Safe Work Method Statement (SWMS)

Company / Business Name: [INSERT COMPANY NAME] ABN: [INSERT ABN] Site Address: [INSERT SITE ADDRESS] Date of Preparation: [INSERT DATE]

1. Job Details

Project Title: [INSERT PROJECT TITLE] Task Description: [INSERT DESCRIPTION OF TASK, e.g. Excavation for foundations] SWMS No: [INSERT NUMBER]

2. Personnel

Principal Contractor: [INSERT NAME] PCBU Contact: [INSERT NAME/PHONE] Supervisor: [INSERT NAME]

3. Specific High-Risk Construction Work

• Powered mobile plant operation (Excavator/Backhoe/Skid Steer)
• Excavation work
• Work near underground services
• Work near overhead powerlines

4. Hazards and Risks

Activity	Hazard	Risk Before Controls	H	S	R	Risk After Controls	H	S	R	Control Measures
[INSERT ACTIVITY]	[e.g. Contact with live services]	[e.g. Electrocution]	[H]	[S]	[R]	[e.g. Low]	[H]	[S]	[R]	[List Controls]
[INSERT ACTIVITY]	[e.g. Plant Rollover]	[e.g. Crushing]	[H]	[S]	[R]	[e.g. Low]	[H]	[S]	[R]	[List Controls]
[INSERT ACTIVITY]	[e.g. Moving Plant]	[e.g. Collision with workers]	[H]	[S]	[R]	[e.g. Low]	[H]	[S]	[R]	[List Controls]
[INSERT ACTIVITY]	[e.g. Noise]	[e.g. Hearing loss]	[H]	[S]	[R]	[e.g. Low]	[H]	[S]	[R]	[List Controls]
[INSERT ACTIVITY]	[e.g. Dust]	[e.g. Respiratory issues]	[H]	[S]	[R]	[e.g. Low]	[H]	[S]	[R]	[List Controls]

Risk Rating Key: H (Hazard) - 5=Catastrophic, 4=Major, 3=Moderate, 2=Minor, 1=Insignificant. S (Severity) - 5=Almost Certain, 4=Likely, 3=Possible, 2=Unlikely, 1=Rare. R (Risk) = H x S. Low = 1-6, Medium = 8-12, High = 15-25.

5. Control Measures

Sequence of Works

1. [INSERT STEP 1 - e.g. Pre-start inspection]
2. [INSERT STEP 2 - e.g. Locate services]
3. [INSERT STEP 3 - e.g. Establish exclusion zone]
4. [INSERT STEP 4 - e.g. Commence digging]

Hierarchy of Controls

Elimination: [e.g. Design site to avoid excavation] Substitution: [e.g. Use smaller plant in confined spaces] Isolation: [e.g. Physical barriers, exclusion zones] Engineering: [e.g. ROPS, reversing cameras, alarms] Administration: [e.g. Spotters, traffic management plan, induction] PPE: [See Section 6]

6. Personal Protective Equipment (PPE)

• High visibility clothing (Class D/N)
• Safety helmet (AS/NZS 1801)
• Safety boots (AS/NZS 2210)
• Safety glasses/goggles
• Hearing protection (Class 5)
• Gloves (specific to task)
• Dust mask (P2)

7. Emergency Procedures

Nearest Hospital: [INSERT NAME AND ADDRESS] Emergency Services: 000 First Aid Location: [INSERT LOCATION] Emergency Assembly Point: [INSERT LOCATION]

Fire: [RAISE ALARM - CALL 000 - ATTACK IF SAFE] Injury: [PROTECT SCENE - ADMINISTER FIRST AID - CALL 000] Service Strike: [CLEAR AREA - CALL SERVICE PROVIDER - CALL 000 IF HAZARD EXISTS]

8. Training and Competency

Operator Name: [INSERT NAME] Licence/Competency: [e.g. Earthmoving ticket / Competency card] Site Induction: [ ] Completed Task Specific Induction: [ ] Completed

9. Sign Off

I have read and understood the contents of this SWMS. I will follow all control measures listed.

Worker Name	Signature	Date
[WORKER 1]	[SIGN]	[DATE]
[WORKER 2]	[SIGN]	[DATE]
[WORKER 3]	[SIGN]	[DATE]

Principal Contractor/PCBU Representative: [INSERT NAME] __________________ Date: [DATE]