SAFE WORK METHOD STATEMENT (SWMS) Principal Contractor (PC) [Name, ABN, Office Address] [PCBU name, ABN, Office Address and Phone] Work Activity: [Job description] Work Location: High Risk Construction Work: [list work from WHS Regulations] Works Manager: Contact Phone: Have workers been consulted about the SWMS? for Person Responsible Date SWMS Provided to PC: ensuring compliance with SWMS Person(s) Responsible for Last SWMS Review Date: reviewing the SWMS Date received: Signature: Workers name Date received: Workers signature What are the tasks involved? What are the hazards and risks? What are the control measures? (What is the problem?) (Describe the control measures and how they will be used)
SAFE WORK METHOD STATEMENT (SWMS) [PCBU name, ABN, Office Address and Phone] Principal Contractor (PC) [Name, ABN, Office Address] Work Activity: [Job description] Work Location: High Risk Construction Work: [list work from WHS Regulations] Works Manager: Contact Phone: Have workers been consulted about the SWMS? Person Responsible for ensuring compliance with SWMS Date SWMS Provided to PC: Person(s) Responsible for reviewing the SWMS Last SWMS Review Date: Date received: Signature: Workers name Date received: Workers signature What are the tasks involved? What are the hazards and risks? (What is the problem?) What are the control measures? (Describe the control measures and how they will be used)
Contractor-Selection-Induction-and-Monitoring-Form-XXX2.docx