Method Statement (Non-Construction) Example
Example document for Method Statement (Non-Construction). Use this as a reference when creating your own.
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Document: Method Statement (Non-Construction)
Example Document
Last updated 7/27/2026
Method Statement (Non-Construction)
Project / Task Details
Company Name: Apex Cleaning Solutions Pty Ltd ABN: 12 345 678 901 Job Reference Number: CS-2023-045 Date of Preparation: 25 October 2023
Task Description: High pressure water blasting of factory loading bay floor to remove oil and grease build up.
Location of Work: 123 Factory Road, Tullamarine VIC. Loading Bay B (North Side).
Date and Time of Work: 27 October 2023. 6:00 PM to 10:00 PM (After factory shifts to minimise exposure).
Personnel: Name: John Smith | Role: Team Leader Name: Bill Jones | Role: Operator
1. Hazards and Risks
| Hazard | Who is at Risk | Potential Consequence | Initial Risk Rating (L/M/H) |
|---|---|---|---|
| High pressure water injection | Operator | Serious injury or amputation | High |
| Slips, trips, and falls on wet surface | Operator | Fractures, bruises | Medium |
| Use of cleaning chemicals (degreaser) | Operator | Skin irritation, eye damage | Medium |
| Noise from pump engine | Operator | Hearing loss | Low |
2. Control Measures
Hazard 1: High pressure water injection
- Elimination: Not possible, task requires water blaster.
- Engineering: Use of lance with trigger safety lock. Use of rated hose connections.
- Administrative: Only trained operator to use gun. Do not point gun at people. Clear area of other staff.
- PPE: Steel capped gumboots, waterproof apron, face shield, impact resistant gloves.
Hazard 2: Slips, trips, and falls
- Engineering: Use of non slip footwear. Containment booms to manage water flow.
- Administrative: Work in small sections. Walk carefully. Use wet floor signs.
- PPE: Steel capped gumboots.
Hazard 3: Use of cleaning chemicals
- Substitution: Using a biodegradable degreaser with lower caustic content.
- Administrative: Consult Safety Data Sheet before use. Wash hands after handling.
- PPE: Chemical resistant gloves (Nitrile), safety goggles.
3. Step by Step Method / Sequence of Work
Step 1: Preparation
- Action: Place wet floor signs at entrance to Loading Bay B. Set up containment booms to direct water to drains. Mix degreaser solution in buckets.
- Risk: Chemical splash, tripping on hoses.
- Controls: Wear gloves and goggles. Lay hoses flat against walls.
Step 2: Chemical Application
- Action: Apply degreaser to floor surface using low pressure spray. Allow to dwell for 10 minutes.
- Risk: Slipping on wet surface.
- Controls: Walk carefully away from sprayed areas.
Step 3: High Pressure Blasting
- Action: Connect water blaster. Turn on pump. Use wide fan nozzle to clean floor from furthest point to exit point.
- Risk: High pressure injection, noise, flying debris.
- Controls: Use face shield and hearing protection. Ensure trigger lock is on when not spraying. Maintain firm grip.
Step 4: Rinse and Vacuum
- Action: Rinse floor with clean water. Use wet vacuum cleaner to remove sludge and water.
- Risk: Manual handling injury, electric shock.
- Controls: Use safe lifting techniques. Use RCD protected power leads.
Step 5: Cleanup and Demobilisation
- Action: Remove booms. Clean equipment. Leave area to dry. Remove signs only when dry.
- Risk: Residue left behind.
- Controls: Visual inspection of floor.
4. Plant and Equipment
| Item | Inspection Date | Next Due Date | Operator License/Competency |
|---|---|---|---|
| Honda Pressure Washer 3000PSI | 01/10/2023 | 01/11/2023 | Competent |
| Wet Vacuum (Numatic) | 01/10/2023 | 01/11/2023 | Competent |
| Extension Lead (10m) | 01/10/2023 | 01/11/2023 | Competent |
5. Personal Protective Equipment (PPE)
[ X ] High Visibility Vest/Shirt [ ] Safety Helmet [ X ] Safety Glasses/Goggles [ X ] Safety Boots (Steel cap/composite) [ X ] Gloves (Waterproof/Chemical resistant) [ X ] Hearing Protection (Ear muffs) [ ] Respiratory Protection [ X ] Face Shield [ ] Other: Waterproof Apron
6. Emergency Procedures
Nearest First Aid Kit Location: Break room wall cabinet (20m from Bay B). Emergency Assembly Point: Front Car Park. Fire Extinguisher Location: Near roller door to Bay B.
Emergency Contacts:
- Site Supervisor: John Smith - 0400 000 000
- Emergency Services: 000
- Poisons Information Centre: 13 11 26
- Local Hospital: Royal Melbourne Hospital - 03 0000 0000
7. Sign Off
I acknowledge I have read and understood the contents of this Method Statement. I agree to follow all safety controls and procedures listed.
Worker 1: J. Smith Date: 27/10/23 Worker 2: B. Jones Date: 27/10/23
Notes
This example illustrates a task that is not 'construction' but still carries significant risk. Key elements include specific mention of chemical handling (SDS), high pressure injection risks, and site isolation (working after hours). The step by step method ensures the work flows logically from preparation to cleanup.
About this Example
Part of the Method Statement (Non-Construction) document collection
Document Type
Method Statement (Non-Construction)
A method statement outlines the step by step process for completing a specific task safely and efficiently. It helps businesses manage risk and comply with Australian Work Health and Safety laws.