QA/QC  › Generic Master Forms  › Method Statement Template
Form · QC-GEN-FRM-004
Method Statement Template
44 checkpoints across 8 sections. For any major construction/material activity before work commences. Must be approved by Site Engineer and QA/QC Manager before work starts. Required for activities that impact quality, safety, or schedule (e.g., concrete casting, pile driving, formwork, reinforcement placement, major repairs).
44 Checkpoints
8 Sections
Once per activity type per project (reusable with modifications for similar activities)
Contractor (Execution), Site Engineer

Checklist Preview

S.No.CheckpointIS RequirementStatus
S1. Scope of Work
S1_01Description of Activity (What is to be done)
S1_02Work Quantum/Quantities
S1_03Duration/Timeline
S1_04Location/Extents of Work
S2. Reference Documents
S2_01Applicable IS Codes
S2_02Project Specifications and Standards
S2_03Design Drawings Reference
S2_04Previous Method Statements (if any)
S2_05Client/Engineer Instructions and Approvals
S3. Materials and Equipment
S3_01Materials Required (with specifications)
S3_02Material Source and Quality Certification
S3_03Equipment and Machinery Required
S3_04Equipment Inspection/Testing Before Use
S3_05Tools and Accessories
Showing 14 of 44 checkpoints ·
S1. Scope of Work
S1_01Description of Activity (What is to be done)
()
S1_02Work Quantum/Quantities
()
S1_03Duration/Timeline
()
S1_04Location/Extents of Work
()
S2. Reference Documents
S2_01Applicable IS Codes
()
S2_02Project Specifications and Standards
()
S2_03Design Drawings Reference
()
S2_04Previous Method Statements (if any)
()
S2_05Client/Engineer Instructions and Approvals
()
S3. Materials and Equipment
S3_01Materials Required (with specifications)
()
S3_02Material Source and Quality Certification
()
S3_03Equipment and Machinery Required
()
S3_04Equipment Inspection/Testing Before Use
()
S3_05Tools and Accessories
()
Showing 14 of 44 ·
Inspection Sign-Off
Method Statement Approved as is
Method Statement Approved with Modifications
Method Statement Rejected — Requires Resubmission
Method Statement On Hold — Additional Information Required
Prepared By (Contractor Project Manager)
Name / Sign / Date
PM Signature
Name / Sign / Date
Reviewed By (Site Engineer)
Name / Sign / Date
Site Engineer Signature
Name / Sign / Date
Approved By (QA/QC Manager)
Name / Sign / Date
QA/QC Manager Signature
Name / Sign / Date
Final Approval By (Project Manager/Client Rep)
Name / Sign / Date
Final Approval Signature
Name / Sign / Date
Revision Number (if revised)
Name / Sign / Date
Reason for Revision (if applicable)
Name / Sign / Date

Related Templates — Generic Master Forms