SAFE WORK METHOD STATEMENT (SWMS) · SAFE WORK METHOD STATEMENT (SWMS) Profiling Site Name: ABN: 82096533952 SWMS No: 001 ... method applied C L R Controls Adopt Standard Procedure
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S.L.Y. CONTRACTING PTY LTD 1/13
Work Health & Safety Management Plan Version 1 – May 2014
Traffic Management for construction or maintenance work
Managing Risk of Hazardous Chemicals
Hazardous Manual Tasks
Plant and Equipment Required: Equipment Checked By Name:
Profiler / Bobcat / Trucks
All plant must have maintenance schedule,
Operator’s Manual and Safety Manual on the
machine & operator certified and competent.
Maintenance / Pre-start Checks required: e.g. Daily Pre-start Meeting, Plant Pre-start , Visual Inspection of electrical items, FM281 or equiv.
Materials Used: SDS must be supplied
Is SDS Required? Copies of SDS required, must be attached: Current (within 5 yrs) Issue Date? Controls nominated by SDS added to SWMS?
Yes Yes
Yes Yes
If poisoning occurs, contact Poisons Information Centre on 13 11 26.
Permits, Training, Certificates of Competency required to carry out this activity: Notes: All workers must have completed a Site Induction, be trained in this SWMS and have all relevant certification for this task.
Current Driver’s licence
Competency Assessment Training
Level 1 Training in MUTCD Part 3
1. Construction General Safety Induction Card
2. Company General Safety Induction
3. Site Specific Induction
4. WHS Management Plan training (includes SWMS,
accountabilities, responsibilities, Policies and Procedures)
5. Scaffold Ticket where erecting scaffold
Specific Training Required for this Activity: e.g. Tradesmen, Apprenticeship, Safe Operating Procedure - Mower
Persons consulted on development of SWMS: Name/s: Signature:
Approved By: Manager/ Director or Nominated
Representative:
Signature:
Approved Safety Coordinator: Signature:
S.L.Y. CONTRACTING PTY LTD 3/13
Work Health & Safety Management Plan Version 1 – May 2014
5 = Almost Certain Could occur in most circumstances.
1 = Elimination Modify the process method or material to eliminate the hazard completely. 2 = Substitution Replace the material, substance or process with a less hazardous one. 3 = Isolate Isolate the hazard from the person by safeguarding or by space or time. 4 = Redesign / Engineering Controls Redesign or modify the plant or process to reduce or eliminate the risk 5 = Administration Adjust the exposure time or conditions or process by training, procedure, signs etc. 6 = PPE Use appropriately designed and properly fitted equipment where other controls are not practicable or are accepted.
4 = Major Extensive injuries leading to lost time, major risk-damage to plant and equipment, major financial cost for repairs / reinstatement.
4 = Likely May probably occur in most circumstances.
3 = Moderate Medical treatment, medium risk-damage to plant and equipment, medium financial cost for repairs / reinstatement.
3 = Possible May occur at some time.
2 = Minor First Aid treatment, minor risk-damage to plant and equipment, minor financial cost for repairs / reinstatement.
2 = Unlikely Could occur at some time.
1 = Insignificant: No injuries, slight damage, low financial cost for repairs / reinstatement.
1 = Rare May occur only in exceptional circumstances.
C x L = R C = Consequences
L = Likelihood 5 = Catastrophic 4 = Major 3 = Moderate 2 = Minor 1 = Insignificant
5 = Almost Certain 25 20 15 10 5
4 = Likely 20 16 12 8 4
3 = Possible 15 12 9 6 3
2 = Unlikely 10 8 6 4 2
1 = Rare 5 4 3 2 1
Hierarchy of Control
Highest Level of Control Lowest Level of Control Elimination Substitution Engineering Isolate Administration PPE
S.L.Y. CONTRACTING PTY LTD 5/13
Work Health & Safety Management Plan Version 1 – May 2014
Declaration by workers (including contractors): I the undersigned, confirm that the SWMS nominated above has been explained and its contents are clearly understood and accepted. I confirm that required qualifications to undertake this activity are current. I clearly understand the controls in this SWMS must be applied as documented; otherwise work is to cease immediately. I have been provided with the Personal Protective Equipment identified, consulted and given opportunity to comment on this SWMS.
Print Name Position /Trade
Signature Date Qualification Held
Required for this Activity
Employer
S.L.Y. CONTRACTING PTY LTD 13/13
Work Health & Safety Management Plan Version 1 – May 2014