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CONCRETE FOUNDATIONS EXCAVATING - POURING SAFE WORK METHOD STATEMENT (SWMS)

Business Contact: Phone #: Principal Contractor (PC):

Responsible person (for monitoring SWMS and work): PC Address:

Signature: Date: PC Phone #: Date SWMS provided to PC:

Contact Phone #: Job Site Address:

E
If yes – This SWMS must align with requirements of the Site
SITE MANAGEMENT PLAN Is the work associated with a Construction Project? Yes No Management Plan in place for the Construction Project.

PL
THIS WORK ACTIVITY INVOLVES THE FOLLOWING “HIGH-RISK CONSTRUCTION WORK” (HRCW - IDENTIFIED IN THE JOB TASK COLUMN)

Confined spaces Mobile plant movement Demolition of a load-bearing structure Asbestos disturbance
Using explosives Diving work Artificial extremes of temperature Tilt-up or pre-cast concrete
Pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations or services

M
Structures or buildings involving structural alterations or repairs that require temporary support to prevent collapse
Involves a risk of a person falling from 2m or more, including work on telecommunications towers Work in a ceiling space (W.A. Only)
Working at depths greater than 1.5 metres, including tunnels or mines Work in an area that may have a contaminated or flammable atmosphere
SA
Work carried out adjacent to a road, railway or shipping lane, traffic corridor In or near water or other liquid that involves the risk of drowning
WORKING WITH A RISK OF A FALL OVER 2 METRES. Select the fall from height 'hierarchy of control level' considered when establishing controls:
LEVEL 1: Eliminate hazards by performing the work on solid ground/solid construction LEVEL 4: Use a fall arrest system e.g., safety harness
LEVEL 2: Use a passive fall prevention device e.g., edge protection LEVEL 5: Use a ladder or implement administrative controls e.g., SWMS
LEVEL 3: Use a work positioning system e.g., Other?
Please describe why it is not reasonably practicable to use higher-order control measures. E.g. The job is less than 5 minutes on a ladder.

DOCUMENT #: VERSION #: 1 DEVELOPED BY AUTHORISED BY REVIEW #:

CONCRETE FOUNDATIONS EXCAVATING - POURING © SafetyCulture All Rights Reserved ISSUE DATE: REVISION DATE: Page 1 of 16
SAFE WORK METHOD STATEMENT
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RESPONSIBLE
JOB TASK HAZARDS RISK CONTROL MEASURES PERSON
conditions & Hyperthermia 3H  Ensure that workers trained to recognise the symptoms of hyperthermia and hypothermia awareness of
prepare  Hot conditions. Ensure:  Cold conditions. Ensure: weather
Hypothermia o Suitable protective clothing o Schedule warm-up breaks conditions
o Sun brim on hard hats o Hold breaks inside
o Safety glasses - UV rated o Dress warmly in layers Workers to
o Use 30+ sunscreen on exposed o Stay dry (wet clothing chills the body rapidly) follow controls
skin o Workers must get out of the cold as soon as they and make
o Adequate drinking water can if starting to feel symptoms supervisor

E
o Access to shade on breaks o Alcohol, cigarettes, caffeine and certain aware of any
o Adequate breaks. medications increase susceptibility to cold. issues

PL
4. HRCW Unauthorised 3H  Erect barricades with adequate signage: Supervisors
Work area access to the o Erected before the commencement of work to check all
set-up work area o Always kept in position until the work completed and safe to remove controls in
o Regularly inspected and maintained place and
 Use lock-out procedures to prevent unauthorised use of plant followed
 Provide information to workers and other people on-site advising them of the exclusion zones
 Delivery of goods, materials and equipment should only be made through the public areas during Workers to

Work adjacent
to road & public
4A
M
off-peak periods
 Provide supervision so that no unauthorised person enters an exclusion zone.
 Where setting up on a road or other public place an alternative footpath provided and protective
fitted around the work area to prevent harm to passers-by
follow controls
and make
supervisor
aware of any
SA
issues
 Where necessary, traffic control put in place to provide safe road use
 If setting up roadside – comply with local laws and permits
 Erect any barriers & signage necessary to keep others safe and aware
 If temporary road traffic control is required (e.g. parking on-road or pedestrian management):
o Approvals and permits are sought from the local council and/or state road transport
departments where necessary
o Only accredited traffic controllers are to perform traffic control duties
o All traffic control measures in place implemented as per Australian Standard AS 1742.3–
2009: Manual of Uniform Traffic Control Devices, Part 3: Traffic Control for Works on Roads
(‘AS 1742.3-2009’) or other requirements as per permit conditions
o Traffic controllers must have the required accreditation to perform traffic control duties
o Traffic controllers must have sufficient experience to set-up and control traffic safely and
efficiently.

DOCUMENT #: VERSION #: 1 DEVELOPED BY AUTHORISED BY REVIEW #:

CONCRETE FOUNDATIONS EXCAVATING - POURING © SafetyCulture All Rights Reserved ISSUE DATE: REVISION DATE: Page 4 of 16
SAFE WORK METHOD STATEMENT
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RESPONSIBLE
JOB TASK HAZARDS RISK CONTROL MEASURES PERSON
 Clearly defined work areas to ensure no vegetation clearing occurs outside of the work area
 No burning of vegetation
 Notify site manager if any accidental or unintended vegetation clearing occurs
 Cease immediately any work that causes the unintended vegetation clearing to occur
 Ensure that plant is washed free of dirt, vegetation, debris before travelling between sites.
 Vehicle movement - Follow the TMP, only travel on established tracks and roads
 Use designated entry and exit points

E
 Cultural heritage - Training and instruction provided concerning the heritage values, historical
significance, cultural relevance or sensitivity of the area
 Comply with the conditions of any licence, approval or permit issued by the relevant planning
authorities relating to cultural heritage

PL
 No disturbance of heritage values or items
 No complaints or allegations of unauthorised disturbance of heritage values or items
 Due diligence in the supervision, inspection and monitoring of works to ensure that the
necessary licence, approval and permit conditions complied with
 Any disturbance is minimised, and buffer zones or segregated areas are maintained
 If an unknown condition arises, e.g. cultural heritage relic: Stop work and notify the site manager
 Terrestrial fauna - No domestic animals are to be taken on-site

6. House
keeping
 Slips
 Trips
 Falls
3H



 M
Ensure all food scraps placed in lidded bins.
Maintain housekeeping throughout the shift & clean-up
Ensure sufficient lighting to detect changes in level (using temporary lighting as required)
Do not jump from elevated edges >180mm, step carefully and use prepared access areas
Supervisor
and workers
to ensure
SA
 The work area is clean and uncluttered as possible control
 Do not place equipment where it could become a trip hazard measures
 Check for stored items, corners or other obstructions that could cause tripping followed
 Ensure there is room to manoeuvre and no obstacles in the way
 Check the end destination is prepared correctly for placement of the materials/equipment
 Clean spills immediately
 Footwear is suitable. Snug-fitting shoes/boots with flat, non-slip soles, no loose soles, long laces,
oily soles, or caked with mud or other contaminants.
7. Manual tasks Musculoskeletal 3H  Materials/equipment placed as close to the work area as possible Supervisor
(MSD) injuries  Weight of an object should be known; avoid lifting loads more than 1/4 of your body weight and workers
 Do not use extreme force to move items to ensure
 Hold lifted items close to the body whenever possible: control
o Keeping knees bent and back straight and lift, unload keeping knees bent measures
 Use team lifts and mechanical means for heavy items followed
DOCUMENT #: VERSION #: 1 DEVELOPED BY AUTHORISED BY REVIEW #:
CONCRETE FOUNDATIONS EXCAVATING - POURING © SafetyCulture All Rights Reserved ISSUE DATE: REVISION DATE: Page 6 of 16
SAFE WORK METHOD STATEMENT