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

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