SWMS

• Client

• Site code

• Conducted on

  Date

• Prepared by

• Site Supervisor / Team Leader

Job Task Being Assessed

• Description of the job to be completed

• Select job hazard profile

  Select Working at height Working near radio frequency Using mobile plant Has exposure to hazardous and harmful products Infrequently performed jobs or new job type Other

  • Working at height
  • Working near radio frequency
  • Using mobile plant
  • Has exposure to hazardous and harmful products
  • Infrequently performed jobs or new job type
  • Other

• Enter job type

• List all workers being observed during this SWMS

List workers being observed during SWMS

• Full name & signature

  Sign

• Company name

  Tetro Ltd

  Other

• Company name

Tasks, Hazards and Preventive Measures

• 1) Break a job down into smaller tasks and observe a worker performing it
  2) Click + to add a "Job Step" and fill in the relevant information
  3) Identify the potential hazards for each task
  4) Determine preventive measures and controls to overcome these hazards

Job Step

• Enter job step description

• Potential risk or hazard identified while task is being performed (select all that apply)

  Select Driving Working at height Slips, trips or falls Working on client premises Using mobile plant (EWP) Working from scaffolding Working on a rooftop Radiation (RF) Manual Handling Weather Electrical (Shock, Short Circuit, Fire, Static, Loss of Power) Noise Chemical (Toxic, Flammable, Corrosive) Ergonomics (Strain, Sprains, Human Error) Fatigue Fire Mechanical (Mechanical Failure, Stuck between objects) Struck by Objects Other

  • Driving
  • Working at height
  • Slips, trips or falls
  • Working on client premises
  • Using mobile plant (EWP)
  • Working from scaffolding
  • Working on a rooftop
  • Radiation (RF)
  • Manual Handling
  • Weather
  • Electrical (Shock, Short Circuit, Fire, Static, Loss of Power)
  • Noise
  • Chemical (Toxic, Flammable, Corrosive)
  • Ergonomics (Strain, Sprains, Human Error)
  • Fatigue
  • Fire
  • Mechanical (Mechanical Failure, Stuck between objects)
  • Struck by Objects
  • Other

• Enter other potential risk/s identified

• EWP type

  Select Crane Scissor Lift Boom Cherry Picker

  • Crane
  • Scissor Lift
  • Boom
  • Cherry Picker

• Check EWP is in good working order

  Yes

  No

• Is the safety system valid?

  Yes

  No

  N/A

• Please provide comments on safety system for review

• Are the weather conditions appropriate to climb?

  Yes

  No

• Is a scaffold tag attached and valid?

  Yes

  No

• Please stop work and contact your manager. Do not continue to use the scaffold.

• Is the main scaffold secured correctly?

  Yes

  No

• Please stop work and contact your manager. Do not continue to use the scaffold.

• Do you feel comfortable and competent working from this scaffold?

  Yes

  No

• Please stop work and contact your manager. Do not continue to use the scaffold.

• Is the footing of the scaffold on solid, level ground?

  Yes

  No

• Rate risk/ hazard before control measures

  Extremely High Risk

  High Risk

  Moderate Risk

  Low Risk

• Take a photo of step / activity (Optional)

  Media

• Hazard Control Measures

  Select Elimination - Remove the hazard Substitution - Replace the hazard Engineering - Isolate people from the hazard Administrative - Change the way people work PPE - Protect workers with personal protective equipment

  • Elimination - Remove the hazard
  • Substitution - Replace the hazard
  • Engineering - Isolate people from the hazard
  • Administrative - Change the way people work
  • PPE - Protect workers with personal protective equipment

• Elimination Controls

• Administrative Controls

• Personal Protective Equipment required

  Select Long sleeve high vis shirt Long pants Helmet Safety boots Gloves Ear protection Eye protection Harness RF monitor Respiratory mask Wet weather high vis gear Sunblock Other

  • Long sleeve high vis shirt
  • Long pants
  • Helmet
  • Safety boots
  • Gloves
  • Ear protection
  • Eye protection
  • Harness
  • RF monitor
  • Respiratory mask
  • Wet weather high vis gear
  • Sunblock
  • Other

• Other PPE used

• Substitution Controls

• Engineering Controls

• Rate risk after control measures have been implemented

  Extremely High Risk

  High Risk

  Moderate Risk

  Low Risk

• Please contact your manager before proceeding

  Yes

  No

Completion

• Signature of site supervisor / team leader

  Sign