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GS-A-56

ATTACHMENT A-4
(Page 1 of 2)

METHOD STATEMENT
SUBMISSION REQUIREMENTS*

The checklist below serves as a guideline for Contractors in the submitting of method
statement to the Engineer.

This checklist is to be duly completed and submitted together with the method
statement.

Method of Work Yes N/A Remarks


1. Date, time and duration of works.
2. Site Plans/Schematic Diagrams.
3. Preparatory works.
4. Mode of transportation.
5. Actual work/installation/delivery.
6. Use of special equipment/machine.
7. Hoisting operations (including hoisting radius).
8. Inspection/Supervision.
9. Temporary Traffic Diversion/Control.
10. Liaising/Interfacing with other Contractors.

Manpower Yes N/A Remarks


1. Organisational/Hierarchy Chart.
2. List of manpower.
3. Evidence of Site Safety Induction Training.
4. Evidence of Competency Training (e.g. Trade
Cert., Crane Operators License etc.).

Health & Safety Yes N/A Remarks


1. Hazard analysis.
2. Preventive measures.
3. Safe Work Procedures.
4. Permit-to-work system.
5. List of Personal Protective Equipment.
6. Material Safety Data Sheet.
7. First aid/Fire fighting equipment.
8. Tool Box Meetings.
9. References to legislations/CP.

Refers to work/activities which are potentially hazardous.

April 2015 Edition


GS-A-57

ATTACHMENT A-4
(Page 2 of 2)

Tools & Equipment Yes N/A Remarks


1. List of approved tools/equipment.
2. 110 volts for hand-held tools.
3. Relevant statutory certifications (e.g. LM
Cert., LG Cert., PE Cert. etc.).

Materials Yes N/A Remarks


1. List of approved materials.
2. Schematic diagrams.
3. Safety Data sheet.

Emergency Plan Yes N/A Remarks


1. Emergency evacuation plan.
2. Emergency reporting procedures.
3. List of essential personnel with contact
numbers.
4. Contingency plan.

Others Yes N/A Remarks


1. Method statement Endorsed By WSHO

Remarks:

Submitted By:
Name / Designation / Contact No. Date

Contractor / Contract No.

April 2015 Edition

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