Work Method Statement Example

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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

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