Demolition Method Statement Authorization
Project Name
Location
Reference No.
Contractor
Date
Scope of Demolition Work
Sequence of Demolition
Key Hazards & Controls
Hazard
Control Measure
Equipment & Machinery Used
Waste Management
Authorized Personnel
Name
Position
Signature
Date
Prepared by
Name:
Date:
Checked by
Name:
Date:
Approved by
Name:
Date: