Safety Method Statement - Form (1)
Contractors Knowledge Base
| Contractor | |
| Discipline | |
| Supervisor of works (include phone number) | |
| Area of works (attach grids, elevations, sketches, drawings) |
Scope of works (Sequential details of the task or process or operation)
| Stage 1 | |
| Stage 2 | |
| Stage 3 | |
| Stage 4 | |
| Stage 5 | |
| Stage 6 | |
| Stage 7 | |
| Safety Supervisor (responsible for safety monitoring) |
Plant Schedule (identify authorised users and source of power)
| Item 1 | |
| Item 2 | |
| Item 3 |