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					              OHS FORM 005 SAFE WORK METHOD STATEMENT (SWMS) – also known as Job Safety Analysis (JSA)
                                               This SWMS has been developed and authorised by:
                                               Name:

Company Name:                                  Position:                                         Date:

ABN:                                           Signature:                                        Phone:

                                                                                                 Mobile:

DESCRIPTION OF WORK ACTIVITY:            Electrician

Trades involved with undertaking this Work Activity:

    This SWMS is submitted to: (principle contractor)
COMPANY:

CONTACT NAME:                                                   PHONE NUMBER:

SITE ADDRESS:                                                   PROJECT DESCRIPTION:

    This SWMS was review by: (principle contractor)
NAME:                                                                POSITION:

SIGNATURE:                                                           DATE:

PHONE NUMBER:                                                        MOBILE NUMBER:

Person responsible for OHS on the contractor’s behalf:
NAME:                                                                POSITION:

SIGNATURE:                                                           DATE:

PHONE NUMBER:                                                        MOBILE NUMBER:


Safe Work Method Statement (SWMS)                                                                          Page 1 of 9
List plant, equipment and                                                List Hazardous Substances                  MSDS       List PPE to be worn    (Tick) List Hazards to consider        (Tick)
     tools to be used                                                       to be used or handled                 available?
                                                                                                                    (Tick)
eg. Electric generator                                                   eg. Unleaded petrol                                   Hard Hat                       Fall from ladder
                                                                                                                               Safety Boots                   Fall from heights
                                                                                                                               High-visy clothing             Fall from scaffold
                                                                                                                               Gloves                         Contact with electricity
                                                                                                                               Hearing Protection             Falling objects
                                                                                                                               Safety Glasses                 Collapse
                                                                                                                               30+ Sunscreen                  Slips, trips and falls
                                                                                                                               Dust Masks                     Manual handling
                                                                                                                               Other (specify):               Exposure to noise
                                                                                                                                                              Struck by moving plant
                                                                                                                                                              Inhalation of dust or fumes
                                                                                                                                                              Cuts
                                                                                                                                                              Other (specify):


                                                               How LIKELY is it to be that bad?                             How to complete the following form
                                             Note: If a hazard is rated 1, 2 or 3, action must be taken immediately.
                                                                                                                               1. List the step-by-step sequence of tasks required to carry out
                                               What          VERY           LIKELY     UNLIKELY           VERY
   Health Risks and Likelihood of Damage




                                             damage         LIKELY           Could        Could          UNLIKELY
                                                                                                                                  the work activity from start to finish.
                                              could it    Could happen      happen     happen, but    Could happen, but        2. Listing of potential hazards associated with each step, and the
                                              cause?        anytime        sometimes    only rarely   probably never will         related OHS risks.
                                            Death or
                                           permanent           1               1           2                  3                3. Using the risk table, rating the identified risks.
                                            disability                                                                         4. List what controls you will implement to reduce the risks to the
                                           Long term                                                                              lowest possible level.
                                            illness or
                                              serious
                                                               1               2           3                  4                5. Rate the level of risk once those controls have been
                                               injury                                                                             implemented (must be 4-6 before you can start work).
                                             Medical
                                           attention or                                                                        6. List the names or positions of the persons responsible for
                                              several          2               3           4                  5                   ensuring the controls are implemented.
                                             days off
                                                work

                                            First Aid
                                            needed
                                                               3               4           5                  6



Safe Work Method Statement (SWMS)                                                                                                                                                       Page 2 of 9
                 Job Step                  Hazard Identification                                                  Controls Implemented                                                      Person




                                                                                                                                                                          Revised Risk
                                                                                                                                                                                          Responsible




                                                                                Rating (1-6)




                                                                                                                                                                           Rating (1-6)
                                                                                Initial Risk
                                        Identify any potential hazards                         Decide what controls to use to eliminate or minimise the risks.
STEP

       Beak the job down into steps.
       List the steps in this column.   associated with each step – and                        Detail the controls in this column, and enter the revised risk rating in
                                        any related risks. Detail the hazards                  the next column.
                                        and risks in this column, and enter
                                        the risk rating in the next column.                    Note: If the risk rating is still 1-3, do not begin work.

1.     Arrival at site                  Hit by another vehicle or                              Report to site office for site induction before
                                        on site plant                                          starting work or entry to site

                                        Entry to unsafe areas                                  Site Induction for ALL employees

                                                                                               Park in specified areas

                                                                                               Risk assessment of job site and work area
2.     Unloading of vehicle             Back strain                                            Training in manual handling

                                                                                               Team lifting

                                        Slips and trips                                        Unload vehicle in clear level area


3.     Site entry and setting up        Falls in open trenches                                 Determine clear access
       of equipment
                                        Injuries from climbing                                 Clear egress to be maintained to job sites
                                        through scaffold to enter
                                        site

                                        Trips and slips over waste                             Avoid difficult terrain
                                        materials
                                                                                               Team lifting to carry equipment

                                                                                               Ensure site is clear of waste materials




Safe Work Method Statement (SWMS)                                                                                                                                                            Page 3 of 9
                 Job Step                  Hazard Identification                                                  Controls Implemented                                                      Person




                                                                                                                                                                          Revised Risk
                                                                                                                                                                                          Responsible




                                                                                Rating (1-6)




                                                                                                                                                                           Rating (1-6)
                                                                                Initial Risk
                                        Identify any potential hazards                         Decide what controls to use to eliminate or minimise the risks.
STEP

       Beak the job down into steps.
       List the steps in this column.   associated with each step – and                        Detail the controls in this column, and enter the revised risk rating in
                                        any related risks. Detail the hazards                  the next column.
                                        and risks in this column, and enter
                                        the risk rating in the next column.                    Note: If the risk rating is still 1-3, do not begin work.

       Site entry and setting up        Hit by passing traffic                                 Keep a good lookout, training PPE equipment and
       of equipment                                                                            wear a safety vest
       (Continued)
                                        Electrocution form                                     Check position of wires. Use timber ladders in
                                        overhead wire                                          these areas

                                        manual handling injuries                               Training in manual handling

                                        Hit by falling materials                               Training in use of PPE equipment – wear a hard
                                                                                               hat at all times while on site

                                        Slipping on wet areas                                  Additional care taken when working in wet areas

                                        Drop damage to feet                                    Wear steel cap boots

                                        Tripping over extension                                Training in set up of lead stands
                                        leads

                                        Fall from ladders                                      Training in the set up of portable ladders
                                        accessing job site

4.     Installation of Conduits to Trip on steel                                               Care taken when walking on steel
       slabs
                                   Cuts and abrasions when                                     Training in the use of PPE, wear gloves
                                   feeding conduits

                                        Sunburn                                                Wear hats, use sunscreen and skin protection
                                                                                               clothing


Safe Work Method Statement (SWMS)                                                                                                                                                            Page 4 of 9
                 Job Step                  Hazard Identification                                                  Controls Implemented                                                      Person




                                                                                                                                                                          Revised Risk
                                                                                                                                                                                          Responsible




                                                                                Rating (1-6)




                                                                                                                                                                           Rating (1-6)
                                                                                Initial Risk
                                        Identify any potential hazards                         Decide what controls to use to eliminate or minimise the risks.
STEP

       Beak the job down into steps.
       List the steps in this column.   associated with each step – and                        Detail the controls in this column, and enter the revised risk rating in
                                        any related risks. Detail the hazards                  the next column.
                                        and risks in this column, and enter
                                        the risk rating in the next column.                    Note: If the risk rating is still 1-3, do not begin work.

                                        Vapour inhalation from                                 Use in a well ventilated area. Avoid eye/mouth
                                        conduct                                                contact. Avoid sources of ignition. Training in the
                                                                                               use of MSDS hazardous substances




5.     Setting out pre wire             Back strain                                            Bend knees, loosen up exercise training in manual
                                                                                               handling

                                        Splinters from timber walls                            Care taken when marking out, Training in the use
                                                                                               of PPE such as gloves
                                        Strain to arm, wrist,
                                        shoulder or hand when                                  Use hammer steadily as per manufacturers
                                        installing wall plates                                 recommended procedure

                                        Eye & hearing damage                                   Training in the use of PPE equipment such as
                                                                                               safety glasses & ear protection

                                        Back strain from generator                             Training in basic lifting & carrying / manual
                                        placement                                              handling run generator when required

                                        Electrocution from drilling                            Training in the use of power tools & running of
                                        and cutting timber                                     leads. Ensure equipment is free from damage.
                                                                                               Electrical test, tag and register of all power tools

                                        Falling from ladders                                   Training in the set up of portable ladders
Safe Work Method Statement (SWMS)                                                                                                                                                            Page 5 of 9
                 Job Step                  Hazard Identification                                                  Controls Implemented                                                      Person




                                                                                                                                                                          Revised Risk
                                                                                                                                                                                          Responsible




                                                                                Rating (1-6)




                                                                                                                                                                           Rating (1-6)
                                                                                Initial Risk
                                        Identify any potential hazards                         Decide what controls to use to eliminate or minimise the risks.
STEP

       Beak the job down into steps.
       List the steps in this column.   associated with each step – and                        Detail the controls in this column, and enter the revised risk rating in
                                        any related risks. Detail the hazards                  the next column.
                                        and risks in this column, and enter
                                        the risk rating in the next column.                    Note: If the risk rating is still 1-3, do not begin work.

6.     Run in cables                    Back and shoulder strain                               Bend at knees, do not lift more than 20kgs & use a
                                        when carrying cable                                    cable roller system. Training in manual handling.

                                        Slips Trips & falls                                    Ensure work area is clear and tidy of waste
                                                                                               materials
                                        Cuts, crush damage to
                                        hands & eye damage                                     Training in the use of PPE equipment where
                                                                                               required
7.     Install Earth Stake              Slips, trips and falls                                 Ensure work area is clear of debris.

                                        Muscle strain from                                     Use hammer as per manufacturers
                                        hammering in stake                                     recommendation

                                        Eye damage when using                                  Wear eye protection. Training in the use of MSDS
                                        spray can                                              hazardous substances
8.     Install Meter Box                Back strain from lifting box                           Training in manual handling & team lifting, use
                                        and pulling cables                                     cable roller system

                                        Eye, hand damage when                                  Wear PPE equipment – glasses, gloves
                                        drilling
                                        Drop box on feet                                       Wear safety boots
                                        Electrocution                                          Electrical tag, test and register
                                        Damage to hearing                                      Wear ear protection
                                        Sunburn                                                Wear hats, use sunscreen and skin protection
                                                                                               clothing

                                        Irritation from use of                                 Training in the use of MSDS hazardous
                                        silicon                                                substances – avoid direct contact with skin
9.     Tape Brackets. Clean             Cuts                                                   Use PPE when required – gloves & dust mask
       site                             Dust from sweeping up

Safe Work Method Statement (SWMS)                                                                                                                                                            Page 6 of 9
                 Job Step                  Hazard Identification                                                  Controls Implemented                                                      Person




                                                                                                                                                                          Revised Risk
                                                                                                                                                                                          Responsible




                                                                                Rating (1-6)




                                                                                                                                                                           Rating (1-6)
                                                                                Initial Risk
                                        Identify any potential hazards                         Decide what controls to use to eliminate or minimise the risks.
STEP

       Beak the job down into steps.
       List the steps in this column.   associated with each step – and                        Detail the controls in this column, and enter the revised risk rating in
                                        any related risks. Detail the hazards                  the next column.
                                        and risks in this column, and enter
                                        the risk rating in the next column.                    Note: If the risk rating is still 1-3, do not begin work.

10.    Fit Out                          Cuts, eye damage when                                  Use eye protection if cutting out above eye level or
                                        cutting out gyprock                                    when required. Extreme care in using pliers. Use
                                                                                               in accordance with manufacturer’s
                                                                                               recommendation. Ensure work area is clear of
                                                                                               materials & waste. Ensure clear access. Training
                                                                                               in the use of portable ladders


11.    Fit Out                          Cuts, strains when twisting                            Use screwdrivers & battery drill in accordance with
       (continued)                      cable, securing cable                                  manufacturer’s recommendation. Training in
                                                                                               manual handling and the use of PPE equipment
12.    Install meter panel              Electrocution                                          Ensure cables are dead. Use of PPE equipment
                                                                                               training in MSDS use and training in manual
                                        Gas inhalation / burns                                 handling

                                        Trips and falls


13.



   THESE ARE STANDARD SWMS, THEY MUST BE MODIFIED TO SUIT YOUR WORKERS, YOUR EQUIPMENT AND
   YOUR SITE.




Safe Work Method Statement (SWMS)                                                                                                                                                            Page 7 of 9
                              CHECKLIST OF ITEMS THAT MAY BE REQUIRED FOR THIS WORK ACTIVITY




  QUALIFICATIONS




  TRAINING




                                            Codes of Practice

                                            OHS Consultation
                                            OHS Induction Training for Construction
  CODES OF PRACTICE OR AS/NZS               Amenities for Construction Work
  STANDARDS TO BE COMPLIED WITH             Electrical Practices for Construction Work




Safe Work Method Statement (SWMS)                                                              Page 8 of 9
Declaration by contractors & workers:
1. I have been consulted and assited in the development of this SWMS.
2. I have been given the opportunity to comment on the content of this SWMS.
3. I have read and understand how I am to carry out the activities listed in this SWMS.
4. I have been supplied with the personal protective equipment identified on this SWMS and I have been given training in the safe use of this equipment.
5. I have read and understand the requirements set out in the mateial safety data sheets for the hazardous substances identified in this SWMS.



NAME:                                                SIGNATURE:                                        DATE:




Safe Work Method Statement (SWMS)                                                                                                            Page 9 of 9

				
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