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Safety Method Statement - Form (1)

Contractors Knowledge Base

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