Safe Work Method Statement Template

Appendix D – Safe Work Method Statement Template

Safe work method statement (Southern Rural Water)

This SWMS is a site-specific statement that must be prepared before any potentially high-risk work is commenced.

Person responsible

Date:

for ensuring

compliance with

this SWMS:

High-risk job:

Location:

What are the tasks involved?

What are the hazards and risks?

How will hazards and risks be controlled?

(describe the control measures and how they will be used)

Think about the worksite and each stage of the project, including preparation and clean-up.

Appendix D – Safe Work Method Statement Template

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