Prepared by: Muhammed Shabin

Project Engineer 12/19/2017

 SAFE WORK METHOD STATEMENT FOR CONCRETE FORMWORK

Possible Safety or
Task Breakdown RB Task Breakdown RA Task Breakdown
Environment hazards
NOTE: RB = Risk Rating before controls implemented - RA = Risk Rating after controls are implemented
Design Personal Injury F Designers must L Engineer
Specifications - Crushing - Fully describe all features of design
- Falls - Provide SWMS for installation and stripping
- Being struck by falling - Define load cases
object - Define Acceptance criteria
- Provide for field adjustment
- Describe location of weep, vibrator and clean out
holes and inspection openings
- Detail sequence of concrete placement, including
any slopes, direction of pore and time between pores
- Describe strength stability and stiffness of system
- Detail foundation materials
- Details of surface type (filling, compaction, drainage)
- Allow for loads during construction (such as workers
materials, wind, false decks, rain, water runoff) reduce
fall risks where pracricable
Certification of design must be provided by a competent
Person
All formwork materials ( timber/plywood, prefab modules, aluminum,
steel or plastic) must meet quality design testing criteria as defined in
codes or standard practices
All exposed rebars must contain end caps
- Correct size for rebar
- Fitted correctly
- Regular inspections are undertaken to check conditions of
endcaps and to ensure no caps are missing

Document No. 007 Activity : Concrete Formwork Review No. 000 Date: 19th December 2017

Prepared by: Muhammed Shabin

Project Engineer 12/19/2017
 SAFE WORK METHOD STATEMENT FOR CONCRETE FORMWORK

Possible Safety or
Task Breakdown RB Task Breakdown RA Task Breakdown
Environment hazards
NOTE: RB = Risk Rating before controls implemented - RA = Risk Rating after controls are implemented
Preparation Personal Injury F Project documentation must be available on site and include at least L Engineer Site
- Crushing - design specifications Supervisor
- Falls - drawings
- Being struck by falling - loading calculations
object - plans/Elevations
Collapse of structure - general arrangements
- maximum point loadings
- component types and spacings
- methods of securing structure and components
- formply size
- minimum stripping times
- edge protection
- back propping where required
- any variation from design and subsequent certification of
variations
- safe load bearings
- time frames between pour and pour rates
Personal Personal Injury F Competency based training L Site Supervisor
Requirements - Crushing - site induction
- Falls - nature of hazards and emergency plan
- Being struck by falling - requirements from HSE Plan
object - operation of heavy equipments as required
Collapse of structure - PPE (use, maintanence, storage)
- specific SWMS
Risk Control Personal Injury F consider: L Site Supervisor
- Crushing - edge protection and netting to prevent falling objects
- Falls - fit for purpose work platforms/scaffolding
- Being struck by falling - traffic management, mechanical lifting, adequate lighting
object - PPE and house keeping
Document No. 007 Activity : Concrete Formwork Review No. 000 Date: 19th December 2017

Prepared by: Muhammed Shabin

Project Engineer 12/19/2017
 SAFE WORK METHOD STATEMENT FOR CONCRETE FORMWORK
Possible Safety or
Task Breakdown
Environment hazards
NOTE: RB = Risk Rating before controls implemented - RA = Risk Rating after controls are implemented
Formwork erection Personal Injury
- Crushing
- Falls
- Being struck by falling
object
Collapse of structure
Pre pour inspection Personal Injury
- Crushing
- Falls
- Being struck by falling
object
Collapse of structure
Document No. 007 Activity : Concrete Formwork
Prepared by: Muhammed Shabin
Project Engineer
RB Task Breakdown RA Task Breakdown
F all framing must be carried out so that it complies with on site design L All
documentation and any manufacturers' requirements
inspect all formwork components to ensure acceptable conditions
as per
Traditional
Foundation:
- ensure stable base
- ensure base plates are provided under props and standards
- ensure suitable sole boards are provided
Note: Base plates and sole boards may not be required if
competent persons deems them unnecessary
Note: If Lapped planks are used, they must be secured against
uplifting and slipping
F Inspection must be undertaken by qualified person to ensure L Site Supervisor
- safe work practices were followed
- system complies with requirement of design and project
documentation
- is adequately braced
- is strippable
- has adequate connections
- correct spacing of frames, props and timbers
- correct joists and bearer sizes
- accectable jack extensions
- adequate bracing to ensure stability
The engineer should suppliy an inspection certificate to verify the
structural integrity of the support structure and formwork system
Review No. 000 Date: 19th December 2017
12/19/2017
 SAFE WORK METHOD STATEMENT FOR CONCRETE FORMWORK

Possible Safety or
Task Breakdown RB Task Breakdown RA Task Breakdown
Environment hazards
NOTE: RB = Risk Rating before controls implemented - RA = Risk Rating after controls are implemented
During Concrete Personal Injury F Ensure L All
Pour - Crushing - continuous supervision of the formwork assembly and
- Falls concrete placement
- Being struck by falling - Communication between supervising personnel and
object the placing crews
Collapse of structure - Monitor indicators if installed
- if any failure, undue settlement or distortion of the
formwork develops, work should cease and
- the affected formwork assembly or component
strengthened or replaced
- Concrete is placed and compacted in a matter that
ensures specified quality of surface finish
Dismantling Personal Injury F Concrete should be inspected prior to dismantle L Site Supervisor
formwork - Crushing Check for unacceptable:
(Stripping) - Falls - warping
- Being struck by falling - twisting
object - cracks
Collapse of structure - blowholes
- deviations as per

Emergency Plan Personal Injury M Must include at least M All

- Crushing - rescue procedures
- Falls - evacuation points
- Being struck by falling - roles/responsibilities
object - communication procedures
Collapse of structure - first aid
- use and location of fire protection equipments

Document No. 007 Activity : Concrete Formwork Review No. 000 Date: 19th December 2017

Prepared by: Muhammed Shabin

Project Engineer 12/19/2017
 SAFE WORK METHOD STATEMENT FOR CONCRETE FORMWORK

SAFE WORK METHOD STATEMENT - part 2

Training in the following safe work procedures/

Formal training, Licenses required for workers
Duties of workers undertaking this task: SWMS/ training modules is required:
undertaking this task:
All workers to be trained in relevant procedures
- License to perform high risk work (heavy Name Operator Site specific Inductions
equipments like Crane, forklift, Man lift) Name Rigger Training in SWMS
- TUV certificate for Equipment and Name Supervisor Nature of hazards/risks
operator Emergency procedures

Duties of regulatory permits/licenses,

Details of Supervisory Agreements for workers
Engineering details/Certificates/Work Cover Relevant Codes of Practice
undertaking this tasks:
Approvals
- Competent supervisors for job - Local council permits
- Direct on site-supervision - Building Approvals
- Remote site - communication systems/ - EPA approvals/ Permits
schedule - 3rd party attestation
- Audits - PPE to comply with standards
- Spot checks, etc
- Reporting systems

Tools/ Equipments Maintanence details for tools/ equipments used on job

Example
- Electric jack Hammer As per manufacture recommendation, Electrical tested/ Tagged every 3 months
-

Document No. 007 Activity : Concrete Formwork Review No. 000 Date: 19th December 2017

Prepared by: Muhammed Shabin

Project Engineer 12/19/2017
 SAFE WORK METHOD STATEMENT FOR CONCRETE FORMWORK

Part 3 - SIGN OFF

This SWMS has been developed in consultation and cooperation with the workers and relevant persons from the prestigious Organization. I have read the above
SWMS and understand its contents. I confirm that I have skills and training, including relevant certifications to conduct the task as described. I agree to comply
safety requirements within this SWMS including safe work instructions and Personal Protective Equipments described

Name Qualification Signature Date Time Organization

Review No. 1 2 3 4 5 6 7

Name and initials

Date

Document No. 007 Activity : Concrete Formwork Review No. 000 Date: 19th December 2017

Prepared by: Muhammed Shabin

Project Engineer 12/19/2017