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F05 Task Specific Method Statement Template

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ALD Facades Ltd

Task Specific Method


Statement
This Task Specific Method Statement (TSMS)
must be read in conjunction with the main
Safety and Erection Method Statement
and Risk Assessments for the Project

CONTRACT CONTRACT
NO NAME
TSMS NO

DATE PREPARED BY

ISSUED TO Company Rev. Date Issued

A full Site Management/Supervisory Organisation Chart


is contained in the Safety Method Statement.

A Register of all Managers’ and Operatives’ Training


is kept in the Company’s Site Office.

F05- TSMS Task Specific Method Statement Template


Page 1

DESCRIPTION OF TASK TO BE UNDERTAKEN

LOCATION OF TASK

SAFETY RISK REGISTER FOR THE TASK

A Register of the Hazards and Risks relative to this Task is contained in the Task Specific Risk
Assessment attached to this TSMS

OPERATIVES INVOLVED IN TASK

MEANS OF ACCESS +EGRESS/ROUTES TO AREA OF WORK

SAFE ACCESS (TO PLACE OF WORK) PROVISIONS

LIGHTING (where required for night working)

SAFE WORKING PLACE PROVISIONS

PLANT & EQUIPMENT TO BE USED


Page 2

COMMUNICATION (list here Names of MCL Manager, Operatives, Banksman, Special Emergency/Other Procedures if applicable)

PC’s Site Manager: Mobile Phone:

MCL Manager: Mobile Phone:

Foreman in charge: Mobile Phone:

Operatives:

Banksman:

Crane Driver:
Special Emergency
and other Procedures:

MATERIALS/HOUSEKEEPING/WASTE MANAGEMENT (deliveries, storage, responsibilities for clean-up etc.)

HAZARDOUS MATERIALS/SUBSTANCES (COSHH Assessments in MCL Office)

Substance Used where Stored where

SPECIAL CONTROL MEASURES (if not stated previously)

Task Control Measures


Page 3

HOT WORKS PERMITS REQUIRED YES NO OTHER PERMITS REQUIRED YES NO


Note where, when and whose permits are to be used Note where, when and whose permits are to be used

SIGNIN WITH STORE MANAGEMENT PRIOR TO


COMMENCING WORKS

LIFTING OPERATIONS

Are Lifting Operations involved in the Task YES NO NO

If ‘YES’ refer to the Lifting Operations Plan and Assessment


prepared separately for this Task

METHOD AND SEQUENCE OF WORK (Refer to Sketches where appropriate)

Contract No and Name


Client
Principal Contractor
Site Contact Telephone :

I Have Read and Fully Understand the Above Task Specific Safety Method Statement
and Associated Risk Assessments
Page 4

Name (signature) Date Name (print)

Toolbox Talk Register - This TSMS discussed and agreed by those noted below
Name (signature) Date Name (signature) Date

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