7/23/2019 cons manage

1/1

Contract Manager: Site Supervisor:

Originator: Position: Date:

Strict adherence to this method statement is critical to the health andsafety of all engaged

in the work.

Planned "ask#Activity Description:

$ocation and Access: %attached plan as appropriate&

'orking (nvironment ) *estrictions:

Protection of others:

(mergency Procedures:

Operatives#Competence:

Personal Protective (+uipment:

Plant ) (+uipment:

Materials ,andling#Storage ) Safety -nformation:

Critical Stages: %must !e undertaken in correct se+uence

inal Clearance: %'ork#Activity completed to satisfaction&.

/ame Position: Date: