IMC-R-202.15 SWMS Review

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Part A: General Information

• On site location
  Address

• Activity

• Job number

• Revision number of the SWMS

• This review is to be completed by the Anchor safe representative supervising the work & must be filed in the job package and under internal audits

• A “No” for any of the criteria means the SWMS will need to be amended prior to use or the requirement must be covered in some other format by the worker

• SWMS Title

• Workers completing

• Part B: Review of the SWMS Content

• Have the name and details of the subcontractor?

  Yes

  No

  N/A

• Provide a description of the work & detail the activities to occur on this site step by step?

  Yes

  No

  N/A

• Is the site details and contacts clearly listed?

  Yes

  No

  N/A

• Identify and rate the risks associated with each step including those risks to the public, people and plant in the vicinity of the task?

  Yes

  No

  N/A

• Detail the means to remove/control each risk in a reasonably practicable manner both appropriate & consistent with the hierarchy of control i.e. firstly 1-elimination, 2-substitution, 3-isolation, 4-engineering controls, 5-administrative controls & lastly 6-PPE

  Yes

  No

  N/A

• If involving work at any height, detail the means to remove or control each risk in a reasonably practicable manner both appropriate & consistent with the hierarchy of control i.e. firstly 1-Work on the ground or on a solid construction, 2-using a fall prevention device, 3-using a work positioning system, 4-using a fall arrest system, & lastly 5-using a ladder or an administrative control

  Yes

  No

  N/A

• Detail the environmental hazards (if any) and suitable means to remove or reduce these hazards. (ie dust, noise, waste, wash, etc)

  Yes

  No

  N/A

• Is there an emergency response plan listing: First aid considerations, capabilities of the rescuers, local emergencies roles, equipment required, communication in than emergency, location factors?

  Yes

  No

  N/A

• Detail the training workers require to complete the work

  Yes

  No

  N/A

• Name the person responsible to supervise the work including ensuring all workers under their control have been trained in the SWMS and have signed the SWMS as evidence of training, and that arrangements are in place to review the SWMS and monitor compliance with the SWMS

  Yes

  No

  N/A

• List the plant & equipment required to complete the work including inspection and maintenance requirements

  Yes

  No

  N/A

• List the applicable regulations, standards, codes or guidelines applicable to the work

  Yes

  No

  N/A

• Have provision for workers to evidence that they have been trained in the requirements of the SWMS

  Yes

  No

  N/A

• Have an initial or signature of the supervisor or more senior personnel

  Yes

  No

  N/A

• Has a plant risk assessment been carried out on all items of mobile plant and documentation includes safe operating instructions and requirements for maintenance, servicing and inspection

  Yes

  No

  N/A

• Are the controls listed in the SWMS consistent with the intent of the controls of the site

  Yes

  No

  N/A

• Does the SWMS identify High Risk Construction Activities as listed by the relevant state regulation. (This may be done by Circling the High Risk Activity Step number in the SWMS.) (Refer High Risk Construction Activities listed below)

  Yes

  No

  N/A

• High Risk Construction Activities include: A person can fall two metres or more, Work on telecommunications towers, demolition, the disturbance or removal of asbestos, structural alterations that require temporary support, enter a confined space, excavation to a depth greater than 1.5 metres, the construction of tunnels, the use of explosives, work on or near pressurised gas distribution mains and consumer piping, work on or near chemical, fuel or refrigerant lines, work on or near energised electrical installations and services, a contaminated or flammable atmosphere, tilt-up and precast concrete construction work, work on or adjacent to roadways or railways used by road or rail traffic, powered mobile plant, artificial extremes of temperature, a risk of drowning, work involving diving

• Part C: Findings and actions(please take a photo of each page that is readable)

• NB All hand changes must be initialled by all workers or the SWMS photocopied & then signed by the workers to demonstrate the changes occurred prior to the workers being trained

• What conditions can the work commence under?

  Select Work can proceed based on the SWMS presented Work can proceed based on the hand modified SWMS The SWMS requires resubmission prior to work commencing

  • Work can proceed based on the SWMS presented
  • Work can proceed based on the hand modified SWMS
  • The SWMS requires resubmission prior to work commencing

• If returning the SWMS for resubmission it should be forwarded with a copy of this review

Initial SWMS Review carried out by:

• Date:

  Date

• Signature of reviewer

  Sign