Construction Work - Safe Work Method Statement Template Page 2
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3[PCBU name, ABN, Office Address and Phone]
Principal Contractor
[Name, ABN, Office
(PC)
Address]
Work Activity:
[Job description]
Work Location:
High Risk
[list work from WHS
Construction Work:
Regulations]
Works Manager:
Contact Phone:
Have workers been
consulted about the
SWMS?
Person Responsible for
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)
Think about the workplace and each stage of the work, including preparation and clean-up.
Identify the hazards and risks that may cause harm to workers
Describe what will be done to control the risk. What will you do to make the activity as
or the public.
safe as possible?
Page 2 of 3
Safe Work Australia – CONSTRUCTION WORK Code of Practice - JULY 2012
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