Method Statement
Assessor
Enter Company Name Here
Department / Location
Date
Enter Company Logo
1. Preliminary Information
Event Name
Project Name
Issue Date
ADGP
Project Type
Location on site
Construction
Activations
ADGP
2. Project Description
Fan Zone
Yes
☐
No
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Site start date
MS Number
Revision number
25-11-2019
Duration
Est. End date
Est. End time
5 days
3. Full Description & sequence of work to be carried
2-12-2019
11:00 PM
Expand as required.
On the 25th a truck will come from our side around noon that has all our activations
All our products are already tested and prebuilt and are split in pieces
We will assemble each activation and then some branding and painting will happen
After that all electronics will be placed and tested
We will start setting up on the 25th and our activations should be all set and tested by the 26th night or maximum 27th noon
4. Resources
Personal details (including estimated employee numbers/trades and working hours)
Employees: 5 (12 hours/day)
(2 days)
Training details (including specific training, competency and experience requirements for both operatives and supervisors)
All people who are coming are well trained and experienced
Sub-contractor work element / personnel (including type of sub-contracted work and workforce size/trades)
Production: 7 (12 hours/day)
Branding: 4 (12 hours/day)
(2 days)
Supervisor details and arrangements (including supervisor/operatives ratio, sub-contractor supervision details and arrangements for young
persons/apprentices)
Each team will have his own supervisor (1 for production, 1 for branding and 1 for employees) All supervisors are seniors with at least 10 years
of experience in their field
Plant / equipment requirement details (including vehicle movement and inspection/maintenance/testing arrangements)
Only a truck is required to enter to drop the items each in its location
Materials, movement and storage details (including control of manual handling, movement between levels, traffic interface and ignition sources)
Handling will be properly done using approved methods, moving elements will be done using trucks and trolleys abiding by all safety rules
On site storage is not required, only elements will be stored near each activation until they are assembled. Storage will happen in a very
professional way without any risk to any employee, labor or any person around.
5. Risk Assessment(s) for significant activities
Are there RA’s for:
4.1 Access/egress
4.2 Place of work
4.3 Others at risk
4.4 COSHH, noise, vibration,
fire etc
4.5 Environmental risks
4.6 Sub-contracted activities
Yes
☐
☐
☐
☐
No
☐
☐
☐
☐
N/A
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
6. Control Measures to be used
5.1 Permit required
5.2 Security arrangements
5.3 Special training (confined
space, towers, plant etc)
Yes
☐
☐
☐
No
☐
☐
☐
RA Title/s
Date of RA
N/A
☐
☐
☐
7. Emergency Arrangements
6.1 Rescue
Click or tap here to enter text.
6.2 Fire fighting
Click or tap here to enter text.
7.3 Details of rescue arrangements
Click or tap here to enter text.
7.4 Special first aid arrangements
Click or tap here to enter text.
7.5 Spillage containment arrangements (if appropriate to task)
Click or tap here to enter text.
Yes
☐
No
☐
NA
☐
☐
☐
☐
8. Temporary amended Systems
Yes
☐
☐
☐
☐
7.1 Traffic routes
7.2 Emergency Arrangements
7.3 Services
7.4 Other
No
☐
☐
☐
☐
9. Temporary amended Systems
8.1 Monitoring arrangements
8.2 Enforcement
arrangements
Yes
☐
☐
No
☐
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N/A
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☐
☐
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Comments
N/A
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☐
Comments
10.General Comments
Click or tap here to enter text.
Our setup will be very smooth and fast since it is done already and all what need to do is assemble each piece in its place on site.
Name of person
completing form
Signature
Elie FARAH
Date
18-11-2019
The following staff have been given instruction with regard to the contents of this method statement and have signed to state that they have read
and understood its contents
Name
Job role
Signature
Date
Elie FARAH
Manager
18-11-2019
Sami Mohammed
Assistant Manager
18-11-2019
Vishak Chavana
Technical Engineer
18-11-2019
Isran Mohammed
Event Manager
18-11-2019
Received by
Approved
For HSE Office Use Only
Date
Date
Approved with comments
Risk Assessment
Date
Comments
Dated
Rejected
Date