Safe Work Method Statement Worksheet

Use of Master Builders Generic Safe Work Method Statements Disclaimer: The Master Builders Association of Victoria expressly disclaim all and any liability to any person in respect of anything, and of consequence of anything done or omitted to be done by any or such person in reliance, whether wholly or partially on this generic safe work method statement. Rules for the use of Master Builders generic SWMS 1. This generic SWMS is provided as a sample. It is not to be used by a builder or subcontractor for the purpose of managing safety on their projects. It can be used as a template to enable builders and subcontractors to produce their own SWMS. Master Builders have carbon copy pads available for sale to enable builders/subcontractors to produce their own SWMS. 2. Employers intending to use this SWMS as a template for their own SWMS must ensure they consult with their employees, including their Health and Safety Representatives, prior to its introduction. 3. Builders and subcontractors must ensure that their SWMS is relevant to the project at hand. Generic SWMS should not be used unless precautions have been taken to ensure that the document adequately addresses the hazards and risks relevant to each particular project. 4. Builders and subcontractors intending to use this sample SWMS as a template for their own generic SWMS, without making any changes to the detail, must ensure that they adhere to and implement all of the relevant risk controls. 5. The range of generic SWMS provided by Master Builders are not sufficiently broad enough to cover all hazards or risks encountered by builders and subcontractors. It does not cover the full list of requirements for which SWMS are specifically required under the OHS Construction Regulations. It is important that the builder or subcontractor undertake their own hazard identification and risk control process relevant for each particular task. It is highly recommended that persons who are responsible for preparing and reviewing SWMS undertake training so as to understand the process of identifying and controlling risks in the workplace.

Remember: Each SWMS should be site specific. Include all workers in the development of the SWMS. All workers should sign off to verify that they understand all the requirements of this Safe Work Method Statement.

Safe Work Method Statement Worksheet

Company Name Site Name Safe Work Method Statement No ______ Page Contractor Activity Installation of roof sheets housing of

Permit to Work Requirement Yes No

Tasks
List the tasks required to perform the activity in the sequence they are carried out.

Hazards and Risks

What can harm you - Hazards? What can happen - Risks?

Risk control measures

List the control measures required to eliminate or reduce the risk of injury and detail how the control measures will be put in place.

Who is responsible?
Write the name of the person responsible (supervisor or above) to implement the control measures identified.

General Planning

- Consultation and planning - Communication - Inadequate training

Outdoor work Accessing roof

- Exposure to UV Rays - Slips and trips - Manual Handling - Fall from height - Injury to workers / public below

Secure roof battens

- Puncture wound from screw gun - Eye injury - Electric shock - Noise - Injury to other workers and public below

Consult with Principle Contractor to inspect work site to ensure structure is completed and the correct equipment is brought on site. Nominate supervisor to liaise with Principle Contractor. Employees to receive adequate working at heights training and any plant qualification i.e. scissor lift, boom lift etc. Employees to be provided with appropriate UV protection, to include SPF 30+ screen, sun glasses and wide brimmed hats. Scaffold tower to be erected only by licenced person where a person or object can fall more than 4m. Ensure access ways are clear and free of material. Where scaffold cannot be erected, use scissor lifts or boom lifts etc, to work from. Crane to be used to transport materials where appropriate. Edge protection in place and kickboards, i.e. scaffolding and / or perimeter guardrail system. Barricade of area below were materials could fall and working above signs to be displayed. Ensure all fingers and body parts are kept away from the fixing location. Eye protection to be worn. All electrical tools to have current test tags. Leads not to cover or block any access ways. Ensure no tools or material can be dropped on to workers or the public, by barricading the work area and securing tools.

Remember: Each SWMS should be site specific. Include all workers in the development of the SWMS. All workers should sign off to verify that they understand all the requirements of this Safe Work Method Statement.

Safe Work Method Statement Worksheet

- Fall from heights Ensure that any electrical leads are protected where they pass through, over or close to any sharp edges. Where truss spacings are 600mm, battens can be at 900mm centres. Where truss spacings are more than 600mm (900 or 1200), battens to be at 450mm spacing, to protect workers from internal falls. As above: Scaffold tower to be erected only by licenced person where a person or object can fall more than 4m. Ensure access ways are clear and free of material. Where scaffold cannot be erected, use scissor lifts or boom lifts etc, to work from. Crane to be used to transport materials where appropriate. Edge protection in place and kickboards, i.e. scaffolding and / or perimeter guardrail system Barricade of area below were materials could fall and working above signs to be displayed. Secure any loose material that might get blown off the roof during high winds. Use battery operated tools where possible. Power tools and leads to have current test tags. Leads to be connected to a temporary power board incorporating RCD protection. Keep leads off metal objects. Protect leads from sharp objects (e.g. sheet ends). As above. Where edge protection to roof has been removed, work from a scissor lift or mobile scaffold. Date A p pr ov ed B y Workers name Signature

Laying & securing roof sheets

Falls from heights Falling objects Electrocution

Installation of gutters and capping and flashings

Falls from heights

I have read and understood the content of this Safe Work Method Statement Workers name Signature

Remember: Each SWMS should be site specific. Include all workers in the development of the SWMS. All workers should sign off to verify that they understand all the requirements of this Safe Work Method Statement.