1.Turn off lighting circuit Nil

2. Set up ladder Ladder

3. Change light Nil

4. Dispose of damage

light

Nil Laceration from glass Use gloves and dustpan &

brush to take damaged

globes to rubbish bin.

Nil

5. Clean up area Dustpan & brush Laceration from glass Use gloves and dustpan &

brush to take damaged

globes to rubbish bin.

Nil

6. Re-energise lighting

circuit

Nil Electric Shock (other

persons)

Remove Danger Tag on

circuit

Electrical trade qualification

NSW Construction only: File the completed form in the Contractors, Suppliers, Demonstrators & Visitors folder after the ‘Work Method Statements’ tab.

First Issued 2/8/04 Current Version 1/4/07 STY1112 Page 1 of 1