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Topic: SUBCONTRACTOR HSE METHOD STATEMENTS

HEALTH SAFETY & ENVIRONMENTAL METHOD STATEMENT

January 8, 2010

This Method Statement must be forward by the Sub Contractor, to the client and their Health Safety & Environmental Advisor during any tender, ongoing Sub Contraction and quotation process. No work can start on the site until a full method statement has been completed and agreed by the, clients Health Safety & Environmental Advisor and the Sub Contractor, carrying out the work.

Hazard & Risk Work Method Statement (Part 1) Principle Sub Contractor/Contractor Details

 

 

 

 

 

Name of Contractor:

Contractors Insurance Company & Liability Details:

Area/Location of Work to be carried out

 

 

Name:

Contact No:

Certificate No:

Total Liability Insured: QR/US$/£

 

Site:

Building:

Area:

Project to be Undertaken:

 

Job/Task to be Undertaken:

 

Contractors Full Address & PO Box Number:

Contractors Company Director/Owner

For use by: Clients Safety Health & Environmental Advisor Only

 

                                 
PO Box No:..................

 

Name:

Position Held:

 

Name of Practitioner:

Signed Off:

Accepted:            Yes/No

Sig:

Contractors Contact Details:

Declaration By Contract Director/Owner

 

Main Phone:

Mobile:

E-Mail:

 

It is vested in me,.................................................................... by virtue of my appointment as Contract Managing Director/Owner, that I take full responsibility for health & safety, and those people who are affected by my organisations acts and omissions. I will enforce all health, safety & environmental rules in the execution of all work carried out on the clients behalf.
Sig: .............................................

 

Hazard & Risk Work Method Statement (Part 2) Work Hazards/Risks & Control Measures

 

 

 

State the work/task being conducted. Explain the scope of work/task and in detail how you are going to carry it out. Identify the possible Risks/Hazards involved in each Task/Job. State the Controls and Methods you are going to impose for each Job/Task.

 

 

 

 

 

Serial

Job/Task to be carried out
(State the Job/Task)

Scope of Work 
(How is it going to be carried out)

Possible Risks/Hazards
(Identify the possible Risks/Hazards involved)

Safety Controls
(State the Control measures)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Copy and use continuation sheet, if required.

Hazard & Risk Work Method Statement (Part 3) PPE Requirements & Responsibilities  

 

 

 

List the Personal Protective Equipment (PPE) to be issued for each serial Job/Task. State, who is responsible for enforcing and policing the use of PPE on site for the clients Sub Contractor.

 

 

 

Job/Task Serial

Personal Protective Equipment
(State the PPE to be issued and used for each Job/Task) (Annex A)

Person Responsible for Enforcing the use of issued PPE
(State the Sub Contractor/Contractor Management Representative who is responsible for PPE Enforcement)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: A list of PPE and its intended use can be found at (Annex A) of this statement.

Hazard & Risk Work Method Statement (Part 4) Qualification & Training 

 

 

 

Attach a copy of your project organisation chart to this statement outlining all positions covered during the Job/Task. Critical positions, such as site Managers, Supervisors, Sub Contractors/Contractor, First Aiders, and those persons working in critical risk areas should be named on the organisation chart. 

 

 

 

Personal Qualifications & Experience
(List all Qualifications & Experience of those employees carrying out critical high risk activities) (Annex B)

Personal Duties & Responsibilities
(Give details of duties and specific responsibilities for individuals such as site managers & supervisors)

Training Required to Complete Work
(Make sure that workers, skilled or unskilled & their Supervisors are trained in the procedures need to complete the Job/Task safely, especially where you are using new or changed work methods)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Use continuation sheet if required. List of critical high risk activities can be found at (Annex B) of this statement. Also a list of Sub Contractors nominated responsible persons can be found at this Annex.

Hazard & Risk Work Method Statement (Part 5) Plant, Equipment, Inspection &  Maintenance Checks 

 

 

 

Record all Plant & Equipment that will be used to carry out the Job/Task, stating the Inspection, maintenance & servicing regimes for each.

 

 

 

 

Record all Plant & Equipment
(A list of all recordable Plant & Equipment can be found at (Annex C)

 

Pre-Project Inspection & Servicing Data
(annotate the date, serviceability & Equipment pass/fail certificate of the Equipment Inspection carried out prior to Project commencement)

State where the daily inspection log for each item is located
(Periodic checks will be conducted on all equipment being used by the Sub Contractor/Contractor, by the Clients nominated HSE Practitioner & persons authorised by him/her

Senior Site Managers Equipment & Plant Declaration
(This is to declare, that all Plant & Equipment has been inspected, will be continually inspected for safety, serviceability and suitability for use during all work being conducted on the clients behalf)

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

 

Date Inspected:
Serviceable:               Yes/No
Certificate No:

 

 

Note: Use continuation sheet if required. A list of recordable Plant/ Equipment & inspection data can be found at (Annex D)

Hazard & Risk Work Method Statement (Part 6) Environmental Impact Assessment   

 

 

 

Identify any Environmental impact issues on the project, and any Job/Task, that may have an impact on the local environment. For example, noise, harmful emissions & waste disposal.

 

 

 

 

Identified Environmental Impact Issues
(Record all environmental impact issues the Job/Task will have on the local environment)

Record the Possible Environmental Risks
(Record all environmental risks the Job/Task will have on the local environment)

State the Control Methods
(Record how you will control or eliminate the environmental risks& Impacts you have identified)

Responsible Person
(Identify and state who the Sub Contractors nominated environmental point of contact will be)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Use continuation sheet if required. A list of possible Environmental Impact issues can be found at (Annex E) of this statement.

Hazard & Risk Work Method Statement (Part 7) Competent Persons, Job/Task Responsibilities

 

 

 

Please state who you, the Sub Contractor, has deemed competent and responsible for the following positions, roles & Job/Tasks during the project phase.

 

 

 

 

 

 

Position, Role, Task

Name Competent Person
(State the name of the organisations competent person nominated for the Position, Role or Task)

Competent Persons Qualification
(State what qualifies this person for this Position, Role or Task, through training competencies or experience)

Contact Phone Number
(Please give the contact number of the person nominated in case of emergencies)

Signature of Competent Person
(The competent person’s signature agrees that he/she has the skills, training and experience to carry out the nominated Position, Role or Task. And has been informed of their responsibilities)

Sub Contractor, Company Director/Owner overall responsible for all site Health, Safety and Environmental acts and omissions.

 

 

 

 

 

 

 

 

 

Sub Contractors designated Site Manager/Supervisor on site

 

 

 

 

 

 

 

 

 

Sub Contractors Health & Safety representative on site

 

 

 

 

 

 

 

 

 

Sub Contractors Environmental representative on site

 

 

 

 

 

 

 

 

 

Sub Contractors First Aid Representative on site

 

 

 

 

 

 

 

 

 

Sub Contractors senior Fire Marshal on site

 

 

 

 

 

 

 

 

 

Sub Contractors nominated PPE Inspector

 

 

 

 

 

 

 

 

 

Sub Contractors nominated person in charge of maintaining all Plant & Equipment inspection & maintenance logs

 

 

 

 

 

 

 

 

 

Sub Contractors nominated person who will be overall responsible for ensuring the Sub Contractors, Contractor adheres to all Health Safety & Environmental issues as laid out in this method statement

 

 

 

 

 

 

 

 

 

 

Hazard & Risk Work Method Statement ( Part 8 ) COSHH and other Hazardous Substance

 

 

 

 

 

 

 

 

 

COSHH/Substance
(Control of Substances Hazardous to Health)
(State the name of the Substance)

Safety Data Sheet Location
(State where the Safety Data sheet for the substance can be located)

Control Methods
(State what control methods that are in place for the authorised issue and use of the substance)

Storage
(Where will the Substance be stored when not in use)

PPE & First Aid
(What PPE must be worn when using this substance and what is the immediate first aid to be administered in the event of contamination by the substance)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hazard & Risk Work Method Statement: Review

 

 

This Method Statement must be periodically reviewed or when a significant change to the Job/Task, takes place.
Examples of circumstances that would require the re-evaluation of the validity of the Method Statement are:

    When the results of monitoring (accidents, ill health effects, and environment) are adversely not expected.
    • A change in processes, work methods and materials.
    • Changes in personnel.
    • The introduction of new plant, machinery, critical tools and technology.
    • Unexpected Sub Contractor/Contractor involvement unforeseen during the tender and contract award stages.

     

     

     

     

    Review Number

    Assessor Name

    Date of Review

    Reasons For Review

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Full completion of this Statement is essential to demonstrate your organisations commitment to high standards of Health, Safety & Environmental
    Protection. As a Sub Contractor or Service provider you have a moral obligation & duty to ensure that your employees, Sub Contractors & anyone

    else that may be affected by your organisations acts or omissions are kept safe and free from harm during the course of their work. The success of
    a good Health, Safety & Environmental Culture is a complete buy-in and strong partnership between all those people, involved across the project.

    (All Sub Contractors must supply their own company Risk Assessment when submitting this form)

    Please return this statement & your independent Risk Assessment as part of the tender document and ongoing Sub Contraction Provider

Comments Story Comments (%)

    ASHOK
    January 15, 2010

    It is very helpful document. Request for various Annexures of the document and to attach a sample of completed document of method statement.

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