Construction method statement template checklist
A construction method statement template is a tool used by the construction industry to manage work and ensure that necessary precautions are set and communicated to workers involved. a construction method statement is an essential requirement for hse (health & safety executive) regulations.
What does this form include?
This form contains 29 sections:
Take or Attach Photo of Site
Job Title
Description of Work (overview list of planned activities)
Click '+' and add personnel in charge of task supervision (e.g site supervisor, safety officer, forem
Name
Role
Contact No.
Name of personnel
In this section, provide step-by-step instruction as to how the work activity should be safely carrie
Sequence of Operations
Plant & Equipment to be used
Specific Staff Training
Select the type of hazard associated with the planned activities below
Hazard
Control Measures
PPE (select the required ppe)
Name of Person with Health & Safety Responsibility
Emergency Contact Details (include mobile no.)
First Aid Provision - in the event of an emergency, the following procedures should be executed:
Welfare Requirements
Services to be Supplied by Others
Other Information & Comments
Prepared by (provide name & signature)
Reviewed by (provide name & signature)
Briefing delivered by
Position
Date Date
We (the undersigned) have read and understood the attached method statement and will comply with the
Name & Signature
Use this template