SAFE WORK METHOD STATEMENT (SWMS)

Company Details

Company Name: [COMPANY NAME] ABN: [ABN] Address: [COMPANY ADDRESS] Phone: [PHONE NUMBER] Email: [EMAIL ADDRESS]

Project / Job Details

Client Name: [CLIENT NAME] Site Address: [SITE ADDRESS] Job Description / Scope: [JOB DESCRIPTION] Date of Work: [START DATE] to [END DATE] SWMS Prepared By: [NAME] Date Prepared: [DATE]

1. High Risk Construction Work

This SWMS applies to the following High Risk Construction Work (check all that apply):

• Work that involves a risk of a person falling more than 2 metres
• Work on or near telecommunication towers
• Work near overhead power lines

2. Persons Engaged

Principal Contractor: [NAME]

Workers (Name / Role / Signature):

Name	Role	Signature	Date
[WORKER 1]	[ROLE]		[DATE]
[WORKER 2]	[ROLE]		[DATE]
[WORKER 3]	[ROLE]		[DATE]

3. Job Steps & Hazard Identification

Step No.	Job Task / Description	Hazards Associated with Task	Potential Risks / Consequences	Initial Risk Rating (H/M/L)	Control Measures (Hierarchy of Controls)	Residual Risk Rating (H/M/L)
1	Pre-start site inspection (SWMS induction, check for services, set up perimeter)	Uneven ground, hidden services, sun exposure	Sprains, electric shock, heat stress	M	1. Conduct pre-start toolbox talk. <br> 2. Review site plans and Dial Before You Dig. <br> 3. Wear Hi-Vis clothing, sun safe clothing, and sunscreen. <br> 4. Mark out exclusion zones.	L
2	Delivery and manual handling of gutter materials (offloading truck, carrying to roof access point)	Heavy lifting, awkward postures, sharp edges	Back injury, cuts/abrasions	H	1. Use mechanical aids (trolley, forklift) where possible. <br> 2. Team lift for heavy coils (over 15kg). <br> 3. Wear cut resistant gloves and safety glasses. <br> 4. Keep load close to body and bend knees.	L
3	Setting up access equipment (Scaffolding, EWP, or Ladders)	Collapse of equipment, falling during setup, contact with powerlines	Falls, crushing, electrocution	H	1. Use engineered plant (Scaffolding/EWP) as primary control. <br> 2. Ladders: Industrial rating, tied off at top, base on solid ground, 1:4 ratio. <br> 3. EWP: Only licensed operator, check for overhead assets (Look Up and Live). <br> 4. Inspect all equipment pre-use.	L
4	Measuring and cutting guttering (ground or roof level)	Use of power tools, noise, flying metal chips, manual handling	Eye injuries, hearing loss, cuts, lacerations	M	1. Cut on ground where possible to eliminate height risk. <br> 2. Use cordless tools or RCD protected corded tools. <br> 3. Wear safety glasses and hearing protection. <br> 4. Clear debris immediately.	L
5	Installation of Fascia Brackets and Gutter (Working at edge of roof)	Falling from height, falling objects, unstable roof surface	Serious injury or death	H	1. Use Scaffolding with hop-up brackets or EWP for edge work. <br> 2. If working on roof: Install temporary edge protection or static line. <br> 3. Wear full body use connected to anchor point if edge protection not possible. <br> 4. Secure tools with lanyards.	L
6	Installing Downpipes and Pop-ups	Working at height, drilling into materials	Falls, eye injuries	M	1. Maintain 3 points of contact on ladders. <br> 2. Use dust mask when drilling masonry. <br> 3. Do not overreach from ladders.	L
7	Clean up and dismantling access	Falling during dismantle, debris on ground	Trips, falls, muscle strain	M	1. Lower materials via rope or hoist, do not throw. <br> 2. Dismantle scaffolding only by competent person. <br> 3. Good manual handling when lifting gear.	L

4. Personal Protective Equipment (PPE)

Check all PPE required for this job:

• Safety Helmet (AS/NZS 1801)
• High Visibility Vest/ Clothing (AS/NZS 4602)
• Safety Boots (Steel cap/composite, AS/NZS 2210)
• Safety Glasses / Goggles (AS/NZS 1337)
• Hearing Protection (Class 5, AS/NZS 1270)
• Cut Resistant Gloves (AS/NZS 2161)
• Sun Protection (Hat, 30+ Sunscreen)
• Disposable Dust Mask (P2)
• Full Body Use (AS/NZS 1891)
• Wet Weather Gear (if required)

5. Emergency Procedures

Nearest Hospital: [HOSPITAL NAME AND ADDRESS] Emergency Phone: 000 Site Emergency Contact: [NAME] - [PHONE] First Aid Kit Location: [LOCATION] Assembly Point: [LOCATION]

Emergency Procedures:

1. Stop work immediately.
2. Assess the scene for danger before assisting.
3. Call 000 or emergency contact.
4. Apply First Aid if qualified and safe to do so.
5. Secure the site to prevent further incidents.
6. Notify management/PCBU immediately.

6. Training, Licenses & Competency

I confirm that all workers listed in Section 2 hold the necessary training and licenses for the tasks assigned:

Worker	Induction (Site Specific)	Working at Heights	EWP License (WP)	White Card	Other Relevant Training
[WORKER 1]	[YES/NO]	[YES/NO]	[YES/NO]	[YES/NO]	[DETAILS]
[WORKER 2]	[YES/NO]	[YES/NO]	[YES/NO]	[YES/NO]	[DETAILS]

7. Sign-Off

Worker Declaration: I have read and understood the contents of this SWMS. I agree to follow all control measures listed. I will report any hazards not listed to my supervisor immediately.

Worker Signatures:

_________________________ Date: //______ [WORKER 1] _________________________ Date: //______ [WORKER 2] _________________________ Date: //______ [WORKER 3]

PCBU / Principal Contractor Declaration: I have reviewed this SWMS. I confirm that the control measures listed have been discussed with workers and will be implemented. This SWMS will be reviewed and revised if control measures change or are ineffective.

_________________________ Date: //______ [PCBU NAME]

8. Review Register

Date	Review Reason (Change in controls / Incident / Near Miss)	Revised By	Signature
[DATE]	[DETAILS]	[NAME]