Method Statement
Template
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Document Control
Document Information
© Information
Document Id [Document Management System #]
Document Owner [Owner Name]
Issue Date [Date]
Last Saved Date [Date]
File Name [Name]
Document History
Version Issue Date Changes
[1.0] [Date] [Section, Page(s) and Text Revised]
Document Approvals
Role Name Signature© Date
Project Sponsor
Project Review Group
Project Manager
Quality Manager
(if applicable)
Procurement Manager
(if applicable)
Communications Manager
(if applicable)
Project Office Manager
(if applicable)
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1. Project Details
This section provides basic information about the project, including the project name, location, start date
and key stakeholders involved. It sets the context for the method statement.
2. Scope of Work
Clearly defines what the task or process involves, including specific activities, deliverables, and any
limitations or exclusions. This ensures that all parties understand the extent of the work.
Scope Baseline
Task Dependencies Deliverables Acceptance Criteria
Exclusions, Assumptions and Constraints
Exclusions
Assumptions
Constraints
Milestone Description Delivery Date
xx/yy/zz
3. Roles and Responsibilities
This section defines the boundaries of the problem, specifying what is included and excluded. It clarifies the
extent of the issue, the affected areas or departments, and any constraints that limit the analysis or
solution.
Name Role Responsibilities
4. Step-By-Step Procedure
A detailed, sequential breakdown of how the task should be performed. It includes instructions on
equipment use, materials required and technical processes to follow.
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5. Risk Assessment
Identify key stakeholders affected by the problem, such as employees, customers, or business partners.
Understanding the impact and those involved ensures a more targeted approach to resolution.
Risk Likelihood Impact Response Risk Level Risk Owner
6. Resource Requirements
Defining the timeframe and location of the problem is crucial. Determine when the issue first arose, how
long it has persisted, and whether it is worsening over time.
Task Resource requirements
7. Safety Measures
Details the health and safety protocols workers must follow, such as the use of personal protective
equipment (PPE), safe work practices and adherence to regulatory standards.
Activity Personal Protective Safety Guidelines Applicable Regulatory
Equipment (PPE) Standards
8. Emergency Procedures
Describes the steps to take in case of an accident, fire, equipment failure or other emergencies. It ensures
that workers know how to respond to critical situations.
Emergency Event Description Risk Mitigation Actions
9. Quality Control Parameters
Defines the standards and criteria that must be met to ensure the task is completed to the required quality.
It may include inspections, testing and approval processes.
Task or Deliverable Quality Standards Quality Assurance Quality Control Procedures
Guidelines
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