Plumbing Call-out
- Company doing the work
- [Company]
- Business contact and phone
- —
- Responsible person (for monitoring SWMS and work)
- —
- Responsible person's phone
- —
- Responsible person's signature
- —
- Date signed
- —
- Principal Contractor (PC)
- [Principal contractor]
- PC Address
- —
- PC phone
- [PC phone]
- Date SWMS provided to PC
- —
- Job Site Address
- [Site address]
- Part of a construction project
- —
Site management plan
If the work is part of a construction project, this SWMS must align with requirements of the Site Management Plan in place for the Construction Project.
High-risk construction work
This work activity involves the following “High-Risk Construction Work” (HRCW - identified in the Job Task column)
- AsbestosAsbestos disturbance
- Gas MainsPressurised gas distribution mains or piping
- Hazardous LinesChemical, fuel or refrigerant lines
- Energised ElectricalEnergised electrical installations or services
- FallsInvolves a risk of a person falling from 2m or more, including work on telecommunications towers
- Hazardous AtmosphereWork in an area that may have a contaminated or flammable atmosphere
Working with a risk of a fall over 2 metres
The fall from height hierarchy of control level considered when establishing controls:
- L1Work on the ground or solid construction, not chosen
- L2Use a passive fall restraint system, e.g. guard rails, scaffolding, EWP, not chosen
- L3Use a work positioning system, e.g. travel restraint, rope access, not chosen
- L4Use a fall arrest system, e.g. safety harness, catch platforms, not chosen
- L5Implement administrative controls, e.g. signage or instruction, not chosen
No level has been chosen yet.
Planning and preparation
Planning/Preparation
Liaise with Principal Contractor to identify on-site safety systems and procedures
Establish supervisory and communication arrangements
Principal contractor to confirm emergency response procedures are in place.
Hold points
Hold points identified and signed off before continuing work. (specify)
Training/Licence
All workers to have a General Construction Induction Card
Relevant workers have relevant certificates of competency, licenses, and training. Specify on the SWMS Sign-off for each worker.
Trained First Aider on site
All workers trained in site-specific emergency and evacuation procedures, SWMS, safe work procedures, and safety data sheets.
Worker duties and responsibilities
Fit condition for work, i.e., no signs of fatigue, alcohol or drugs
Attend all site inductions/briefings
Comply with all site requirements, e.g. PPE, Traffic Management Plans (TMP)
Only carry out work related to the contract
Inspect completed work and report possible safety, environmental and quality matters to the supervisor.
Monitor/Review
All people involved in the task must have this SWMS communicated to them before work commences
SWMS to be reviewed and amended if necessary, in consultation with relevant people after any near miss or incident
If additional site hazards identified, review this SWMS and amend control measures to suit
People, including workers, contractors and sub-contractors, affected by the revisions to this SWMS, must be informed ASAP
Give the principal contractor a copy of the revised SWMS
The site supervisor to monitor works against the controls stated in this SWMS
SWMS must be kept on-site and made available for inspection or review
Keep a record of this SWMS until the job is complete or for two years if involved in a notifiable incident
Regardless of any other factor, the person in control of the workplace must review this SWMS at least annually.
Site-specific notes
Legislation and codes of practice
None listed.
Personal protective equipment (PPE)
- Foot Protection
- Hand Protection
- Protective Clothing
Do not wear rings, watches or jewellery that may become entangled. Long and loose hair must be tied back.
Job steps, hazards and controls
- Work activity
Provide training on the health effects associated with RCS
- Hazard
Exposure to respirable crystalline silica (RCS) – dust inhalation
Before controls3 HighControlsTraining and Information provided to workers on RCS should include:
Identification of RCS dust through Safety Datasheet (SDS) or labels
Dust exposure prevention
Checking controls are working and using them
When and how to use any respiratory protective equipment provided and what to do if something goes wrong (Including worker respirator fit and check processes).
After controls2 ModerateResponsible- Supervisor
IR before controls · RR after controls1 LLow2 MModerate3 HHigh4 AAcute
Overall risk after controls2 MModeratethe highest rating after controls
작업 단계 19개 더: Planning부터 Emergency response까지
단계마다 위험 요소, 위험도 평가, 관리 조치가 있고, 작업자 서명란도 포함됩니다.