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  • Work Method Statement Template

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    Michael Valles
    5 views5 pages
    This work method statement outlines the project details, responsibilities, hazards, work procedures, controls, training, waste disposal, cleaning, PPE requirements, management arrangements, and acknowledgement for a work activity. It provides the start date, duration, assessor, hours of work, team size, hazards associated with the activity, site specific hazards, required PPE, first aid, welfare, emergency procedures, and signatures of the preparer and those acknowledging the statement.

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    This work method statement outlines the project details, responsibilities, hazards, work procedures, controls, training, waste disposal, cleaning, PPE requirements, management arrangements, and acknowledgement for a work activity. It provides the start date, duration, assessor, hours of work, team size, hazards associated with the activity, site specific hazards, required PPE, first aid, welfare, emergency procedures, and signatures of the preparer and those acknowledging the statement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    5 views5 pages

    Work Method Statement Template

    Uploaded by

    Michael Valles
    This work method statement outlines the project details, responsibilities, hazards, work procedures, controls, training, waste disposal, cleaning, PPE requirements, management arrangements, and acknowledgement for a work activity. It provides the start date, duration, assessor, hours of work, team size, hazards associated with the activity, site specific hazards, required PPE, first aid, welfare, emergency procedures, and signatures of the preparer and those acknowledging the statement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 5

    WORK METHOD STATEMENT

    Project

    Activity

    Description

    Start Date Duration

    Assessor Hours of Work

    Responsibilities
    Project
    Manager

    Supervisor

    Team Size

    Hazards
    Hazards
    Associated
    With Activity

    Site Specific
    Hazards

    Work Procedure and Control Measures


    Training

    Waste Disposal

    Cleaning
    Personal Protective Equipment (PPE)
    Requirements

    Hard Hat Safety Shoes High-Visibility Vest Face Protection


    ☐ ☐ ☐ ☐

    Safety Gloves Dust Mask Ear Protection Safety Harness


    ☐ ☐ ☐ ☐

    Other PPE
    Additional PPE is required for certain activities

    Management Arrangements
    Monitoring Arrangements

    First Aid Provision

    Welfare Provision

    Emergency Procedures

    Completed By
    Name
    Signature
    Date

    Acknowledgement
    Name Signature Date

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