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SAFE WORK METHOD STATEMENT (SWMS) FORM
1 SAFE WORK METHOD STATEMENT (SWMS) DETAILSACTIVITY / TASK COVID-19 Virus Management Controls
SWMS REFERENCE NO. SWMS VERSION NO. DATE OF CURRENT VERSION 24/03/2020
2 PROJECT DETAILSPROJECT TITLE: ” Insert your document naming convention here”.
PROJECT ADDRESS:
3 PERSON CONDUCTING THE BUSINESS OR UNDERTAKING (PCBU) DETAILSCONTRACTOR “insert your document naming convention here” CONTRACTORS ABN
CONTRACTOR ADDRESSNAME POSITION / TITLE
CONTACT TEL NO. SIGNATURE
4 SENIOR MANAGEMENT / DIRECT MANAGER APPROVAL - Refer Delegations (Where Residual Risk remains as High or Very High after Control Measures identified)
NAME POSITION / TITLE DATE SIGNATURE
5 PERSON CONDUCTING THE BUSINESS OR UNDERTAKING (PCBU) PRINCIPAL CONTRACTOR / CUSTOMER DETAILS (IF APPLICABLE)PRINCIPAL CONTRACTOR ” Insert your document naming convention here”. NAME OF REPRESENTATIVE
DATE SWMS ACCEPTED POSITION / TITLECONTACT TEL NO. SIGNATURE
☐ CONTROLLED ☒ UNCONTROLLED
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6 PPE TO BE WORN BY ALL PERSONS UNDERTAKING THIS TASK
High Visibility Head Protection Foot Protection Hearing Protection Eye Protection Face Protection Hand Protection Protective
ClothingBreathing Protection Other
If other list below
Day Operations – Normal Requirements: Safety footwear (steel cap) with non-slip soles, hearing protection if required, high visibility shirt or vest, hard hat and sun protection if required (broad brim hat, sun screen, tinted safety glasses), eye protection, face protection if required, hand protection if required, long sleeve shirt and pants.
Hygiene standards: Maintained at all times, hand sanitiser gels antibacterial wipes, and sprays are to be readily available in all operating plant, offices, toilets and lunchrooms.
Face Masks: Shall be provided (P2 face masks) and worn if there is a foreseeable potential for COVID 19 exposure / contact with an infected person/s.
Head Protection: (hard hats) shall be worn at all time.
Foot Protection: (safety boots/shoes) Good footwear with non-slip chemical resistant sole and fitted with steel toe caps must be worn.
Eye Protection: (safety glasses) eye protection shall be worn at all times.
Hand Protection: Gloves shall be worn where required to combat against virus spread. Gloves to be compliant with AS and task dependant.
Arms, Legs and Body Coveralls: Long sleeve shirt and pants to be worn (no shorts).
OTHER:
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7 PLANT AND EQUIPMENT Where relevant, plant is registered with the statutory authority, and where relevant, the plant’s design is registered with the statutory authority Plant is fit for purpose, inspected, maintained, serviced, and repaired in accordance with manufacturer’s / supplier’s instructions or other specified standard representing good practice. Plant is accompanied by manufacturer’s / supplier’s instructions or other specified standard representing good practice and is available to the operator / user. Where relevant, the operator of the plant is licenced by the statutory authority.
PLANT REGISTER REFERENCE NO.
PLANT / EQUIPMENT REQUIRED TO UNDERTAKE THE TASK USED ON PROJECT REGISTRATION NO CERTIFICATE NO
PLANT RISK ASSESSMENT COMPLETED
PRE-DELIVERY INSPECTION COMPLETED
All plant will require to be hygienically cleaned prior to, and after use.
8 HAZARDOUS CHEMICALS Hazardous chemicals to be used during the activity shall have a Hazardous Chemicals Risk Assessment completed prior to use. Workers are to be trained in the use of the Hazardous Chemical. The materials shall be registered on the Substances Register.
HAZARDOUS CHEMICALS REQUIRED TO UNDERTAKE THE TASK: USED ON PROJECT UN NUMBERS DG NUMBERS RISK ASSESSMENT
COMPLETEDSDS PROVIDED
Cleaning materials
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9 PERMITS The following Permits to Work are implemented by [The Organisation] (Principal Contractor) in managing high risk activities. The following Permits are to be completed prior to undertaking this activity and these are to be submitted for approval prior to undertaking these activities.
NAME REQUIRED NAME REQUIREDProject / task specific
10 COVID-19 VIRUS INFORMATION
COVID-19 Information The Coronavirus (COVID 19) is zoonotic – the virus is not an airborne disease like measles and is instead spread via direct contact with respiratory droplets, which we generate when we sneeze or cough. The disease is transmitted when a person who is infected coughs or exhales, and small droplets land on objects and surfaces around them. Other people then catch the virus by touching these objects and surfaces, and then touching their eyes, nose or mouth.If you have contracted COVID-19 or suspect you may have the below symptoms you must take a pro-active approach to safe-guard your health and the health of others and seek medical a check immediately.
COVID-19 Symptoms Sore throat Difficulty in breathing Coughing Sneezing Headaches Fever (Elevated Temperature) Fatigue Body chills Body aches
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11 STANDARDS OF GOOD PRACTICELEGISLATION APPLICABLE TO THIS WORK
Work Health & Safety Act 2011Work Health & Safety Regulations 2011
CODES OR OTHER STANDARDS APPLICABLE TO THIS WORK
ISO 31000:2018 - Risk Management Guidelines ISO 45001:2018 – Health & Safety Management StandardCode of Practice: How to Manage Work Health & Safety Risks (2011)Code of Practice: Managing Risks of Plant in Workplace (2013)
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12 HAZARD IDENTIFICATION, RISK ASSESSMENT AND CONTROL OF ACTIVITY (HIRAC)
ACTIVITY / TASK / JOB STEP HAZARD / RISK
INTRINSIC RISK HAZARD CONTROLS RESIDUAL RISKRESPONSIBLE PERSON(WHO IMPLEMENTS)
L C R CONTROL L C RContractor Pre-Engagement / Pre-mobilisation to the worksite
Persons not fit for duty:- Presenting to the worksite with
flu like symptoms.- Presenting to worksite after
contracting COVID-19 Non-infected workers exposed to
the COVID-19 respiratory illness.
4 5 VH 20 Diligent contractor pre-engagement health screening processes applied – eliminate COVID-19 exposure to non-infected workers.
In relation to COVID-19 health warnings and as a matter of urgency, contractors shall provide an updated Safe Work Method Statements (SWMS) outlining additional controls and risk mitigation measures to manage your employees whom:- have a confirmed diagnosis of COVID-19. - have been in close contact with a person who has a
confirmed diagnosis of COVID-19. - have been in close contact with a person being evaluated
for COVID-19. and- presenting with COVID-19 flu-like symptoms.
To add clarity ‘Close contact’ – as defined by Australian Government Dept of Health (but is not limited to) a worker has been exposed to?
more than 15 minutes face-to-face contact in any setting with a confirmed case in the 24-hour period before the onset of their symptoms; or
sharing an enclosed space with someone for greater than 2 hours in the 24-hour period before the onset of their symptoms; or
having lived with or cared for someone or having direct contact with respiratory or bodily fluids of an infected person including sharing eating or drinking utensils.
3 3 M 9 Project Manager / Contractors
Task Planning Health standards not applied Persons not fit for duty:
- Presenting to work with flu like symptoms.
4 5 VH 20 Persons must report for work “Fit for Duty” If you have contracted or suspect you have contracted COVID-
19 symptoms do not present for work, immediately contact the works supervisor and report your condition.
3 3 M 9 All Stakeholders
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ACTIVITY / TASK / JOB STEP HAZARD / RISK
INTRINSIC RISK HAZARD CONTROLS RESIDUAL RISKRESPONSIBLE PERSON(WHO IMPLEMENTS)
L C R CONTROL L C R- Workers exposed to COVID-19
respiratory illness. Workers who have recently been overseas or have been in
contact with any known COVID-19 case, do not present yourselves for work.
Any person that presents at a worksite with COVID-19 symptoms must be immediately placed in isolation and provided with a P2 face mask and is to seek a medical assessment ASAP.
The suspected COVID-19 infected worker must immediately contact the National COVID-19 Hotline (1800 020 080) and follow all advice given by health officials.
Ensure that the worker has transport to their home or to a medical facility.
Managers are to immediately identify all other potentially exposed workers on the jobsite (face masks issued to those workers).
Exposed workers are to be immediately isolated from non-exposed workers.
All potentially exposed workers that have been in contact with the infected worker will be stood down (14 days) and those workers will require a medical clearance certificate to return to pre-incident duties.
Supervisors are to ensure that all common areas / items of equipment potentially exposed to by the suspected infected worker are immediately isolated and diligently cleaned.
Persons engaged to undertake cleaning activities are to ensure that the appropriate PPE (gloves, masks, goggles, body suits) are worn prior to conducting any cleaning task which relate to virus infected exposed areas or items of plant or equipment.
Inadequate treatment response 3 4 H 12 Clearly identify emergency response consideration such as:
- Trained first aid personnel onsite.- Nearest medical treatment facilities identified and
communicated.
2 3 M 6 All Stakeholders
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ACTIVITY / TASK / JOB STEP HAZARD / RISK
INTRINSIC RISK HAZARD CONTROLS RESIDUAL RISKRESPONSIBLE PERSON(WHO IMPLEMENTS)
L C R CONTROL L C R- Emergency personnel contacts available.- Hygienic cleaning equipment.
Emergency contact details on display.
Pre-Starts / Toolbox Meetings
Presenting to work with flu like symptoms.
Persons previously exposed to the COVID-19 virus.
Further COVID-19 Spread.
4 4 VH 16 All prestart or toolbox meetings are to be conducted outside of crib huts / site offices.
All prestart or toolbox meetings are to be conducted in open aired well ventilated areas.
Maximum of 10 workers in attendance at pre-start at any one time (this includes the facilitator).
Stagger start times to accommodate worksites with greater than 10 workers or hold pre-starts at separate work front locations.
Social separation of workers shall be maintained – min 1.5m exclusion zones.
Hand sanitisers, gloves and face masks to be made available and used.
3 3 M 9 All Stakeholders
Light vehicle operations
Health standards not applied Persons previously exposed to
the COVID-19 virus. Persons contracting the COVID-
19 virus. Further COVID-19 Spread.
4 4 H 16 One person only per light vehicle or work truck. Stepback risk assessment to be completed and must include
cleaning & hygiene requirements. Hand sanitisers and anti-bacterial wipes are to be made
available and used in all vehicles. Persons operating vehicles are to ensure that after use the
vehicle has been diligently hygienically cleaned down with Antibacterial Hand Wipes (this includes gear shifts, two-way radios, steering wheel, seat belts, any item that could potentially harbor the virus.
3 3 M 9 All Stakeholders
Heavy plant operations
Health standards not applied. Persons previously exposed to
the COVID-19 virus. Further COVID-19 Spread.
4 4 VH 16 Hand sanitisers to be made available and used in all plant. Stepback risk assessment to be completed & to include
cleaning & hygiene requirements. Persons operating plant are to ensure that after use the plant
has been diligently cleaned down with Antibacterial Hand
3 3 M 9 All Stakeholders
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ACTIVITY / TASK / JOB STEP HAZARD / RISK
INTRINSIC RISK HAZARD CONTROLS RESIDUAL RISKRESPONSIBLE PERSON(WHO IMPLEMENTS)
L C R CONTROL L C RWipes (this includes two-way radios, steering wheels, gear levers, seat belts, any item that could potentially harbor the virus.
Crib Rooms (use of for lunch)
Health standards not applied. Further COVID-19 Spread.
4 4 VH 16 Surfaces sprayed each morning with disinfectant/anti-bacterial sprays (Dettol).
Antibacterial Hand Wipes made available and used. Mopped out at the end of every shift with bleach & hot water. Use of rubber gloves encouraged where possible. One person per 4 cubic square metres (roughly the size of a
queen size doona). Staggered breaks where possible – maintaining social
distancing 4 cubic square metres at all times. Responsibility of each worker to wash hands prior to food
preparation or touching surfaces. Responsibility of each worker to wipe all surfaces they were in
contact with - fridge doors, microwave doors, taps, etc. Workers with lunch boxes / eskies are encouraged to have
their crib breaks in their work area/cab of machine, this is to be encouraged.
3 3 M 9 All Stakeholders
Toilets and Bathroom Use
Health standards not applied. Further COVID-19 Spread.
4 4 VH 16 Hand sanitisers, antibacterial hand wipes and hand wash gels to be made available in all toilets.
Each worker is to wash their hands prior to entering toilet. Responsibility of each worker to wipe all surfaces they were in
contact with. Responsibility of each worker to wash hands and use hand
sanitiser when exiting toilet. Use of rubber gloves encouraged where possible. Toilets professionally cleaned once a week as a minimum
health standard.
3 3 M 9 All Stakeholders
Use of powered / non-powered
Health standards not applied. Further COVID-19 Spread.
4 4 VH 16 Powered / non-powered hand tools where possible are not to be shared.
3 3 M 9 All Stakeholders
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ACTIVITY / TASK / JOB STEP HAZARD / RISK
INTRINSIC RISK HAZARD CONTROLS RESIDUAL RISKRESPONSIBLE PERSON(WHO IMPLEMENTS)
L C R CONTROL L C Rhand tools Required PPE must at all times be worn (Gloves, P2 face
masks, long sleeved shirts, steel capped lace up boots, hard hats.
Tooling is to be thoroughly cleaned with anti-bacterial sprays / wipes after use.
Hard hats, gloves and face masks are at no time to be shared. Shower / bath & wash all clothing worn each day.
Site/Project Shut-Down
Non-completed works (risk to public safety).
Government / Statutory directed announcement.
3 4 H 12 All current work permits closed. Worksite vacated without risks to general public. Project office is secured and locked. Project plant & equipment secured & locked. All road traffic management controls – MUTCD devices,
barriers, warning signage remain if possible. Essential road hazard warning signage to remain. Periodical roadworks inspections conducted (if supervisors are
not in residential isolation lockdown).
2 3 M 6 Project Manager / supervisors
Mental Health Escalating Mental Health conditions relating to loss of income and financial pressures.
Stress, Depression, Anxiety.
4 4 VH 16 Ongoing management communications with workers relating to.- known sources of compensation and available government
assistance.- Regular updates on possible returns to work.- Worker / family counselling available
Maintaining good Mental Health & Wellbeing is important, if you are feeling stressed, depressed / anxiety or having family issues take the time to contact your manager / supervisor and seek assistance.
Employee Assistance Program (EAP) - Mates in Construction - 1300 642 111, a 24-hour service.
3 3 M 9 Senior Managers / Project Manager
NOTE: Where residual risk is High or Very High, Senior Management or Direct Manager / Supervisor (as per Delegations) approval is required prior to commencing work.
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13 RISK MATRIXPerform a risk assessment for each hazard identified by: (1) Determining the consequences (refer Table 1) (ii) Determining the likelihood of the consequence occurring (refer Table 2) (iii) Apply the values obtained from Tables 1 and 2 to the Qualitative Risk Matrix (Table 3) to obtain the resultant Risk Score and Level (iv) Apply priorities for the implementation of control measures in accordance with the Priority Matrix.
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14 EMERGENCY PREPAREDNESS AND RESPONSEEmergency preparedness and response preparations specific to the hazards identified within this SWMS are to be implemented as follows: Where the organisation is a Principal Contractor (PC), emergency preparedness will be undertaken, and site-specific response procedures will be prepared (refer Emergency Response
process). Where the organisation is undertaking work on behalf of a PC (appointed as a Subcontractor), the organisation will work in accordance with the emergency provisions put in place by the
PC. Where the organisation is undertaking works on behalf of a Client (not appointed as Principal Contractor) where the Client is in control of the workplace, the organisation will consult and
communicate with the Client to determine emergency preparedness and response requirements. Where the organisation is in control of the workplace or is requested by the Principal Contractor, the organisation will undertake emergency preparedness and prepare specific
emergency response procedures (refer Flowcharts for Emergency Response).
15 MONITORING AND REVIEW Use Task Observation form in undertaking formal monitoring and review in accordance with adopted schedule.
OBSERVATION LOG 01 02 03 04 05 06INITIALDATE
16 SWMS REVIEW AND AMENDMENTThis Safe Work Method Statement will be reviewed in consultation with those workers executing the work in response to the following: Any change to the standards of ‘good practice’ including any statutory requirement Any change in design Any change in the work environment Any change in the personnel performing the work Any change in the plant, substances, materials and structures After a task observation or inspection has been carried out and additional hazards have been identified Near miss, injury or illness results from exposure to a hazard / risk to which the Safe Work Method Statement includes Formal review of SWMS in accordance with adopted monitoring and review schedule.
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16.1 RECORD OF AMENDMENT
DATE OF REVIEW ACTIVITY / TASK / JOB STEP REVIEWED
PERSON UNDERTAKING REVIEW REVIEW RECOMMENDATIONS / AMENDMENT
17 SWMS ACKNOWLEDGEMENTAll persons interacting with tasks associated with this Work Method Statement must sign this Work Method Statement before commencing site activities. By signing the Work Method Statement the person is stating:
They were involved in the compilation of the Work Method Statement including any associated risk assessment
If they were not involved in the original compilation of the Work Method Statement including any associated risk assessment, & have been given the opportunity to comment on the SWMS
They have read or been read the Work Method Statement
They have received training and education in the work methodology expressed in the Work Method Statement
They understand the Work Method Statement
They have the skills and knowledge to perform the work as described in the Work Method Statement and as allocated to them
They have the plant, materials, substances and structures to perform the work as described in this Work Method Statement and as allocated to them and that such plant, materials, substances and structures are ‘safe’ if they are used properly
They understand they must comply with the content of the Work Method Statement.
They have been issued and instructed in the correct use of the PPE required to fully undertake their role in accordance with this Work Method Statement.
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DATE OF INDUCTION / ACTIVITY WORKER’S FULL NAME COMPANY WORKERS SIGNATURE
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18 SWMS – ATTACHMENTSATTACHMENT ATTACHMENT REFERENCE ATTACHMENT DESCRIPTION
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