Royal Commission for Jubail and Yanbu

Document Type
Method Statement
METHOD STATEMENT TEMPLATE
METHOD STATEMENT
(Contractor)
(Area/uildin!)
(Discipline /"or#s)
Method Statement $o%
&ssued by%
Rev. #
Date
Description Prepared Checked Approved
Rev 1, June 2011 Page 1
Royal Commission for Jubail and Yanbu
Document Type
Method Statement
TA'( )* C)$T($TS
1. TTLE.
!. SCOPE O" #OR$
+eneral description,
-lant and e.uipment,
Materials,
Site plannin! / preparation
"or# methodolo!y,
)r!ani0ation1 Responsibilities / Super2ision,
"or# *orce,
%. HEALTH & SA"ET'
Ris# assessments
Jubail (S / 3 Contractor Re.uirements
-rotecti2e / Safety (.uipment,
Contractual Re.uirements,
&nformation to personnel,
(mer!ency -rocedures,
-ermit Re.uirements,
(. EN)RONMENTAL SS*ES
(n2ironmental &mpact assessment,
Jubail (S / 3 Contractor Re.uirements
Contractual Re.uirements,
(mer!ency -rocedures,
+. ,*ALT' ASS*RANCE
Contractual Re.uirements,
Critical 4or#s,
&nspection / Testin!,
*ollo4 up / (2aluation,
-. APPENDCES
Royal Commission for Jubail and Yanbu
Document Type
Method Statement
1. TTLE
Title of the 4or#,
!. SCOPE O" #OR$
.enera/ Description
Describe in !eneral terms the scope of 4or# co2ered by the method statement,
P/ant and E01ip2ent
'ist ma5or plant and e.uipment to be used1 !enerators1 cranes1 e6ca2ators etc,
Attach test certificates as necessary,
Materia/s
'ist the type and appro6imate .uantities to be used,
(6plain ho4 deli2eries are handled on site and describe the lo!istics routines,
Site P/annin3 & Preparation
&nclude a Site mana!ement plan1 access routes1 position of plant and e.uipment,
(6plain ho4 you 4ill co7ordinate your 4or#s 4ith other Contractors,
Traffic Mana!ement (if applicable)
-ermits and certificates re.uired1 to carry out your 4or#s,
'ay do4n areas re.uired,
3o4 4ill you communicate on site8 Telephone1 radios etc,
#ork Methodo/o34
Describe in detail ALL the 4or#s to be underta#en, This shall include the e6act
construction methods in a step by step lo!ical se.uence,
Describe in detail any temporary 4or#s1 specific or special 4or# methods that
shall be ta#en,
Or3ani5ation6 Responsi7i/it4 & S1pervision
'ist the names of the Super2ision and 4or#force to be in2ol2ed in the 4or#,
&dentify the responsibilities of each of the persons in2ol2ed in the 4or#,
#ork "orce
Royal Commission for Jubail and Yanbu
Document Type
Method Statement
Consider and identify the need for .ualified personnel such as crane operators1
etc,
Sho4 a histo!ram of the 4or#force to be in2ol2ed 4ith the 4or#s,
%. SA"ET' AND HEALTH
Risk Assess2ent
A Ris# Assessment shall be carried out prior to the Method statement, The
Method Statement shall then be produced ta#in! into account items identified in
the Ris# Assessment, The Ris# Assessment may be amended as necessary after
the Method Statement is produced, A Ris# Assessment is al4ays necessary 4ith
a Method Statement,
817ai/ Environ2enta/ Sa9et4 & Hea/th Contractor Re01ire2ents
State the specific (S/3 re.uirements that are applicable to the S)",
Protective & Sa9et4 E01ip2ent
State the -ersonal -rotecti2e (.uipment to be used,
Contract1a/ Re01ire2ents
State any applicable Contractual re.uirements,
n9or2ation to Personne/
State the pre7tas# briefin!s to be carried out,
E2er3enc4 Proced1res
Describe the emer!ency procedures in the e2ent of an accident usin! the Ris#
Assessment as a !uideline to correcti2e/remedial actions,
Per2ittin3 Re01ire2ents
&dentify the re.uired -ermits to perform the contract S)",
Royal Commission for Jubail and Yanbu
Document Type
Method Statement
(. EN)RONMENTAL SS*ES
Environ2enta/ 2pact Assess2ent
Assess the ris#s to the en2ironment that may be caused by the 4or#s1 such as oil
spilla!e1 soil contamination or any other e2ents that may ha2e an ad2erse effect
on the en2ironment,
9sin! the Ris# Assessment1 state the actions and/or procedures ta#en to
minimi0e the identified ris#s,
Store and protect ha0ardous chemicals on site,
817ai/ Environ2enta/ Sa9et4 & Hea/th Contractor Re01ire2ents
&dentify specific contractor re.uirements that apply to the scope of 4or#s,
Contract1a/ Re01ire2ents
State si!nificant re.uirements in the Contract and actions/procedures on ho4 to
meet them,
3o4 is the handlin! of 4aste and 4aste separation bein! handled8
E2er3enc4 Proced1res
Describe the en2ironmental emer!ency procedures to be adopted in the e2ent of
an accident usin! the Ris# Assessment as a !uide to correcti2e/remedial actions,
+. ,*ALT' ASS*RANCE
Contract1a/ Re01ire2ents
Address the re.uirements of RC:s +eneral Specification ;<=>; (+uideline
Specification for ?uality Control) in Contractor:s ?uality Control -lan1 and define
processes used to meet these re.uirements,
Critica/ #ork Activit4
&dentify any critical 4or#s 4ith re!ards to .uality1 time and performance, Critical
4or# acti2ities shall also be incorporated into the &T-,
Describe any special prere.uisites or measures ta#en that co2er critical 4or#
acti2ity,
Royal Commission for Jubail and Yanbu
Document Type
Method Statement
nspection & Testin3 :TP;
(nsure that &T-s ha2e been prepared and appro2ed before startin! 4or#,
"o//o< 1p & Eva/1ation
Describe ho4 you intend to follo4 up and e2aluate the performance of your 4or#s,
-. APPENDCES
&nclude s#etches or other documents needed to perform 4or# safely,
Ackno</ed3e2ent Si3nat1res
The personne/ /isted 7e/o< con9ir2 receipt o9 the 2ethod state2ent and have had the contents
e=p/ained to the26 1nderstand it and are a<are o9 the site ES&H re01ire2ents.
Na2e E2p/o4er Date Si3nat1re
Note to "E6 CS & "CS > An4 si3ni9icant chan3e 9ro2 this 2ethod state2ent re01ires it to 7e
revised and res172itted to RC 7e9ore <ork can co22ence.