Safe Work Method and Environment Statement (SWMES)
Company Subcontractor
Project Date
Job Task Cleaning SWMES No.
To be reviewed
Licences/Permits
Required or other
Competencies
Relevant Australian
Standards/Codes of
Practice/Legislation
Personal Protective
Clothing Required
(circle) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Plant & Equipment
Required
Material Safety Data
Sheets Required – less
than 5 years old
Have you considered the site specific hazards? Have you considered weather conditions? NB: YOU MUST
- lay of the land - wind 1. Consider these specific potential hazards and
- obstacles (buildings, workers, excavations, - rain insert any identified risks in the relevant column
plant) - heat 2. Assess the risk using the matrix
- changes to site conditions - cold etc 3. Insert controls using the heirarchy of controls
- other contractors work in progress Have you considered job specific details? for the hazards identified
- different material 4. Assess the residual risk
- different equipment 5. Delete these notes to demonstrate that you
have considered these matters
Developed by MBASA OHS Committee 2/12/2009 Page 1 of 6
Safe Work Method and Environment Statement (SWMES)
Step 1
Hazard – Possible Consequences
Code Possible Consequence Description
5 Catastrophic Death, toxic release off-site with detrimental effects, huge financial loss
4 Major Extensive injury, loss of production capability, off-site release with no detrimental effect, major financial loss
3 Moderate Medical treatment required, on-site release contained with outside assistance, high financial loss
2 Minor First aid treatment, on-site release immediately contained, medium financial loss
1 Insignificant No injury, low financial cost
Step 2
Hazard – Likelihood of Occurrence
Code Likelihood of Occurrence Description
A Almost Certain This event is expected to occur in most circumstances
B Likely The event will probably occur in most circumstances
C Possible The event might occur at some time
D Unlikely The event could occur at some time
E Rare The event may occur only in exceptional circumstances
Step 3
Hazard –Risk Analysis Matrix
Likelihood Insignificant 1 Minor 2 Moderate 3 Major 4 Catastrophic 5
A (Almost Certain) H H E E E
B (Likely) M H H E E
C (Possible) L M H E E
D (Unlikely) L L M H E
E (Rare) L L M H H
Step 4
Legend
E Extreme risk, immediate action required
H High risk, senior management attention required
M Moderate risk, management responsibility must be specified
L Low risk, manage by routine procedures
AS/NZS 4360 - Risk management
Developed by MBASA OHS Committee 2/12/2009 Page 2 of 6
Safe Work Method and Environment Statement (SWMES)
Job Steps Potential Hazard Rate Control Residual Person Responsible
Risk On Site
E, H, M, E, H, M, L
Break the job into steps What can cause harm at each step What is going to be done to make
L
the job as safe as possible
Use of chemical Hazardous substances Ensure compliance with the MSDS
at all time re storage, mixing &
H handling and correct use of any
M [insert responsible person]
chemical
General cleaning Manual handling Only workers trained in correct
Ergonomics manual handling techniques to
Slips, trips, falls complete task
Regular breaks scheduled for
postural changes and stretching
M exercised L [insert responsible person]
Excess water is removed, work only
within reach envelope
Appropriate PPE to be worn at all
times, ie knee pads gloves, none
slip shoes
Polishing areas Electric shock Electrical devices to be tested &
tagged as required under AS 3760
H & 3012
M [insert responsible person]
Manual handling Select the correct devices for the
task
M Only workers trained in correct L [insert responsible person]
manual handling techniques to
complete task
Non use of RCD upstream RCD to be used up stream for all
H electrical devices
L [insert responsible person]
Dusting Dust inhalation Damp dust where possible when
Foreign body in eye not in the presence of electrical
M device L [insert responsible person]
Wear appropriate respiratory and
eye protection
Vacuum use Manual handling Only workers trained in correct
Ergonomics Slips, trips and falls M manual handling techniques to L [insert responsible person]
complete task
Developed by MBASA OHS Committee 2/12/2009 Page 3 of 6
Safe Work Method and Environment Statement (SWMES)
Regular breaks scheduled for
postural changes and stretching
excercises
Work only with reach
envelopeEnsure correct PPE, none
slip shoes Work area to be
kept clear of trip hazards at all
times
Use of electrical equipment Electric shock Electrical devices to be tested &
H tagged as required under AS 3760 M [insert responsible person]
& 3012
Manual handling Only workers trained in correct
manual handling techniques to
M complete task L [insert responsible person]
Select the correct devices for the
task
Non use of RCD RCD to be used up stream for all
H electrical devices
M [insert responsible person]
Use of ladders Fall from heights Only use ladders for access/egress
Use platform ladder or an EWP for
any other work
Check rating of ladder and check
for damage
H Ensure appropriate angles and that
M [insert responsible person]
ladder reaches 1 meter beyond
egress point
Do not use metal ladders around
electrical danger areas
Manual Handling when Manual handling Only workers trained in correct
Mopping Ergonomics manual handling techniques to
Slips, trips and falls complete task
Regular breaks scheduled for
M postural changes and stretching L [insert responsible person]
excercies
Work only within reach envelope
Ensure correct PPE, none slip
shoes
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Safe Work Method and Environment Statement (SWMES)
Developed by MBASA OHS Committee 2/12/2009 Page 5 of 6
Safe Work Method and Environment Statement (SWMES)
We, the undersigned, confirm that we have been consulted regarding the above SWMES and that its content is clearly understood. We also confirm that our required
qualification/s to undertake this activity are current and that we are competent to complete the work safely and without risk to our own health or the health of others.
We clearly understand that the control/s in this SWMES must be applied as documented, otherwise work is to cease immediately, and we will ensure that the work
area is made safe should risks to other works, visitors or the public remain.
Required
Name Job Title Employer Date Signed
Qualifications
I, the undersigned Supervisor confirm that I have checked all qualifications tendered and verify they are applicable and current. I have also ensured that
all inductions have taken place and that all tools and equipment are properly maintained and safe to use. I have issued all relevant permits and have
ensured to the best of my ability that the work area is safe and that the work will not damage any property or injure any persons.
Supervisor Name____________________ Supervisor Signature____________________ Date____________
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