SAFE WORK METHOD STATEMENT Sample Only

PCBU / EMPLOYER / COMPANY DETAILS SWMS No:

Name: Revision No:

Address: Revision Date:

ABN: Phone:

Approved by: Date:

Works Manager: Mobile:

PROJECT DETAILS CLIENT / PRINCIPAL CONTRACTOR DETAILS

Name: Name: Date provided to PC:

Address: Contact: Phone:

WORK ACTIVITY

Work involving the Sample Only, movements and postures encountered when carrying out Sample Only.

SCOPE OF WORK COVERED BY THIS SAFE WORK METHOD STATEMENT

The Sample Only Safe Work Procedure (SWMS) outlines the main hazards and risks associated with the use of Sample Only.
The SWMS provided details of the health and safety precautions to be followed to identify, analyse and assess Sample Only, and the control measures to be implemented to eliminate or
minimise the risk of injury caused by Sample Only.

GENERAL INSTRUCTIONS FOR SAFE WORK METHOD STATEMENTS SITE SPECIFIC CONSIDERATIONS

A safe work method statement (SWMS) must be prepared for any and all high risk construction work to be NOTE: This is a generic SWMS. A generic SWMS may be prepared and used for high risk construction work activities that are
undertaken prior to the work commencing. All high risk construction work must be carried out in accordance with carried out on a regular basis; however, the generic SWMS must be reviewed by the person carrying out the work to take into
this SWMS. account the hazards and risks for the specific workplace and amend the SWMS as necessary for the site where the work is to be
carried out, and complete details such as names and qualifications of workers who will carry out the work. All amendments to the
This SWMS must be kept and be available for inspection until the high risk construction work to which this SWMS SWMS must conform to regulatory requirements and be recorded on the SWMS. Workers and their health and safety
relates is completed. If the SWMS is revised, all versions should be kept. representatives (if any) should be consulted before the generic SWMS is first made available to them and all workers instructed in
If a notifiable incident occurs in relation to the high risk construction work in this SWMS, the SWMS must be kept for at the SWMS by site-specific inductions or toolbox talks. Details of consultation with workers and instruction in the SWMS must be
least 2 years from the date of the notifiable incident. recorded on the SWMS for that project or site. All workers are required to sign-off on the SWMS before the work is commenced.

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SAFE WORK METHOD STATEMENT Sample Only

WHAT MEASURES ARE IN PLACE TO ENSURE COMPLIANCE WITH THIS SWMS? PERSON RESPONSIBLE FOR MONITORING COMPLIANCE WITH THIS SWMS

Supervision Inspections Site audit Name Date Received

HOW WILL SWMS CONTROL MEASURES BE REVIEWED? PERSON RESPONSIBLE FOR REVIEW OF SWMS CONTROL MEASURES

Compliance with regulations & CoPs? Fit for purpose & adequate for task? Name Date Received

HOW WILL CHANGES TO THIS SWMS BE MADE? HOW WILL CHANGES TO THIS SWMS BE COMMUNICATED TO WORKERS?

JSA (on site – approval required) Revision (revised SWMS re-issued) SWMS induction Pre-start meeting Toolbox talk

HIGH RISK CONSTRUCTION WORK ACTIVITIES (CHECK ANY THAT ARE APPLICABLE TO WORK COVERED BY THIS SWMS)

A risk of a person falling more than 2 metres (or 3 m in SA or

Demolition of a load-bearing structure Work on a telecommunications tower
housing const. in Qld)

Work in or near a shaft or trench with an excavated depth over

Temporary load-bearing support structures Work on or near pressurised gas distribution mains or piping
1.5m; or in a tunnel

Work in an area at a workplace in which there is any movement of

Work involving the use of explosives Work on or near chemical, fuel or refrigerant lines
powered mobile plant

The disturbance of or likely disturbance of asbestos Tilt-up or precast concrete Work in an area in which there are artificial extremes of temperature

Work on, in or adjacent to a road, railway, shipping lane or Work on, under or near water or other liquid that involves a risk of
Work on or near energised electrical installations or services
other traffic corridor used by traffic other than pedestrians drowning

Work in an area that may have a contaminated or

Work carried out in or near a confined space Diving work
flammable atmosphere

RISK CONTROL Actions to be taken to control risks What measures are in place to ensure compliance with this SWMS? Check

Hierarchy of risk controls (in order of preference) How will risk controls be implemented? Check all measures used to ensure compliance with this SWMS

1 Elimination (most effective) Eliminate the hazard and the associated risk Responsible person appointed to monitor compliance with SWMS by workers
2 Substitution Substitute the hazard with something safer Site-specific inductions; pre-start meetings and toolbox talks with workers
3 Isolation Isolate the hazard from people (e.g., barrier, wall) SWMS provided to and discussed with workers and signed off
4 Engineering means Physical controls including guards, mechanical devices Ongoing workplace supervision by competent personnel
5 Administrative controls Work methods or procedures to minimise exposure Monitoring of work methods and review of SWMS where necessary
6 PPE (least effective) Provide protective clothing and equipment to workers SWMS control measures revised if work methods or risks change

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SAFE WORK METHOD STATEMENT Sample Only

REQUIRED PLANT / TOOLS / EQUIPMENT SAFETY INSPECTIONS & MAINTENANCE CHEMICALS TO BE USED ON SITE
Name of chemical Hazard class (GHS) Category SDS date

PERMITS, ISOLATIONS AND AUTHORISATIONS REQUIRED

HIGH RISK WORK LICENSES AND COMPETENCIES REQUIRED

Plant or occupation Class Type/description Worker’s name Number Expiry

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SAFE WORK METHOD STATEMENT Sample Only

SAFETY EQUIPMENT REQUIRED

Barricading, traffic control devices Signage Fall prevention (safety harness, lanyard) Traffic control Other (specify below):

PERSONAL PROTECTIVE CLOTHING AND EQUIPMENT (PPE)

Required PPE is highlighted in red with green check. Optional PPE is highlighted in blue. Ensure all workers have required PPE before any work requiring the PPE has commenced.

WORKER INSTRUCTION & SIGN OFF

All workers must sign below before commencing work covered by this SWMS: I have been consulted, instructed in and fully understand the content of this SWMS
Worker’s name Signature Date Worker’s name Signature Date

REVIEWS

Review No. 01 02 03 04 05 06

Name

Signature

Date

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SAFE WORK METHOD STATEMENT Sample Only

Job activity Hazards and associated risks How will the hazards and the risks be controlled?

Sample only Untrained workers All persons working on a construction site must hold a General Construction Induction (GCI) card.

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All workers must be competent in the tasks carried out.

Identifying hazardous manual Sample only Sample Only that arise from manual tasks generally involve interaction between a worker and
tasks • Sample Only
• the tools, equipment and objects handled, and
• the physical work environment.

Consultation with workers Consult with workers to Sample Only tasks that
• are difficult to carry out (or appear harder than they should be)
• Sample Only
• are awkward or dangerous (e.g., result in difficulty in controlling tasks), or
• cause discomfort when carried out.

Sample Only Inspect workplace injury records to identify injuries caused by or associated with manual tasks carried out.

Additional information on potential problem areas can be obtained from regulators, industry associations, etc.

Sample Only Identify trends Peruse injury information to identify common causes or trends (e.g., tasks, occupations, locations, etc.) Trends
may also Sample Only of the work area of the work methods used.

Observe manual tasks Manual tasks should be observed to identify any of the following characteristics of hazardous manual tasks:
• repetitive or sustained force
• high or sudden force
• Sample Only
• sustained and/or awkward posture
• exposure to vibration.

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SAFE WORK METHOD STATEMENT Sample Only

Job activity Hazards and associated risks How will the hazards and the risks be controlled?

Assessing risk from hazardous Repetitive or sustained force or Repetitive movement or force refers to a movement or force that is performed more than twice a minute.
manual tasks posture
Sustained means a posture or force that is held for more than 30 seconds at a time.

Sample Only Risks in tasks involving high force are related to:
• the intensity of the force applied
• the speed of the movement
• Sample Only

Duration of the task Sample Only

Exposure to vibration Prolonged exposure to whole-body or hand-arm vibration increases the risk of injury. The degree of risk
increases as the duration of exposure increases and when the speed and intensity (amplitude) of the vibration
is high.

Sample Only Hierarchy of controls The hierarchy of risk controls must be applied when selecting measures to control risks associated with
hazardous manual handling.

The reliance on training of workers to lift safely should not be applied in isolation, but used in combination with
other more effective higher ranked control measures.

Analyse hazardous manual tasks Sample Only Sample Only

Control measures – level 1 Eliminate risk Sample Only

Eliminate or reduce twisting, reaching, pushing, pulling, holding or carrying movements when handling, carrying
or storing items and materials by storing heavier and frequently used items in readily accessible locations at
waist level where possible.

Sample Only.

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SAFE WORK METHOD STATEMENT Sample Only

Job activity Hazards and associated risks How will the hazards and the risks be controlled?

Control measures – level 2 Sample Only Replace heavy items with items that are lighter, smaller and/or easier to handle.

Replace hand tools with power tools to reduce the level of force required to carry out the task.

Reduce tools that are hard to use or difficult to handle with tools fitted with ergonomically-designed handles,
etc.

Sample Only Isolate vibrating machinery from the user (e.g., provide fully independent seating on mobile plant); replace worn
or out of balance power tools, discs or cutters, etc. to eliminate or minimise vibration when used.

Engineering controls Provide and use Sample Only lifting aids to move and handle loads (e.g., conveyors, cranes, hoists, forklifts,
pallet jacks, trolleys, etc.).Use load balancers and supports to move loads and tools.

Ensure that items for moving loads (trolleys, pallet jacks, pedestrian forklifts, etc.) are maintained in a safe
operating condition, and are not loaded in excess of their rated capacity.

Sample Only Administrative controls Rotate workers between different tasks where practicable.

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Provide opportunities for workers performing seated or standing tasks to vary their postures and movements.

Sample Only Training needs will depend on the task(s) to be carried out and the risks involved. Workers must understand –
• what sort of manual handling is hazardous
• Sample Only
• how to select and use appropriate risk controls such as mechanical aids and safe systems of work.

The training should include information pertinent to the types of loads to be moved, correct lifting postures and
techniques, and team lifting procedures where team lifting is carried out on a regular basis.

Training or instruction in manual handling techniques must not be used as the sole or primary means of
controlling risk.

Personal protective Sample Only Sample Only

Footwear worn on hard surfaces should have shock-absorbent soles.

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SAFE WORK METHOD STATEMENT Sample Only

Job activity Hazards and associated risks How will the hazards and the risks be controlled?

Review of control measures Sample Only Implemented risk control Sample Only for hazardous manual tasks must be reviewed and, of necessary,
revised:
• Sample Only
• before a change at the workplace that is likely to give rise to a new or different health and safety risk
that the control measure may not effectively control
• if a new hazard or risk is identified
• Sample Only

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SAFE WORK METHOD STATEMENT Sample Only

JSA (ADDITIONAL SITE-SPECIFIC HAZARDS & RISKS OR CONTROLS NOT INCLUDED ELSEWHERE IN SWMS)

Job activity Hazards / associated risks How will the hazards and the risks be controlled? Approved by

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