LUSAIL DEVELOPMENT

SAFETY TEAM
SSP03/F01 Model Method Statement

SITE SAFETY PROCEDURE NO.SSP03/F01

MODEL METHOD STATEMENT

Prepared and Issued by:

James Anderson, Senior Safety Manager, Lusail Development Safety Team

Reviewed by:

William Street, Senior Project Manager, Lusail Development Project

Authorised by:

Hazim Alsadek, VP, Engineer, Lusail Development Project

Revision History:
Revision

Date

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Description

Revision: 0
Date
: 05/01/07
Page
: Page 1 of 7

LUSAIL DEVELOPMENT
SAFETY TEAM
SSP03/F01 Model Method Statement

1. Details
Company/Contractor Name

Contract/Project Name....................................................................................................................

Contract No..

Method Statement Title.....................................................................................................................

Method Statement Ref. No..................................Rev............................Date..............................

2. Description of works
What is to be carried out? (full description)

What location on site is it to be carried out in? (Site Address, Floor Level etc.)

Anticipated start date? (and time if applicable).

Duration?

Sequence of the works? (including interface with other trades)

Methods? (Describe how the works will be carried out)

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Revision: 0
Date
: 05/01/07
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: Page 2 of 7

LUSAIL DEVELOPMENT
SAFETY TEAM
SSP03/F01 Model Method Statement

3. Resources
Materials required? (i.e. plasterboard, bricks, adhesives etc.)

Plant and equipment required? (i.e. excavators, access towers etc.)

Personnel? (what trades are required, what training do they need, i.e. Advanced Scaffolding,
Certificate to erect towers, Confined Space training, Manual handling etc.)

Supervision? (who will supervise the works, what special training do they have?)

4. Assessment of Risks
What risks will the work place present? (i.e. falls from height, confined space, trip hazards,
electrocution etc.)

What risks will the activity present? (i.e. falls of persons and materials, COSHH, Manual
Handling, Noise, electrocution, etc.)

Access? (i.e. what access equipment will be used and what are the risks, including existing
structure).

Others? (what are the risks to other trades, to building occupiers and to the public in general)

NB A Full Separate Site Specific Risk Assessment Must Be Prepared And Attached

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Revision: 0
Date
: 05/01/07
Page
: Page 3 of 7

LUSAIL DEVELOPMENT
SAFETY TEAM
SSP03/F01 Model Method Statement

5. Control Measures
(For each identified risk detail the precautions that will be put in place i.e. fall prevention, trained
personnel, permits to work, no go zones, environmental controls etc.)

6. Personnel Protective Equipment (what is to be used?)

7. Emergency Arrangements
(What to do if things go wrong? i.e. rescue for falls in a harness, escape of toxic substance etc.)

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Revision: 0
Date
: 05/01/07
Page
: Page 4 of 7

LUSAIL DEVELOPMENT
SAFETY TEAM
SSP03/F01 Model Method Statement

8. Temporary Amended Systems

(Do pedestrian vehicle routes need changing? will fire escapes be affected? will fire detection
heads need deactivating / covering etc?)

9. Information to
Who will be informed of the methods to be employed? (operatives, other trades building
occupiers etc.)

Who need to be informed of the operation?

Who to be advised if circumstances change?

Instruct operatives in this method statement.

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Revision: 0
Date
: 05/01/07
Page
: Page 5 of 7

LUSAIL DEVELOPMENT
SAFETY TEAM
SSP03/F01 Model Method Statement

10. Monitoring and compliance

(Who will, how will they and when will they monitor the work for compliance with the method
statement? How will enforcing the method statement take place?)

11. Attachments
(list any attachments here, i.e. drawings Risk assessments, COSHH assessments, Noise
Assessments, training certificates, etc.)

Method Statement Prepared by (block capitals)....

Signature .. Date
Position .

Method Statement Reviewed by (block capitals)....

Signature .. Date
Position .

Method Statement Approved by (block capitals)....

Signature .. Date
Position .

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Revision: 0
Date
: 05/01/07
Page
: Page 6 of 7

LUSAIL DEVELOPMENT
SAFETY TEAM
SSP03/F01 Model Method Statement

Method Statement Content

The actual content will depend largely upon the task to be undertaken. However, the
following 10 points may need to be considered and addressed in most situations;

THE METHOD STATEMENT 10 POINT RULE

1)

Company, Reference, Contract No, Title, Revision Number & Date

2)

Description of the works to include

time
duration
sequence
location

3)

Resources required
personnel
supervision
plant / equipment
materials

4)

Assessment of significant risks for all tasks, including

access / egress
place of work
others at risk (i.e. the public)
COSHH, noise, manual handling, etc.
Environmental considerations

5)

Control measures to be used, including

permits
security
special training

6)

Personal protective equipment requirements

7)

Emergency arrangements, including

rescue / emergency contacts
special first aid requirements

8)

Temporary amended systems (i.e. traffic re-routing, fire arrangements)

9)

To whom the information has / will be submitted, including

checking, review and update provision
change requirements
confirmation of operatives briefing

10)

Monitoring and compliance

Lusail Development Safety Team

SSP03/F01
Issue No: 01

Revision: 0
Date
: 05/01/07
Page
: Page 7 of 7