Free MSRA template pack — method statement, 5×5 risk scoring and review checklist

What's in the method statement form

Ten sections, each with guidance and a pre-filled worked example.

1. 1. Document control

   Every controlled MSRA needs a unique reference, revision number and named approver before work starts.

2. 2. Scope of works

   Describe exactly what is covered, and state clearly what is NOT covered.

3. 3. Legal and standard references

   Cite the authority documents that actually apply to the emirate you are working in.

4. 4. Roles and responsibilities

   Name a person for each duty — not just a job title with nobody behind it.

5. 5. Plant, equipment, materials and PPE

   List certification and inspection requirements next to each item.

6. 6. Sequence of works (step by step)

   One row per step: activity, the hazards created by that step, and the controls that remove or reduce them.

7. 7. Risk assessment register

   Score each hazard before controls (initial) and after controls (residual) using the 5x5 matrix. Anything residual 15 or above must not proceed.

8. 8. Emergency arrangements

   Cover rescue as well as evacuation — a harness rescue plan is required for work at height.

9. 9. Training, briefing, monitoring and review

   Prove the team understood the MSRA — a signature sheet in the language they speak.

10. 10. Approval and briefing sign-off

    No work starts until all three approval signatures and the operative register are complete.

How the 5×5 risk scoring works

Score each hazard before controls (initial) and again after controls (residual): severity × likelihood. Anything residual 15 or above must not proceed.

Example risk register included

The CSV ships with 5 scored UAE examples — working at height, crane lifts, silica dust, summer heat stress and manual handling — under 14 columns covering hazard, people at risk, initial and residual scores, controls, owner and target date.

The 30-point MSRA review checklist

Use it before any MSRA is issued — grouped by document control, scope, legal references, roles, resources, method, risk assessment, emergency, briefing, permits and monitoring.

• Document control
  Unique document reference and revision number shown on every page
• Document control
  Prepared, reviewed and approved by named, competent people with dates
• Document control
  Review date and trigger for re-assessment stated
• Scope
  Scope describes the actual activity, location and working hours
• Scope
  Exclusions stated (hot work, confined space, night work, lifting over live areas)
• Scope
  Interfaces with other contractors (SIMOPS) identified
• Legal
  Correct emirate authority referenced (MOHRE, ADOSH-SF, DM, Trakhees, Civil Defence)
• Legal
  Midday break rule addressed for summer works

…plus 22 more points in the PDF and CSV downloads.