Safe Work Method Statement Template
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4Safe Work Method Statement (SWMS)
ORGANISATION DETAILS
Principal Contractor:
Contact number:
Project Manager or Supervisor:
Contact number:
Other PCBU’s:
Contact number:
Person completing the SWMS:
Contact number:
Position:
Reviewed by:
Date prepared:
Review date:
PROJECT DETAILS
What is the scope of the work
Who else was consulted/involved
in preparing this SWMS?
What high risk work activities are
covered by this SWMS?
References: Legislation,
Australian Standards, Codes of
Practice, MSDS & SOP’s
Plant and equipment involved in
the scope of work
What “high risk” licence classes
will be required to do the work?
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