Method Statement Template - High Speed Training
Method Statement Template
Part 1: Basic Information
Project Summary
Project name Project summary
Site address Issue date
Project reference
Start date Finish date Document number
Contracted company's details
Company name
Address
Name of works supervisor
Main contact number
Job title Contact number
Health and Safety contact details
Name Name
Contact number Contact number
Page 1
Method Statement Template
Part 2: Further information
Health and Safety procedures
Name of on-site first aider Address of nearest hospital
On-site first aid box location
Designated evacuation meeting point
Work permits (e.g. Permit to Work, Isolation Certificates)
Permit name
Finalised?
Y:
N:
Permit name
Finalised?
Y:
N:
Staff training requirements
Equipment needed (e.g. scaffolding, plant etc)
Page 2
Method Statement Template
Part 2: Further information
Required personal protective equipment (PPE)
Hard hats
Safety boots
Y:
N:
Y:
N:
Highvisibility jackets
Y:
N:
Safety gloves
Y:
N:
Eye protection
Hearing
Respiratory
protection protection
Y:
N:
Y:
N:
Y:
N:
Waste disposal arrangements
(e.g. Hazardous substances that are identified during COSHH Assessments and any other arrangements that are in place)
Page 3
Method Statement Template
Part 3: Identifying & Managing Risks
Order of operations
A step-by-step method that should include: working procedures; the equipment and materials needed; what hazards will be present; how to reduce the risks associated.
Other important information
Page 4
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