Safe work method statement

Job Task Summary:

This SWMS is applicable to the

following worker type:

Installation of Multi Media filters Hand rill

employee

contractor

volunteer

student

visitor

other

SWMS completed by:

Abdelaziz Ghonaim

Site:WTP

Riyaz Fazlani

Date: 17-01-2016

(Abdulaziz Ghaffar)

How to complete the from:1. Discuss with relevant workers the steps, and associated hazards, risks and controls
2. In the Procedural steps, list the work steps in sequence of how they will be carried out
3. In the Possible hazards, list the hazards and risks for each step
4. In R1 rate the risk without controls using the risk matrix (see over page)

5.
6.
7.
8.

In the Safety controls list how the hazards will be controlled and who is responsible to
implement the controls
In R2 rate the risk with controls (residual risk) using the risk matrix (see over page)
Specify other requirements for the task
Each person involved with this task must sign acknowledging that they have
understood the steps

R1 Risk without controls

PROCEDURAL STEP(S)

POSSIBLE HAZARD(S)

Shifting the hand rill to

the site.

Lifting the hand rill to

the top of filter using
Chain Block and Hands
for adjustments

Difficult Lifting

Down and adjust hand

rill on filter then tighten

NA

NA

INT12/52446

Possible falling during shifting

R1

R2 Risk with controls

SAFETY CONTROL(S)

PERSON RESPONSIBLE

Good tighten by using forklift

Supervisor, Safety oficer

Chain Blocks

R2

Supervisor, Safety officer

NA

V2/03-2013

PROCEDURAL STEP(S)

POSSIBLE HAZARD(S)

Lifting the ladder and

tight with hand rill

NA

R1

SAFETY CONTROL(S)

PERSON RESPONSIBLE

NA

NA

WHS RISK MATRIX

INT12/52446

R2

HIERARCHY OF CONTROLS

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V2/03-2013

OTHER JOB REQUIREMENTS

List staff skills/competencies and licences required for safe job performance:
Mechanical Supervisor, Safety Officer

List items of plant/equipment/tools required:

Relevant codes of practice, legislation standards or critical risk controls that may be applicable:
NA

Maintenance checks, site/workplace inspections required:

Proccesed by Mechanical Supervisor and Safety Officer

Additional approvals, certificates, WorkCover approvals/permits required e.g. confined spaces,

working at heights, hot works etc:
NA

PPE required:

Has a risk assessment been completed for any work involving confined spaces, electrical work or
diving work
Yes
No
N/A

Overalls
Safety footwear
(enclosed or steel cap)

Gloves

Eye protection

Sunscreen

Hard hat/helmet

Hi visibility vest

Lab coat

Hearing protection

Other (please list)

APPROVAL (Officer, Manager, Supervisor i.e. person responsible for ensuring compliance with SWMS)
Name: Abdulaziz Ghaffar

Date:

Signature:

I HAVE READ AND UNDERSTAND THIS SAFE WORK METHOD STATEMENT

NAME

INT12/52446

SIGNATURE

DATE

NAME

Page 3

SIGNATURE

DATE

V2/03-2013