Method Statement
Plumbing · Safe work method statement
Document #
Date
Job title
Location
Prepared by
Reviewed byoptional
Contractor (your company)
Phone
License #optional
Scope of work
Required PPE
One item per line — rendered as bullets.
Permits & approvals
One permit per line — rendered as bullets.
Method steps
5 steps1. Shut off & drain the system55 words
Task
Method
Hazards
Controls
2. Open walls & remove old pipe47 words
Task
Method
Hazards
Controls
3. Rough-in new PEX51 words
Task
Method
Hazards
Controls
4. Pressure test50 words
Task
Method
Hazards
Controls
5. Patch & restore49 words
Task
Method
Hazards
Controls
Emergency procedures
Prepared-by signature
Print name
—
Date
2026-07-29


