COMPANY DETAILS

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

PROJECT / JOB DETAILS

Job Title / Description: [Job Title] Site Address: [Site Address] Date of Work: [Start Date] to [End Date] Principal Contractor: [Principal Contractor Name] SWMS Number: [Number]

HIGH RISK CONSTRUCTION WORK CHECKLIST

Confirm which High Risk Construction Work (HRCW) applies to this job:

• Excavation deeper than 1.5m
• Work in or near a shaft or trench deeper than 1.5m
• Work in or near a confined space
• Work with or near asbestos
• Work near overhead or underground electric lines
• Work on or near a road

HAZARDS AND RISKS

Task: [e.g., Excavating trench for sewer line]

Hazard	Risk	Before Controls	Risk Rating (H/M/L)	Control Measures	After Controls	Risk Rating (H/M/L)
Ground collapse	Burial, crushing	M	1. Obtain Dial Before You Dig plans. 2. Use locator (C.A.T) to scan area. 3. Implement shoring, benching or battering as per engineer specs. 4. Install batters at 1:1 ratio if space permits. 5. Keep spoil pile at least 1m from trench edge.	L
Underground Services	Electrocution, explosion, gas leak	H	1. Verify all services. 2. Use non-destructive digging (hydro vacuum) within 1m of marked services. 3. Permit to work obtained for high voltage assets.	L
Manual Handling	Musculoskeletal injury	M	1. Use mechanical aids (e.g., crane, pipe hoist). 2. Rotate tasks. 3. Lift loads within safe limits. 4. Two person lift for heavy pipes.	L
Hazardous Atmosphere	Asphyxiation, poisoning	H	1. Conduct atmospheric testing for Oxygen, H2S and CO before entry. 2. Ensure continuous ventilation if working in live sewer. 3. Use respiratory protection if required.	L
Plant and Machinery	Struck by, caught between	H	1. Exclude workers from exclusion zone around excavator. 2. Use spotter for reversing vehicles. 3. Plant fitted with reversing alarm and signals. 4. Traffic management plan in place.	L

HIERARCHY OF CONTROLS

1. Elimination: Can the drain be laid using an alternative method that does not require deep excavation? 2. Substitution: Use lighter weight piping materials. 3. Engineering: Use trench shields (shields) to support trench walls. 4. Administrative: Implement traffic management, exclusion zones, and regular toolbox talks. 5. PPE: Use high visibility clothing, safety boots, hard hats, and gloves.

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Safety Helmet (Class 1 or 2)
• High Visibility Clothing (Class D or N)
• Safety Boots (Steel cap/composite)
• Safety Glasses or Goggles
• Gloves (Suitable for handling pipes)
• Hearing Protection (Class 4 or 5)
• Sun Protection
• Respiratory Protection (if required)
• High visibility vest (worn at all times)

EMERGENCY PROCEDURES

Location of First Aid Kit: [Location] Location of Emergency Assembly Point: [Location] Nearest Hospital: [Hospital Name and Address] Emergency Contacts: 000

Trench Collapse Procedure:

1. Stop work immediately.
2. Do not enter the trench to rescue.
3. Call emergency services (000).
4. Secure the area.
5. Ventilate if necessary.

SAFE WORK METHOD STATEMENT SIGN OFF

I acknowledge that I have read and understand the contents of this SWMS.

Name	Signature	Date	Role
[Worker Name]		[Date]	Drain Layer
[Worker Name]		[Date]	Labourer
[Worker Name]		[Date]	Plant Operator

PCBU / Site Manager Declaration: I confirm this SWMS has been reviewed and is adequate for the work to be performed. Name: [Manager Name] Signature: ________________ Date: [Date]

Review Date: This SWMS is valid until [Date] or earlier if site conditions change.