High Risk Construction Work Safe Work Method Statement Template

This assignment provides a safe work method statement (SWMS) template designed for high-risk construction projects. The SWMS includes sections for project details, responsible parties, and compliance measures. It outlines specific work tasks such as rigging, connecting chord bars, and inserting pillars, along with identified hazards like landslides and fire. The template emphasizes the importance of control measures, such as soil strength identification, fire extinguisher installation, and site inspection to mitigate risks. The document also includes spaces for worker signatures and dates, ensuring accountability and proper implementation of safety protocols. This template serves as a practical guide for ensuring safety compliance in construction environments, covering various high-risk scenarios and outlining preventive actions.

High risk construction work safe work method statement template
Note: Work must be performed in accordance with this safe work method statement (SWMS). This SWMS must be kept and be available for
inspection until the high risk construction work to which this SWMS relates is completed. If the SWMS is revised, every version should be kept.
If a notifiable incident occurs in relation to the high risk construction work in this SWMS, the SWMS must be kept for at least 2 years from the
date of the notifiable incident.
Person conducting a business
or undertaking (PCBU):
Jack Smith Principal Contractor (PC) John Wilson
Works Manager:: David jones Date SWMS provided to PC: Click here to enter a date.
Work activity: [Job description] Workplace location: Click here to enter text.
High risk construction work:
☐ Risk of a person falling more than 2 metres (note: in some jurisdictions this is 3 metres)
☐ Work on a telecommunication tower ☐ Demolition of load-bearing structure
☐ Likely to involve disturbing asbestos ☐ Temporary load-bearing support for structural alterations or repairs
☐ Work in or near a confined space ☐ Work in or near a shaft or trench deeper than 1.5 m or a tunnel
☐ Use of explosives ☐ Work on or near pressurised gas mains or piping
☐ Work on or near chemical, fuel or refrigerant lines ☐ Work on or near energised electrical installations or services
☐ Work in an area that may have a contaminated or flammable atmosphere ☐ Tilt-up or precast concrete elements
☐ Work on, in or adjacent to a road, railway, shipping lane or other traffic corridor in use by traffic other than pedestrians
☐ Work in an area with movement of powered mobile plant ☐ Work in areas with artificial extremes of temperature
☐ Work in or near water or other liquid that involves a risk of drowning ☐ Diving work

Person responsible for ensuring compliance with SWMS: Patrice Rio Date SWMS received: 25/01/20
What measures are in place to ensure compliance with
the SWMS?
Policies and procedure
Person responsible for reviewing SWMS control measures: Jack Ferdinand Date SWMS received by
reviewer:
05/02/20
How will the SWMS control measures be reviewed? By measuring it with set
standards
Review date: 10/02/20 Reviewer’s signature:
What are the tasks involved? What are the hazards and risks? What are the control measures?
List the work tasks in a logical order Identify the hazards and risks
that may cause harm to workers
or the public
Describe what will be done to control the risk. What will you do to make
the activity as safe as possible?
Rigging Landslide To identify soil strength
Connecting chord bar Fire Installation of fire extinguisher and other health and safety measures.
Inserting pillars Accidents Ensuring proper site inspection
Name of worker(s) Worker signature(s)
John williams
David luiz
Date SWMS received by workers 10/02/20