C&G Concrete Pumping Ltd
Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                            Telephone: 01235 868855
                              Mobile: 07766503595
     www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
Method Statement Title:                         Concrete Pumping
Method Statement No.:                           MS-0001
Date Compiled:
Review Date:
Expiry Date:
Compiled By:
Competency:
Main Contractor:
Site Managers:
Site Address:
Site Operatives:
              Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                          Company No: 6494408 VAT Reg. No. 930 4008 65
                                             C&G Concrete Pumping Ltd
                                      Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                                            Telephone: 01235 868855
                                                              Mobile: 07766503595
                                     www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
                                           Truck Mounted Mobile Concrete Pump
                                 Significant Risk Identification / Control Measure Statement
The mobile truck-mounted concrete pump is designed to convey concrete from the machine’s delivery hopper to a point designated by the hirer/site
management.
This is achieved via a hydraulically powered pump, through pipe sections attached upon an articulated boom, to a suspended flexible rubber delivery hose,
solid ‘tremmie’ pipe, or via a steel pipeline laid on the ground or fixed vertically.
Data Sheets detailing pump dimensions, outrigger loadings/ positioning, boom type/ reach, and pumping delivery pressures/ volume outputs are available
upon request from C&G Concrete Pumping Services, or from our website - www.cgconcretepumping.co.uk
Information, Instruction, Training, Monitoring - All C&G Concrete Pump Operators (C&GPO’s) are issued with a detailed Operators Procedure Guide (OPG).
Every C&GPO holds a current CPCS card/NPORS certificate for concrete pumping operations. C&GPO’s are assessed periodically, and are also subject to
unannounced ‘spot checks’, in order to ensure safety, quality, & operating standards are maintained and developed.
Encouragement by site management of this progress would be appreciated. This enables us as a company to comply with our employers legal
requirements.
British Standard BS 8476:2007 ‘Code of practice for the safe use of concrete pumps’ is recommended to hirers and interested parties as a reference
document detailing the general minimum requirements in respect of the operation of concrete pumping equipment. Copies of the standard are available
from BSI – www.bsi-global.com
Safe Systems of Work –C&G Concrete Pumping Ltd have assessed all aspects of its operations, and have developed procedures and safe systems of work
that aim to reduce and control risks to safety, health, and the environment.
Significant Risks As an overview, the significant risks that are present in respect of concrete pumping activities are noted below, along with appropriate
control measures. Any additional risks have been assessed and are recorded within our company (C&GCPS/RAMS/) Method Statement.
                                                Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                                            Company No: 6494408 VAT Reg. No. 930 4008 65
                   C&G Concrete Pumping Ltd
            Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                  Telephone: 01235 868855
                                    Mobile: 07766503595
           www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
    REFERENCE No. :       MS- 0001
    OPERATION:            Concrete pumping using boom pump/ Line Pump
    LOCATION:
    NOTE: This method statement must be fully explained to all employees involved in the
    operation prior to commencement of the works. They are to sign the signature box end
    the end of the statement to acknowledge receipt of the information
1    Scope of Work
     Description and sequence
     Use of vehicle mounted boom pump for placement of concrete into floors above ground level.
     Method
     Before leaving depot
     Walk-round inspection of vehicle, to ensure road worthiness, to include:- general visual check of
     pump turret and fixed steel pipes, hydraulic hoses (to check for any leaks), tyres, mirrors & lights,
     operation of remote control operator’s system, hopper guard grid is secure and serviceable.
     Fill water tanks.
     Defrost all windows (during winter conditions) to provide good all-round driving visibility.
     Allow engine to “warm-up” and idle for 10mins prior to departure, to build up air reservoirs for
     brakes.
     Arrival on site
     Park safely outside site and report to site manager.
     Go through site induction process.
     Fill out plant inspection record sheet/book.
     Walk to area designated for pump setup area, and visibly assess environment. Check for ground
     stability (responsibility for suitable preparation is down to the site manager/hirer); overhead
     obstructions; visibility to work area; access conditions and route for delivery lorries.
     Establish a code of signals between the pump operator and concrete laying gang/foreman prior to
     commencement of pumping works.
     Pump setup
     Deploy machine stabilisers (using sole plates if necessary).
     Level up and support the pump using the hydraulic jack stabilisers.
     Unfurl boom and manoeuvre into pour starting position.
     Check wire safety lanyards are attached between end of boom (knuckle bend) and first flexible
     pipe.
     Remove steel and rubber pipes (necessary to reach pour stating point) from bed of pump, and carry
     to lay-out position.
                      Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                  Company No: 6494408 VAT Reg. No. 930 4008 65
             C&G Concrete Pumping Ltd
       Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                             Telephone: 01235 868855
                               Mobile: 07766503595
      www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
Layout necessary pipes in approximate assembly locations.
Join pipes together using couplings with rubber sealing rings.
Position any mobility pans under couplings (as necessary) to aid with hose movements during pour.
Fix suitable rope handling cord onto last section of pipework ready for work to commence.
Once all hoses have been connected, conduct a final walk-through check of all hoses and couplings
starting at point of pour and finishing at pump hopper.
Acquire 50kg of cement (client to supply) for every 20m of pipeline to be used, for pipe grouting,
and position by hopper prior to delivery lorry arrival.
Priming hoses
On arrival of 1st delivery lorry, mix up grout for lining pump hoses.
Empty ½ a bag of cement into bucket containing @ 20lts. of water and mix using a small paddle to
combine water and cement into a flowable grout.
Pour mixture into top of connecting knuckle on rear of hopper.
Repeat above steps for remaining cement.
During works
Reverse concrete delivery lorry up to hopper ready for discharge.
Ensure that hopper grid is in lowered position, prior to approach of mixer lorry, and at all times
during discharge and pumping operations.
Allow delivery vehicle to agitate mixer drum for a couple of minutes to avoid initial aggregate
separation on discharge.
Discharge concrete into hopper to check slump and suitability of concrete prior to starting to pump
through hoses.
Establish a suitable position of work – to be able to see concrete discharge into hopper and point of
delivery from hose. This may involve the use of the remote control pack.
Should a remote control pack be used, then any other operating controls, mounted on the pump
body, must be disabled.
Commence pumping of concrete at a suitable rate to allow for site operators to spread concrete; and
for lorry to discharge concrete at a rate to keep hopper ¾ full.
Until concrete is flowing smoothly out of the end of the delivery hose, or when a blockage occurs
in the boom pipeline, all personnel should remain clear of the delivery hose and the placing boom.
(The danger zone is the area around the delivery hose in which the delivery hose can strike out. The
diameter of the zone is twice the length of the delivery hose).
If a blockage occurs during the pour, the concrete pump operator must stop pumping immediately
and instruct personnel to move to a safe position before attempting to remove the blockage.
If the concrete pump operator needs to open the delivery pipeline to clear a blockage, he must first
release the pressure inside the pipeline as much as possible, e.g. by reversing the pumping action.
The pipeline must be treated as being pressurised at all times. Appropriate and adequate eye
protection must be worn when opening the pipeline.
The hirer is to ensure that site personnel DO NOT under any circumstance open or attempt to open
the pipeline under pressure.
                Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                            Company No: 6494408 VAT Reg. No. 930 4008 65
                  C&G Concrete Pumping Ltd
           Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                 Telephone: 01235 868855
                                   Mobile: 07766503595
          www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
    Use horn to signal to concrete lorry driver to stop discharge if the need arises to move hoses,
    disconnect hoses, or to stop pour for any other reason.
    Move boom as necessary to making a suitable progress across pour area.
    On completion of lorry discharge lower boom to allow end of delivery hose to rest on floor.
    At the end of discharge of each load remove any disconnected hoses and wash out immediately to
    avoid concrete drying inside hoses and pipes.
    If the concrete pump has to be left unattended, the operation of the boom and pump must be
    isolated.
    Between concrete lorry deliveries
    Agitate the contents of the hopper should the need arise – long intervals between delivery vehicles,
    rise in ambient temperature, etc.
    If the concrete in the pump should need circulating or boom should need moving to another part of
    the site, correct blanking of boom should be used, i.e. blanking cap or squeeze bag activated if
    fitted.
    On completion of works.
    Concrete in the hopper should be discharged until the only a small amount is left in the hopper (just
    covering the ram inlet chambers)
    The pressure in the pipeline should be released by retracting concrete into the hopper.
    The access point in the rear knuckle (immediately after the hopper) should be opened, a wetted
    sponge ball inserted into the line, and the access cover re-secured.
    A cage, or protective back board, should be erected at the end of the delivery hose (to receive and
    confine the cleaning ball).
    The end of the discharge hose should be secured to avoid any whiplash.
    All laying gang members should be moved away from the discharge hose, to a safe area.
    The cleaning ball should then be advanced through the remaining pipes and hose, At reduced
    engine revs, until it emerges at the discharge point.
    The ball should then be recovered and thoroughly cleaned and washed off.
    All hoses should be thoroughly washed out and stored on the lorry bed.
    All couplings should be cleaned, washed and stored on the lorry bed.
    The boom should then be retracted and stored on the purpose-made cradle on the lorry bed.
    A suitable site for emptying the remaining concrete from the hopper should be identified, and the
    pump moved to this location.
    The retaining lever on the lower door of the hopper is then released, and the door swung away to
    allow the remaining concrete to be discharged from the hopper.
    Flush out all the intake rams, pistons and thoroughly rinse all concrete and grout from the hopper.
    Once fully flushed, close the lower door of the hopper and secure with the retaining level.
    Ensure all pipes, clips, hoses, wash out lines sole plates are stowed in their respective areas on the
2   lorry bed, and ready for road travel
    Complete client receipt and present to client’s representative.
    Sign out (if required) from site and return to depot.
    Location
                    Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                Company No: 6494408 VAT Reg. No. 930 4008 65
                  C&G Concrete Pumping Ltd
           Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                 Telephone: 01235 868855
                                   Mobile: 07766503595
          www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
    Time/Duration
    Access Routes
    Access for Emergency Services and others.
    The works will not impact on access for the emergency services or others.
3   Lighting
    All work is to be carried out in daylight hours. The hirer is to supply any additional lighting
    required.
4   Plant and Equipment.
    Schedule of equipment
    Lorry mounted concrete pump
    Test Certificates
    Operator to possess either a CPCS or NPORS certificate for operation of concrete pumps
    Specialist Equipment
    N/A
5   Materials
    Materials to be used
    Ready mixed concrete
    COSHH Implications
    See attached COSHH data sheet
    Fire Implications
    N/A
6   Risks and Controls
    See attached hazard identification sheet and control measures.
                     Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                 Company No: 6494408 VAT Reg. No. 930 4008 65
                    C&G Concrete Pumping Ltd
            Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                  Telephone: 01235 868855
                                    Mobile: 07766503595
           www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
7    Training
     All employees are to have this method statement, and associated risk, COSHH and manual handling
     assessments explained to them prior to commencing work. The briefing register is to be signed by
     each employee on all documents.
     The pump operator is to be in possession of a valid training certificate.
8.   Organisation
     P. Johnson, L. Green , T Fletcher A Harding, J Simpson, D Cull, W Holden, N Grant
9.   Housekeeping
     Removal
     All residual concrete shall remain on site and is the responsibly of the client to dispose of.
     Resources
     N/A
     Frequency
     N/A
     Storage
     N/A
10. Briefing Register
    The briefing register for this operation is attached
11. Personal Protective Equipment
    The following PPE will be worn by all operatives involved in this operation:
     Safety Hats
     High Visibility Vests
     Safety Boots
     Gloves
     Safety glasses
     Ear defenders (if required due to site conditions)
                      Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                  Company No: 6494408 VAT Reg. No. 930 4008 65
                   C&G Concrete Pumping Ltd
            Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                  Telephone: 01235 868855
                                    Mobile: 07766503595
           www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
     Issue, Maintenance and Recall
     All PPE will be issued to employees by the contracts Manager prior to their commencement on site.
     The foreman is to inspect all employees PPE prior to the operation to ensure it is serviceable.
12. Power
    N/A
13. Working Platforms
    N/A
14. Welfare
    Welfare facilities are provided by main contractor.
15. 3rd Party Protection
    N/A
16. The Environment
    Noise
    See method statements
     Air Omissions
     N/A
     Aqueous/effluent discharge
     All concrete washed from hopper, pipes and hoses shall be contained on-site and not allowed to
     contaminate any drains or water courses. The responsibility for this containment lies with the
     client/hirer
     Waste Generation
     N/A
     3rd Parties
     N/A
17. Temporary Works
    N/A
                     Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                 Company No: 6494408 VAT Reg. No. 930 4008 65
                  C&G Concrete Pumping Ltd
           Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                 Telephone: 01235 868855
                                   Mobile: 07766503595
          www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
18.   Monitoring
      Air Sampling
      N/A
      Health Surveillance
      N/A
      Noise/Vibration Sampling
      N/A
19.   General
      First Aid
      The first aider for the project will be the site manager or a person appointed by the hirer.
      Fire.
      No fire risk will be present during this operation.
      Exposure to hazardous substances
      See COSHH assessments
      Oxygen enriched / deficient atmosphere
      N/A
      Adverse weather conditions
      Adverse weather conditions should not effect this operation
      Spillage
      Should any fuel or oil spillage occur it would be contained using subsoil which will
      subsequently disposed of as contaminated waste.
 20   Communications
      Radio
      N/A
      Telephone
      Mobile available with site foreperson and pump operative.
      Verbal
      This method statement and the associated risk assessment will be verbally explained to all
      employees involved in the operation prior to its commencement.
                     Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                 Company No: 6494408 VAT Reg. No. 930 4008 65
                          C&G Concrete Pumping Ltd
                    Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                          Telephone: 01235 868855
                                            Mobile: 07766503595
                   www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
            Hand Signals
            All hand signals to reversing vehicles will be in accordance with the Health and Safety (Safety
            Signs and Signals) Regulations 1996.
            Code of hand signals between pump operator, lorry drivers and concrete laying gang members
            to be agreed prior to works commencing.
                                    HAZARD AND RISK IDENTIFICATION SHEET
                                    EFFECTED AREA                                                                                             RISK VALUE
                                                                                                                                                                       PROBABILITY
                                                                                                                                                                       SEVERITY X
                                                                                         HAND/WRIST
                                                                                                                                                         PROBABILITY
                                                                              SHOULDER
                                                                                                      INTERNAL
                                                                                                                                              SEVERITY
                                                                                                                                     PUBLIC
                                                   TRUNK
                                                                                                                             OTHER
                 HAZARD
                                            HEAD
                                                                       FOOT
                                     ARM
                                                           EAR
                                                                                                                       TOE
                                                                                                                 LEG
                                                                 EYE
SERVICES
Overhead                             X      X      X                   X      X          X            X          X     X                       2           2                  4
FALLS
From Height                          X      X      X                   X      X          X            X          X     X                       2           2                  4
Same Level/Trip                      X      X      X                   X      X          X            X          X     X                       2           2                  4
MACHINERY IN MOTION
Drawn in                             X      X      X                   X      X          X            X          X     X                       2           2                  4
Flying objects                       X      X      X       X     X     X      X          X            X          X     X     X       X         3           3                  9
VEHICLE IN MOTION
Fall From                            X      X      X                   X      X          X            X          X     X     X                 3           2                  6
Trapped Between Machinery/           X      X      X                   X      X          X            X          X     X                       3           2                  6
Vehicles
Hit By Machinery/ Vehicles           X      X      X                   X      X          X            X          X     X                       3          2                   6
                             Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                           Company No: 6494408 VAT Reg. No. 930 4008 65
                         C&G Concrete Pumping Ltd
                   Minmere Bungalow, Buckland Road Charney Bassett OXON OX12 0EL
                                         Telephone: 01235 868855
                                           Mobile: 07766503595
                  www.cgconcretepumping.co.uk         Email:- paul@cgconcretepumping.co.uk
Hit By Burst Hoses/ Flying           X    X     X     X     X     X    X     X     X     X     X    X     X   3   2   6
Material
COSHH
Irritant                             X    X                 X     X          X     X     X                    4   4   16
GENERAL
Manual handling                      X    X     X                 X    X     X     X     X     X              2   2   4
Explosions
Electricity                          X    X     X                 X    X     X     X     X     X    X         2   2   4
Hand tools                           X                                       X                                1   2   2
Noise                                                 X                                                       2   2   4
Falling objects                      X    X     X                 X    X     X     X     X     X    X     X   3   3   9
                               Hazard Severity & Probability
                               Severity          Probabilty
                         1 Negligible      1 Not likely
                         2 Slight          2 Possible
                         3 Moderate        3 Quite possible
                         4 High            4 Likely
                         5 Severe          5 Almost a certainty
                             Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon. SN3 4NE
                                         Company No: 6494408 VAT Reg. No. 930 4008 65
                                             C&G Concrete Pumping Ltd
                                                  Rosecroft New Road Charney Bassett OXON OX12 0ER
                                                                Telephone: 01235 868855
                                                                  Mobile: 07766503595
                      Risk                                           Professional Control                          Site Management and Hirer Considerations &
                                                                                                                                        Controls
Contact with overhead power cables                   C&G Pumping follow industry guidance (GS6) –               Ensure the pump is sited so that neither the pump, or
                                                     6m from electric services mounted on wooden                boom, encroaches within these limits.
                                                     poles and 11m from services mounted on metal
                                                     pylons.
Fall from height whist checking pump, filling        Ensure footwear is clean and free from mud,                Keep site clean as practicable.
water tanks, unloading pipes                         debris, etc. Short duration tasks only (retrieving         Do not allow non C&GPO operatives to access the pump
                                                     fittings, et.c). Long duration tasks (changing seals,      deck of the lorry.
                                                     etc. require a harnace and separate method
                                                     statementUnload pipes, 1 at a time, from side of
                                                     lorry.
Collapse or settlement of pump due to ground         Sole plates are provided for placement below               Ensure ground conditions at set-up position are adequate
conditions/ inadequate ground support                outrigger feet to support the pumps outriggers/            for
                                                     reduce surface damage                                      imposed load of pump
                                                     these are designed for use on firm, level                  provide sufficient extra support (timbers, steel sheets,
                                                                                                                etc.) as
                                                     standing
Drawn into machinery in motion                       Ensure hopper grating is lowered and secured               Keep unauthorised personnel away from working area
                                                     during pumping operations
Vehicle Movements (reversing) – crushing /           Where possible the C&GPO will direct the mixer             Provide a competent banksman to direct concrete mixer
trapping of persons by delivery vehicles             truck during the manoeuvre onto the concrete               trucks (especially when the C&GPO is required to
                                                     pump hopper                                                operate the boom/pump.
                                                Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon,   SN3 4NE
                                                              Company No: 6494408 VAT Reg. No. 930 4008 65
                                                 C&G Concrete Pumping Ltd
                                                       Rosecroft New Road Charney Bassett OXON OX12 0ER
                                                                     Telephone: 01235 868855
                                                                       Mobile: 07766503595
                        Risk                                            Professional Control                            Site Management and Hirer Considerations &
                                                                                                                                             Controls
Injury to people, or property from spillage/splatter    Pump all concrete from hoses prior to moving               Ensure suitable edge protection to slab/pour. Recet debris
from hoses                                              boom. Lower boom so hose sits on floor between             netting is likelihood of overspill or splatter.
                                                        loads. Direct hose away from edge of shutters, etc.
                                                        whilst discharging concrete
Potential blockage at start or restart of pump          Agitate concrete in hopper between loads
Hose “whipping” when flexible hose used off end         C&GPO request everyone remain clear end of                 Ensure laying gang members keep clear of end of hose
of boom                                                 discharge hose on restart. Steel security lanyard          on restart.
                                                        used on joint between boom and flexible hose.
                                                        Only single ended hose used off boom
Bursting of pipelines under pressure                    Only pipes, hoses & clips of sufficient safety
                                                        rating to be used. Wear and damage to hoses and
                                                        pipes should be checked frequently and replaced
                                                        as necessary.
Forceful ejection of concrete from end of hose          Pipe seals maintained correctly. Level of concrete         If C&GPO operates pumps using remote control unit a
                                                        in hopper controlled correctly                             secondary banksman should be appointed to watch levels
                                                                                                                   of concrete in hopper ( to avoid air being pumped into
                                                                                                                   pipework)
Pressurised concrete release – dismantling hoses        Release pressure in pipeline before releasing              Non C&GPO operatives NOT to release clips without
                                                        joining clips                                              C&GPO instruction/ direction/
                                                   Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon,   SN3 4NE
                                                                 Company No: 6494408 VAT Reg. No. 930 4008 65
                                             C&G Concrete Pumping Ltd
                                                   Rosecroft New Road Charney Bassett OXON OX12 0ER
                                                                 Telephone: 01235 868855
                                                                   Mobile: 07766503595
                       Risk                                           Professional Control                              Site Management and Hirer Considerations &
                                                                                                                                         Controls
COSHH: Cement - Irritant                              Gloves to be worn when handling pipe, hoses,
                                                      grout or washing out.
Blockages (and why they occur)
Segregation of aggregate during pumping               Use appropriate amount of primer / grout to line           Consider length of pipeline used (site setup position of
                                                      pipeline                                                   pump)
Inappropriate concrete mix                            Check and adjust slump as necessary                        Ensure “pump mix” specification on design mix.
Stiffening of concrete in boom pipeline, water        C&GPO shall agitate concrete in hopper and move            Deliveries should be time managed to avoid delays or
bleeds from concrete, incorrect dosage of             concrete in pipeline if delays are envisaged               waiting times
plasticiser (flash set)
Flexible hoses kinked or trapped                      Suspend vertically if off the boom and layout
                                                      straight if used as horizontal pipework
Foreign objects delivered form mixer drum             Monitor the discharge of the concrete into the             Banksman to assist if C&GPO is using pump via remote
                                                      hopper                                                     control box.
Flexible hoses kinked or trapped                      Suspend vertically if off the boom and layout
                                                      straight if used as horizontal pipework
Foreign objects delivered form mixer drum             Monitor the discharge of the concrete into the             Banksman to assist if C&GPO is using pump via remote
                                                      hopper                                                     control box.
                                                 Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon,   SN3 4NE
                                                               Company No: 6494408 VAT Reg. No. 930 4008 65
                                       C&G Concrete Pumping Ltd
                                             Rosecroft New Road Charney Bassett OXON OX12 0ER
                                                           Telephone: 01235 868855
                                                             Mobile: 07766503595
This is to certify that I have read and understood the above method statement, risk assessment and control measures.
           PRINT NAME                     SIGNATURE              DATE                       PRINT NAME                   SIGNATURE   DATE
 Site Address:
                                          Reg’d Office: Vicarage Court, 160 Ermin Street, Stratton, Swindon,   SN3 4NE
                                                        Company No: 6494408 VAT Reg. No. 930 4008 65