Method statement form
A method statement form is also known as Sample Risk Assessment Method form, which is used to express the descriptions of operating procedures, details of equipments & tools and safety measures to be used in the organization. A method statement form is the initial requirement for a company, and it can be used online or manually.
Sample Method Statement Form:
Organization name: ________________
Name of the Department: __________________
Address inclusive of city, state & ZIP)__________________________________________________
Contract number: ___________________
Maintained By: ____________________________
Date of preparation: ________________
Renewal Date: _____________________________
Description of work inclusive of details: __________________________
Personal requirement details: __________________________________
Detail of supervision duties & responsibilities: _____________________
Details of machinery, equipments and plants: ______________________
Resources of access: _________________________________________
Number of lifting operations: ___________________________________
Lifting equipments: ___________________________________________
Storage of material & security: __________________________________
Handling procedures: _________________________________________
List of operations: ____________________________________________
Personal safety equipments: ___________________________________
Protection of the third party measures:____________________________
Print Name: _________________________________________________
Date: __________________________
Category: Statement Forms

