Construction Safe Work Method Statement (SWMS)

• Company Name

• Project Name & No.

• Work Activity

• Conducted on

  Date

• Date to be Reviewed

  Date

• Prepared by

• Location
  Address

SWMS Details

• Brief description of Work Activity

• High-risk Construction Work

  Select Working at Heights Asbestos Excavation Chemical hazards Concrete elements Extreme temperature Telecommunication tower work Load-bearing for repairs Use of explosives Electrical installation Traffic Risk of drowning Demolition of load-structure Confined space Work near gas piping Work in contaminated atmosphere Working near powered plants Working in a tunnel Other

  • Working at Heights
  • Asbestos
  • Excavation
  • Chemical hazards
  • Concrete elements
  • Extreme temperature
  • Telecommunication tower work
  • Load-bearing for repairs
  • Use of explosives
  • Electrical installation
  • Traffic
  • Risk of drowning
  • Demolition of load-structure
  • Confined space
  • Work near gas piping
  • Work in contaminated atmosphere
  • Working near powered plants
  • Working in a tunnel
  • Other

• Employer/Contractor

• Personnel Responsible for Monitoring this Activity

• Codes of Practice / Standards Consulted

• Assumptions

• Details of Maintenance Checks Required for this Activity

• Review date

• Reviewer's signature

  Sign

Work Activity Breakdown

• Break the work activity down into steps below by clicking '+' and provide the possible associated hazards and its control measures.

Work Method

• Work Method Description

Possible Hazards

• Hazard

• Risk Level

  High

  Medium

  Low

  Minimal

• Control Measures

• Person Responsible (to ensure management that this method is applied)

Sign Off

• We the undersigned, confirm that the SWMS nominated above has been explained and its contents are clearly understood and accepted, we have been given the opportunity to have input and make suggestions if required. We also confirm that our required qualifications to undertake this activity are current and we are fit for duty having adequate rest and we are not under the influence of drugs or alcohol. We also clearly understand the controls in this SWMS must be applied as documented; otherwise, work is to cease immediately.

Worker signatures

• Add signature

  Sign