An tÚdarás Sláinte agus Sábháilteachta

Health and Safety Authority

 Risk Assessment Method Statement
(RAMS) Template

Introduction
This RAMS template is broken into 3 steps and 8 sections and should be developed in line with the associated
guidance summarised below.

3 Step
Process Step 1 Step 2 Step 3
Follow the 3 Step Process to Initial Pre-Start Ongoing
ensure the RAMS contains Development Review Assessment
up to date information. Responsible person(s) on
behalf of the employer:
& Sign Off After work starts, if the work
activity changes significantly
- develops the RAMS, which Responsible person must due to:
should be based on local ensure that the RAMS is:
conditions and hazards - reviewed and agreed with - local issues,
associated with the work, the PSCS prior to starting - new hazards,
and work, - changes to the system of
- on completion of the - updated where required so work, and
RAMS, it is sent to the PSCS as to reflect local conditions, - training.
(where appointed) for any changes to the system Responsible person(s) must
review and comment. of work, equipment or amend the RAMS and go
personnel, and back to Step 2.
- signed off by all
stakeholders including
responsible person, PSCS
and worker(s).

RAMS
Template –
8 Sections Section 1 Contractor Details

Section 2 Site and Work Activity Information

The RAMS template consists of
8 sections, and these should be Section 3 Method of Work
completed as necessary.
Section 4 Training Requirements
When completing the RAMS,
it is important to note that Section 5 Personal Protective Equipment (PPE)
the hazards, associated risks,
local conditions, system of Section 6 Emergency Procedures and Welfare Requirements
work, resources, equipment
and competencies required Section 7 Risk Assessment Method Statement Sign Off
may change and this must be
reflected and updated in the Section 8 Appendices / Additional Information
RAMS.

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 Risk Assessment Method Statement
(RAMS) Template

Date: RAMS Number: Revision Number:

Risk Assessment Method Statement for:

Section 1

Contractor Details
Company Name:

Company Address:

Responsible Person:

Phone:

Email:

RAMS Developed By | Name:

Phone: Email:

Section 2
Site and Work Activity Information
Project Title:

Site Address / Location:

Brief Description of Work to be Carried Out:

Specific Work Location:

Estimated No of Workers:

Estimated Duration of Works

(Include Start / End Dates ):

PSCS Appointments

Has a PSCS been appointed? Yes No

PSCS Company Name:

PSCS Representative Name

Phone: Email:

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 Risk Assessment
Risk Assessment MethodMethod Statement
Statement (RAMS)(RAMS) Template
Template

Date: RAMS Number: Revision Number:

Section 3
Method of Work (include safety controls measures and equipment required)

3.1 Develop a safe system of work

(Describe in steps from start to finish how the work will be done safely). Attach drawings / sketches etc. if required.

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 Risk Assessment Method Statement (RAMS) Template

Date: RAMS Number: Revision Number:

Section 3 Method of Work

3.1 Develop a safe system of work Continued
(Describe in steps from start to finish how the work will be done safely). Attach drawings / sketches etc. if required.

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 Risk Assessment
Risk Assessment MethodMethod Statement
Statement (RAMS)(RAMS) Template
Template

Date: RAMS Number: Revision Number:

Section 3 Method of Work

3.2 List the Hazards and Identify Site Specific Risk Assessments
Hazard Site Specific Risk
Assessment
Available
(Tick if applicable and
include in appendices)

Section 3 Method of Work

3.3. List Plant, Key Tools and Essential Equipment Required
List Plant, Key Tools and Essential Equipment Insert Serial Number for Statutory Equipment*

*Statutory Certificates and Thorough / Weekly Examinations must be available locally. Tick where the information will be contained i.e. with the PSCS / in your equipment register, listed above or contained in
Section 8 Appendices. This list must be checked before the work starts by the responsible person and updated / reviewed on a regular basis

PSCS Equipment Register Section 8 Appendices

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Date: RAMS Number: Revision Number:

Section 3 Method of Work

3.4 Examination and Inspection of Equipment
*Examination / inspection certificates must be available locally (e.g.) with the PSCS / in your inspection register or contained in Section 8 Appendices and tick if applicable.

Excavations (AF3)

Scaffolding (GA3)

Work at Height Equipment (GA3) e.g. ladders, MEWP, handrails, netting, harnesses

Personal Floatation Devices (AF4)

Comments

Section 3 Method of Work

3.5 Permit(s) to Work
Permit Type Tick if applicable and include Add Permit Number (If known)
information in appendices

Permit to Dig

Confined Spaces

Hot Works

Road Opening

Electrical / Energisation / Lock Out Tag Out

Work at Height

Other

Section 3 Method of Work

3.6 Chemicals
List chemicals identified and ensure Safety Data Sheet (SDS) are available and instructions followed in safe use (e.g. PPE, storage etc.)
Safety Data Sheets must be available locally e.g. with the PSCS / in your chemical register or contained in Section 8 Appendices. This list must be updated and checked on the day before the work starts.

Chemical Name Safety Data Sheet

(tick if available)

Storage Arrangements

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 Risk Assessment Method Statement (RAMS) Template

Date: RAMS Number: Revision Number:

Section 3 Method of Work

3.6 Chemicals Continued
List Hazardous Substances and Identify Risks Below. Tick if applicable.

Explosives Flammable Oxidising Gas Stored Corrosive Acute Health Serious Health Hazardous to
Under Pressure Toxicity Hazards Hazard the Environment

Section 3 Method of Work

3.7 Hazardous Substances
Hazardous Substances Site Specific Risk Assessment
Available
(Tick if applicable and include in
appendices)

Asbestos
Silica Dust (e.g. Cutting concrete)
Wood Dust
Solvents (e.g. White spirit, acetone)
Mineral Fibres (e.g. Rockwool)
Fumes (e.g. Welding / Generators)
Isocyanates (e.g. Painting)

Section 4
Identify and Select Your Training Requirements
(Note this should be identified from your method of work as outlined in Section 3.0)

Safe Pass Tower crane

Slinging/ signalling Tractor/dozer

Crawler crane Site dumper

360° excavator Shotfiring

Roof and wall cladding/sheeting Signing, lighting and guarding on roads

Scaffolding Self-erect. tower crane

Telescopic handler Mobile crane

Articulated dumper 180° excavator

Mini-digger Built-up roof felting

Locating under-ground services Health and safety at roadworks

Mobile Tower Scaffold

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 Risk Assessment Method Statement (RAMS) Template

Date: RAMS Number: Revision Number:

Section 4 Identify and Select Your Training Requirements

4.2 Other Training
Manual handling Work at height / MEWP

Fire safety Confined space

Please tick to confirm that training records have been checked and are in order
This information (name / card number / expiry / certificate) must be available locally (e.g. with the PSCS / in your training register or contained in Section 8 Appendices). This list must be updated and
checked on the day before the work starts

Section 5
Personal Protective Equipment (PPE). Tick if applicable

Rings, Watches,
Jewellery that
may become
entangled must
not be worn.
Long and loose
Foot Hearing High Head Eye Face Hand Protective Respiratory Safety hair must be
Protection Protection Visibility Protection Protection Protection Protection Clothing Protective Harness tied back
Equipment

Other PPE Required:

Section 6
Emergency Procedures and Welfare Requirements

6.1: Rescue Plan e.g. Work at Height, Confined Spaces Tick if Applicable:
If required please include in appendix

6.2: Emergency Procedures (999 / 112)

Is this information already with the PSCS and / or covered in the site induction or populated on the site notice board?
Please tick to confirm
If Yes, continue to next section. If No, complete section below

Name of First Mobile

Aid Responder: Number:

First Aid Box Stocked and Available: Please click to confirm

Location of First Aid Box:

Address of Nearest Hospital / Doctor:

Nearest Hospital / Doctor Phone Number:

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 Risk Assessment Method Statement (RAMS) Template

Date: RAMS Number: Revision Number:

Section 6 Emergency Procedures and Welfare Requirements

6.2: Emergency Procedures (999 / 112) Continued

Location of Nearest Assembly Point:

Person Responsible for Reporting of Accidents and Dangerous Occurrences:

Name: Phone:

Email:

Utility Providers
ESB Networks: 1800 372 999 Gas Networks Ireland: 1800 20 50 50 Irish Water: 1800 278 278
Contact Numbers:

Other Emergency Response Equipment Required (e.g. AED, Lifelines):

Section 6 Emergency Procedures and Welfare Requirements

6.3: Welfare Requirements Required?
Toilet
Canteen
Drying Room
Other (Blank)

Section 7
Risk Assessment Method Statement Sign Off

7.1: Person(s) Responsible for Managing and Supervising Work

I have read or had it explained to me, and understood this RAMS. The RAMS reflects local on-site conditions and I am satisfied that it
is safe to start work. I will so far as is reasonably practicable ensure that the work will be carried out in accordance with the measures
outlined during the works. Where any significant changes are required the work will be stopped and the RAMS will be revised and
resubmitted for review by the PSCS before recommencing works.

Print Name: Print Name: Print Name:

Signed: Signed: Signed:

Role: Role: Role:

Contact No.: Contact No.: Contact No.:

Email: Email: Email:

Date: Date: Date:

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Date: RAMS Number: Revision Number:

Section 7 Risk Assessment Method Statement Sign Off

7.2: Project Supervisor Construction Stage - PSCS (where appointed)
I (Insert Name) have read and understood this RAMS, or had it explained to
me. I am satisfied that it is safe (so far as is reasonably practicable) to allow the work to commence based on the information provided
and that it reflects local on-site conditions including the ongoing coordination / cooperation with other contractors.

Print Name: Print Name: Print Name:

Signed: Signed: Signed:

Role: Role: Role:

Company: Company: Company:

Contact No.: Contact No.: Contact No.:

Email: Email: Email:

Date: Date: Date:

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 Risk Assessment Method Statement (RAMS) Template
Date: RAMS Number: Revision Number:

Section 7 Risk Assessment Method Statement Sign Off

7.3: Risk Assessment Method Statement Workers Briefing
I have read and understood this RAMS, or had it explained to me, and I will fully comply with all safety measures. If the work activity changes significantly, I will notify the Person Responsible for Managing and
Supervising Work (Insert Name) and ask for an amended RAMS. I have also been afforded the opportunity to add any feedback / comments below.

No. 1 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 2 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 3 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 4 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 5 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 6 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 7 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 8 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 9 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

No. 10 Name Company Translator (Name)

Signature Date Briefing Given by (Signature) Translator (Signature)

Feedback

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Date: RAMS Number: Revision Number:

Section 8
Appendices / Additional Information Required (Should be available locally for reference and viewing)

Drawings / Sketches

Risk Assessments (Based on Hazards Identified)

Statutory Certification / Inspection Records for Plant and Equipment

Permits to Work

Temporary Works

Training Register (CSCS / Safe Pass) Other

Chemical / Safety Data Sheets (SDS) Register

Lift Plan

Rescue Plan

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 Risk Assessment Method Statement (RAMS) Template

Date: RAMS Number: Revision Number:

Section 8 Continued
Appendices / Additional Information Required (Should be available locally for reference and viewing)

Additional Information:

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