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Safe work method statement
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ABN
Licence number
Address
Safe work method statement
Project name
Principal contractor
SWMS number
Revision
Work activity / task
Work location
Date prepared
Review date
Prepared by
High-risk construction work
Work at height over 2m
Risk of falling objects
Demolition
Asbestos removal
Structural alterations requiring temporary support
Confined space
Excavation deeper than 1.5m
Tunnels
Explosives
Pressurised gas or chemical lines
Electrical installations or services
Live electrical work
Contaminated or flammable atmosphere
Tilt-up or precast concrete
On or near a road or railway used by traffic
Mobile plant movement
Artificial extremes of temperature
Work in or near water with drowning risk
Diving work
Risk matrix
Likelihood \ Consequence
Insignificant
Minor
Moderate
Major
Catastrophic
Almost certain
Medium
High
High
Extreme
Extreme
Likely
Medium
Medium
High
High
Extreme
Possible
Low
Medium
Medium
High
High
Unlikely
Low
Low
Medium
Medium
High
Rare
Low
Low
Low
Medium
High
Open the full risk matrix chart
Hazards, risks and controls
Job step
Potential hazard
Risk rating
Control measures
Person responsible
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Personal protective equipment
Hard hat
Safety glasses
Hi-vis clothing
Steel-cap boots
Gloves
Hearing protection
Respirator or dust mask
Fall-arrest harness
Face shield
Sun protection
Worker sign-on
Name
Position / trade
Signature
Date
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