M4E SWMS Infield Verification

• M4E SWMS Infield Verification

• WestConnex M4E - Parramatta Rd Civil

• 

• Parramatta Road - Work Area:

• SWMS Number:

• SWMS Title:

• Conducted on

  Date

Employer:-

Employer Supervisor:-

CSJ Representative

• Select Christian Timney Simon Baldwin Michael Paton Ben Ashcroft David Wilson Brandon Leong Dave King Peter Masiorski Ben Forbes Vaughan Kimmins Mitch Stevens Bob Isaac John Kim Joe Vu Danielia Cullura Judy Zabbia Karly Douglas Pauric Smith Brandon Perrin

  • Christian Timney
  • Simon Baldwin
  • Michael Paton
  • Ben Ashcroft
  • David Wilson
  • Brandon Leong
  • Dave King
  • Peter Masiorski
  • Ben Forbes
  • Vaughan Kimmins
  • Mitch Stevens
  • Bob Isaac
  • John Kim
  • Joe Vu
  • Danielia Cullura
  • Judy Zabbia
  • Karly Douglas
  • Pauric Smith
  • Brandon Perrin

• Another CSJ Rep:

• Work Step Description currently being performed at time of Verification (Verbal Answer by Workgroup when asked)

• Match to Description on SWMS?

  Yes

  No

  N/A
Control Definition (discuss verbally with team and identify what controls the workgroup believe should be in place)

• Risk (in workers words)

• Above the Line

  Yes

  No

  N/A

• Control Description (in workers words)

• Above the Line

  Yes

  No

  N/A
Gap Analysis - (SWMS vs. Risk Identification and Control Definition, lower control in place vs. controls identified)

• Risk (in SWMS)

• Control Description - Gap between in field content discussion & SWMS content or controls which have not been implemented

• Are controls listed in SWMS in place and effective:

  Yes

  No

  N/A

• Is the SWMS Located at the Job site?

  Yes

  No

  N/A

• Are personnel aware of emergency procedures and first aid for task?

  Yes

  No

  N/A

• SWMS location is known by workers?

  Yes

  No

  N/A

• Is SWMS in date and within review period

  Yes

  No

  N/A

• Has the SWMS modification page been used i.e. Content been added relevant to the task?

  Yes

  No

  N/A

• Any comments from the inspectors?

• What action is required -

  Stop Activity

  Implement Additional Controls

  Modify SWMS infield

  No Further action - Continue working

• Employer Supervisor:

  Sign

• CSJ Rep:

  Sign

• Yes

  No

  N/A