Safe work method statement (SWMS)

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Work activity covered

High-risk construction work involved

Risk of a fall of more than 2 metres
Work on or near energised electrical installations
Demolition of load-bearing structures
Likely to involve disturbing asbestos
Work in or near a confined space
Work in or near a trench or shaft deeper than 1.5 metres
Work on or near pressurised gas mains or piping
Work near a road or railway in use
Work in an area with movement of powered mobile plant
Other high-risk work

Hazards, risks and controls Rate each risk before and after the control is in place.
Hazard	Risk before	Control	Risk after

PPE required

Hard hat
Safety glasses
Hearing protection
Gloves
Steel-capped boots
Hi-vis
Harness
Respirator
Arc-rated clothing

Permits or isolations needed

Emergency arrangements

Who to call, where the nearest first aid and hospital are, and how to get help on site.

Prepared or reviewed by

Workers signing on Everyone doing the work signs to say they have read and understood this SWMS.
Name	Signature	Date

A starting point only. Check it against your state or territory rules and your own safety system before you use it. It is not legal or compliance advice.