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METHOD STATEMENT Company : Project name: Start date : Description of task / activities: Complete date : Location : Site Manager / Supervisor : Contact no: Machineries / Equipment / Tools: ( Note: Valid certificates are required for machineries / personnel who are subjected to legal compliances under OSHA 1994) Materials or others: ( Details of the items , size, quantities, types, etc ) Personal Protective Equipment ( PPE ) ( List all the PPE which required and applied throughout the project / works) Training : ( workers involved in this project / works are trained and fully briefed on the related works and hazards) ( Verification by the Site Manager / Supervisor)) Workplace / Site Management control from others : ( Method / types of control to isolate the work areas from other from entering)

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Page 1: Format Method Statement

METHOD STATEMENT

Company :

Project name: Start date :

Description of task / activities: Complete date :

Location :

Site Manager / Supervisor : Contact no:

Machineries / Equipment / Tools:( Note: Valid certificates are required for machineries / personnel who are subjected to legal compliances under OSHA 1994)

Materials or others:( Details of the items , size, quantities, types, etc )

Personal Protective Equipment ( PPE )( List all the PPE which required and applied throughout the project / works)

Training : ( workers involved in this project / works are trained and fully briefed on the related works and hazards)( Verification by the Site Manager / Supervisor))

Workplace / Site Management control from others :( Method / types of control to isolate the work areas from other from entering)

Access to work area:( Machineries, equipment and personnel )

Emergency Response:( Action to be taken by the Manager / Supervisor in case of any emergency situation / incident)

Page 2: Format Method Statement

Sequence of works / operations:( List the sequence of works which planned to be carried out from early stage until complete and the arrangements )

1.2.3.4.5.6.7.8.9.10.

Risk Assessment

Risk Control

Communicating with the workforce.( How are the procedures, hazards to be communicated to the workforce ?)

Name list of the workers involved in this project / works:( Provide the name list of the workers, Photostat IC for the locals. Photostat Passport & work permit for foreign worker, Original Passport on site when entering the Plants)

Other information:

Page 3: Format Method Statement

All work will be undertaken by qualified competent persons with experience of the type of work described above, and in all cases in full accordance with safety procedures specified in the Company’s HSE Policy.

Prepared by: Date: