SAFE WORK METHOD STATEMENT (SWMS)

Company Name: [Company Name] ABN: [ABN] Site Address: [Site Address] Date of Preparation: [Date]

1. DETAILS OF HIGH-RISK CONSTRUCTION WORK

Job Title/Description: [Brief description of job]

High-Risk Construction Work Activities:

• Work at heights over 2 metres
• Work near exposed live electricity
• Work in or near confined space
• Use of mobile plant
• Work on or near pressurised gas distribution mains or piping
• Work on or near chemical, fuel or refrigerant lines
• Work on or near trenches or shafts deeper than 1.5 metres
• Work in an area that may have a contaminated or flammable atmosphere
• Work involving asbestos
• Work involving structural alterations or repairs that require temporary support
• Other: [Specify other high risk work]

2. PERSONS RESPONSIBLE

Principal Contractor: [Name]

Site Supervisor: [Name]

SWMS Prepared By: [Name]

Position: [Position]

3. HAZARDS AND RISKS

Step / Task	Hazard	Potential Consequence	Risk Rating (H/M/L)	Control Measures (Hierarchy of Control)
[e.g., Install roof beams]	[e.g., Fall from height]	[e.g., Serious injury or death]	[High]	[e.g., 1. Use scaffolding (Elimination/Engineering)<br>2. Wear safety harness (PPE)<br>3. Train workers (Admin)]
[Task 2]	[Hazard]	[Consequence]	[Rating]	[Control Measures]
[Task 3]	[Hazard]	[Consequence]	[Rating]	[Control Measures]

4. IMPLEMENTATION OF CONTROL MEASURES

Describe how the control measures will be put in place:

[Insert details of how controls will be set up, inspected and maintained]

5. INSPECTION AND MAINTENANCE OF CONTROL MEASURES

Control Measure	Inspection Frequency	Name of Responsible Person
[e.g., Scaffolding]	[e.g., Daily]	[Name]
[e.g., Harness]	[e.g., Before each use]	[Name]

6. WORKER CONSULTATION AND SIGN-OFF

We have consulted with workers regarding this SWMS. The workers listed below understand the hazards and risks associated with this work and agree to follow the control measures listed.

Worker Name	Signature	Date
[Name]	[Sign]	[Date]
[Name]	[Sign]	[Date]
[Name]	[Sign]	[Date]

7. MANAGEMENT SIGN-OFF

I confirm this SWMS addresses all high-risk construction work activities for this project and control measures are practicable.

Name: [Manager Name]

Signature: __________________________

Date: __________________________