SAFE WORK METHOD STATEMENT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Company Name:MacWest

• Address:
  Address

• Contact Person:

• Mobile Phone No:

• Date:

  Date

• Work Scope/Activity/Task:

• Reference:

• Reviewed by:

  Sign
• Project Address:
  Address

• Identify High Risk Construction Work:<br>(Examples of high risk construction work. Construction work that involves: falling > 2m; disturbance of asbestos; structural alterations requiring temporary support; demolition of an element that is load bearing; a confined space; artificial extremes of temperature; adjacent to a road; work on chemical, fuel or refrigerant lines, on energised electrical installations, work on or near pressurised gas distribution piping mains)

  Yes

  No

• This SWMS has been developed and approved by: Bradley Westerdale, Director, Macwest Construction Pty Ltd

Resources:

• Trades Involved:

• Equipment Used:

• Maintenance checks:

• Materials Used:

• Personal Protective Equipment (PPE) used:

• RISK SCORE CALCULATOR

  

Item 1

• Job Step - Break the job down into steps

• Potential Hazards - Identify the hazards associated with each step. Examine each to find possibilities that could lead to an accident or adverse environmental impact

• Risk Class

• Controls - Using the previous two columns as a guide, decide what actions are necessary to eliminate or minimise the hazards that could lead to an accident, injury or occupational illness or environmental impact

• Person Responsible

Item 2

• Job Step - Break the job down into steps

• Potential Hazards - Identify the hazards associated with each step. Examine each to find possibilities that could lead to an accident or adverse environmental impact

• Risk Class

• Controls - Using the previous two columns as a guide, decide what actions are necessary to eliminate or minimise the hazards that could lead to an accident, injury or occupational illness or environmental impact

• Person Responsible

Item 3

• Job Step - Break the job down into steps

• Potential Hazards - Identify the hazards associated with each step. Examine each to find possibilities that could lead to an accident or adverse environmental impact

• Risk Class

• Controls - Using the previous two columns as a guide, decide what actions are necessary to eliminate or minimise the hazards that could lead to an accident, injury or occupational illness or environmental impact

• Person Responsible

Item 4

• Job Step - Break the job down into steps

• Potential Hazards - Identify the hazards associated with each step. Examine each to find possibilities that could lead to an accident or adverse environmental impact

• Risk Class

• Controls - Using the previous two columns as a guide, decide what actions are necessary to eliminate or minimise the hazards that could lead to an accident, injury or occupational illness or environmental impact

• Person Responsible

Item 5

• Job Step - Break the job down into steps

• Potential Hazards - Identify the hazards associated with each step. Examine each to find possibilities that could lead to an accident or adverse environmental impact

• Risk Class

• Controls - Using the previous two columns as a guide, decide what actions are necessary to eliminate or minimise the hazards that could lead to an accident, injury or occupational illness or environmental impact

• Person Responsible

This SWMS has been developed through consultation with our employees and has been read & signed by all employees involved with this activity:

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Name

• Signature

  Sign

• Legislation, Regulations, Codes of Practice, Australian Standards & Guidance Notes:
  
   WH&S Act 2011
   WH&S Regulations 2011
   Codes of Practice Manual Handling