COMPANY DETAILS

Company Name: [Enter Company Name] ABN: [Enter ABN] Address: [Enter Company Address]

PROJECT / JOB DETAILS

Project Name: [Enter Project Name] Site Address: [Enter Site Address] Client/Principal Contractor: [Enter Client Name] Date of Preparation: [DD/MM/YYYY] Date of Work: [Start Date] to [End Date]

TASK BREAKDOWN

[List the specific tasks involved in the bridgeworks]

1. [Task 1, e.g., Erection of scaffolding]
2. [Task 2, e.g., Concrete pouring]
3. [Task 3, e.g., Steel beam installation]
4. [Task 4, e.g., Operating mobile crane]
5. [Task 5, e.g., Working over water]

HAZARD IDENTIFICATION AND RISK ASSESSMENT

High Risk Construction Activity	Hazards	Risks	Initial Rating (H/M/L)	Control Measures	Residual Rating (H/M/L)
[Task Name, e.g. Working at heights]	[e.g. Unprotected edges, wind]	[e.g. Fall resulting in serious injury or death]	[e.g. High]	[e.g. Install guard rails, use safety use, secure tools]	[e.g. Low]
[Task Name, e.g. Crane Lift]	[e.g. Swinging load, electrical contact]	[e.g. Crush injury, electrocution]	[e.g. High]	[e.g. Use licensed dogger, establish exclusion zone, check power lines]	[e.g. Low]
[Task Name, e.g. Work over water]	[e.g. Falling into water, drowning]	[e.g. Drowning, cold water shock]	[e.g. High]	[e.g. Install safety net, wear life jacket, provide rescue boat]	[e.g. Low]
[Task Name, e.g. Use of plant]	[e.g. Reversing vehicles, noise]	[e.g. Run over worker, hearing loss]	[e.g. Medium]	[e.g. Use traffic controller, use spotters, wear hearing protection]	[e.g. Low]

HIERARCHY OF CONTROLS

1. Elimination: [Describe if the hazard can be removed completely] 2. Substitution: [Describe if a less hazardous material or process can be used] 3. Engineering Controls: [e.g. Guard rails, physical barriers, machine guards] 4. Administrative Controls: [e.g. SWMS, training, permits, warning signs, supervision] 5. Personal Protective Equipment (PPE): [List required PPE, see below]

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Safety Helmet (Class 1 or 2)
• High Visibility Clothing (Class D/N)
• Safety Boots (Steel cap/composite)
• Safety Glasses/Goggles
• Cut Resistant Gloves
• Hearing Protection (Ear muffs/plugs)
• Sun Protection (Hat, sunscreen)
• Use and Lanyard (for fall arrest)
• Life Jacket (if working over water)
• Respiratory Protection (if dust/fumes)

EMERGENCY PROCEDURES

Emergency Services: 000 Site Emergency Contact: [Name] - [Phone Number] Nearest Hospital: [Name of Hospital] - [Address] Evacuation Assembly Point: [Location]

Specific Emergency Scenarios:

• Fall from Height: [Procedure, e.g. Do not move victim unless immediate danger, call 000, administer first aid]
• Fall into Water: [Procedure, e.g. Throw life buoy, call rescue boat, do not enter water unless trained]
• Crane Incident: [Procedure, e.g. Evacate exclusion zone, shut down plant, assess stability]

TRAINING AND COMPETENCY

Role/Task	Required Qualification/License	Evidence Held
[e.g. Crane Operator]	[e.g. High Risk Work License (C0)]	[ ]
[e.g. Rigger]	[e.g. High Risk Work License (RI)]	[ ]
[e.g. Scaffolder]	[e.g. High Risk Work License (SB)]	[ ]
[e.g. Traffic Controller]	[e.g. Blue/Yellow Card]	[ ]
[e.g. General Construction]	[e.g. White Card]	[ ]

SITE INDUCTION

I, [Name], have been inducted into this site and have read and understood the SWMS for Bridgeworks.

Worker Signature: ____________________ Date: ________ Worker Signature: ____________________ Date: ________

SIGN-OFF

Prepared By (PCBU/Manager): Name: ______________________ Signature: ____________________ Date: ________

Reviewed By (Principal Contractor): Name: ______________________ Signature: ____________________ Date: ________

Acknowledgement by Workers: We acknowledge that we have read and understood this SWMS and will comply with the control measures listed.

1. ____________________ 2. ____________________ 3. ____________________
2. ____________________ 5. ____________________ 6. ____________________