Consultant
Document Title: Method Statement (MST)
Project Name:
Project
Project Number:
Consultant:
Project FIR Document
Contractor: Ref. Number:
Contractor
FROM: (Name/Contractor)
TO: (Name/CM Consultant)
CC:
DATE:
DOCUMENT NO:
Method Statement for: (Title of Method Statement)
In this block, Construction Contractor explains how installation of certain work will be performed and organized.
Each method statement will describe individual activities as they will occur in a sequence.
For example, installation of stormwater piping should include as a minimum the following activities: line survey and
stakeout, demolition and trench line preparation, trench excavation, disposal of excavated material, installation of
manholes, installation of pipe bedding, pipe installation and jointing, system leakage testing, trench backfill and
compaction, and final grade preparation and finishing.
For each activity, explain the following: scope, purpose, manpower and equipment used, materials used, and
explanation of work methodology. Describe routes used for material delivery, staging areas for material stockpiling,
areas required for material unloading and installation, and required site closures or shutdowns. Explain interference
with other utilities, and describe method for resolving conflict. Explain health and safety risk for each activity, and
describe H&S measures. Attach manufacturer’s installation instructions. Attach schematics, plans, drawings or
photographs to illustrate the method statement.
Reference relevant design drawings and specifications for each activity. Attach or reference approved shop drawings
and approved material submittals.
Attachments: (List attachments provided with this method statement (include files names)).
Method Statement Disposition (by Construction Manager):
Reviewed by: (Name, Title, Company)
Date:
After reviewing the method statement, Construction Manager will identify disposition in a suitable block below.
If Approved as Submitted, no notes in this block are necessary.
If Approved as Noted, explain minor deviations and provide instructions on how it should be corrected.
If Returned as Incomplete, describe what information is missing and must be resubmitted.
If Returned as Rejected, describe the reasons for rejection. Cite specific contract requirements and compare them to
method statement submitted to explain the reason for non-compliance.
Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-0179-00
Revision Number: 00
Date: 31 March 2016 Page: 1 of 2
Consultant
Document Title: Method Statement (MST)
Project Name:
Project
Project Number:
Consultant:
Project FIR Document
Contractor: Ref. Number:
Contractor
Approved as Submitted:
Approved as Noted:
Returned as
Incomplete/Resubmit:
Returned as Rejected/Resubmit:
Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-0179-00
Revision Number: 00
Date: 31 March 2016 Page: 2 of 2